The similarity of the pain of angina pectoris and the pain due to certain lesions of the gastrointestinal tract is not unusual and is well known. Furthermore, the immediate cessation of an attack of angina pectoris following eructation of gas and, conversely, the initiation of an attack following a heavy meal or gaseous distention is not uncommon.
My purpose in this communication is to report a case of angina pectoris in which there was evidence of coronary and aortic disease and spasm of the cardia and in which attacks of pain similar in final distribution, but occasionally somewhat different in initial location, was produced by swallowing. Although the two types of pain were very similar in character and distribution, they differed in provocative causes and mode of relief.
B. D., a white woman aged 67, seen May 6, 1937, had suffered from chronic arthritis, hypertension and angina pectoris for a