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Editorials |17 November 2015

Celebrating the ACP Centennial: From the Annals Archive—Acute Coronary Syndromes

Deborah Cotton, MD, MPH

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During the 2015 centennial year of the American College of Physicians, publisher of Annals of Internal Medicine, Annals editors will link an article in each issue with an earlier paper from our archives addressing the same disease or clinical question. We hope our readers find this interesting and we welcome comments, especially from physicians who were practicing at the time of publication of the original paper who might offer insight into the impact of the earlier paper on their knowledge or practice.
In this issue, Hansen and colleagues, using data from the Danish national health registries, report on the real-world effectiveness of early invasive versus more conservative approaches to management of acute coronary syndromes (1).
In a 1944 Annals article (2), Master discussed the burden of coronary artery disease. He noted that heart disease had become the leading cause of death in the United States, largely due to an increase in coronary artery disease, which he attributed to greater longevity. He showed that from 1917 to 1938, among patients in a large hospital with heart disease confirmed by autopsy, the percentage with rheumatic heart disease decreased steadily and the percentage with coronary artery disease increased steadily.
Dr. Master discussed the variation in terms used for different types of coronary artery disease and argued for its separation into 3 mutually exclusive entities: angina pectoris, acute coronary insufficiency, and coronary occlusion. He presented a detailed chart contrasting the mechanism, pathology, predisposing factors, symptoms, signs, laboratory findings, and electrocardiographic...
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Cotton D. Celebrating the ACP Centennial: From the Annals Archive—Acute Coronary Syndromes. Ann Intern Med. 2015;163:798. doi: https://doi.org/10.7326/M15-2093

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Published: Ann Intern Med. 2015;163(10):798.

DOI: 10.7326/M15-2093

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