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Design
Review
May inform selective antiarrhythmic choice by site; leaves open validation in modern randomized data.
MANY common arrhythmias observed in both atria and ventricles are similar although the atrial types have a few important distinguishing features. Thus, so far as therapy is concerned, the atrial arrhythmias are less responsive to procaine amide than the ventricular ones. On the other hand, quinidine exerts a stronger action on the atria.1 In general, atrial tachycardias do not, if present without complications, endanger life. Atrial paralysis from the failure of impulse formation in the sinus node or a failure of conduction of the impulse from its point of origin is usually compensated immediately by the escape of the deeper . . .
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David Scherf (1955) studied this question.
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