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June 1968

Aortic Valve Disease and Atrial FibrillationReport of 122 Patients With Electrographic, Radiographic, and Hemodynamic Observations

Author Affiliations


From the Cardiac Unit and the General Medical Services of the Massachusetts General Hospital, and the Department of Medicine, Harvard Medical School, Boston. Doctor Myler is also with the Cardiac Catheterization Laboratory, St. Vincent Hospital, Worcester, Mass.

Arch Intern Med. 1968;121(6):530-533. doi:10.1001/archinte.1968.03640060044008

One hundred and twenty-two consecutive ante mortem patients with proven severe aortic valve disease are presented with their electrocardiographic, radiologic, and hemodynamic findings. Atrial fibrillation was noted in only one patient who had evidence of associated severe coronary arterial insufficiency resulting in an acute myocardial infarction. The rarity of atrial fibrillation in a series of patients with pure aortic valve disease is doubtless related to its poor prognostic implication and markedly shortened life span and explains why the incidence of atrial fibrillation is much lower in this report than in previous postmortem series. Other findings in this series are consistent with earlier observations with the exception of systemic arterial hypertension which was noted in only 4.7% of the patients with aortic stenosis, an observation lower than in previous reports.