HICCUPS IN CORONARY THROMBOSIS RELIEVED WITH PHRENIC CRUSH

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Abstract
One of the most distressing and dangerous complications of coronary thrombosis is intractable hiccup. Not only does the patient become psychologically upset, but, if the hiccuping is sustained, his general condition may gradually retrogress until death occurs from exhaustion. Strangely, the review of the literature fails to mention this severe complication in any detail. REPORT OF CASE A 70-year-old white man was awakened from a sound sleep in the early evening of Nov. 12, 1949, with a severe crushing substernal pain radiating to the left shoulder and down the left arm. This pain was not relieved by glyceryl trinitrate (nitroglycerin). He was seen by one of us (S. H. R.) soon thereafter. At this time he was perspiring profusely. The blood pressure was 160/100, the pulse rate 92 a minute, the heart rhythm regular, and the sounds of good quality. There was noted a high-pitched systolic murmur at the apex,

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