| Abstrakt: |
TO THE EDITOR:— In commenting on various discussions by Blumgart, Master, Boas and others, Dr. Victor Jacobsen (The Journal, February 23, p. 530) mentions the need for more precise use of the terms coronary occlusion, coronary thrombosis and myocardial infarction. Such clarification is necessary. However, his communication is not always clear in its meaning; furthermore, it contains several unwarranted criticisms.Dr. Jacobsen states that intra-atheromatous hemorrhage has rarely impressed him as sufficient to produce complete arterial occlusion. The occurrence of simple hemorrhages in arteriosclerotic plaques is well known to pathologists. The significance of such intimal hemorrhages is that they often lead to thrombosis within the lumen of the coronary artery (Paterson, J. C.: Capillary Rupture with Intimal Hemorrhage as a Causative Factor in Coronary Thrombosis, Arch. Path.25:474 [April] 1938). Occasionally a relatively massive hemorrhage occurs within a soft atheromatous plaque and may completely obstruct the coronary lumen by |
