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Cardiac Causalgia

Cardiac Causalgia Abstract To the Editor. —In the May issue (Arch Intern Med125:809, 1970) Drs. Burch and Giles add "Cardiac Causalgia" to a long list of syndromes, such as the anterior chest, pectoral, rib, and Tietze's, to describe nonanginal chest pains. The authors have apparently attempted to combine at least three distinct entities—psychogenic pain, the post-infarction syndrome, and the shoulder-hand syndrome—into a single symptom complex. They then divide this into major and minor variants, presumably based on the magnitude of the various components. They feel that the "causalgia" is associated with ischemic heart disease even though the pain is not anginal and does not have the distribution of anginal pain.The authors noted the emotional instability of their patients and observed that a great deal of attention and reassurance were helpful. Yet they seem reluctant to acknowledge the psychogenic factor which seems so prominent, especially in the "minor" group.Intensive study References 1. Cope RL: The psychogenic factor in chest pain. Texas Med 65:78-81, 1969. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Cardiac Causalgia

Abstract

Abstract To the Editor. —In the May issue (Arch Intern Med125:809, 1970) Drs. Burch and Giles add "Cardiac Causalgia" to a long list of syndromes, such as the anterior chest, pectoral, rib, and Tietze's, to describe nonanginal chest pains. The authors have apparently attempted to combine at least three distinct entities—psychogenic pain, the post-infarction syndrome, and the shoulder-hand syndrome—into a single symptom complex. They then divide this into major...
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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1970.00310110184035
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —In the May issue (Arch Intern Med125:809, 1970) Drs. Burch and Giles add "Cardiac Causalgia" to a long list of syndromes, such as the anterior chest, pectoral, rib, and Tietze's, to describe nonanginal chest pains. The authors have apparently attempted to combine at least three distinct entities—psychogenic pain, the post-infarction syndrome, and the shoulder-hand syndrome—into a single symptom complex. They then divide this into major and minor variants, presumably based on the magnitude of the various components. They feel that the "causalgia" is associated with ischemic heart disease even though the pain is not anginal and does not have the distribution of anginal pain.The authors noted the emotional instability of their patients and observed that a great deal of attention and reassurance were helpful. Yet they seem reluctant to acknowledge the psychogenic factor which seems so prominent, especially in the "minor" group.Intensive study References 1. Cope RL: The psychogenic factor in chest pain. Texas Med 65:78-81, 1969.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1970

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