This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by LONDON, S. B. Articles by LONDON, R. E. Search for Related Content PubMed PubMed Citation Articles by LONDON, S. B. Articles by LONDON, R. E.

(Circulation. 1961;23:920.)
© 1961 American Heart Association, Inc.

---

Atrial Flutter with Irregular Ventricular Response as a Contraindication to Digitalis

SEYMOUR B. LONDON M.D.¹ ROSE E. LONDON M.D.¹

¹ From the Miami Heart Institute, Miami Beach, Florida.

Digitalis may have an additive effect on impaired atrioventricular conduction, so that atrial flutter with variable ventricular response may progress to complete heart block with ventricular asystole.

Two cases are presented of atrial flutter with. variable ventricular response in whom ventricular standstill occurred during digitalis therapy.

External electric stimulation of the heart can maintain the circulation in digitalis-induced ventricular standstill.