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  Vol. 68 No. 2, AUGUST 1941 TABLE OF CONTENTS
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MULTIPLE FRESH CORONARY OCCLUSIONS IN PATIENTS WITH ANTECEDENT SHOCK

HERRMAN L. BLUMGART, M.D.; MONROE J. SCHLESINGER, M.D.; PAUL M. ZOLL, M.D.

Arch Intern Med. 1941;68(2):181-198.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In a study of the clinical and pathologic findings in a series of 350 cases, we have observed multiple fresh coronary occlusions in a group of 11 cases. In 8 of these, multiple fresh thrombi had occluded the arteries; in the remaining 3 cases multiple occlusions were due to hemorrhages within the atheromatous plaque and to ruptured atheromatous abscesses. The hearts in these 11 cases were studied by the method of injection and dissection of the coronary arteries previously described.1 The striking observation was made that all these instances of multiple fresh occlusions occurred in the presence of shock. A search of the voluminous literature on coronary thrombosis and myocardial infarction, as well as reference to the standard cardiologic texts, has failed to reveal any publications dealing with this correlation between shock and multiple coronary occlusion, although the existence of multiple fresh thrombi has been noted by several observers. . . . [Full Text PDF of this Article]


Author Affiliations

BOSTON

From the Departments of Medicine and Pathology, Beth Israel Hospital and Harvard Medical School.


Footnotes

This investigation was aided by a grant from the Josiah Macy Jr. Foundation.

Presented in abstract at the meeting of the American Heart Association, New York, June 7, 1940.



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