ANGINA PECTORIS

7 April 1928

journal article
research article
Published by American Medical Association (AMA) in JAMA

Vol. 90 (14) , 1099-1103
https://doi.org/10.1001/jama.1928.02690410011004

Abstract

Prior to February, 1927, it had been the custom at the Massachusetts General Hospital to offer cervical sympathectomy as a last therapeutic resort to patients suffering from obstinate and incapacitating angina pectoris. Cases in which such operations were performed are to be reported by Dr. E. P. Richardson.¹As the results of this operation left much to be desired, we read with great interest the reports of Mandl²and of Swetlow,³who attempted to block the cardiac pain tracts by paravertebral injections of the upper dorsal nerves of the left side, the former using only procaine hydrochloride, the latter, 85 per cent alcohol. Both reported good results, particularly Swetlow, who described eight cases without bad results and a marked remission of the painful attacks in each instance. We have to date performed paravertebral alcohol block on the upper five left dorsal nerves in five patients, and have

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