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(Chest. 1961;39:299-304.)
© 1961 American College of Chest Physicians

Atrial Fibrillation Reversion to Normal Sinus Rhythm

R. W. KISSANE M.D., F.C.C.P.1; JAMES J. CONN M.D., F.C.C.P.1; and STEWART M. ROSE M.D.1

1 The Department of Medicine, Divisions of Cardiology, Ohio State University, College of Medicine and White Cross Hospital.

All patients in auricular fibrillation should be given an opportunity of reversion to normal sinus rhythm. The failures as in the selected cases will be about 20 per cent and the mortality 1 or 2 per cent. This is greatly outweighed by the previously stated advantages. We believe that attempts to induce reversion should be abandoned when quinidine produces severe toxic effects, especially in the large doses. The attempt should also be abandoned when there is evidence of complete heart block and ventricular arrhythmias with syncope.






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