The Life and Death of An American Statesman.

John Hay was born in a small mid-western town and sent by his physician father to Brown University for his education. He returned to Springfield IL where he was hired by Abraham Lincoln as a personal secretary and stayed with Lincoln through the assassination. He then returned to private life, married into a wealthy family and developed a successful literary and investment career. In 1879, he joined the State Department and later became Secretary under presidents McKinley and Roosevelt. He negotiated many important treaties including those related to building the Panama Canal. Later in life, his health deteriorated with symptoms of angina pectoris and heart failure. Limited medical understanding of these matters at the time are reviewed but were then of little benefit. Probably his most effective therapy was rest during weeks of carbonated baths at Bad Nauheim. Hay died suddenly, shortly after arriving home from the last of these trips.

El fondo histórico de la angina de pecho / Historical background of angina pectoris

El autor desarrola los principales hitos en la historia de la angina de pecho o angor pectoris, desde el denominado papiro de Ebers hasta nuestros días

The author develops the main milestones in the history of angina pectoris or angor pectoris, from the so-called Ebers papyrus to the present day

John Fothergill: a biographical sketch and his contributions to neurology.

John Fothergill was a remarkable but largely forgotten physician, plant collector, and philanthropist, born of Quaker parents in Yorkshire. This article summarizes the legacy of his work on trigeminal neuralgia and migrainous "sick headaches," and his seminal studies on angina, scarlatina, and diptheria. He became hugely influential and fostered both education and many medical careers in Britain and America.

Thomas Paytherus (1752-1828): Entrepreneurial surgeon-apothecary and ardent Jennerian.

Thomas Paytherus was born in Fownhope and apprenticed in Gloucester. He practised there and in Ross-on-Wye where he and Edward Jenner undertook an autopsy on a patient with angina that they linked causally to coronary artery ossification. In 1794 Paytherus moved to London and opened a highly successful pharmacy that he later sold to his partners Savory and Moore. Paytherus was among those who advised Jenner on the publication of his work on vaccination. Then he acted as an intermediary in the dispute between Jenner and Ingen-Housz and also alerted Jenner to Pearson's claims as a pioneer of vaccination. In 1800 he published a detailed analysis of the dispute between Jenner and Woodville whose patients had developed variola-like lesions following vaccination. Their correspondence shows that Paytherus, Jenner and their families remained firm friends. Paytherus and his family moved to Abergavenny where he died in 1828.

Angina pectoris / Remarks on Angina Pectoris

Se cumplen 200 años de la descripción de la angina de pecho, publicada en el NewEngland Journal of Medicine. En este articulo se ha traducido el artículo original“Remarks on Angina Pectoris”, publicado en 1812, por el dr. John Warren...

It is the 200th anniversary of the description of angina pectoris, published in the NewEngland Journal of Medicine. In this article it has been translated the original article“Remarks on Angina Pectoris”, published in 1812, by dr. John Warren...

A story of heartache: the understanding of angina pectoris in the pre-surgical period.

This paper traces the understanding of angina pectoris over two centuries from its first description by William Heberden, emphasising the Scottish dimension in this process. Such a retrospect is appropriate at a time when natural disasters in several parts of the world are drawing attention to their effect in increasing the incidence of heart attacks.

The development of cardiac rehabilitation: a historical critical approach.

Cardiac rehabilitation is an interdisciplinary and multidimensional process aimed at preventing and containing cardiovascular mortality, morbidity and disability, and promoting health in subjects with cardiocirculatory pathologies. A body of scientific evidence is today available with regard to the benefits of cardiac rehabilitation in terms of the containment of the progression of atherosclerosis, the increase in physical work ability, the reduction in symptomatology, the improvement in psychological well being and social re-adaptation, and the lowering in hospitalization rates and in recurrent clinical cardiac events. Cardiac rehabilitation derives its origin from the application of physical activity to the therapy of ischemic heart disease, and in this paper the historical evolution of the concept of angina pectoris and myocardial infarction as also the major progress in therapeutic exercise are discussed. Cardiac rehabilitation has become through time a multi-faceted process implemented in hospitals, in outpatient clinics and at home in a variety of models. However, recent data indicate that, in the USA, no more than 20% of eligible patients per year enter cardiac rehabilitation programs, and in Europe no more than 30% participate in them. The historical perception of cardiac rehabilitation provides knowledge of the fact that, through a long and articulated process, this health intervention has achieved relevant medical and social results and it also generates the awareness of the further advantages to be obtained in future cardiovascular patients.