According to our knowledge to day the cause of a heart infarction is a stenosing atheromatosis of the coronary vessels or an associated coronary thrombosis. Here are described two cases with unusual precipitating factors of a heart infarction, one by an anaphylactic reaction caused by smallpox vaccination, the other case caused by a very intensive stress situation. As the basic condition in the two cases was accepted a coronary heart disease but the described events were considered by the author as the determinating concomitant cause for the social accident insurance in consequence of their intensity and acuteness.
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