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August 10, 1935

Current Comment

JAMA. 1935;105(6):440-441. doi:10.1001/jama.1935.02760320042017

AURICULAR FIBRILLATION AND RHEUMATIC HEART DISEASE  De Graff and Lingg1 have recently investigated the frequency and influence of auricular fibrillation on the course of rheumatic heart disease. The report is based on the records of 644 deceased patients. The type of valvular lesion seemed to have some effect on the incidence of auricular fibrillation, the highest incidence having been found among patients with mitral stenosis. The percentage of men and women with rheumatic heart disease who developed fibrillation was about the same. Of the total number studied, 42.8 per cent developed auricular fibrillation. There was no evidence that fibrillation per se determines prognosis or life expectancy. It was demonstrated, however, that fibrillation is usually a late manifestation in rheumatic heart disease and that it is most commonly observed in the relatively long standing cases. There was no correlation between the age when patients first acquired rheumatic fever and the