I. DONALD FAGIN, M.D., F.A.C.P.; HENRY A. CHAPNICK, M.D.
While 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
FAGIN ID, CHAPNICK HA. CLINICAL PATTERNS OF MYOCARDIAL INFARCTION IN AMBULANT PATIENTS1. Ann Intern Med. 1950;32:243–256. doi: 10.7326/0003-4819-32-2-243
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Published: Ann Intern Med. 1950;32(2):243-256.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Emergency Medicine.
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