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How do you measure a clinical history?
  1. M J S Zaman
  1. Correspondence to Dr M J S Zaman, Department of Epidemiology and Public Health, University College London, London, UK; j.zaman{at}ucl.ac.uk

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To the editor: Buckley and Murphy1 present a timely reminder of the need to study chronic symptomatic conditions, as increasingly these conditions represent the bulk of where coronary disease presents,2 shifting away from presenting acutely to secondary care. A better understanding of angina is thus vital.

The paper’s pragmatic definition of angina and the accompanying editorial by Hemingway,3 remind us all that angina is initially diagnosed from a clinical constellation of symptoms from the patient history. Descriptions of symptoms, articulated by patients to their doctors, remain a cornerstone of diagnosis in clinical medicine. The …

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