Atrial tachycardia with block treated with digitalis.

نویسندگان

  • W L MORGAN
  • G M BRENEMAN
چکیده

ATRIAL TACHYCARDIA with atrioventricular block was first described by Sir Thomas Lewis in 1909.1 In recent years, Lown, Levine, and co-workers2-5 have emphasized the importance of digitalis intoxication as a cause of this arrhythmia. Other authors have also supported this concept.6' 7 Two large series describing the arrhythmia were published in 1943. Barker and coworkers8 found that digitalis was beneficial in 14 of 35 cases, whereas Decherd et al.9 concluded that the drug was a probable cause of the arrhythmia in 25 of 40 additional patients. This incidence of excessive digitalis (621/2 per cent in 40 patients) causing atrial tachyeardia with block is similar to lIown and Levine 's3 experience of 73 per cent in 112 episodes. In contrast, other workers recently have found digitalis responsible only 16 times in 40 episodes. The present report describes 15 patients seen in a period of 1 year who had atrial tachyeardia with block. In nine of these cases the arrhythmia was not due to excessive digitalis. These patients illustrate the fact that continued digitalis may be beneficial in controlling congestive heart failure or preventing a rapid ventricular rate.10

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CLINICAL PROGRESS Paroxysmal Atrial Tachycardia with Block

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[Paroxysmal atrial tachycardia with atrio-ventricular block].

PAROXYSMAL atrial tachyeardia with atrioventricular block (PAT with block) has been recognized more often in recent years since Lown and Levine clarified its diagnostic criteria and emphasized its important relation to digitalis excess.1' 2 The present report was prompted by the increasing frequency with which this diagnosis has been made at our hospital and its common association with chronic ...

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عنوان ژورنال:
  • Circulation

دوره 25  شماره 

صفحات  -

تاریخ انتشار 1962