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(Circulation. 1950;2:886.)
© 1950 American Heart Association, Inc.

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Stokes-Adams Attacks Induced by Rectal Stimulation in a Patient with Complete Heart Block

ROY W. SCOTT M.D.¹ SALVATORE M. SANCETTA M.D.¹

¹ From the Department of Medicine, Western Reserve University, and the Medical Service, Cleveland City Hospital.

This paper reports a case of complete heart block whose Stokes-Adams attacks were induced by straining at stool and invariably by digital stimulation of the rectum. Electrocardiograms during attacks exhibited high ventricular tachycardia or fibrillation and chaotic heart action.

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