0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

AURICULAR FIBRILLATION WITH REGULAR VENTRICULAR RHYTHM AND RATE OVER SIXTY

ROBERT L. LEVY, M.D.
Arch Intern Med (Chic). 1926;38(1):116-128. doi:10.1001/archinte.1926.00120250121008.
Text Size: A A A
Published online

The outstanding clinical feature of the cardiac arrhythmia now known to be associated with fibrillation of the auricles is irregularity of the ventricular beat. Before use of the electrocardiographic method made possible the recognition of the underlying disturbance in mechanism, the condition was termed pulsus irregularis perpetuus. The irregularity is not, however, invariably permanent. It may occur as paroxysms which terminate spontaneously; or a drug, such as quinidine, may be employed to restore sinus rhythm. It is also known that there may be complete heart block in auricular fibrillation, often the result of the therapeutic use of digitalis. As an accompaniment of A-V dissociation, regular idioventricular rhythm is established, usually at rates ranging from 30 to 40, though occasionally higher when the impulse is initiated in the junctional tissues.

More rarely it may be noted that, for varying periods, the ventricles, though beating at a rate of 60 or over,

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();