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June 1925

AURICULAR FIBRILLATION: REPORT OF CASE IN A CHILD AGED TEN YEARS

Author Affiliations

HARTFORD, CONN.
From the Children's Medical Department, Massachusetts General Hospital.

Am J Dis Child. 1925;29(6):767-769. doi:10.1001/archpedi.1925.04120300041005
Abstract

Auricular fibrillation in childhood, although not unknown, is of rare occurrence. Only three cases of patients 10 years of age or less have been reported in the literature; two were rheumatic in origin and one followed diphtheria.

In a series of 116 cases reported by Thomas Lewis, there were only four patients under 20 years of age, according to Abt.1

The youngest patient reported is that of a child, aged 5 years, cited by Sutherland and Coombs.2 Auricular fibrillation was discovered on the fifth day of acute rheumatic heart disease; death occurred on the sixth. Necropsy showed an existing pancarditis.

Ehrenreich3 reported a case occurring in a child, aged 9 years, with an indefinite history of acute articular rheumatism three years previously. One year later, signs of cardiac involvement appeared, with several subsequent attacks of myocardial insufficiency before auricular fibrillation occurred. At this time Ehrenreich knew of

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