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The symptoms of a heart attack may not be quite those described above; they may be those of sudden dilatation or semiparalysis of the heart, in which the prostration is intense and the patient is unable to sit up, although he may be leaning against several pillows.
My notes recall an Ephippiger who, pricked in the prothorax away from the median line, retained the use of her six limbs without being able to walk or climb for lack of co-ordination in her movements. A singular awkwardness left her wavering between going back and going forward, between turning to the right and turning to the left. Some are smitten with semiparalysis.
At times auricular fibrillation is only a passing symptom, and is rapidly cured by treatment. A real auricular fibrillation shows a semiparalysis of the auricles, and during this condition normal systolic contractions do not occur, although there are small rapid twitchings of different muscle fibers in the auricles.
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