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August 30, 1945New England Journal of Medicine18 citations

The Relation between Vagal Activity and Auricular Fibrillation in Various Clinical Conditions

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MAMark D. Altschule

Key Points

  • To explore the relationship between vagal activity and the occurrence of auricular fibrillation in different clinical settings.
  • Review existing literature on auricular fibrillation and vagal activity in clinical conditions.

Structured PICO

What is the relation between vagal activity and auricular fibrillation in various clinical conditions?

P
Population
Patients with auricular fibrillation in various clinical conditions (including heart disease and thyrotoxicosis) and animal models
I
Intervention
Vagal activity
O
Outcome
Occurrence of auricular fibrillation

Vagal activity is recognized as a contributing factor to the occurrence of auricular fibrillation based on animal studies, though its clinical origin remains poorly understood.

Limitations

  • Earlier studies on animals were not entirely satisfactory from a clinical point of view

Abstract

AURICULAR fibrillation is frequent in various forms of heart disease and in thyrotoxicosis, and its occurrence in other conditions is also recognized.1 Although this arrhythmia is often encountered in clinical practice, its origin is not understood by most clinicians, in spite of the fact that it has been the subject of considerable fruitful study.The available reports of studies in animals in which auricular fibrillation was regularly produced definitely establish the fact that vagal activity is one of the factors responsible for its occurrence.2 The earlier studies on animals were not entirely satisfactory from a clinical point of view, since . . .

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Cite This Study

Mark D. Altschule (1945) studied this question.

synapsesocial.com/papers/6a221c503b8e99975a4eb406https://doi.org/10.1056/nejm194508302330901
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