Partial Heart Block Due to Digitalis.

نویسنده

  • M Campbell
چکیده

Amongst a series of cases of partial heart block, collected over a period of years, there were some in which treatment with digitalis was mainly or partly responsible. This group involves some special problems that seem worth separate consideration. The slow pulse, even as slow as 35 in a minute, after the administration of digitalis was one of the original observations of Withering (1785). Much later, but for many years now, it has been recognized that heart block was the cause of the slowest heart rates after digitalis, though some lesser degree of slowing might be due to a direct or vagal effect on the S-A node. According to Cushny (1925, p. 220) the effect of digitalis on the A-V bundle is partly inhibitory through the vagus nerve, but partly, and sometimes mainly with full or long digitalization, a direct effect on the muscle of the A-V bundle. The slow pulse after digitalis has even passed into literature and, if Mary Webb can be trusted, into the folk-lore of Shropshire and the Welsh border:

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عنوان ژورنال:
  • British heart journal

دوره 4 4  شماره 

صفحات  -

تاریخ انتشار 1942