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Article
December 18, 1926

Auricular Fibrillation.

JAMA. 1926;87(25):2116. doi:10.1001/jama.1926.02680250074040

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Abstract

In these lectures Emanuel is less concerned with theories than with facts. These facts he has learned by observation and study at the bedside and by the help of the polygraph and electrocardiograph. He is inclined to be positive in his statements. Apparently, at times, the opportunity of saying a thing in a striking, epigrammatic way leads him to speak too dogmatically or too broadly. Thus, "Auricular fibrillation is not an organic disease; it is a functional disease"; or, "Auricular fibrillation is not the result of cardiac exhaustion, it is a condition that leads to cardiac exhaustion." He believes that toxins may cause not alone the rapid, irregular pulse of fibrillation but, paradoxical as it may seem, that they may slow the pulse in this condition much as does digitalis. He regards vomiting as an occasional manifestation of the disease. If such is the case, more, rather than less, digitalis

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