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July 30, 1932

Les maladies organiques du faisceau de His-Tawarra: Les syndromes coronaires. L'endocardite septale. L'infarctus septal. (Étude clinique et anatomique.)

JAMA. 1932;99(5):414. doi:10.1001/jama.1932.02740570060039

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The book begins with a detailed description of the anatomy of the bundle of His, a review of its physiology, and a discussion of the various clinical and pathologic-anatomic methods of its examination. Many will welcome the minute directions as to how to section the heart so as best to locate the lesions in the bundle and its branches and in the arteries and muscles that are intimately concerned. A point that is stressed by the author is that a distinction may and should be made between lesions that are inhibitive in nature and those that are irritative. The latter, such as may come from ischemia of the bundle or from inflammation or some types of degeneration, he terms evolutive; they lead to tachycardic manifestations. The bradycardic, on the contrary, are terminal or cicatricial; they may involve the Tawara node, the main trunk of the bundle, or its branches. He