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CONGESTIVE FAILURE DUE TO AURICULAR FIBRILLATION IN AN OTHERWISE NORMAL HEART

CONGESTIVE FAILURE DUE TO AURICULAR FIBRILLATION IN AN OTHERWISE NORMAL HEART The fact that auricular fibrillation may occur in a patient with an otherwise normal heart is generally accepted. However, that severe congestive failure may develop under such circumstances is not so well known. Since this type of heart disease is completely reversible, the importance of its recognition is apparent. Although a number of such cases have been recorded in the literature,1 it appears probable that many other cases remain unrecognized; thus, some patients are denied a chance for recovery. A 25-year follow-up is presented of a case previously reported in 19371a and in 1947.1b The patient, a woman, was first seen in June, 1935, at 43 years of age. She was in severe congestive failure after having had uncontrolled auricular fibrillation for three months. Compensation was established by means of digitalis, diuretics, and diet, and normal sinus rhythm was restored with quinidine therapy (fig. 1). Rapid recovery http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

CONGESTIVE FAILURE DUE TO AURICULAR FIBRILLATION IN AN OTHERWISE NORMAL HEART

JAMA , Volume 173 (7) – Jun 18, 1960

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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1960.73020250001008
Publisher site
See Article on Publisher Site

Abstract

The fact that auricular fibrillation may occur in a patient with an otherwise normal heart is generally accepted. However, that severe congestive failure may develop under such circumstances is not so well known. Since this type of heart disease is completely reversible, the importance of its recognition is apparent. Although a number of such cases have been recorded in the literature,1 it appears probable that many other cases remain unrecognized; thus, some patients are denied a chance for recovery. A 25-year follow-up is presented of a case previously reported in 19371a and in 1947.1b The patient, a woman, was first seen in June, 1935, at 43 years of age. She was in severe congestive failure after having had uncontrolled auricular fibrillation for three months. Compensation was established by means of digitalis, diuretics, and diet, and normal sinus rhythm was restored with quinidine therapy (fig. 1). Rapid recovery

Journal

JAMAAmerican Medical Association

Published: Jun 18, 1960

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