Texidor Twinge
Description
Texidor Twinge or precordial catch syndrome (PCS) is a non-serious condition in which there are sharp stabbing pains in the chest. These typically get worse with breathing in and occur within a small area. Spells of pain usually last less than a few minutes. Typically it begins at rest and other symptoms are absent.
History of the Texidor Twinge
1892 – First described by the French cardiologist Henri Huchard (1844 – 1910). Huchard termed the condition ‘précordialgie’ (from the latin “praecordia” meaning “before the heart”), and it was later termed ‘Syndrôme de Huchard’ of ‘Huchard syndrome’.
Original
English
Dans une leçon clinique qu’il faisait à l’hopital Bichat au mois de novembre 1892, M. Huchard donnait le nom de précordialgie à toute douleur, accompagnée ou non d’angoisse, survenant dans la région précordiale. Après avoir passé en revue les diverses douleurs qui peuvent affecter cette région, notre excellent maître arrivait à cette conclusion: «En général, à de rares exceptions près, chaque fois qu’un malade vient se plaindre au médecin, d’une douleur dans la région cardiaque, il n’a pas d’affection organique du cœur»
In a clinical lesson he gave at the Bichat hospital in November 1892, Mr. Huchard suggested the name precordialgia be given to any pain, whether accompanied by anxiety or not, occurring in the precordial region. After having reviewed the various pains which can affect this region, our excellent teacher came to this conclusion: “In general, with rare exceptions, each time a patient comes to complain to the doctor of a pain in the region of the heart, there is no organic cause“
1955 – The Huchard syndrome was studied in greater detail by Miller and Texidor, medical practitioners at the Cardiovascular Department and the Department of Medicine at the Michael Reese Hospital in Chicago. Miller himself also suffered from the syndrome:
The pain is sudden in onset, is severe, and is localised above the cardiac apex. It has always occurred at rest or during mild activity and invariably has been associated with a “slouched” posture”. The immediate reaction to the pain is a suspension of breathing in mid-respiration or in expiration… breathing is then confined to shallow chest excursions.
Miller, Texidor 1955
Associated Persons
- Henri Huchard (1844 – 1910)
- Teodoro Antonio Texidor (1913 – 1998)
- Albert J. Miller (1922 – 2020)
Alternative names
- Précordialgie
- Syndrôme de Huchard, Huchard syndrome
- Texidor’s Twinge
References
Historical references
- Huchard H. Les précordialgies. Revue générale de clinique et de thérapeutique 1893; 7: 1-2
- Chevillot P. Les précordialgies: étude séméiologique sur les douleurs de la région du coeur. 1893
- Millar AJ, Texidor TA. Precordial catch, a neglected syndrome of precordial pain. JAMA 1955; 159(14): 1364-1365.
- Millar AJ, Texidor TA. The “precordial catch,” a syndrome of anterior chest pain. Ann Intern Med. 1959; 51: 461-467.
Eponymous term review
- Prinzmetal M, Massumi RA. The anterior chest wall syndrome: chest pain resembling pain of cardiac origin. J Am Med Assoc. 1955; 159(3): 177-184.
- Wehrmacher WH. The painful anterior chest wall syndromes. Med Clin North Am. 1958; 42(1): 111-118
- Gumbiner C. Precordial Catch Syndrome. Southern Medical Journal. 2003;93(1):38-41
eponymictionary
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