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September 1940

Angina Pectoris: Nerve Pathways, Physiology, Symptomatology and Treatment.

Arch Intern Med (Chic). 1940;66(3):780-781. doi:10.1001/archinte.1940.00190150251017

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This book is primarily intended to present a pictorial representation of the autonomic nervous connections of the human heart. The purpose of these pictures is to make clear the pathways for the radiation of the pain of angina pectoris and the possible sites for a surgical attack on this syndrome. Such a purpose is certainly laudable, and the drawings and their legends are admirably done. Unfortunately, the author has also included a discussion of his conception of the pathogenesis and the therapy of angina pectoris. The author's view of pathogenesis is best quoted from page 7: "We prefer, therefore, to consider angina pectoris a paroxysmal upheaval (of the autonomic nervous system) of central origin, and this whether the individual has normal or abnormal coronary vessels. Excepting the sequelae of cardiovascular damage, the train of events following a sudden coronary occlusion is but one form of this paroxysmal upheaval." To the

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