CLINICAL PATTERNS OF MYOCARDIAL INFARCTION IN AMBULANT PATIENTS
Authors: I D FAGIN, H A CHAPNICK
Journal: Annals of Internal Medicine (1950)

Article1 February 1950CLINICAL PATTERNS OF MYOCARDIAL INFARCTION IN AMBULANT PATIENTSI. DONALD FAGIN, M.D., F.A.C.P., HENRY A. CHAPNICK, M.D.I. DONALD FAGIN, M.D., F.A.C.P.Search for more papers by this author, HENRY A. CHAPNICK, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-32-2-243 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONWhile attending an outpatient diagnostic clinic serving a labor union whose membership consists of industrial workers, we were surprised by the relative frequency with which we saw electrocardiograms indicative of old or recent myocardial infarction in patients who had no history of any acute disabling cardiac episode. The classical concept of coronary occlusion and myocardial infarction as a dramatic clinical picture, with an abrupt and terrorizing onset of excruciating pain, dyspnea, angor animi, and collapse, and the usual physical and laboratory concomitants such as fever, gallop rhythm, friction rubs, leukocytosis and elevated sedimentation rates, has been modified in recent...Bibliography1. (a) Friedberg C. K. Horn H. : Acute myocardial infarction not due to coronary artery occlusion, J. A. M. A. 112: 1675-1679, 1939. (b) Gross, H., and Sternberg, W. H.: Myocardial infarction without significant lesions of coronary arteries, Arch. Int. Med. 64: 249-267, 1939. Google Scholar2. BlumgartSchlessingerDavis HLMJD: Studies on the relation of clinical manifestations of angina pectoris, coronary thrombosis, and myocardial infarction to the pathologic findings, with particular reference to the significance of the collateral circulation, Am. Heart J. 19: 1-91, 1940. CrossrefGoogle Scholar3. (a) Gorham L. W. Martin S. J. : Coronary occlusion with and without pain Arch. Int. Med. 62: 821-840, 1938. (b) Kennedy, J. A.: Incidence of myocardial infarction without pain in 200 autopsied cases, Am. Heart J. 14: 703-709, 1937. (c) Bean, W. B.: Infarction of the heart, Ann. Int. Med. 11: 2086-2108, 1938. (d) Bruenn, H. G., Turner, K. B., and Levy, R. L.: Notes on cardiac pain and coronary disease, Am. Heart J. 11: 34-40, 1936. (e) Saphir, O., Priest, W. S., Hamburger, W. W., and Katz, L. N.: Coronary arteriosclerosis; coronary thrombosis and the resulting myocardial changes, Am. Heart J. 10: 567, 762, 1935. CrossrefGoogle Scholar4. Katz LN(a) : Electrocardiography, 2nd Ed., 1946, Lea and Febiger, Philadelphia. (b) Burch, G., and Winsor, T.: A primer of electrocardiography, 1945, Lea and Febiger, Philadelphia. (c) Scherf, D., and Boyd, L. J.: Clinical electrocardiography, 1946, J. B. Lippincott, Philadelphia. Google Scholar5. MintzKatz SSLN: Recent myocardial infarction: an analysis of 572 cases, Arch. Int. Med. 80: 205-237, 1947. CrossrefGoogle Scholar6. ManchesterEthridge BCB: An evaluation of the use of multiple versus single precordial leads in conjunction with the three limb leads, Am. Heart J. 31: 633-644, 1946. CrossrefMedlineGoogle Scholar7. LevinePhillips EBE(a) : Coronary occlusion in industry: a study of 84 cases with reference to subsequent employability, Am. Heart J. 29: 588-594, 1945. (b) Master, A. M., and Dack, S.: Rehabilitation following acute coronary occlusion, J. A. M. A. 115: 828-832, 1940. (c) Levine, S. A., and Rosenbaum, F. F.: Prognostic value of various clinical and electrocardiographic features of acute myocardial infarction. II. Ultimate prognosis, Arch. Int. Med. 68: 1215-1232, 1941. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Detroit, Michigan*Received for publication April 1, 1948.From the Medical Service of the Mount Carmel Mercy Hospital, Detroit, Michigan (I. D. F.), Dr. H. L. Smith, Chief of Service. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byZur elektrokardiographischen Diagnostik des MyokardinfarktesClinical presentation of myocardial infarction in the elderly.�ber den MyokardinfarktDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und HerzinfarktFatal myocardial infarction in a young man with anomalous coronary arteries with terminal ventricular tachycardia 1 February 1950Volume 32, Issue 2Page: 243-256KeywordsDyspneaElectrocardiographyFeversLeukocytosisMedical servicesMyocardial infarctionOutpatient clinicsResearch laboratories ePublished: 1 December 2008 Issue Published: 1 February 1950 PDF downloadLoading ...