ROBERT BUSSAN; EDITH R. REID; DAVID SCHERF, F.A.C.P.
Experimentally, vagus stimulation commonly causes atrial flutter to convert to fibrillation. This phenomenon has been studied in detail by Lewis,4 using electrical stimulation of the atria to produce flutter, and by Scherf, who uses the simpler and more dependable method of topical application of aconitine.6, 7
However, the usual response of atrial flutter in man to carotid sinus or ocular pressure is that of an increase in the atrioventricular block; no change is observed in the auricular rate.1, 3 Only on rare occasions has it been reported that the rate of the flutter has been accelerated. Wilson9 reported the first
BUSSAN R, REID ER, SCHERF D. CONVERSION OF ATRIAL FLUTTER INTO ATRIAL FIBRILLATION BY CAROTID PRESSURE12. Ann Intern Med. ;46:814–818. doi: 10.7326/0003-4819-46-4-814
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Published: Ann Intern Med. 1957;46(4):814-818.
Cardiology, Rhythm Disorders and Devices.
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