CARL J. WIGGERS, M.D., D.SC., F.A.C.P.
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The symptomatology of acute coronary occlusion is too well-known to require detailed redescription. Let it suffice for our purpose to recall three outstanding phenomena, so serious for the patient and so informative for the physician in formulating a diagnosis: 1, the agonizing pain, crescendo in character and radiating from a focal region over the sternum outward to the left arm, upward to the throat, and downward to the epigastrium; 2, the irregular or rapid action of the heart; and 3, the signs of cardiovascular failure, such as hypotension, feeble pulse, venous congestion, cutaneous pallor, sweating, cyanosis, etc., which frequently raise
WIGGERS CJ. THE FUNCTIONAL CONSEQUENCES OF CORONARY OCCLUSION1. Ann Intern Med. ;23:158–169. doi: 10.7326/0003-4819-23-2-158
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Published: Ann Intern Med. 1945;23(2):158-169.
Cardiology, Coronary Heart Disease.
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