Document Detail

Spontaneous conversion of long-standing atrial fibrillation.
MedLine Citation:
PMID:  7067507     Owner:  NLM     Status:  MEDLINE    
Spontaneous conversion to sinus rhythm after prolonged atrial fibrillation is uncommon, with only 11 recorded cases to our knowledge in the English language literature. We report four cases of spontaneous conversion to an organized atrial rhythm (either sinus rhythm or atrial tachycardia with block) after nine to 16 years of established atrial fibrillation. One case was due to a toxic reaction to digitalis. In the other three cases there was no apparent reason. M-mode and two-dimensional echocardiography in three patients showed an akinetic and noncontractile left atrium in each case. This lends support to an earlier hypothesis that complete fibrosis of the left atrium may be responsible for the conversion from atrial fibrillation.
J D Gardner; M Dunn
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Chest     Volume:  81     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1982 Apr 
Date Detail:
Created Date:  1982-06-24     Completed Date:  1982-06-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  429-32     Citation Subset:  AIM; IM    
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MeSH Terms
Atrial Fibrillation* / drug therapy,  etiology,  physiopathology
Heart Atria / physiopathology
Heart Rate* / drug effects
Middle Aged
Mitral Valve Stenosis / complications
Myocardial Contraction / drug effects
Plants, Medicinal
Plants, Toxic

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