Electrocardiographic findings in 67,375 asymptomatic subjects
Identifieur interne : 000147 ( Main/Corpus ); précédent : 000146; suivant : 000148Electrocardiographic findings in 67,375 asymptomatic subjects
Auteurs : Keith H. Averill ; Robert J. Fosmoe ; Lawrence E. LambSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1960.
Abstract
One hundred nine new cases of the WPW syndrome are presented. One hundred six were discovered as the result of an electrocardiographic survey of 67,375 asymptomatic healthy adult men producing an occurrence rate of 1.6 per thousand.There was an equal distribution among the various age groups; none was thought to have underlying organic heart disease and the incidence of paroxysmal tachycardia was approximately 12 per cent.The electrocardiographic characteristics, the instability of intraventricular excitation and the intermittent nature of the anomalous excitation are discussed.The experimental production of normal excitation is discussed with particular reference to the effects of varying vagal tone at various levels of the conduction system and to the value of intravenous administration of atropine sulfate.The vectorcardiographic characteristics are presented.The variability and lability of the S-T segments and T waves are stressed with respect to both spontaneous changes and those following various maneuvers.The probable congenital nature of the true WPW syndrome is stressed and the usual benign clinical nature discussed. This study casts serious doubt on the concept of an acquired WPW syndrome.
Url:
DOI: 10.1016/0002-9149(60)90041-2
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Electrocardiographic findings in 67,375 asymptomatic subjects</title><author><name sortKey="Averill, Keith H" sort="Averill, Keith H" uniqKey="Averill K" first="Keith H." last="Averill">Keith H. Averill</name><affiliation><mods:affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Fosmoe, Robert J" sort="Fosmoe, Robert J" uniqKey="Fosmoe R" first="Robert J." last="Fosmoe">Robert J. Fosmoe</name><affiliation><mods:affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Lamb, Lawrence E" sort="Lamb, Lawrence E" uniqKey="Lamb L" first="Lawrence E." last="Lamb">Lawrence E. Lamb</name><affiliation><mods:affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B5CB09A48FEB8E12FD9649C9324B9D5B267E6242</idno><date when="1960" year="1960">1960</date><idno type="doi">10.1016/0002-9149(60)90041-2</idno><idno type="url">https://api.istex.fr/document/B5CB09A48FEB8E12FD9649C9324B9D5B267E6242/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000147</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Electrocardiographic findings in 67,375 asymptomatic subjects</title><author><name sortKey="Averill, Keith H" sort="Averill, Keith H" uniqKey="Averill K" first="Keith H." last="Averill">Keith H. Averill</name><affiliation><mods:affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Fosmoe, Robert J" sort="Fosmoe, Robert J" uniqKey="Fosmoe R" first="Robert J." last="Fosmoe">Robert J. Fosmoe</name><affiliation><mods:affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Lamb, Lawrence E" sort="Lamb, Lawrence E" uniqKey="Lamb L" first="Lawrence E." last="Lamb">Lawrence E. Lamb</name><affiliation><mods:affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1960">1960</date><biblScope unit="volume">6</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="108">108</biblScope><biblScope unit="page" to="129">129</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">B5CB09A48FEB8E12FD9649C9324B9D5B267E6242</idno><idno type="DOI">10.1016/0002-9149(60)90041-2</idno><idno type="PII">0002-9149(60)90041-2</idno><idno type="ArticleID">60900412</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">One hundred nine new cases of the WPW syndrome are presented. One hundred six were discovered as the result of an electrocardiographic survey of 67,375 asymptomatic healthy adult men producing an occurrence rate of 1.6 per thousand.There was an equal distribution among the various age groups; none was thought to have underlying organic heart disease and the incidence of paroxysmal tachycardia was approximately 12 per cent.The electrocardiographic characteristics, the instability of intraventricular excitation and the intermittent nature of the anomalous excitation are discussed.The experimental production of normal excitation is discussed with particular reference to the effects of varying vagal tone at various levels of the conduction system and to the value of intravenous administration of atropine sulfate.The vectorcardiographic characteristics are presented.The variability and lability of the S-T segments and T waves are stressed with respect to both spontaneous changes and those following various maneuvers.The probable congenital nature of the true WPW syndrome is stressed and the usual benign clinical nature discussed. This study casts serious doubt on the concept of an acquired WPW syndrome.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Keith H. Averill MC, USAF</name><affiliations><json:string>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</json:string></affiliations></json:item><json:item><name>Robert J. Fosmoe MC, USAF</name><affiliations><json:string>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</json:string></affiliations></json:item><json:item><name>Lawrence E. 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One hundred six were discovered as the result of an electrocardiographic survey of 67,375 asymptomatic healthy adult men producing an occurrence rate of 1.6 per thousand.There was an equal distribution among the various age groups; none was thought to have underlying organic heart disease and the incidence of paroxysmal tachycardia was approximately 12 per cent.The electrocardiographic characteristics, the instability of intraventricular excitation and the intermittent nature of the anomalous excitation are discussed.The experimental production of normal excitation is discussed with particular reference to the effects of varying vagal tone at various levels of the conduction system and to the value of intravenous administration of atropine sulfate.The vectorcardiographic characteristics are presented.The variability and lability of the S-T segments and T waves are stressed with respect to both spontaneous changes and those following various maneuvers.The probable congenital nature of the true WPW syndrome is stressed and the usual benign clinical nature discussed. 