Abstract
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 language | English (US) |
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Pages (from-to) | 639-640 |
Number of pages | 2 |
Journal | New England Journal of Medicine |
Volume | 318 |
Issue number | 10 |
DOIs | |
State | Published - Mar 10 1988 |
ASJC Scopus subject areas
- Medicine(all)