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The rather fanciful term metabolic-dynamic heart failure is used to describe a lengthening of electrical systole and a concomitant shortening of mechanical systole (except in asphyxia, in which both are shortened, but the mechanical systole much more than the electrical). The occurrence of this phenomenon is described in a variety of clinical conditions; viz., diabetic coma, insulin shock, hepatic coma, dehydration, hypochloremia, addisonian crisis, porphyria, severe
Die Klinik der energetisch-dynamischen Herzinsuffizienz. JAMA. 1948;137(11):998. doi:10.1001/jama.1948.02890450078028
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