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Article
December 1934

ADAMS-STOKES SYNDROME WITH TRANSIENT COMPLETE HEART BLOCK OF VAGOVAGAL REFLEX ORIGIN: MECHANISM AND TREATMENT

Author Affiliations

BOSTON

From the Thorndike Memorial Laboratory, Second and Fourth Medical Services (Harvard), Boston City Hospital, and Department of Medicine, Harvard Medical School.

Arch Intern Med (Chic). 1934;54(6):931-951. doi:10.1001/archinte.1934.00160180105008
Abstract

Complete auriculoventricular dissociation has been studied extensively by physiologists and clinicians. Through its unique physiologic mechanisms, the development of heart block often is associated with striking clinical manifestations. The dissociation of the cardiac chambers also permits an insight into otherwise concealed functions of the human heart. The observations to be reported here have yielded information which throws light on the mechanism and treatment of a rare type of heart block heretofore not completely understood.

REPORT OF A CASE 

Case 1. 

History.  —On July 14, 1933, F. H., a white man, aged 64, was admitted to the hospital in a stuporous state, following attempted suicide with illuminating gas. The cause of this act was despondency because of fainting spells believed to be incurable, from which he had suffered for ten years. The attacks manifested themselves in sudden dizziness or fainting lasting a minute or two and were usually precipitated by swallowing

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