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FREQUENT OCCURRENCE AND GOOD PROGNOSIS IN PATIENTS WITHOUT OTHER EVIDENCE OF CARDIAC DISEASE

EDWARD S. ORGAIN, M.D.; LOUIS WOLFF, M.D.; PAUL D. WHITE, M.D.

Arch Intern Med. 1936;57(3):493-513.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Auricular fibrillation and auricular flutter are common and well recognized disorders of cardiac rhythm. Less well appreciated, however, is their occurrence in persons without other signs of cardiac disease. To emphasize the frequency of this occurrence and to demonstrate its good prognosis constitute the main objects of the present communication.

REVIEW OF THE LITERATURE

Premature beats¹ and paroxysmal tachycardia² have long been known to occur in healthy persons. That auricular fibrillation may arise in a heart previously healthy was first pointed out by Gossage and Hicks³ in 1913, although Fox⁴ and Mackenzie⁵ a few years before noted no evidence of cardiac disease in several of their cases. Since these early communications there have appeared in the literature numerous reports of auricular fibrillation occurring in persons with a clinically normal heart as a result of varied stimuli—tixic, traumatic and reflex—and without any obvious cause. The following . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the cardiographic laboratory and cardiac clinics of the Massachusetts General Hospital.

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