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Previous Volume 332:48-50 January 5, 1995 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 78-year-old man had retrosternal and left thoracic pressure-like pain that developed gradually over a four-hour period. He had never had similar symptoms before. Shortness of breath and lassitude began shortly before he was hospitalized.

These symptoms are compatible with unstable angina. A ruptured atheromatous plaque with the formation of a thrombus in a coronary vessel is the characteristic pathogenic mechanism, with subsequent myocardial ischemia. Tachyarrhythmias or bradyarrhythmias can also cause a predisposition to myocardial oxygen insufficiency in the presence of a preexisting atheromatous narrowing of a coronary vessel. I would like to know more about predisposing factors for ischemic . . . [Full Text of this Article]

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Related Letters:

The Dangers of Carbon Monoxide
Balzan M. V., Cacciottolo J. M., Turner M., Perera R. D., Hubsmith R. J.
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N Engl J Med 1995; 332:894, Mar 30, 1995. Correspondence

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