Patrolman Irvin E. Martz
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"ACUTE INDIGESTION"
Leading to Death
IN RELATION TO CORONARY THROMBOSIS
T. HOMER COFFEN, M.D.; HOMER P. RUSH, M.D.
The term "acute indigestion" is an example of the indefinite and inaccurate medical nomenclature not infrequently appearing in the public eye. Sudden collapse with acute abdominal pain, nausea, and vomiting may occur with acute coronary obstruction, but the underlying pathologic condition may be masked by the severity and predominance of abdominal symptoms. Not infrequently, precordial and ordinary anginal pain are entirely absent.
In such instances, one is confronted with the possibility of acute surgical conditions in the abdomen. In recent years, surgeons have called attention to "the acute abdomen" but have neglected to stress the possibility of acute obstruction of the coronary arteries causing abdominal symptoms, which may be identical with intra-abdominal emergencies. Others have noted acute abdominal symptoms in relation to thoracic disease but have not referred to coronary thrombosis. On the other hand, writers on acute coronary obstruction have noted the difficulty often presented in deciding.
A buildup of plaque can narrow these arteries, decreasing blood flow to your heart. Eventually, the reduced blood flow may cause chest pain (coronary obstruction or angina), shortness of breath, or other signs and symptoms of coronary artery disease. A complete blockage can cause a heart attack.
Basically, this could have been better described as a heart attack
Patrolman Irvin E Martz
D.O.D. 22 August 1925
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