HEART-BLOCK

Abstract
Although syncopal attacks are fairly common in cases of complete heart-block, they do not, as a rule, occur with sufficient frequency in any given case to allow the cardiac mechanism during an attack to be graphically recorded. Polygrams have been obtained during such attacks by Lewis,1and Williams2has obtained an electrocardiogram during an attack in one instance. The following case is of interest because electrocardiographic records were obtained during several Stokes-Adams attacks, and also as an example of transient complete heart-block. REPORT OF CASE History. —Mrs. N. M., an American housewife, aged 48, entered the Barnes Hospital, May 10, 1917, on the advice of her family physician, Dr. George Park. She complained of fainting spells, vomiting and pain in the epigastrium and back. The family history was unimportant. She had had measles, mumps and a number of attacks of severe sore throat during childhood; but had been otherwise well

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