Case Of Flutter Research Articles

Auricular heart sounds in auricular flutter

1. 1. Two cases of auricular flutter in which audible auricular sounds were graphically recorded are added to the eight cases already reported. 2. 2. The cases presented were unusual in the following respects: 2.1. a. The exceptional loudness of the auricular sounds, which approached or exceeded the ventricular sounds in intensity, 2.2. b. The point of maximal intensity in the pulmonic and aortic auscultation points, respectively, 2.3. c. The presence of palpable and mechanically recordable impulses synchronous with the auricular sounds and the flutter waves in one case, 2.4. d. The intensification of the sounds by the intravenous injection of a digitalis glycoside in the other case, 2.5. e. Perfect synchrony with the flutter wave of the electrocardiogram except in the cycle immediately following ventricular systole, where there was a slight but significant delay in the appearance of the sound, 2.6. f. The clicking character of the sounds, 2.7. g. The occurrence of a loud auricular sound during ventricular systole. 3. 3. Two alternate explanations are offered for the sounds observed: The flutter contractions of the auricles may have been audible because of their unusual forcefulness, or an “auricular click” associated with pleuropericardial adhesions may have been present.

Graphical Solution of the Bending-Aileron Case of Flutter

Graphical Solution of the Bending-Aileron Case of Flutter

HYPERACTIVE CAROTID SINUS MECHANISM IN AURICULAR FLUTTER; A CASE REPORT

Case Reports1 February 1940HYPERACTIVE CAROTID SINUS MECHANISM IN AURICULAR FLUTTER; A CASE REPORTN. HIATT, L. ADAMSN. HIATTSearch for more papers by this author, L. ADAMSSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-13-8-1489 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe combination of auricular flutter and a carotid sinus sufficiently hyperactive to lead to syncopal attacks and convulsions has not hitherto been reported. Such a case was recently seen at the Michael Reese Hospital and because of its rarity is presented in this communication.CASE REPORTThe patient, a 66 year old white streetcar motorman, first entered Michael Reese Hospital in July 1936, because of hunger, thirst and polyuria, which had been gradually increasing during the preceding three years. One week before entrance to the hospital, the patient had fainted while driving his streetcar. The doctor consulted at this time...Bibliography1. DANIELOPOLU D: Ueber die Unterdruckung des Anfalles einer paroxysmalen Tachycardie durch Druck auf den Sinus caroticus, Wien. klin. Wchnschr., 1929, xlii, 227. Google Scholar2. SOLLMAN T: A manual of pharmacology, Fifth Edition, 1937, W. B. Saunders Company, Philadelphia. Google Scholar3. LENEGRE J: Étude electrocardiographique du reflexe sinocarotidien, Arch. d. mal. du coeur, 1938, xxxi, 421. Google Scholar4. HEYMANSBOUCKAERTREGNIERS CJJP: Le sinus carotidien et la zone homologue cardio-aortique, 1933, Doin et Cie, Paris. Google Scholar5. HEYMANSBOUCKAERT CJJ: Sur la regulation reflexe de la pression arterielle cephalique, Compt. rend. Soc. de biol., 1928, xcix, 1871. Google Scholar6. FERRISCAPPSWEISS EBRBS: Carotid sinus syncope and its bearing on the mechanism of the unconscious state and convulsions, Medicine, 1935, xiv, 377. CrossrefGoogle Scholar7. FERRISCAPPSWEISS EBRBS: Relation of the carotid sinus to the autonomic nervous system and neuroses, Arch. Neurol., and Psych., 1937, xxxvii, 365. CrossrefGoogle Scholar8. KEATINGHAJEK JHJ: Auricular flutter: report of cases, Am. Jr. Med. Sci., 1922, clxiv, 656. CrossrefGoogle Scholar9. LEWIS T: Diseases of the heart, 1934, Macmillan, New York. Google Scholar10. LEVINEFROTHINGHAM SAC: A study of a case of auricular flutter, Arch. Int. Med., 1915, xvi, 818. CrossrefGoogle Scholar11. WEISSBAKER SJP: The carotid sinus reflex in health and disease; its rôle in the causation of fainting and convulsions, Medicine, 1933, xii, 297. CrossrefGoogle Scholar12. SILBERBERG MD: Notes on auricular flutter and other cardiac cases, Med. Jr. Australia, 1919, i, 1114. Google Scholar13. JOLLYRITCHIE WAWT: Auricular flutter and fibrillation, Heart, 1910-11, ii, 177. Google Scholar14. LEWISDRURYWEDDILIESCU TANAHCC: Observations upon the action of certain drugs upon fibrillation of the auricles, Heart, 1922, ix, 207. Google Scholar15. RITCHIE WT: Further observations on auricular flutter, Quart. Jr. Med., 1913, vii, 1. Google Scholar16. WILSON FN: Report of a case of auricular flutter in which vagus stimulation was followed by an increase in the rate of the circus rhythm, Heart, 1924, xi, 61. Google Scholar17. LEWISDRURYBULGER TANHA: Flutter and fibrillation; effects of vagal stimulation, Heart, 1921, viii, 141. Google Scholar18. WEISER E: Klinische Beobachtungen über Vorhofflattern und Verhofflimmern, Zentralbl. f. Herz. u. Gefässkrank., 1918, x, 37. Google Scholar19. SIGLER LH: Clinical observations on the carotid sinus reflex, Am. Jr. Med. Sci., 1933, clxxxvi, 110. Google Scholar20. ORGAINWOLFWHITE ESLPD: Uncomplicated auricular fibrillation and auricular flutter, Arch. Int. Med., 1936, lvii, 493. CrossrefGoogle Scholar21. SMITHMOERSCH HLRP: Further studies on the hypersensitive carotid sinus reflex syndrome; report of 31 additional cases, Proc. Staff Meet. Mayo Clinic, 1936, xi, 380. Google Scholar22. WEISSCAPPSFERRISMUNRO SRBEBD: Syncope and convulsions due to a hyperactive carotid sinus reflex, Arch. Int. Med., 1936, lviii, 407. CrossrefGoogle Scholar23. CARTERTRAUT JBEF: Auricular flutter with 1 to 1 response, Jr. Lab. and Clin. Med., 1936, xxi, 670. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Received for publication March 23, 1939.From the Cardiovascular Department, Michael Reese Hospital, Chicago, Ill. Aided by the A. D. Nast Fund for Cardiac Research. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byElectrocardiographic patterns at the termination of atrial flutterDie Rhythmusstörungen des Herzens (einschließlich der intramuralen Leitungsstörungen und des Alternans) 1 February 1940Volume 13, Issue 8Page: 1489-1500KeywordsAtrial fibrillationAutopsyBladder cancerConvulsionsElectrocardiographyResearch fundingSyncope ePublished: 1 December 2008 Issue Published: 1 February 1940 PDF downloadLoading ...

