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July 16, 1898


Author Affiliations

Professor of the Practice of Medicine and of Clinical Medicine in the Medico-Chirurgical College, Philadelphia; Attending Physician to the Medico-Chirurgical and Samaritan Hospitals, etc. PHILADELPHIA, PA.

JAMA. 1898;XXXI(3):113-115. doi:10.1001/jama.1898.92450030015001c

Arhythmia is a symptom that is common to many diseases and conditions, but the scope of the present article is limited principally to the clinical features of certain forms of the disorder not hitherto described, that have fallen under my observation. The examples that I shall adduce are too few to establish tenable hypotheses, either in their etiologic or clinico-pathologic bearings, yet they present points of rare clinical interest.

The first case occurred in the person of a physician, aged 40 years, who had been an abuser of tobacco for a protracted period, having habitually smoked from eight to twelve cigars daily. The family history gave undubitable evidence of a gouty tendency, and the patient himself had suffered from acute articular rheumatism on two different occasions. A careful physical examination permitted the positive exclusion of organic valvular diseases, and the probable elimination of other structural affections of the heart. Nor