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This condition began in my oavh person about six years ago, first with the loss of a heart-beat about every five to twenty beats, more particularly after meals and after exercise. There was little or no discomfort from the irregularity. Repeated examination of the heart by experts failed to discover any heart lesions. This condtion continued for a period of about four years without any apparent increase in the irregularity and no other subjective symptoms.
About two years ago anginal symptoms with tachycardia first made their appearance. At first the pain about the heart radiated into the left shoulder, and in a short time subsequent into both shoulders. This rapid heart and pain was always brought on by walking at my usual pace for a distance of two or three blocks, and at these times the heart would be very irregular.
WERTZ T. PAROXYSMAL TACHYCARDIA ASSOCIATED WITH ANGINAL SYMPTOMS. JAMA. 1909;LIII(9):717–718. doi:10.1001/jama.1909.92550090051003d
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