Abstract In 1887 McWilliam1 produced a flutter in the auricles of the mammalian heart by means of faradic stimulation of the auricles. In 1908 Hertz and Goodhart2 reported a human case in which the auricles were beating rapidly at a rate of about 230 per minute, but the ventricles were beating about 80. In 1911, Jolly and Ritchie3 applied the term of auricular flutter to those cases of rapid regular auricular contractions ranging from 250 to 350 per minute associated with partial or complete heart block, so that the ventricular rate was much slower. Reports of similar cases have appeared in the medical literature since that time. Summaries of these cases with the addition of new ones have been made by Lewis4 in 1912, and more recently by Ritchie5 in 1914. At present this cardiac condition is well recognized as a clinical entity, and References 1. McWilliam, J. A.: Fibrillary Contraction of the Heart , Jour. Physiol. , 1887, viii, 296. 2. Hertz, A. F., and Goodhart, G. W.: The Speed-Limit of the Human Heart , Quart. Jour. Med. , 1908-1909, ii, 213. 3. Jolly, W. A., and Ritchie, W. T.: Auricular Flutter and Fibrillation , Heart , 1910-1911, ii, 177. 4. Lewis, Thomas: Observations upon a Curious and not Uncommon Form of Extreme Acceleration of the Auricle, "Auricular Flutter," Heart , 1912, iv, 171. 5. Ritchie, W. T.: Auricular Flutter , Edinburgh and London, W. Green & Son, 1914. 6. Lewis, Thomas: Clinical Disorders of the Heart Beat , New York, P. B. Hoeber, 1914. 7. Cowan, J.: Diseases of the Heart , Philadelphia, Lea & Febiger, 1914. 8. McKenzie, James: Diseases of the Heart , London, Frowde and Hodder, and Stoughton, Ed. 3, 1914. 9. Osler and McCrae: Modern Medicine , Philadelphia, Lea & Febiger, 1915. 10. Fulton, F. T.: "Auricular Flutter," with Report of Two Cases , The Archives Int. Med. , 1913, xii, 475.Crossref 11. For the roentgenograms we are indebted to Dr. G. L. Carr. 12. Levine, S. A.: The Oculo-Cardiac Reflex. An Electrocardiographic Study with Special Reference to the Difference Between Right and Left Vagal and Ocular Pressure in Tabetics and Non-Tabetics , The Archives Int. Med. , 1915, xv, Part (1) , p. 758.Crossref 13. Aschner, B. : Ueber einen bischer noch nicht beschriebenen Reflex vom Auge auf Kreislauf und Atmung , Wien. klin. Wchnschr. , 1908, xliv, 1529.
Archives of Internal Medicine – American Medical Association
Published: Nov 1, 1915
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