Pain in the Chest

Henry I. Russek, MD
JAMA. 1965;191(10):871. doi:10.1001/jama.1965.03080100089042.
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Good medical practice requires not only the exclusion of a cardiac disorder (if none exists), but accurate diagnosis and treatment as well. Too often the "problem" patient is shuttled from one specialist to another when accurate diagnosis could have been made by careful interrogation and attention to fundamentals of examination. In the standard textbooks of cardiology, the differential diagnosis of chest pain often occupies about four pages; Dr. Wehrmacher has written 400 on the subject without exceeding the limits of concise and pertinent presentation. Moreover, his clear and refreshing style, methodical approach, and obvious talent for teaching have imparted a rare quality to this valuable work. Indeed, an expectedly tedious "dissection" of chest pain has been transformed into an absorbingly interesting, lucid, and authoritative treatise for the practicing physician. The author, in regarding the examining doctor as a detective sifting the clues, demonstrates that "solving the mystery is both a


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