In 1969, when I was 59 years old, I made a diagnosis of angina pectoris on myself in curious circumstances. My wife and I went swimming in Antigua, where the water is warm and balmy. Instead of plunging in, I waded in. When the water reached the level of my PMI, I developed classical distressing substernal pressure. I headed for shore, and on the way in the discomfort disappeared. I repeated this performance—same result. I ran rather gingerly down the beach. After about 50 steps, the discomfort reappeared. Incidentally, the following year I had no angina while swimming in similarly warm water in the Virgin Islands. Collaterals were presumably doing their bit.
KeywordsFatigue Depression Beach Propranolol Nifedipine
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