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September 1957

Radicular Syndromes, with Emphasis on Chest Pain Simulating Coronary Disease.

AMA Arch Intern Med. 1957;100(3):516-517. doi:10.1001/archinte.1957.00260090172024

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This book presents the interesting thesis that much pain in the chest which masquerades as coronary artery disease really comes from lesions impinging on the sensitive posterior spinal roots. There is, of course, much evidence to suggest that the main thesis is correct. Mistakes in diagnosis are likely to be made in the direction of misinterpretation of pain by reading into many pains an unwarranted diagnosis of angina pectoris, acute coronary insufficiency, or myocardial infarction. While too many people accept uncritically the notion that every pain in the chest comes from the heart, one gets the impression after reading Davis' book that there is an opposite tendency here for him to read into a great many pains an interpretation as one of the radicular syndromes. I think on the whole this is a healthy influence, but it is remarkable that so much of the evidence is post hoc, that there

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