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Wolff-Parkinson-White syndrome∗</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1960</date></publicationStmt><notesStmt><note type="content">Section title: Symposium on cardiology in aviation</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Electrocardiographic findings in 67,375 asymptomatic subjects</title><title level="a" type="sub" xml:lang="en">IV. Wolff-Parkinson-White syndrome∗</title><author><persName><forename type="first">Keith H.</forename><surname>Averill</surname></persName><roleName type="degree">MC, USAF</roleName><note type="biography">Capt.</note><affiliation>Capt.</affiliation><affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</affiliation></author><author><persName><forename type="first">Robert J.</forename><surname>Fosmoe</surname></persName><roleName type="degree">MC, USAF</roleName><note type="biography">Capt.</note><affiliation>Capt.</affiliation><affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</affiliation></author><author><persName><forename type="first">Lawrence E.</forename><surname>Lamb</surname></persName><roleName type="degree">M.D., F.A.C.C.</roleName><affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</affiliation></author></analytic><monogr><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="pISSN">0002-9149</idno><idno type="PII">S0002-9149(00)X0296-2</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1960"></date><biblScope unit="volume">6</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="108">108</biblScope><biblScope unit="page" to="129">129</biblScope></imprint></monogr><idno type="istex">B5CB09A48FEB8E12FD9649C9324B9D5B267E6242</idno><idno type="DOI">10.1016/0002-9149(60)90041-2</idno><idno type="PII">0002-9149(60)90041-2</idno><idno type="ArticleID">60900412</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1960</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>One hundred nine new cases of the WPW syndrome are presented. One hundred six were discovered as the result of an electrocardiographic survey of 67,375 asymptomatic healthy adult men producing an occurrence rate of 1.6 per thousand.There was an equal distribution among the various age groups; none was thought to have underlying organic heart disease and the incidence of paroxysmal tachycardia was approximately 12 per cent.The electrocardiographic characteristics, the instability of intraventricular excitation and the intermittent nature of the anomalous excitation are discussed.The experimental production of normal excitation is discussed with particular reference to the effects of varying vagal tone at various levels of the conduction system and to the value of intravenous administration of atropine sulfate.The vectorcardiographic characteristics are presented.The variability and lability of the S-T segments and T waves are stressed with respect to both spontaneous changes and those following various maneuvers.The probable congenital nature of the true WPW syndrome is stressed and the usual benign clinical nature discussed. This study casts serious doubt on the concept of an acquired WPW syndrome.</p></abstract></profileDesc><revisionDesc><change when="1960">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>AJC</jid><aid>60900412</aid><ce:pii>0002-9149(60)90041-2</ce:pii><ce:doi>10.1016/0002-9149(60)90041-2</ce:doi><ce:copyright type="unknown" year="1960"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Symposium on cardiology in aviation</ce:textfn></ce:dochead><ce:title>Electrocardiographic findings in 67,375 asymptomatic subjects</ce:title><ce:subtitle>IV. Wolff-Parkinson-White syndrome<ce:sup loc="post">∗</ce:sup></ce:subtitle><ce:author-group><ce:author><ce:given-name>Keith H.</ce:given-name><ce:surname>Averill</ce:surname><ce:degrees>MC, USAF</ce:degrees><ce:roles>Capt.</ce:roles><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Robert J.</ce:given-name><ce:surname>Fosmoe</ce:surname><ce:degrees>MC, USAF</ce:degrees><ce:roles>Capt.</ce:roles><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Lawrence E.</ce:given-name><ce:surname>Lamb</ce:surname><ce:degrees>M.D., F.A.C.C.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">∗</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>∗</ce:label><ce:textfn>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</ce:textfn></ce:affiliation></ce:author-group><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">One hundred nine new cases of the WPW syndrome are presented. One hundred six were discovered as the result of an electrocardiographic survey of 67,375 asymptomatic healthy adult men producing an occurrence rate of 1.6 per thousand.</ce:simple-para><ce:simple-para view="all" id="simple-para.0015">There was an equal distribution among the various age groups; none was thought to have underlying organic heart disease and the incidence of paroxysmal tachycardia was approximately 12 per cent.</ce:simple-para><ce:simple-para view="all" id="simple-para.0020">The electrocardiographic characteristics, the instability of intraventricular excitation and the intermittent nature of the anomalous excitation are discussed.</ce:simple-para><ce:simple-para view="all" id="simple-para.0025">The experimental production of normal excitation is discussed with particular reference to the effects of varying vagal tone at various levels of the conduction system and to the value of intravenous administration of atropine sulfate.</ce:simple-para><ce:simple-para view="all" id="simple-para.0030">The vectorcardiographic characteristics are presented.