RT Journal Article SR Electronic T1 Uncontrolled ventricular rate in atrial fibrillation. A manifestation of dissimilar atrial rhythms. JF British Heart Journal JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 106 OP 109 DO 10.1136/hrt.42.1.106 VO 42 IS 1 A1 C V Leier A1 T M Johnson A1 R P Lewis YR 1979 UL http://heart.bmj.com/content/42/1/106.abstract AB A patient with coarse atrial fibrillation and a rapid ventricular response developed periods of high grade atrioventricular block interpersed with periods of rapid ventricular conduction after the administration of digitalis and propranolol. Intracardiac atrial recordings showed similar atrial rhythms of high right atrial flutter and left atrial fibrillation. The low right atrial recordings showed flutter during the periods of fast ventricular rates and fibrillation during periods of slower ventricular rates.