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Article
December 1916

A STUDY OF A CASE OF INTERMITTENT COMPLETE DISSOCIATION OF AURICLES AND VENTRICLES PRESENTING UNUSUAL FEATURES

Author Affiliations

PITTSBURGH

From the University of Pittsburgh, School of Medicine.

Arch Intern Med (Chic). 1916;XVIII(6):758-774. doi:10.1001/archinte.1916.00080190043004
Abstract

In the case which we are about to report the following features will receive consideration : a conduction defect in the main stem and the right branch of bundle demonstrable at all periods of associated contraction of auricle and ventricle ; transient periods of complete dissociation of auricle and ventricle, some of which were closely associated with digitalis administration ; a rate of ventricle which exceeded that of the auricle in all periods of dissociation, except one; the occurrence of frequent junctional premature beats during periods of normal sequence of contraction ; variations observed in ventricular complex; the apparent relation of digitalis administration with disturbances of mechanism as above noted, and with the degree of heart failure as estimated at a given time.

Case History.  —F. W., aged 61, a real estate broker, was admitted to the St. Francis Hospital on Nov. 17, 1915. He was transferred to medical service two days

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