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ADAMS-STOKES' SYNDROME, WITH COMPLETE HEARTBLOCK, WITHOUT DESTRUCTION OF THE BUNDLE OF HIS

ADAMS-STOKES' SYNDROME, WITH COMPLETE HEARTBLOCK, WITHOUT DESTRUCTION OF THE BUNDLE OF HIS Abstract That destruction of the auriculo-ventricular bundle of His in the mammalian heart will always cause heart-block has been repeatedly proved both experimentally and by numerous clinico-pathological observations within the last five years.1 The converse of this proposition, however, that heart-block is always caused by destruction of the aforesaid bundle, has by no means been proved, and, in fact, it is most probable that there are several other causes that may produce this dissociation of auricular and ventricular rhythm. What these causes may be it is not yet possible to say ; this paper is merely to show that complete heart-block and the symptoms of Adams-Stokes' syndrome may exist, not only without destruction of the bundle of His, but with insignificant lesions no greater than those found in normal bundles. Furthermore, following the principles established by the experiments of Erlanger and Hering, it has generally been supposed that partial References 1. van den Heuvel: De Ziekte van Stokes-Adams, Doctorat Thesis, Gronigen, December, 1908 2. Pletnew: Engeb. d. inn. Med. u. Kinderheilk. , 1908, i, 47 3. Univ. Penn. Med. Bull. , (November) , 1908, xxi, 278. 4. Pittfield: Medicine, Detroit , 1904, x, 654. 5. Retzer: Arch. f. Anat. u. Physiol., Anat. Abt. , 1904, p. 1. 6. Bräunig: Arch. f. Anat. u. Physiol., Physiol. Abt. , 1904, p. 1, Suppl. 7. Erlanger: Bull. Johns Hopkins Hosp. , 1905, xvi, 234 8. Jour. Exper. Med. , 1905, vii, 676. 9. Lewis: Brit. Med. Jour. , 1908, ii, 1798.Crossref 10. Deneke: Arch. f. klin. Med. , 1906, lxxxix, 39. 11. Fahr: Virchow's f. path. Anat. , 1907, clxxxviii, 562.Crossref 12. Nagayo: Ztschr. f. klin. Med. , 1909, lxvii, 495. 13. Heineke, Müller and Hösslin: Deutsch. Arch. f. klin. Med. , 1908, xciii, 459. 14. Earnshaw: Paper read at Med. Sect. of Phila. Coll. of Physicians , (Jan. 10) , 1910. 15. Taylor, F. L.: A Case of Transient Heart-Block Due to Intestinal Toxemia , Jour. Am. Med. Assn. , 1908, L, 1246.Crossref 16. Gerhardt: Deutsch. Arch. f. klin. Med. , 1908, xciii, 485. 17. Alsleben, Magnus: Ztschr. f. klin. Med. , 1909, lxix, 82. 18. Hewlett: Jour. Am. Med. Assn. , 1907, xlviii, 47Crossref 19. Mackenzie: Brit. Med. Jour. , 1905, pp. 519, 812 20. Rihl: Ztschr. f. Exper. Path. u. Therap. , ii, p. 74. 21. Tawara: Das Reizleitungsystem d. Säugetierherzens , Gustav Fischer, Jena, 1906. 22. Wilson: Proc. Royal Soc. , 1909, lxxxi, Series B, 151.Crossref 23. Hering: München. med. Wchnschr. , 1909, lvi, 845. 24. Thorel: München. med. Wchnschr. , 1910, lvii, 183. 25. Adams: Dublin Hosp. Rep. , 1827, iv, 396. 26. Stokes: Dub. Quart. Jour. Med. Sc. , 1846, ii, 73.Crossref 27. Charcot: Leçons sur les maladies du système, nerveaux , 1872, ii, 140. 28. Huchard: Traités cliniques des maladies du cœur , Paris, 1893, p. 308. 29. Morgagni: De sedibus et causis Morborum, Letter 9, Art. 7, and Letter 62, Art. 5. 30. Holberton: Med.-Chir. Tr., London , 1841, Series 2, vi, 76. 31. Neuberger and Edinger: Berl. klin. Wchnschr. , 1898, xxxv, 69. 32. Thanhofer: Centralbl. f. d. Med. Wissensch. , 1875, xiii, 405. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

