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Benign Atrial Fibrillation of Forty Years' Duration with Sudden Death from Emotion

Ann Intern Med. 1963;58(4):681-684. doi:10.7326/0003-4819-58-4-681
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Although atrial fibrillation is generally associated with organic heart disease, it can also occur without any evidence of structural or functional alterations in the heart (1). It then can be paroxysmal and transient, or even permanent in nature. When this arrhythmia is detected it is important to search carefully for rheumatic valve disease, especially mitral stenosis, hypertensive heart disease, coronary artery disease, congenital heart disease, and other forms of myocardial disease. If the patient has no murmurs, no hypertension, no cardiac enlargement or abnormal configuration of the heart on X-ray examination, no abnormalities in the electrocardiograms, no symptoms of coronary


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