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USE OF DIGITALIS TO PREVENT EXAGGERATED ACCELERATION OF THE HEART

USE OF DIGITALIS TO PREVENT EXAGGERATED ACCELERATION OF THE HEART The ventricular rate serves as the chief guide to the degree of digitalization of patients with auricular fibrillation. The customary procedure is to give enough digitalis to reduce the rate of the ventricles to about 70 beats a minute and to maintain it at that level. It is well known, however, that if this result is attained with the patient at complete physical rest the rate in some cases mounts considerably when the patient is up and about. Furthermore, it may show wide fluctuations with moderate effort. Sir Thomas Lewis1 stated: "Although it is usually possible to control the rate in cases of auricular fibrillation, when the patients are at rest or quietly exercising, it is rarely possible to control the rates adequately in conditions of freer exercise." In a recent report by Weinstein, Plaut and Katz2 a contrary observation was made. In a previous study3 it http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

USE OF DIGITALIS TO PREVENT EXAGGERATED ACCELERATION OF THE HEART

MODELL, WALTER; GOLD, HARRY; ROTHENDLER, HAROLD H.
JAMA , Volume 116 (20) – May 17, 1941
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1941.02820200011003
Publisher site
See Article on Publisher Site

Abstract

The ventricular rate serves as the chief guide to the degree of digitalization of patients with auricular fibrillation. The customary procedure is to give enough digitalis to reduce the rate of the ventricles to about 70 beats a minute and to maintain it at that level. It is well known, however, that if this result is attained with the patient at complete physical rest the rate in some cases mounts considerably when the patient is up and about. Furthermore, it may show wide fluctuations with moderate effort. Sir Thomas Lewis1 stated: "Although it is usually possible to control the rate in cases of auricular fibrillation, when the patients are at rest or quietly exercising, it is rarely possible to control the rates adequately in conditions of freer exercise." In a recent report by Weinstein, Plaut and Katz2 a contrary observation was made. In a previous study3 it

Journal

JAMA – American Medical Association

Published: May 17, 1941

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