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Article
June 1933

AURICULAR FLUTTER WITH COMPLETE AURICULOVENTRICULAR BLOCK IN A PATIENT WITH CORONARY DISEASE

Author Affiliations

Attending Physician and Cardiologist, Newark Beth Israel Hospital; Assistant Attending Physician, Newark Beth Israel Hospital; NEWARK, N. J.

From Medical Service A., of Dr. Aaron E. Parsonnet, Newark Beth Israel Hospital.

Arch Intern Med (Chic). 1933;51(6):938-946. doi:10.1001/archinte.1933.00150250122008
Abstract

Of singular interest is the striking abnormality of rhythm exhibited in electrocardiographic tracings in the group of cases known as auricular flutter. This peculiar rhythm is a finding strictly within the domain of electrocardiography, since the clinical signs exhibited by patients with such a condition are very difficult if not impossible of detection through any other means. The reason for diagnostic failure clinically in the majority of instances of auricular flutter are obvious to those who are at all familiar with the nature of this disturbance of rhythm. Both the ear and the palpating finger at the wrist are greeted by a perfectly regular sequence of contractions, except where there exists an inconstant degree of auriculoventricular block; in most of these the ventricular rate is only moderately accelerated. It is true that the tonal quality of the heart sounds is rather altered, but such finesse in clinical differentiation belongs to

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