In some patients coronary occlusion causes only mild pain, tightness or vague discomfort which may be ignored: the myocardium is however damaged. According to the Nicholas and Alexandra book, Tsar Nicholas II of Russia suffered a coronary occlusion right before he was toppled from his throne during the Russian Revolution in 1917.
- May be referring to Massie RK (1967) Nicholas and Alexandra: An Intimate Account of the Last of the Romanovs and the Fall of Imperial Russia, ISBN 0345438310
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