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Article
April 1914

FATTY INFILTRATION (LIPOMATOSIS) OF THE AURICULOVENTRICULAR BUNDLE OF HIS, WITH SUDDEN UNEXPECTED DEATH

Author Affiliations

CHICAGO

From the Pathological Laboratory of the Rush Medical College.

Arch Intern Med (Chic). 1914;XIII(4):640-647. doi:10.1001/archinte.1914.00070100133014
Abstract

Numerous studies have established a definite relationship between the symptoms usually referred to as Adams-Stokes disease and changes in the auriculoventricular bundle of the heart, the bundle of His. The absence of sufficient information in many of the reports in a recent summary by Bachman1 led him to base this definite relationship on the evidence in only twenty-four of the eighty-six cases reviewed; in the remainder the details were inadequate for comparison.

In these twenty-four, to which I have added a few2 not in the number considered by Bachman, the alterations found in the His bundle were as follows :

From a study of such a table as this it is evident that well-marked examples of the Adams-Stokes syndrome have for their explanation a lesion of the auriculoventricular bundle. A number of careful studies have shown that a complete transverse lesion of the main stem of this conducting

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