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Sidney Alexander, MD

JAMA. 1986;256(5):628-629.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WITH the publication of this important article, describing the first clinical application of synchronized capacitor direct current (DC) discharge, the era of elective electrical treatment of cardiac arrhythmias began. The development of this method, so commonly used we tend to take it for granted, is a paradigm of the brilliant wedding of clinical acumen and profound understanding of good basic science, when chance did indeed favor the prepared mind. Its history is worth reviewing.

A Signal Patient

On Dec 1, 1960, a 59-year-old man was admitted to Bernard Lown's service at the Peter Bent Brigham Hospital in Boston with chief complaints of sweating, palpitations, and shortness of breath. Eleven years before, he had sustained an acute myocardial infarction. Several years later, episodes of atrial and ventricular rhythm disturbances began. The night before this admission, he had developed severe palpitations. Treatment elsewhere over the next 24 hours with 3.5 g of . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Internal Medicine, Lahey Clinic Medical Center, Burlington, Mass.

Footnotes
Reprint requests to Section of Cardiology, Department of Internal Medicine, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805 (Dr Alexander).

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