Sympatho-ganglionitis and coronary insufficiency

Recently, there has been a noticeable revival of interest in the study of diseases of the peripheral autonomic nervous system (N. S. Chetverikov, N. I. Strelkova, V. M. Karpenko, A. M. Veyn, etc.). In the clinic of sympathetic ganglionitis, truncitis, cardiovascular and innervation disorders often occur (I. I. Rusetsky, N. I. Strelkova). These disorders are especially pronounced when the process is localized in the left cervical and thoracic nodes of the borderline sympathetic trunk. In these cases, pain in the heart area can simulate coronary insufficiency (angina, myocardial infarction), which is often the cause of diagnostic errors. At the same time, N. I. Speransky and E. I. Sorokina, D. D. Pletnev, and Lerish consider it possible to distinguish the ganglionic form of angina pectoris. With primary damage to the coronary vessels (angina pectoris, myocardial infarction), secondary reflex autonomic disorders may occur.