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Article
January 1925

CERVICAL SYMPATHECTOMY IN ANGINA PECTORIS: A REPORT OF THREE CASES

Arch Surg. 1925;10(1):531-543. doi:10.1001/archsurg.1925.01120100543030
Abstract

Angina pectoris is not the name of a disease. It refers to certain subjective phenomena which occur probably in a number of morbid conditions of the heart, its intrinsic arterial system and the aorta. The clinical picture may be of two distinct types, the first accompanied by attacks of substernal spasmodic choking pain, many times described as "pressing" and often running down the arm, usually the left; and, second, a type in which the localization of the pain and distress is in the upper part of the abdomen. Here, too, the pain often shoots down one or the other or even both arms. It is frequently accompanied by belching of great quantities of gas. As a rule, an attack partakes of some of the symptoms of both types, but one or the other predominates. There may be all grades of severity, the worst being accompanied by a most alarming sensation

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