Key result
Digitalis administration in a 50-year-old man with congestive heart failure and hypertension caused attacks of auricular paroxysmal tachycardia.
Case Report (n=1)
No
This early case report documents auricular paroxysmal tachycardia as an adverse effect of digitalis in a patient with heart failure.
Answers are grounded in this paper and cite their sources.
Highlights potential digitalis proarrhythmia in HF; leaves open broader applicability beyond this isolated case.
Article1 January 1932Auricular Paroxysmal Tachycardia Caused by DigitalisReport of a Case* †ARTHUR F. HEYL, B.S., M.D.ARTHUR F. HEYL, B.S., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-5-7-858 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWhile a patient, a man fifty years of age, suffering from congestive heart failure and hypertension, was being digitalized,**he returned to the clinic complaining of attacks of very rapid heart action. He stated that they were abrupt in onset and varied in duration from a few minutes to twelve or more hours. Some of these attacks were observed later in the clinic and thought to be auricular paroxysmal tachycardia. This was confirmed seven weeks after their onset (see EKG no. 148, plate I; compare original EKG no. 123, plate I). Since these attacks were assumed to be spontaneous an...References1 LEVINEBLATNER SAH: The treatment of paroxysmal auricular tachycardia, Am. Jr. Med. Sci., 1926, CLXXII, 660-664. CrossrefGoogle Scholar2 BASTEDO WA: The signs of overdosage in digitalis administration, Am. Practitioner, 1912, XLVI, 609. Google Scholar3 HOWARD T: Double tachycardia: Coexisting auricular and ventricular, due to digitalis, Am. Jr. Med. Sci., 1927, CLXXIII, 165-168. CrossrefGoogle Scholar4 LUTEN D: Clinical studies of digitalis: II, III, Arch. Int. Med., 1925, XXXV, 74-79. CrossrefGoogle Scholar5 LEWIS T: The mechanism and graphic registration of the heart beat, p. 240, 3rd, Ed., 1925, Shaw and Sons, Ltd., London. Google Scholar6 WEIL A: Beiträge zur klinischen Electrokardiographie. II Mitteilung, Ergebnisse des Vagusdurck-Versuches, Deutsch. Arch. f. klin. Med., 1916, CXIX, 39. Google Scholar7 BARNESWHITTEN ARMB: Study of T-wave negativity in predominant ventricular strain, The Am. Heart Jr., 1929, V, 14. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Rochelle, N. Y.*Received for publication, May 4, 1931.†From the New Rochelle Hospital Cardiac Clinic, New Rochelle, N. Y.**Lederle tablets and Davies, Rose and Company pills of the powdered leaf were the only preparations used with this patient. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByParoxysmal Atrial Tachycardia with Atrioventricular Block - A Five Year Experience in SingaporeDigitalis induced paroxysmal atrial tachycardia with AV block.A Comparison of Digitalis Intoxication in Two Separate PeriodsMORTON H. DUBNOW, M.D., HOWARD B. BURCHELL, M.D., PH.D.Atrial Tachycardia with Block Treated with DigitalisTherapie der HerzinsuffizienzArrhythmias Associated With Digitalis TherapyDIGITALIS INTOXICATION: A CLINICAL REPORT OF 148 CASES*DIETEGEN VON CAPELLER, M.D., G. DANIEL COPELAND, M.D., THOMAS N. STERN, M.D.Persistent atrial tachycardia with atrioventricular blockParoxysmal atrial tachycardia with atrioventricular block∗DIGITALIS AND INTRACTABLE HEART FAILUREParoxysmal atrial tachycardia with A-V block: Report of a case with unusual orthostatic effectsThe Clinical Use of Digitalis PreparationsTherapieCurrent Concepts in Digitalis TherapyDigitalis Poisoning and Its TreatmentTherapieParoxysmal supraventricular tachycardia with A-V block 1 January 1932Volume 5, Issue 7Page: 858-872KeywordsHeart failureHospitalsHypertensionTachycardia Issue Published: 1 January 1932 PDF DownloadLoading ...
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ARTHUR F. HEYL (1932) conducted a case report in Congestive heart failure and hypertension (n=1). Digitalis was evaluated on Auricular paroxysmal tachycardia. Digitalis administration in a 50-year-old man with congestive heart failure and hypertension caused attacks of auricular paroxysmal tachycardia.
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