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.
KeywordsCardiac Arrest Coronary Angiogram Coronary Care Unit Virgin Island Sick Sinus Syndrome
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