This historical 1938 article discusses the prevalence and clinical significance of bundle-branch block in the context of hypertensive heart disease.
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Low bundle-branch block prevalence in 1938 organic heart disease may not reflect current rates; leaves open its prognostic value in contemporary hypertension.
Article1 March 1938THE COURSE OF HYPERTENSIVE HEART DISEASEIII. SIGNIFICANCE OF BUNDLE-BRANCH BLOCK*NATHAN FLAXMAN, M.D.NATHAN FLAXMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-11-9-1607 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBundle-Branch Block is not a frequent electrocardiographic finding. Hill1reported 41 cases, the first 32 (0.8 per cent) of which occurred in a total of some 4000 consecutive cardiac cases examined electrocardiographically in the Royal Infirmary of Edinburgh. White2stated that of 9000 cases with electrocardiograms at the Massachusetts General Hospital during 15 years there were 212 (2.35 per cent) with bundle-branch block. During a period of one and one-half years at the Cook County Hospital there were 55 (3.34 per cent) cases of definite bundle-branch block in 1646 cases of organic heart disease.3These reports include cases due to...Bibliography1. HILL IG: Bundle-branch block; a clinical and histological study, Quart. Jr. Med., 1930, xxiv, 15-28. CrossrefGoogle Scholar2. WHITE PD: Heart disease, 1934, Macmillan Co., New York, p. 682. Google Scholar3. FLAXMAN N: Heart disease in the middle west, Am. Jr. Med. Sci., 1934, clxxxviii, 639-645. Google Scholar4. FLAXMAN N: The history of heart-block, Bull. Inst. Hist. Med., 1937, v, 115-130. Google Scholar5. O'FARRELL PT: The bundle-branch block controversy (a survey of the literature), Irish Jr. Med. Sci., 1936, vi, 175-181. CrossrefGoogle Scholar6. FLAXMAN N: The course of hypertensive heart disease. I. Age of onset, development of cardiac insufficiency, duration of life, and cause of death, ANN. INT. MED., 1936, x, 748-753. LinkGoogle Scholar7. GRAYBIELSPRAGUE AHB: Bundle-branch block; an analysis of 395 cases, Am. Jr. Med. Sci., 1933, clxxxv, 395-401. CrossrefGoogle Scholar8. HERRICKSMITH JBFM: Clinical observation on block of the branches of the auriculoventricular bundle, Am. Jr. Med. Sci., 1922, clxiv, 469-478. CrossrefGoogle Scholar9. COWANBRAMWELL JJC: The clinical aspect of bundle-branch block, Quart. Jr. Med., 1925, xix, 95-112. CrossrefGoogle Scholar10. SAMPSONNAGLE JJOE: The prognosis of bundle-branch block and other intraventricular conduction system lesions, Am. Jr. Med. Sci., 1936, clxxxxi, 88-97. CrossrefGoogle Scholar11. LEWIS T: Diseases of the heart, 1934, Macmillan Co., New York, p. 248. Google Scholar12. KURTZ CM: Transient complete bundle-branch block, report of six cases, Am. Heart Jr., 1936, xi, 212-222. CrossrefGoogle Scholar13. FLAXMAN N: Auricular fibrillation; its influence on the course of hypertensive heart disease, Jr. Am. Med. Assoc., 1937, cviii, 797-799. CrossrefGoogle Scholar14. CAMPBELLSUZMAN MSS: Spontaneous disappearance of gallop rhythm and bundle-branch block, Lancet, 1932, i, 985-986. CrossrefGoogle Scholar15. ROSENTHAL SR: Branch arborization and complete heart block, Arch. Int. Med., 1932, l, 730-758. CrossrefGoogle Scholar16. BISHOPBISHOP LFLF: Bundle-branch block of unusual duration, Jr. Am. Med. Assoc., 1932, lxxxxviii, 398-399. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Received for publication March 27, 1937.From the Department of Medicine, Loyola University Medical School, Chicago. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByHYPERTENSIVE HEART DISEASE OF 10 TO 20 YEARS' DURATION; REPORT OF 11 CASES*NATHAN FLAXMAN, M.D. 1 March 1938Volume 11, Issue 9Page: 1607-1612KeywordsCardiovascular therapyElectrocardiographyHeart Issue Published: 1 March 1938 PDF DownloadLoading ...
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