The Risks of Lone Atrial Fibrillation

David H. Spodick, Palle Petersen, Gudrun Boysen, Henry I. Bussey, Raylene M. Rospond, Christine M. Quandt, Robert L. Talbert, Bernard J. Gersh, Michael D. McGoon, Stephen L. Kopecky, Jack Whisnant, David Holmes

Research output: Contribution to journalLetter

1 Scopus citations


To the Editor: Kopecky and his colleagues (Sept. 10 issue)1 contribute a careful study of lone atrial fibrillation, distinguished by its quasi-prospective design. However, the authors may wish to address a problem of definition. They refer to Evans and Swann's classic paper defining “lone” as “in the absence of any other clinical evidence to suggest a primary cardiac disorder.”2 The implications of “clinical” become crucial, because 21 of the patients in the series of Kopecky et al. had interventricular conduction delay, 10 had axis deviations, and 2 had bundle-branch blocks. Why were such electrocardiographic abnormalities not cause for exclusion? Had.

Original languageEnglish (US)
Pages (from-to)639-640
Number of pages2
JournalNew England Journal of Medicine
Issue number10
StatePublished - Mar 10 1988


ASJC Scopus subject areas

  • Medicine(all)

Cite this

Spodick, D. H., Petersen, P., Boysen, G., Bussey, H. I., Rospond, R. M., Quandt, C. M., Talbert, R. L., Gersh, B. J., McGoon, M. D., Kopecky, S. L., Whisnant, J., & Holmes, D. (1988). The Risks of Lone Atrial Fibrillation. New England Journal of Medicine, 318(10), 639-640.