Heuwing K
MMW Munch Med Wochenschr. 1980 Feb 1;122(5):159-64.
Torsion scoliosis of the upper thoracic vertebral column was causally linked with intrathoracic pains not of coronary origin. A key to understanding the origin of pain seems to lie in the sternal syndrome and the nociceptive somatomotor-blocking effect arising from it. With reference to an unselected patient collective of 38 cases of pseudoanginal complaints, of which in almost 50% the intrathoracic type of pain was found, changes in the thoracic vertebral column and in nearly 75% a torsion scoliosis was demonstrated. Coronary heart disease was excluded by the case history, clinically and by observation of the course. On clinical examination the sternal stress posture described by Brügger was mostly impressive. The incidence of characteristic findings on clinical investigation is classified in a table.
上胸椎脊柱扭转性脊柱侧弯与非冠状动脉源性的胸痛存在因果关系。理解疼痛起源的关键似乎在于胸骨综合征及其引发的伤害性躯体运动阻滞效应。针对38例疑似心绞痛主诉的未筛选患者群体进行研究，其中近50%发现有胸内型疼痛，胸椎脊柱有改变，近75%显示有扭转性脊柱侧弯。通过病史、临床检查及病程观察排除了冠心病。临床检查时，布吕格描述的胸骨应激姿势大多很明显。临床检查特征性发现的发生率列于表格中。
