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 GRAU, S. Articles by GOUAUX, J. L. Search for Related Content PubMed PubMed Citation Articles by GRAU, S. Articles by GOUAUX, J. L.

(Circulation. 1950;2:422.)
© 1950 American Heart Association, Inc.

---

Paroxysmal Ventricular Tachycardia with Second Degree V-A Block and Reciprocal Rhythm

SIDNEY GRAU M.D.¹ JAMES L. GOUAUX M.D.¹

¹ From the Department of Medicine, Veterans' Administration Hospital, Bay Pines, Florida.

An instance of paroxysmal ventricular tachycardia with retrograde conduction is presented. This occurred in a patient in the terminal stage of arteriosclerotic heart disease. The electrocardiograms obtained during this period, representative portions of which are illustrated, were unique in that reciprocal beats and fusion beats were noted; the latter being unusual because of the origin and site of fusion of the impulses. A hitherto unreported abnormality of the retrograde P wave is also described and illustrated.