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Coronary Heart Disease Treated by OperationMobile Components
CLAUDE S. BECK, M.D.;
DAVID S. LEIGHNINGER, M.D.
AMA Arch Surg. 1962;85(3):383-389.
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Two Components of the Disease
Coronary artery disease has 2 components. One is structural disease in arteries and muscle as found by necropsy examination of the heart. The other component consists of the clinical manifestations of the disease. These are anginal pain and fibrillating electricity. The latter produces the fatal heart attack (Figure). In many instances morbid anatomy does not adequately explain the genesis of anginal pain and fibrillating death. A similar statement can be made concerning the absence of relationship between structure in the brain and the clinical manifestations of status epilepticus. The anatomy in the heart scarcely explains status anginosis. Mild structural disease may be accompanied by incapacitating pain, and severe structural disease may be accompanied by no anginal pain. The anatomical specimen does not have a definite cause and effect relationship to the clinical manifestations of the disease. This is the subject for presentation.
The disease, when
. . . [Full Text PDF of this Article]
Author Affiliations
CLEVELAND
Professor of Cardiovascular Surgery, Western Reserve University and University Hospitals (Dr. Beck); Senior Instructor in Surgery, Cardiovascular Section, Western Reserve University (Dr. Leighninger).
Footnotes
Received for publication Sept. 27, 1961.
This work was supported by grants from the United States Public Health Service, the Cleveland Area Heart Society, and the Ohio State Heart Association.
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