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But this time the symptoms were so plain that he could not mistake them a sharp pain in the region of the heart, extending over the whole chest and along the left arm, and a dreadful sensation of oppression and distress, while cold perspiration broke out upon him. It was an attack of angina pectoris. It lasted hardly more than a minute, and he was at first more surprised than frightened.
It is not the anatomical observations alone that make the work of unusual value, but the combination of clinical with anatomical records. What could be more correct than this account of angina pectoris probably the first in the literature?
"Now that you know Turnbull died of angina pectoris there is no necessity of sending for the coroner," Rochester spoke in haste, his words tumbling over each other. "I will go at once and communicate with an undertaker." But before he could rise from his chair the sandy-haired man, who had conducted a whispered conversation with the deputy marshal, advanced toward the group.
My father, a boy of eighteen, was in the house, and witnessed the fatal attack of angina pectoris which, in two hours, cut short a memorable career, and left those who till then, under a great man's shelter and keeping, had Rested as under the boughs Of a mighty oak.... Bare, unshaded, alone. Lytton Strachey, none the less foolish because it is the work of an extremely clever man. If Mr.
Amyl nitrite is required only when a sudden immediate effect is desired in angina pectoris or in some other serious spasmodic condition. Sodium nitrite is more likely to upset the stomach than is nitroglycerin. It acts, however, a little longer, but not enough to warrant its frequent selection. The dose of sodium nitrite is from 0.03 to 0.06 gm.
"Babs told you that I suspected Jimmie did not die from angina pectoris " She spoke with an effort. "Yes." She waited a second before continuing her remarks. "I have asked the coroner to make an investigation." She paused again, then added with more animation, "He is the one to tell us if a crime has been committed."
Heart pains and heart aches from various kinds of insufficiency of the heart, or heart weakness, are not exactly what is understood by angina pectoris. It is largely an occurrence in patients beyond the age of 30, and most frequently occurs after 50, although attacks between the ages of 40 and 50 are becoming more frequent.
Four or five years before his death Father Hecker became subject to frequent attacks of angina pectoris, said to be the most painful of all diseases. During the sixteen years of illness every symptom of bodily illness was aggravated by the least attention to community affairs or business matters, and also by interior trials which will presently be described.
"I've been through a good deal lately; and sometimes it ketches me round the heart like a pain." In his life of selfish immunity from grief, Beaton could not understand this experience that poignant sorrow brings; he said to himself that Dryfoos was going the way of angina pectoris; as he began shuffling off the tiger-skin he said: "Had you better get up? Wouldn't you like me to call a doctor?"
"Oh, dear, no! nothing but the painful constriction that marks any ordinary fatal attack of angina pectoris. There's a rum breach of promise case in the paper to-day. You should read it; it'll make you laugh." I had no more inclination to laugh than to sigh; but I accepted the change of subject with an equanimity now habitual to me.
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