[Skip to Content]
[Skip to Content Landing]
February 3, 1906


Author Affiliations


JAMA. 1906;XLVI(5):361. doi:10.1001/jama.1906.62510320047003c

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


A case of Adams-Stokes' disease which I had the opportunity to observe presented symptoms of heart block. There were from three to four auricular contractions to one ventricular beat. During the attacks the ventricle stopped entirely, while the auricular rhythm kept on undisturbed. The patient died after twenty-four hours.

In view of the experimental work on heart block done by Erlanger and Hering I felt justified in diagnosing a lesion of the auriculo-ventricular bundle of His.

The postmortem was limited to the heart. Macroscopically no lesion could be detected, but the microscopic examination by Dr. Ophüls showed scar formation in and around the bundle of His just below the membranous septum.

First Page Preview View Large
First page PDF preview
First page PDF preview