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February 24, 1912

THE SYMPTOMATOLOGY AND DIAGNOSIS OF ANGINA PECTORIS

JAMA. 1912;LVIII(8):540-542. doi:10.1001/jama.1912.04260020224004

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Abstract

Angina peetoris is a symptom, or rather a symptomcomplex, characterized by paroxysmal attacks of pain, which usually radiate characteristically, and by sudden death, or the fear of death. It appears usually after the age of 40, and occurs more frequently in men than in women.

It may be divided for purposes of description into two forms: an organic angina and a functional angina, or a form with and a form without appreciable organic alteration. The latter has been further divided into neurotic. neurasthenic, reflex, hysterical, toxic and other types, all sometimes called pseudo-angina; but these terms are vague, and, lacking an organic origin so far as is known, may be grouped under the one heading, functional angina. It is apparently agreed now that the term "pseudo-angina" should be dropped, "since the basic features of all forms are the same" (Osler), and as Mackenzie says, why should a heart pain be

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