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TRANSIENT VENTRICULAR FIBRILLATION: A STUDY OF THE ELECTROCARDIOGRAMS OBTAINED FROM A PATIENT WITH AURICULOVENTRICULAR DISSOCIATION AND RECURRENT SYNCOPAL ATTACKS

TRANSIENT VENTRICULAR FIBRILLATION: A STUDY OF THE ELECTROCARDIOGRAMS OBTAINED FROM A PATIENT... Abstract It is now definitely established from recorded observations that transient syncopal attacks occurring in patients with permanent auriculoventricular dissociation are due in the main to one of two conditions; either to complete standstill of the ventricles or to the various grades of acceleration leading to ventricular fibrillation. The former mechanism, which is the more common, has been excellently reproduced in the dog, in which heart block had been established,1 and from correlations with the clinical and graphic manifestations observed in man there is now a fairly accurate knowledge of some of the successive events leading to and following transient ventricular standstill. Comparable analyses of the disturbances leading to the onset and recovery from transient ventricular fibrillation in the presence of auriculoventricular dissociation are lacking, for spontaneous recovery from ventricular fibrillation in the larger intact animal is unknown if the rhythm is induced by any of the methods now available. References 1. Erlanger, J.: On the Physiology of Heart Block in Mammals with Special Reference to the Causation of Stokes-Adams Disease: Part II. On the Physiology of Heart Block in the Dog , J. Exper. Med. 8:8, 1906.Crossref 2. Wiggers, C. J.: Studies of Ventricular Fibrillation Caused by Electric Shock: I. The Revival of the Heart from Ventricular Fibrillation by Successive Use of Potassium and Calcium Salts , Am. J. Physiol. 92:223, 1930. 3. Schwartz, S. P.: The Action of Digitalis in Complete Heart Block; Its Toxic Influence on the Idio-Ventricular Rate and Rhythm , Am. Heart J. 4:408, 1929.Crossref 4. All these studies were carried out on lead 2 only. 5. Davis, D., and Sprague, H. B.: Ventricular Fibrillation: Its Relation to Heart Block , Am. Heart J. 4:559 ( (June) ) 1929.Crossref 6. Read, J. M.: Complete Heart Block; Roentgen-Kymographic Study , Arch. Int. Med. 45:59 ( (Jan.) ) 1930.Crossref 7. Mines, G. R.: On Dynamic Equilibrium in the Heart , J. Physiol. 46:34, 1913. 8. Mines, G. R.: On Circulating Excitations in the Heart Muscles and Their Possible Relation to Tachycardia and Fibrillation , Tr. Roy. Soc. Canada, ser. 3 8:43, 1914. 9. Levy, A. G.: The Relation Between Successive Responses of the Ventricle to Electric Stimuli and Ventricular Fibrillation , J. Physiol. 49:54, 1914. 10. Mines (footnote 7). 11. Garrey, W.: The Nature of Fibrillary Contraction of the Heart; Its Relation to Tissue Mass and Form , Am. J. Physiol. 33:397, 1914. 12. Wiggers, C. J.: Studies of Ventricular Fibrillation Caused by Electric Shock: II. Cinematographic and Electrocardiographic Observations of the Natural Process in the Dog's Heart; Its Inhibition by Potassium and the Revival of Coordinated Beats by Calcium , Am. Heart J. 5:351, 1930.Crossref 13. Wiggers, C. J.: Studies on Ventricular Fibrillation Produced by Electric Shock: III. The Action of Antagonistic Salts , Am. J. Physiol. 93:197, 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

TRANSIENT VENTRICULAR FIBRILLATION: A STUDY OF THE ELECTROCARDIOGRAMS OBTAINED FROM A PATIENT WITH AURICULOVENTRICULAR DISSOCIATION AND RECURRENT SYNCOPAL ATTACKS

Archives of Internal Medicine , Volume 49 (2) – Feb 1, 1932

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1932 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1932.00150090112013
Publisher site
See Article on Publisher Site

Abstract

Abstract It is now definitely established from recorded observations that transient syncopal attacks occurring in patients with permanent auriculoventricular dissociation are due in the main to one of two conditions; either to complete standstill of the ventricles or to the various grades of acceleration leading to ventricular fibrillation. The former mechanism, which is the more common, has been excellently reproduced in the dog, in which heart block had been established,1 and from correlations with the clinical and graphic manifestations observed in man there is now a fairly accurate knowledge of some of the successive events leading to and following transient ventricular standstill. Comparable analyses of the disturbances leading to the onset and recovery from transient ventricular fibrillation in the presence of auriculoventricular dissociation are lacking, for spontaneous recovery from ventricular fibrillation in the larger intact animal is unknown if the rhythm is induced by any of the methods now available. References 1. Erlanger, J.: On the Physiology of Heart Block in Mammals with Special Reference to the Causation of Stokes-Adams Disease: Part II. On the Physiology of Heart Block in the Dog , J. Exper. Med. 8:8, 1906.Crossref 2. Wiggers, C. J.: Studies of Ventricular Fibrillation Caused by Electric Shock: I. The Revival of the Heart from Ventricular Fibrillation by Successive Use of Potassium and Calcium Salts , Am. J. Physiol. 92:223, 1930. 3. Schwartz, S. P.: The Action of Digitalis in Complete Heart Block; Its Toxic Influence on the Idio-Ventricular Rate and Rhythm , Am. Heart J. 4:408, 1929.Crossref 4. All these studies were carried out on lead 2 only. 5. Davis, D., and Sprague, H. B.: Ventricular Fibrillation: Its Relation to Heart Block , Am. Heart J. 4:559 ( (June) ) 1929.Crossref 6. Read, J. M.: Complete Heart Block; Roentgen-Kymographic Study , Arch. Int. Med. 45:59 ( (Jan.) ) 1930.Crossref 7. Mines, G. R.: On Dynamic Equilibrium in the Heart , J. Physiol. 46:34, 1913. 8. Mines, G. R.: On Circulating Excitations in the Heart Muscles and Their Possible Relation to Tachycardia and Fibrillation , Tr. Roy. Soc. Canada, ser. 3 8:43, 1914. 9. Levy, A. G.: The Relation Between Successive Responses of the Ventricle to Electric Stimuli and Ventricular Fibrillation , J. Physiol. 49:54, 1914. 10. Mines (footnote 7). 11. Garrey, W.: The Nature of Fibrillary Contraction of the Heart; Its Relation to Tissue Mass and Form , Am. J. Physiol. 33:397, 1914. 12. Wiggers, C. J.: Studies of Ventricular Fibrillation Caused by Electric Shock: II. Cinematographic and Electrocardiographic Observations of the Natural Process in the Dog's Heart; Its Inhibition by Potassium and the Revival of Coordinated Beats by Calcium , Am. Heart J. 5:351, 1930.Crossref 13. Wiggers, C. J.: Studies on Ventricular Fibrillation Produced by Electric Shock: III. The Action of Antagonistic Salts , Am. J. Physiol. 93:197, 1930.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 1, 1932

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