Cardiac Hypertrophy and Dilatation, with Probable Aneurism of the Thoracic Aorta

1879 Boston Medical and Surgical Journal  
This patient, who is about fifty years old, says that he has not been well for twelve months. The first thing that he noticed was a severe pain in the breast, which was not constant, but was considerably increased by exercise when present. He does not know whether he would have been entirely free from it if he had remained perfectly quiet, as he has been obliged all the time to attend to his regular occupation, which is that of a carpenter. At first there were more or less extended intervals
more » ... tended intervals between the paroxysms of pain, but these intervals gradually became shorter, until more recently he has had at least one attack every day. Of late, he feels the pain not only in the breast, but in the stomach and abdomen also. When I ask him if there is any
doi:10.1056/nejm187908071010601 fatcat:j4mb72a26ve3fj6sjyqyhretce