Stokes-Adams Syndrome Produced by Digitalis in a Case of Auricular Fibrillation
نویسنده
چکیده
dyspnoea on slight exertion, this became progressively worse till she was confined to bed eleven months ago with orthopnoea. Nine months ago cedema of the legs and ascites appeared and persisted, although she was still in bed. There were occasional attacks characterized by a feeling of tightness in the chest, followed by profuse sweating and retching, which lasted a few seconds and were not accompanied by any loss of consciousness. Such attacks occurred at almost weekly intervals, irrespective of the treatment she was receiving ; there was no evidence that they were due to digitalis, as this drug was found to have very little beneficial effect, and was only exhibited at intervals
منابع مشابه
Successful external electrical defibrillation in acute myocardial infarction. Report of a case.
V ENTRICULAR fibrillation is the most serious of all arrhythmias. It was first described in 1849 by Ludwig and Hoffa.92 Its presence even for a short interval is usually incompatible with life. With the onset of ventricular fibrillation there is an immediate cessation of circulation with a series of rapid irregular undulations that replace the coordinated contractions of the ventricle. These os...
متن کاملDigitalis in Heart Failure with Normal Rhythm.
In the first edition of his Diseases of the Heart, published in 1908, Mackenzie said: " the nodal rhythm is present in the majority of cases of severe heart failure and in a great many the immediate breakdown is directly attributable to the inception by the heart of this abnormal rhythm." In the third edition, in 1913, the term " auricular fibrillation " was substituted for that of " nodal rhyt...
متن کاملDigitalis with Special Reference to Auricular Fibrillation *Published by kind permission of the Director of Medical Services in India.
the ventricles may slow down. This ensures better myocardial circulation and in course of time helps the auricles to recover as well. The effect of digitalis in such cases for the time is immediate, but the ultimate prognosis depends upon the myocardial condition. The dose of digitalis varies in different cases, but it may be remembered that in cases of fibrillation, it has to be pushed to the ...
متن کاملParoxysmal ventricular standstill.
Among the various rhythms reported in the course of a Stokes-Adams attack, one of the rarest is standstill of the ventricle as an episode during normal rhythm. Such a condition may be called paroxysmal ventricular standstill, and is to be distinguished from the condition of alternating complete block and normal rhythm to which the term paroxysmal heart block may be applied. Three cases of parox...
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عنوان ژورنال:
دوره 47 شماره
صفحات -
تاریخ انتشار 2016