STUDIES IN ACUTE MYOCARDIAL INFARCTION

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Abstract
In previous papers1We have considered the clinical and laboratory features presented by 378 cases of acute myocardial infarction. The excellent early discussions of the topic2so emphasized the clinical aspects that myocardial infarction should be, as Henry Christian described it,2e"an easily diagnosable condition." In the great majority of cases the diagnosis of acute infarction of the myocardium can be made, or at least suspected, on clinical evidence alone. However, the list of conditions considered in the differential diagnosis of acute infarction is lengthy (Herrick3has mentioned 28). We found that but 50 per cent of our patients were admitted with the diagnosis of acute infarction and that in 20 per cent of the cases the admission diagnosis contained no mention of the heart whatsoever.1aThe electrocardiogram therefore must play a major role in confirming the clinical diagnosis or in revealing the presence of

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