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December 29, 1934


JAMA. 1934;103(26):2051. doi:10.1001/jama.1934.02750520053027

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This is "a treatise on electrocardiography, for use by the general practitioner, the medical student, and the specialist exclusive of the cardiologist." There is only one reference to significant literature; "extensive bibliography may be readily found elsewhere." Certain statements are contrary to the experience of other clinicians and at variance with the commonly accepted views in this field of research. "Rheumatic mitral stenosis does not occur in the heart with syphilitic aortitis." "The rhythm" in paroxysmal auricular tachycardia "is strikingly regular... This point may successfully differentiate it from auricular flutter, simple sinus tachycardia, or ventricular flutter. Auricular flutter usually occurs as a paroxysm of tachycardia.... The chronic form is uncommon." Apparently the author does not consider circus movement the mechanism underlying auricular flutter and fibrillation of the auricles and ventricles. "The mechanism of auricular flutter is relatively simple.... The sino-auricular node has lost its rôle as pacemaker to a focus

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