0
ARTICLE |

A STUDY OF A CASE OF INTERMITTENT COMPLETE DISSOCIATION OF AURICLES AND VENTRICLES PRESENTING UNUSUAL FEATURES

JAMES D. HEARD, M.D.; A. H. COLWELL, M.D.
Arch Intern Med (Chic). 1916;XVIII(6):758-774. doi:10.1001/archinte.1916.00080190043004.
Text Size: A A A
Published online

In the case which we are about to report the following features will receive consideration : a conduction defect in the main stem and the right branch of bundle demonstrable at all periods of associated contraction of auricle and ventricle ; transient periods of complete dissociation of auricle and ventricle, some of which were closely associated with digitalis administration ; a rate of ventricle which exceeded that of the auricle in all periods of dissociation, except one; the occurrence of frequent junctional premature beats during periods of normal sequence of contraction ; variations observed in ventricular complex; the apparent relation of digitalis administration with disturbances of mechanism as above noted, and with the degree of heart failure as estimated at a given time.

Case History.  —F. W., aged 61, a real estate broker, was admitted to the St. Francis Hospital on Nov. 17, 1915. He was transferred to medical service two days

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.
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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

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

Sign In to Access Full Content

Related Content

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

Jobs
brightcove.createExperiences();