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The American Journal of Psychiatry, VOL. 97, No. 2

Article | September 01, 1940

PAROXYSMAL AURICULAR FIBRILLATION COMPLICATING METRAZOL SHOCK THERAPY

MARTIN H. HOFFMANN; NATHANIEL SANDLER; HANS HECHT

Am J Psychiatry 1940;97:372-379.

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The psychiatric division and electrocardiographic service of Eloise Hospital.

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Abstract

A case of paroxsmal auricular fibrillation is presented. The arrhythmia persisted for five hours following the initial injection of metrazol which resulted in a strong epileptiform seizure. The various possible mechanisms are discussed and particular emphasis is laid upon the possibility of its "central" reflex origin.

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