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Previous Volume 336:1678-1679 June 5, 1997 Number 23 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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To the Editor: Hammoudeh and Haft (Dec. 26 issue)¹ report on 15 patients in whom acute coronary syndromes developed during or immediately after shoveling snow. They suggest that evidence of rupture of coronary plaque and acute thrombosis associated with physical exertion has not previously been observed in living patients. On the contrary, Ciampricotti et al., using coronary angiography, found irregular coronary lesions "consistent with" plaque rupture in 8 of 13 patients who had a myocardial infarction or cardiac arrest within an hour of vigorous athletic activity.²

Furthermore, in 1975 Black et al. reported autopsy, angiographic, or clinical evidence of acute . . . [Full Text of this Article]

References

Related Letters:

Coronary-Plaque Rupture in Acute Coronary Syndromes Triggered by Snow Shoveling
Hammoudeh A. J., Haft J. I.
Extract | Full Text  
N Engl J Med 1996; 335:2001-2002, Dec 26, 1996. Correspondence

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