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Direct-current electroversion of cardiac dysrhythmias is certainly very effective, both for atrial and ventricular rhythm disturbances, but high-energy electrical current may be harmful to the myocardium. Dr. Wellens of the Department of Cardiology at the University of Amsterdam has now published a book in which he attempts a more physiological approach to making an accurate diagnosis of the dysrhythmia and its underlying mechanism thereby to planning rational therapy. In essence, the methods used require recording of intracavitary electrograms from the chambers of the heart in which the rhythm disturbance arises, backed up as needed by recordings of His potentials, and
Electrical Stimulation of the Heart in the Study and Treatment of Tachycardias.. Ann Intern Med. ;75:817–818. doi: 10.7326/0003-4819-75-5-817_2
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Published: Ann Intern Med. 1971;75(5):817-818.
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