</ce:simple-para><ce:simple-para view="all" id="simple-para.0035">The variability and lability of the S-T segments and T waves are stressed with respect to both spontaneous changes and those following various maneuvers.</ce:simple-para><ce:simple-para view="all" id="simple-para.0040">The probable congenital nature of the true WPW syndrome is stressed and the usual benign clinical nature discussed. This study casts serious doubt on the concept of an acquired WPW syndrome.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Electrocardiographic findings in 67,375 asymptomatic subjects</title><subTitle>IV. Wolff-Parkinson-White syndrome∗</subTitle></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Electrocardiographic findings in 67,375 asymptomatic subjects</title><subTitle>IV. Wolff-Parkinson-White syndrome∗</subTitle></titleInfo><name type="personal"><namePart type="given">Keith H.</namePart><namePart type="family">Averill</namePart><namePart type="termsOfAddress">MC, USAF</namePart><affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</affiliation><description>Capt.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert J.</namePart><namePart type="family">Fosmoe</namePart><namePart type="termsOfAddress">MC, USAF</namePart><affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</affiliation><description>Capt.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lawrence E.</namePart><namePart type="family">Lamb</namePart><namePart type="termsOfAddress">M.D., F.A.C.C.</namePart><affiliation>From the Department of Internal Medicine, School of Aviation Medicine, The Aerospace Medical Center, Brooks Air Force Base, San Antonio, Texas U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1960</dateIssued><copyrightDate encoding="w3cdtf">1960</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">One hundred nine new cases of the WPW syndrome are presented. One hundred six were discovered as the result of an electrocardiographic survey of 67,375 asymptomatic healthy adult men producing an occurrence rate of 1.6 per thousand.There was an equal distribution among the various age groups; none was thought to have underlying organic heart disease and the incidence of paroxysmal tachycardia was approximately 12 per cent.The electrocardiographic characteristics, the instability of intraventricular excitation and the intermittent nature of the anomalous excitation are discussed.The experimental production of normal excitation is discussed with particular reference to the effects of varying vagal tone at various levels of the conduction system and to the value of intravenous administration of atropine sulfate.The vectorcardiographic characteristics are presented.The variability and lability of the S-T segments and T waves are stressed with respect to both spontaneous changes and those following various maneuvers.The probable congenital nature of the true WPW syndrome is stressed and the usual benign clinical nature discussed. This study casts serious doubt on the concept of an acquired WPW syndrome.</abstract><note type="content">Section title: Symposium on cardiology in aviation</note><relatedItem type="host"><titleInfo><title>The American Journal of Cardiology</title></titleInfo><titleInfo type="abbreviated"><title>AJC</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">196007</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(00)X0296-2</identifier><part><date>196007</date><detail type="issue"><title>Symposium on Cardiology in Aviation</title></detail><detail type="volume"><number>6</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="issue pages"><start>A1</start><end>A32</end></extent><extent unit="issue pages"><start>A33</start><end>A46</end></extent><extent unit="issue pages"><start>1</start><end>232</end></extent><extent unit="pages"><start>108</start><end>129</end></extent></part></relatedItem><identifier type="istex">B5CB09A48FEB8E12FD9649C9324B9D5B267E6242</identifier><identifier type="DOI">10.1016/0002-9149(60)90041-2</identifier><identifier type="PII">0002-9149(60)90041-2</identifier><identifier type="ArticleID">60900412</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:refBibTEI uri="https://api.istex.fr/document/B5CB09A48FEB8E12FD9649C9324B9D5B267E6242/enrichments/refBib"><teiHeader></teiHeader><text><front></front><body></body><back><listBibl><biblStruct><analytic><title level="a" type="main">Anomalous atrio-ventricular excitation produced by catheterization of the normal human heart</title><author><persName><forename type="first">C</forename><forename type="middle">E</forename><surname>Kossmann</surname></persName></author><author><persName><forename type="first">A</forename><forename type="middle">R</forename><surname>Berger</surname></persName></author><author><persName><forename type="first">S</forename><forename type="middle">A</forename><surname>Butter</surname></persName></author><author><persName><forename type="first">B</forename><surname>Rader</surname></persName></author><author><persName><forename type="first">J</forename><surname>Br~~mlik</surname></persName></author><author><persName><forename type="first">D</forename><surname>Sodi-Pallares</surname></persName></author><author><persName><forename type="first">J</forename><surname>Soberon</surname></persName></author><author><persName><forename type="first">P</forename><surname>Thomsen</surname></persName></author><author><persName><forename type="first">B</forename><forename type="middle">L</forename><surname>Fishleder</surname></persName></author><author><persName><forename type="first">A</forename><surname>Estandia</surname></persName></author></analytic><monogr><title level="j">Circulation</title><imprint><publisher>I</publisher><publisher>I</publisher><biblScope unit="volume">1</biblScope><biblScope unit="issue">18</biblScope><biblScope unit="page">902</biblScope><date type="published" when="1948"></date></imprint></monogr><note>Contribution. al estudio de1 sindrome de W.P.W. por las deriva-ciones intracavitarias. 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