PETER J. STEINCROHN, M.D.
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The various descriptions of coronary thrombosis pain in the literature may be summarized as follows: The pain results from anoxemia of the cardiac musculature secondary to decreased blood supply; it is intense, unbearable, and amenable only to large doses of morphine; its location is usually under the lower sternum or in the epigastric region; the pain may be referred, among other locations, to the arms or jaw; the pain is continuous and is accompanied by varying degrees of shock.
In studying patients during attacks of coronary thrombosis, I have observed a pain syndrome which has not been mentioned or stressed
STEINCROHN PJ. A NEW OBSERVATION HELPFUL IN THE DIAGNOSIS OF CORONARY THROMBOSIS1. Ann Intern Med. ;14:495–501. doi: 10.7326/0003-4819-14-3-495
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Published: Ann Intern Med. 1940;14(3):495-501.
Cardiology, Coronary Heart Disease.
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