. Medical diagnosis for the student and practitioner. n rightbranch of Bundle of His.* The R S >;T; complex is characteristically broadenedand split. The appearance of the electrocardiogram resembling broadly extrasystolicdeflections of the opposite (unaffectedj ventricle. If left branch were affected the picturewould be reversed. R. Edwin Morris. tumors, etc. Cryptogenetic focal sepsis and syphilis probably play a promi-nent part in the heart block of the older-age group. Recognition of Heart Block by Simple Means.—The lesser grades as-sociated only with a lengthened auriculo-ventricular c


. Medical diagnosis for the student and practitioner. n rightbranch of Bundle of His.* The R S >;T; complex is characteristically broadenedand split. The appearance of the electrocardiogram resembling broadly extrasystolicdeflections of the opposite (unaffectedj ventricle. If left branch were affected the picturewould be reversed. R. Edwin Morris. tumors, etc. Cryptogenetic focal sepsis and syphilis probably play a promi-nent part in the heart block of the older-age group. Recognition of Heart Block by Simple Means.—The lesser grades as-sociated only with a lengthened auriculo-ventricular conduction-interval 568 MEDICAL DIAGNOSIS Suspiciousbradycardia. Suggestiveconditions. Auricularticking. (a-c of the polygram, P-R of the electrocardiogram) cannot be detectedby mere observation. One should suspect block (a) when the pulse is below 50; (b) whenever thepresystolic murmur and, thrill of mitral stenosis is maximal in early or mid-diastole of the ventricles; (c) in cases of fibrillation with a pulse rate less than R Fig. 283.—Lead Fig. 284.—Lead II. Xote fibrillation in all leads.


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922