Auricular flutter in a young infant with recovery on digitalis therapy

Summary A case of auricular flutter in a child 2 years old, which continued forthree years, is described. Administration of digitalis was followed by a definite recovery, a normal sinus rhythm resulted, and the symptoms of cardiac failure disappeared. The child is probably suffering from a patent foramen ovale. As far as we have been able to discover, this case is the fourth described in literature and the second cured by digitalis

Auricular flutter and complete heart block

Two cases of auricular flutter with complete heart block are reported. In both, the cause appeared to be coronary artery disease, and in neither were the abnormal rhythms affected by therapy.

A Case of Auricular Flutter Treated by Digitalis

A Case of Auricular Flutter Treated by Digitalis

A Case of Auricular Flutter

A Case of Auricular Flutter

AURICULAR FIBRILLATION

During the ten years following the introduction of quinidine 1 for the restoration of normal rhythm in cases of auricular fibrillation, ample opportunity has been afforded for the clinical and experimental study of this drug. To date more than 1,000 cases of permanent auricular fibrillation in which this treatment was used have been reported in the literature. 2 There can no longer be any doubt concerning the efficacy of quinidine in certain cases of absolute arrhythmia; its value in such cases justifies its continued use. We herein report a follow-up study of a series presented by one of us (P. D. W.) five years ago, 3 and we also present a new series of cases collected since that time. OLD SERIES (1923) In 1923, Viko, Marvin and White 3 reported seventy-one cases of nonparoxysmal auricular fibrillation and four cases of auricular flutter from the Massachusetts General Hospital and the New Haven Hospital: in 68