ADAMS-STOKES' SYNDROME, WITH COMPLETE HEARTBLOCK, WITHOUT DESTRUCTION OF THE BUNDLE OF HIS

Archives of Internal Medicine , Volume V (6) – Jun 1, 1910

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Publisher
American Medical Association
Copyright
Copyright © 1910 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1910.00050280045004
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Abstract

Abstract That destruction of the auriculo-ventricular bundle of His in the mammalian heart will always cause heart-block has been repeatedly proved both experimentally and by numerous clinico-pathological observations within the last five years.1 The converse of this proposition, however, that heart-block is always caused by destruction of the aforesaid bundle, has by no means been proved, and, in fact, it is most probable that there are several other causes that may produce this dissociation of auricular and ventricular rhythm. What these causes may be it is not yet possible to say ; this paper is merely to show that complete heart-block and the symptoms of Adams-Stokes' syndrome may exist, not only without destruction of the bundle of His, but with insignificant lesions no greater than those found in normal bundles. Furthermore, following the principles established by the experiments of Erlanger and Hering, it has generally been supposed that partial References 1. van den Heuvel: De Ziekte van Stokes-Adams, Doctorat Thesis, Gronigen, December, 1908 2. Pletnew: Engeb. d. inn. Med. u. Kinderheilk. , 1908, i, 47 3. Univ. Penn. Med. Bull. , (November) , 1908, xxi, 278. 4. Pittfield: Medicine, Detroit , 1904, x, 654. 5. Retzer: Arch. f. Anat. u. Physiol., Anat. Abt. , 1904, p. 1. 6. Bräunig: Arch. f. Anat. u. Physiol., Physiol. Abt. , 1904, p. 1, Suppl. 7. Erlanger: Bull. Johns Hopkins Hosp. , 1905, xvi, 234 8. Jour. Exper. Med. , 1905, vii, 676. 9. Lewis: Brit. Med. Jour. , 1908, ii, 1798.Crossref 10. Deneke: Arch. f. klin. Med. , 1906, lxxxix, 39. 11. Fahr: Virchow's f. path. Anat. , 1907, clxxxviii, 562.Crossref 12. Nagayo: Ztschr. f. klin. Med. , 1909, lxvii, 495. 13. Heineke, Müller and Hösslin: Deutsch. Arch. f. klin. Med. , 1908, xciii, 459. 14. Earnshaw: Paper read at Med. Sect. of Phila. Coll. of Physicians , (Jan. 10) , 1910. 15. Taylor, F. L.: A Case of Transient Heart-Block Due to Intestinal Toxemia , Jour. Am. Med. Assn. , 1908, L, 1246.Crossref 16. Gerhardt: Deutsch. Arch. f. klin. Med. , 1908, xciii, 485. 17. Alsleben, Magnus: Ztschr. f. klin. Med. , 1909, lxix, 82. 18. Hewlett: Jour. Am. Med. Assn. , 1907, xlviii, 47Crossref 19. Mackenzie: Brit. Med. Jour. , 1905, pp. 519, 812 20. Rihl: Ztschr. f. Exper. Path. u. Therap. , ii, p. 74. 21. Tawara: Das Reizleitungsystem d. Säugetierherzens , Gustav Fischer, Jena, 1906. 22. Wilson: Proc. Royal Soc. , 1909, lxxxi, Series B, 151.Crossref 23. Hering: München. med. Wchnschr. , 1909, lvi, 845. 24. Thorel: München. med. Wchnschr. , 1910, lvii, 183. 25. Adams: Dublin Hosp. Rep. , 1827, iv, 396. 26. Stokes: Dub. Quart. Jour. Med. Sc. , 1846, ii, 73.Crossref 27. Charcot: Leçons sur les maladies du système, nerveaux , 1872, ii, 140. 28. Huchard: Traités cliniques des maladies du cœur , Paris, 1893, p. 308. 29. Morgagni: De sedibus et causis Morborum, Letter 9, Art. 7, and Letter 62, Art. 5. 30. Holberton: Med.-Chir. Tr., London , 1841, Series 2, vi, 76. 31. Neuberger and Edinger: Berl. klin. Wchnschr. , 1898, xxxv, 69. 32. Thanhofer: Centralbl. f. d. Med. Wissensch. , 1875, xiii, 405.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 1, 1910

References