Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

POSTOPERATIVE SIGN OF SILENT MYOCARDIAL INFARCTION

POSTOPERATIVE SIGN OF SILENT MYOCARDIAL INFARCTION To the Editor:— I have read the article in The Journal, July 4, 1959, page 1147, by Dr. Nathan Frank, describing the cold foot as a postoperative sign of silent myocardial infarction. This would be an interesting observation if adequately substantiated. However, it is wise to exhibit caution on interpretations of such a positive sign without adequate pathological explanation of its pathogenesis. It would be tragic, indeed, if patients were not given the benefit of embolectomy or other definitive treatment directed at the extremities on the assumption that this could be due in some unexplained way to silent myocardial infarction. It is difficult to adequately interpret electrocardiograms from small reproductions such as those that accompany this article. However, after close scrutiny, I feel that in case 1 an anteroseptal infarction is certainly apparent, but I do not believe that its age can be determined from this tracing. In case 2 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

POSTOPERATIVE SIGN OF SILENT MYOCARDIAL INFARCTION

Kleinman, Leonard A.
JAMA , Volume 171 (5) – Oct 3, 1959
Download PDF
2 pages

Loading next page...
 
/lp/american-medical-association/postoperative-sign-of-silent-myocardial-infarction-f80Z0H12Lm

References (0)

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.03010230089022
Publisher site
See Article on Publisher Site

Abstract

To the Editor:— I have read the article in The Journal, July 4, 1959, page 1147, by Dr. Nathan Frank, describing the cold foot as a postoperative sign of silent myocardial infarction. This would be an interesting observation if adequately substantiated. However, it is wise to exhibit caution on interpretations of such a positive sign without adequate pathological explanation of its pathogenesis. It would be tragic, indeed, if patients were not given the benefit of embolectomy or other definitive treatment directed at the extremities on the assumption that this could be due in some unexplained way to silent myocardial infarction. It is difficult to adequately interpret electrocardiograms from small reproductions such as those that accompany this article. However, after close scrutiny, I feel that in case 1 an anteroseptal infarction is certainly apparent, but I do not believe that its age can be determined from this tracing. In case 2

Journal

JAMA – American Medical Association

Published: Oct 3, 1959

There are no references for this article.