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Article
October 1913

"AURICULAR FLUTTER," WITH A REPORT OF TWO CASES

Author Affiliations

PROVIDENCE, R. I.

Arch Intern Med (Chic). 1913;XII(4):475-484. doi:10.1001/archinte.1913.00070040120008
Abstract

In 1911 Jolly and Ritchie1 reported a case of Adams-Stokes disease which had been under observation for a period of six years and which showed in association with the complete heart-block a very rapidly beating auricle, the rate of the latter varying from time to time, but usually from 270 to 300 per minute. This condition they called auricular flutter. In adopting the term they refer to the work of McWilliams,2 who, years ago, observed that the application of a faradic current started the auricle into a rapid flutter. In his account, McWilliams stated that the contractions originated in the stimulated area and extended rhythmically and coordinately throughout the tissue. In 1909, Hertz and Goodhart3 reported a case with an auricular rate of 234 and a ventricular rate varying from 72 to 120. In this case the irregular and varying ventricular rate depended on a partial

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