WILLIAM D. STROUD, M.D., F.A.C.P.; JOSEPH A. WAGNER, M.D.
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Recent papers by Blumgart, et al.1, 2 wherein careful correlation between clinical records and exacting pathological studies were carried out, have again drawn our attention to the extensive potential collateral circulation that exists in the myocardium and secondly to the fact that, "coronary occlusion, per se, does not necessarily produce any characteristic clinical manifestations." "If an occlusion occurs gradually, with concomitant development of an anastomotic circulation, no symptoms or signs will be produced and no myocardial lesions will be demonstrable. Then what we speak of as 'coronary occlusion' which consists of substernal pain and oppression, a fall in blood pressure,
STROUD WD, WAGNER JA. SILENT OR ATYPICAL CORONARY OCCLUSION1. Ann Intern Med. ;15:25–32. doi: 10.7326/0003-4819-15-1-25
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Published: Ann Intern Med. 1941;15(1):25-32.
Cardiology, Coronary Heart Disease.
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