Word: angina
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Shortly after the first marriage a critic wrote: "His work does not change nor grow old. [But] the perennial charm and youthfulness of his stories appear a little unnatural now . . . Will Mr. Davis always remain twenty-three?" He did not. At 51, R.H.D. began to have attacks of angina pectoris. At 52, after an exhausting tour of the Western Front, he died as a good reporter might perhaps prefer to die-with the phone in his hand and a sentence in his typewriter...
...nagging chest pains of angina pectoris are a common symptom of coronary artery disease and may serve as early warning of an impending heart attack. They usually mean that the heart muscle, because of exertion or excitement, is demanding more blood than the disease-narrowed coronary arteries can supply. But angina can also come to the most relaxed and unexcited person. Last week, in the A.M.A. Journal, Los Angeles' Dr. Myron Prinzmetal reported that he and five colleagues have identified 23 cases of a strange angina that holds off while its victims shovel snow from their driveways or play...
...maverick angina, says Dr. Prinzmetal, is often accompanied by palpitation, faintness and fear of death and may be even more severe than classic angina. Seizures last from 45 seconds to more than 20 minutes, and often occur in remarkably regular cycles, perhaps at the same time each day. The condition is extremely difficult to diagnose. A physical examination reveals no abnormalities. An exercise tolerance test causes no pain. Results of laboratory tests are normal. Chest X rays and routine electrocardiograms give no indication of the disorder. Eventually, says Dr. Prinzmetal, "on repeated visits the suspicion grows that the patient...
...register telltale changes in the electrical activity of the heart. The ailment is often progressive; eleven of Dr. Prinzmetal's patients eventually suffered major heart attacks. In all these cases, says Dr. Prinzmetal, the attacks struck the exact area of the heart in which the gripping pains of angina had earlier occurred...
...victim of a severe coronary four years ago - based his case on a five-year study of 100 patients who had suffered mild heart at tacks (at an average age of 47.7) and recovered with standard treatment. After recovery, 46 of the 100 patients resumed regular activity, reported no angina or other subjective symptoms of coronary insufficiency. Nonetheless, ten of the 46 suffered second attacks within the five-year period, and one died. The other 54 patients, although apparently recovered, complained of chronic angina. Of these, 38 were again stricken before the five years had passed, and eight died...