Note 59 — Chapter IV · (continued 3)

Roberts, Theory and Practice of Medicine, 1877, Vol. II., 23, gives the following symptoms of angina pectoris:—“Abrupt suddenness—intense præcordial pain—oppression and constriction of the chest—suffocation, no cyanosis—tenderness of chest rare—face pale, sweat—expression of intense anxiety—pulse mostly feeble, flickering occasionally—vomiting and eructation. Conscious at first, but, if prolonged, may be syncope. Spasmodic movements, and even general convulsions may be observed. Usually several brief paroxysms with intermissions. Tendency to rave under slight exciting causes.” Dr. Bristow, Theory and Practice of Medicine, agrees with this, and adds, “After death various lesions—most important the calcification of the coronary vessels—fatty and other degenerations of the muscular tissue of the heart. In other cases the heart perfectly healthy.”