CHRONIC AURICULAR FLUTTER
Authors: J B HOFFMAN, M POMERANCE
Journal: Annals of Internal Medicine (1955)

Article1 April 1955CHRONIC AURICULAR FLUTTERJULIAN B. HOFFMAN, M.D., MAX POMERANCE, M.D.JULIAN B. HOFFMAN, M.D.Search for more papers by this author, MAX POMERANCE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-4-885 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAuricular flutter is an arrhythmia well known as an electrocardiographic entity. It is most often discovered upon study of patients with very rapid heart action, especially in rheumatic cardiacs and thyrocardiacs, and in patients with recent myocardial infarction. The electrocardiographic characteristics and the physiologic features of auricular flutter are described in all general medical texts,1but the clinical features are only briefly referred to even in the cardiology texts.3It is generally indicated, particularly in the American literature, that flutter lies between auricular tachycardia and auricular fibrillation in duration, incidence of organic heart disease, and rapidity of auricular rate. Friedberg,3d...Bibliography1. Cecil RL (a) : Textbook of medicine, 8th Ed., 1951, W. B. Saunders Co., Philadelphia. (b) Meakins, J. C.: Practice of medicine, 3rd Ed., 1940, The C. V. Mosby Co., St. Louis. (c) Christian, H. A.: Principles and practice of medicine, 16th Ed., 1947, D. Appleton-Century Co., New York. Google Scholar2. Lewis T (a) : Auricular flutter continuing for 24 years, Brit. M. J. 1: 1248, 1937. (b) Fenichel, N. M.: Chronic auricular flutter, Ann. Int. Med. 29: 144 (July) 1948. (c) Kossman, C. E., and Berger, A. R.: Auricular flutter of 11 years' duration, Ann. Int. Med. 15: 128 (July) 1941. CrossrefMedlineGoogle Scholar3. Katz LN (a) : Electrocardiography, 1946, Lea & Febiger, Philadelphia. (b) White, P. D.: Heart disease, 3rd Ed., 1944, The Macmillan Co., New York. (c) Luisada, A. A.: Clinical heart disease, 1948, Williams & Wilkins Co., Baltimore. (d) Friedberg, C. K.: Diseases of the heart, 1949, W. B. Saunders Co., Philadelphia. (e) Lewis, T.: Diseases of the heart, 1933, The Macmillan Co., New York. Google Scholar4. HerrmannHejtmancik GRMR (a) : Atrial flutter. I. Methods of treatment, Am. Heart J. 41: 182-191 (Feb.) 1951. Atrial flutter. II. Clinical aspects, Am. Heart J. 40: 884 (Dec.) 1950. (b) Bell, W. N., and Strong, G. F.: Auricular flutter, Canad. M. A. J. 56: 404-406 (Apr.) 1947. (c) Parkinson, J., and Bedford, D. E.: Course and treatment of auricular flutter, Quart. J. Med. 21: 21-50, 1927. (d) Goldberger, E., and Baer, A.: Observations on etiology and treatment of auricular flutter, Am. Pract. 2: 124-127, 1951. (e) Makinson, D. H., and Wade, G.: Etiology and treatment of auricular flutter, Lancet 1: 105-108, 1950. CrossrefMedlineGoogle Scholar5. Printzmetal M: Auricular flutter, Am. J. Med. 11: 416 (Oct.) 1951. Google Scholar6. HarveyLevine WPSA: The changing intensity of the first sound in auricular flutter, Am. Heart J. 35: 924, 1948. CrossrefMedlineGoogle Scholar7. ApplemanPomeranceLevineJacobi DMEM: The value of a special auricular lead in the electrocardiographic diagnosis of tachycardia, New York State J. Med. 50: 1357-1360, 1950. MedlineGoogle Scholar8. Evans W (a) : Electrocardiogram in auricular fibrillation, Brit. Heart J. 3: 247, 1941. (b) Wood, P., and Seltzer, A.: Chest leads in clinical electrocardiography, Brit. Heart J. 1: 49-79, 1939. CrossrefMedlineGoogle Scholar9. Enselberg C: Esophageal ECG in atrial activity and arrhythmias, Am. Heart J. 41: 382, 1951. CrossrefMedlineGoogle Scholar10. TandowskyAysterSilvergrade RMJMA (a) : The combined use of lanatoside C and quinidine in the abolition of established flutter, Am. Heart J. 32: 617-633, 1946. (b) Sokolow, M., and Chamberlain, F. L.: Clinical evaluation of Cedilanid, Ann. Int. Med. 18: 204-223, 1943. (c) Gold, H.: Quinidine in disorders of the heart, 1950, Paul B. Hoeber Co., New York. CrossrefMedlineGoogle Scholar11. Askey JM: Quinidine in the treatment of auricular fibrillation in association with congestive heart failure, Ann. Int. Med. 24: 371-378, 1946. LinkGoogle Scholar12. PhillipsLevine ESA: Auricular fibrillation without other evidence of heart disease, Am. J. Med. 7: 478, 1949. CrossrefMedlineGoogle Scholar13. Sokolow M: Present status of the cardiac arrhythmias treated with quinidine, Am. Heart J. 42: 771, 1951. CrossrefMedlineGoogle Scholar14. BermanSadoffGordon RCMGB: Quinidine intoxication occurring during therapy of auricular arrhythmias, Minnesota Med. 36: 1052 (Oct.) 1953. MedlineGoogle Scholar15. McMillanBellet TMS: Auricular flutter, clinical manifestation and treatment, Am. J. M. Sc. 184: 33, 1932. CrossrefGoogle Scholar16. BesoiainPickLangendorf SMAR (a) : AV conduction in auricular flutter, Circulation 2: 604, 1950. (b) Gray, I., and Greenfield, I.: Auricular flutter with AV heart block, Ann. Int. Med. 20: 125-131 (Jan.) 1944. (c) Smith, A. L., Jr., and Smith, A. L., Sr.: Auricular flutter in complete AV block, Am. Heart J. 40: 142-149, 1950. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, N. Y.*Received for publication August 11, 1954.From the Department of Cardiology, Beth-El Hospital, Brooklyn, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Versatility of the Carotid Sinus in Diagnosis and Treatment 1 April 1955Volume 42, Issue 4Page: 885-901KeywordsArrhythmiaAtrial fibrillationCardiovascular therapyElectrocardiographyHeartLongitudinal studiesMyocardial infarctionTachycardia ePublished: 1 December 2008 Issue Published: 1 April 1955 PDF downloadLoading ...