Notes on cardiac pain and coronary disease. Correlation of observations made during life with structural changes found at autopsy in 476 cases

Howard G. Bruenn, Kenneth B. Turner, Robert L. Levy

Research output: Contribution to journalArticle

Abstract

In these notes, an attempt is made to define some of the clinical and pathological features of coronary disease which are associated with cardiac pain and appear to favor its occurrence. Among the factors considered are the etiology of the coronary lesions; their extent, with particular reference to stenosis or occlusion of an artery or its orifice; the influence of sex, race, and occupation; the relationship between pain and congestive failure; the association with hypertension; the effect of damage to the heart muscle, as shown by cardiac hypertrophy, fibrosis of the myocardium and changes in the form of the electrocardiogram; and the rôle of aortic insufficiency. All of the conditions which determine the presence or absence of pain in any given instance are not known. But a number of the factors cited are clearly concerned in predisposing to painful discomfort.

Original languageEnglish (US)
Pages (from-to)34-40
Number of pages7
JournalAmerican Heart Journal
Volume11
Issue number1
StatePublished - Jan 1936
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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