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Diagnóstico anátomo-topográfico de la obstrucción arterial coronaria

JAMA. 1937;109(10):817. doi:10.1001/jama.1937.02780360065032.
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ABSTRACT

This bulky work, devoted to an important subject, is divided into three parts: (1) anatomic description of the coronary arterial system, (2) graphic representation of the coronary arterial system and (3) symptoms and topographic signs of coronary arterial obstruction. The author believes that he has solved one of the most difficult problems of diagnostic medicine. He refers to recognition of the site of the necrosis of the myocardium in acute coronary obstruction. Clinically this is not easily established by the present diagnostic means. The first investigators of the subject of this work relied too much on the electrocardiogram for localizing the site of myocardial infarcts; it finally developed that the fibrous plaque was a sequel of the ventricular parietal cicatrix and that the electrocardiographic tracing does not pursue the same curve in all cases of parietal necrosis of the myocardium, even in the same patient, during the short or long

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