Letters

Authors' reply

BMJ 1996; 312 doi: http://dx.doi.org/10.1136/bmj.312.7035.912a (Published 06 April 1996) Cite this as: BMJ 1996;312:912
  1. Gregory Y H Lip,
  2. Shyam P Sing,
  3. Robert D S Watson
  1. Lecturer Consultant cardiologist Consultant cardiologist City Hospital, Birmingham B18 7QH

    EDITOR,—In response to Tom Snow, our purpose in using as an illustration the ward observation chart showing the apex-radial pulse deficit in a patient with atrial fibrillation was not to condone the routine recording of this. Indeed, we did not even discuss it as part of routine clinical management. However, the pulse deficit is abolished after a return to sinus rhythm, and this may be useful in the clinical examination of patients with paroxysmal atrial fibrillation. …

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