JAMES G. HIRSCH, M.D.; DAVID M. FLETT, M.D., F.A.C.P.
Sinus tachycardia is widely recognized as one of the classic features of active rheumatic fever, but the fact that an abnormally slow heart rate is often present during the acute phase of this disease has received little emphasis.
Apparently the first report discussing the occurrence of sinus bradycardia in acute rheumatism was that of Andrieu and Aujalen1 in 1936. Later, Keith2 commented on the pulse rates observed in a large series of rheumatic children. He found that many cases developed a heart rate slower than normal as the acute phase of the illness subsided. Bradycardia was noted to occur
HIRSCH JG, FLETT DM. SINUS BRADYCARDIA IN ACUTE RHEUMATIC FEVER1. Ann Intern Med. ;36:146–151. doi: 10.7326/0003-4819-36-1-146
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Published: Ann Intern Med. 1952;36(1):146-151.
Cardiology, Infectious Disease, Rheumatology, Rhythm Disorders and Devices, Streptococcal Infections.
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