A case of auricular flutter with paroxysmal attacks of 1:1 response of the ventricles

A total of only 16 recorded observations of 1:1 response of the ventricles in auricular flutter has been collected in a survey of the literature. An additional report is made of this type of mechanism in an adult presenting organic heart disease. In this case digitalis prevented the occurrence of paroxysms of 1:1 response of the ventricles. Three intensive courses of quinidine failed to produce any changes in mechanism. A change to auricular fibrillation finally appeared while the patient was receiving large doses of digitalis. The mechanism of auricular fibrillation continuing over a period of several months was proved to be more favorable than that of auricular flutter.

A study of four cases of auricular flutter

Digitalis alone, in a case of auricular flutter, caused a degree of auriculo-ventricular block sufficient to permit of the circulation being efficiently carried on; after several months of digitalis treatment flutter was replaced by sinus rhythm with no ill effects to, but rather improvement of, the patient’s condition.

Paroxysmal tachycardia in infancy: Report of two cases with comments on the differential diagnosis

1. 1. Two cases of paroxysmal tachycardia in infants are reported, with electrocardiographic records taken during and after the attack in one case. 2. 2. The difficulty of deciding whether these are cases of simple paroxysmal auricular tachycardia or auricular flutter is pointed out, with some discussion of the methods by which these are distinguished and of the possibility of their being the same process, varying only in degree.

AURICULAR FLUTTER WITH CONGENITAL HEART DISEASE

With the rapidly increasing use of the electrocardiograph in clinical medicine, the recognition of auricular flutter is no longer a rarity. During the last few years, numerous articles have appeared in the literature dealing with the clinical features of this abnormal cardiac mechanism. In virtually all of the recorded cases the patients were adults, although Lewis 1 reported a case of flutter in a child (age not mentioned), and Koplik 2 reported the condition in a boy, aged 10 years. Blacher 3 noted the possibility of the existence of transient auricular flutter while examining a child, aged 8 years, who had diphtheria. We observed a child with congenital heart disease from the age of 2½ to 5 years, who had auricular flutter a month preceding death. The association of these two conditions is extremely rare, and it is unusually interesting in this particular case because of the correlation with the

Comparison of digitalis doses in auricular flutter on the auricle and A-V conduction.

Mackenzie,1 Turnbull,2 and Lewis3 showed that auricular flutter passed into fibrillation during the administration of digitalis. Lewis showed that this was due to the action of digitalis upon the auricle. He also pointed out that another useful action of digitalis in auricular flutter, particularly in cases with 2:1 A-V block, was to slow the ventricle by increasing the A-V block.We have seen 16 cases of auricular flutter with 2:1 A-V block occurring with various etiological and structural types of heart disease. The first 10 of these cases were given digitalis by the body weight method in 4 doses, receiving in the first 24 hours 0.15 cat unit of digitalis per pound. It was noticed that while all except two of these cases responded with a slow ventricular rate, due to increasing A-V block, none of them developed notable changes in the circus movement rates or developed auricular fibrillation until substantially larger doses of digitalis were given.The last 6 cases have been studied differently. During a c...

Case of Auricular Flutter

Case of Auricular Flutter

SINO-AURICULAR BLOCK DUE TO TOBACCO POISONING

Sino-auricular block—standstill of the entire heart—is a rare type of arhythmia in the adult. It is usually the result of digitalis poisoning. 1 Recently, however, a case due to salicylic acid has been described. 2 It has occasionally been induced by vagal pressure 3 in patients with normal rhythm and with paroxysmal tachycardia 4 and has frequently been induced experimentally. 5 The report of its occurrence as a clinical condition with accompanying graphic proof is exceedingly rare. 5 , 6 . It has long been known that overindulgence in tobacco causes arhythmias, but their type has not been sufficiency studied by graphic methods to determine their exact nature. I have observed several cases of extrasystoles (usually auricular), one case of auricular flutter and one of auricular fibrillation due to tobacco poisoning. As sinoauricular block has never been ascribed to this cause, the following two cases seem sufficiently noteworthy to