Acute Coronary Insufficiency Due to Acute Hemorrhage: An Analysis of One Hundred and Three Cases

Abstract

The occurrence of 59 cases of acute coronary insufficiency among 103 patients with acute hemorrhage, chiefly from the gastrointestinal tract, emphasizes the frequency and gravity of this generally unrecognized complication of bleeding. Clinical, electrocardiographic and anatomic manifestations of myocardial ischemia and subendocardial necrosis are prone to appeal in previously diseased hearts, although they may develop in otherwise normal hearts. Consequently, prompt and adequate blood replacement is required in patients with coronary arteriosclerosis, enlarged hearts, valvular heart disease, etc. to prevent as well as to treat coronary insufficiency secondary to hemorrhage.