EFFECT OF THE CARDIAC ARRHYTHMIAS ON THE CORONARY CIRCULATIONS
Authors: E CORDAY, H GOLD, L B DE VERA, J H WILLIAMS, J FIELDS
Journal: Annals of Internal Medicine (1959)

Article1 March 1959EFFECT OF THE CARDIAC ARRHYTHMIAS ON THE CORONARY CIRCULATIONSELIOT CORDAY, M.D., F.A.C.P., HERBERT GOLD, M.D., LAURO B. DE VERA, M.D., JOHN H. WILLIAMS, M.D., JOSHUA FIELDS, M.D.ELIOT CORDAY, M.D., F.A.C.P., HERBERT GOLD, M.D., LAURO B. DE VERA, M.D., JOHN H. WILLIAMS, M.D., JOSHUA FIELDS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-50-3-535 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis study will consider the hemodynamic disturbances of the coronary flow which occur during cardiac arrhythmias. It has been shown that fast cardiac arrhythmias can precipitate severe disturbances of the systemic circulation leading to coronary insufficiency,1-5cerebral vascular insufficiency,6and renal7and hepatic necrosis.8There have been numerous reports4, 5of patients with abnormal cardiac rhythms complaining of precordial pain and manifesting electrocardiographic changes of myocardial ischemia which may persist for hours after the subsidence of the arrhythmia. When death occurs in these patients with manifestations of coronary insufficiency, postmortem studies often show myocardial damage, such as subendocardial necrosis and...Bibliography1. Scherf D: Alteration in form of T wave with changes in heart rate, Am. Heart J. 28: 332, 1944. CrossrefGoogle Scholar2. ScherfBlumenfeld DS: Variations of form of T waves in auricular flutter and fibrillation associated with changes in rate, Am. Heart J. 46: 543, 1953. CrossrefMedlineGoogle Scholar3. 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Author, Article, and Disclosure InformationAffiliations: *Received for publication October 31, 1958.Presented at the Thirty-ninth Annual Session of The American College of Physicians, Atlantic City, New Jersey, April 28, 1958.From the Institute for Medical Research, Cedars of Lebanon Hospital, Los Angeles, and the Department of Medicine, University of California School of Medicine, Los Angeles.†This study was aided by financial grants of the Beneficial Life Insurance Co. and Charles P. Skouras Foundation.Requests for reprints should be addressed to Eliot Corday, M.D., 436 North Roxbury Drive, Beverly Hills, California. 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