agonal

Of or pertaining to struggle, competition or conflict; of or pertaining to an agon.

Even the agonal games which began with the ancient Greeks were playful in their singular devotion to deities. Games were agonal demonstrations of transcendence.

The agonal spirit was strong enough to inspire 'shame' at a failure to fight when the enemy offered battle, but not so strong that it made armies accept battle under any circumstances.

Of or pertaining to the pain of death.

The similarity of these persistent invaginations to the agonal is quite marked; like the agonal, they are multiple, rather short, they are in the ileum, and they are ascending, which is not at all an uncommon feature of the invaginations of death. Agonal invaginations in the adult are, however, uncommon and seldom found; but, in spite of this fact, the suggestion is near at hand that perhaps the multiple, healed invaginations here described are, as it were, persistent agonal formations, the death-struggle implied terminating in favor of the patient.

In contrast, severe infections are characterized by the development of hypoglycemia during the agonal stages of the disease process as a result of an impaired capacity of the liver to synthesize glucose (LaNoue et al., 1968b; Yeung, 1970; McCallum and Berry, 1973).