Archives of internal medicine . radial pulse is about 44 and regular. It seems impossible to deter-mine any definite relation between the jugular and the radial pulse. Therate of the jugular pulsation is about 76. There is apparently a complete dissociation of auricular and ven-tricular rhythms. The rate of the ventricle is, however, more rapid thanthe usual automatic rhythm. One might ask whether this were, perhaps,one of those instances described by Erlanger and Blackman^ of rela-tively complete block, where an automatic ventricular rhythm has arisenm a heart in which the auriculoventricular


Archives of internal medicine . radial pulse is about 44 and regular. It seems impossible to deter-mine any definite relation between the jugular and the radial pulse. Therate of the jugular pulsation is about 76. There is apparently a complete dissociation of auricular and ven-tricular rhythms. The rate of the ventricle is, however, more rapid thanthe usual automatic rhythm. One might ask whether this were, perhaps,one of those instances described by Erlanger and Blackman^ of rela-tively complete block, where an automatic ventricular rhythm has arisenm a heart in which the auriculoventricular bundle is still capable oftransmitting some stimuli. These stimuli are, however, usually of sub-minimal strength and incapable, ordinarily, of interfering with the estab-lished ventricular rhythm. It is not uninteresting, however, that thesecond, fifth and eighth ventricular l)eats following the preceding auric- 5. Erlanger and Blackman: Fiirtlier Studies in the Phvsiologv of Heart-Block in Mammals, etc., Heart. 1910. i.


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