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Article
January 1930

COMPLETE HEART BLOCK: ROENTGEN-KYMOGRAPHIC STUDY

Author Affiliations

SAN FRANCISCO

From the Stanford University Medical School, Division of Medicine.

Arch Intern Med (Chic). 1930;45(1):59-71. doi:10.1001/archinte.1930.00140070066005
Abstract

This report is based on a study of two cases of complete heart block of many years' duration. The patients were unaware of the cardiac abnormality and suffered no discomfort or limitation of activity therefrom. While such cases of compensated, complete, auriculoventricular dissociation are not so rare as to warrant the report of additional ones, there are some aspects of this type of case which are worthy of further study.

UNUSUAL FEATURES IN COMPLETE HEART BLOCK  Some of the unusual features encountered are: (1) absence of symptoms of inadequate circulation, including Stokes-Adams' attacks; (2) increased size of the heart; (3) high systolic and normal, or low, diastolic blood pressures, and (4) variations in the pulse force or volume.

Absence of Inadequate Circulation.  —The clinical details of the two cases studied with the roentgen-kymograph have been reported elsewhere.1 One case was that of a woman, aged 47, in whom complete heart

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