[Arrhythmias. Historical review].
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Biomedical subjects
Publications and source records attributed to M Holzmann.
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A case of atrial parasystole is described in a 55-year-old female with multivalvular heart disease, treated with high doses of digitalis and showing first-degree av block. The left atrial origin of the parasystolic P waves was supported by their distinctive morphology, especially in lead V1, and the sequence of left and right atrial activation. Depending on the refractory state of the myocard, there was a greater shortening of the av conduction time during the parasystolic discharge than during sinus beats indicating a caudal localization of the parasystolic center.
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