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Athanasios Vosnakidis, Konstantinos Polymeropoulos, Paul Zarogoulidis, Ioannis Zarifis
The relationship of hyperparathyroid-associated hypercalcemia with clinical significant bradyarrythmias still remains controversial. We present a 66-year-old patient with dizziness, headache and paroxysmal 2:1 atrioventricular block. A 24-hour Holter report revealed symptomatic intermittent 2(nd) degree (2:1) atrioventricular block with a mean heart rate of 46 bpm. A 2D echocardiogramm showed normal ejection fraction and there was no valve dysfunction or calcification. The biochemistry results showed elevated serum calcium level, low phosphate level, elevated serum parathyroid hormone level and normal serum levels of potassium, magnesium and sodium...
June 2013: Journal of Thoracic Disease
Enrico Ferrari, Ludwig Karl von Segesser
Transcatheter aortic valve therapies are the newest established techniques for the treatment of high risk patients affected by severe symptomatic aortic valve stenosis. The transapical approach requires a left anterolateral mini-thoracotomy, whereas the transfemoral method requires an adequate peripheral vascular access and can be performed fully percutaneously. Alternatively, the trans-subclavian access has been recently proposed as a third promising approach. Depending on the technique, the fine stent-valve positioning can be performed with or without contrast injections...
2010: Swiss Medical Weekly
Ayaz Hussain Shaikh, Muhammad Adnan Amin, Bashir Hanif, Faiza Malik
A 65 year old man, smoker, presented with a history of exertional shortness of breath over the last 4 months. He denied any chest discomfort. On examination jugular venous distension was noted with bilateral basal crackles. He got symptomatic relief after treatment with diuretics and nitrates. His echocardiogramme revealed global hypokinesia of left ventricle with severe mitral regurgitation. He was planned for mitral valve replacement and pre procedural diagnostic angiogramme was performed which showed occluded left main coronary artery...
January 2009: JPMA. the Journal of the Pakistan Medical Association
P Rumeau, P Acar, S Paranon, R Bassil, M Cournot, Y Dulac, J Guitton, G Latcu
Left ventricular diastolic function may change at an early stage in cardiac disease. It is often difficult to assess in daily practice. The use of Doppler tissue imaging at the annulus has been validated in adults. This method is little used in paediatrics and the physiological norms have not been established in children. Forty three children aged 7 days to 241 months were referred for a cardiological opinion with normal echocardiogrammes were included. Myocardial velocities were measured by Doppler tissue imaging of the left and right ventricular walls at different moments of the cardiac cycle in the apical 4-chamber view...
May 2007: Archives des Maladies du Coeur et des Vaisseaux
N Reifart, H Störger, F Schwarz, R Besser, S Iversen
UNLABELLED: Life threatening Q-infarction because of bypassgraft occlusion may occurr in 5-8% of the patients during the first days after CABG, and most patients are treated by immediate reoperation. This treatment may however be delayed because operating rooms might not be available immediately. We prospectively studied the feasability and safety of immediate coronary angiography and PTCA, if appropriate, in patients with severe ischemic in-hospital complications after CABG. From January till December 1995 1263 patients had CABG: mean age 64...
1998: Zeitschrift Für Kardiologie
W Mende
Work resumption of patients after myocardial infarction is primarily dependent on left-ventricular function, stress-related ischemia and rhythm-disturbances, additionally the general physical and psychological state play an important role. -The basic examination includes not only the history and physical examination, but also resting ECG, ECG exercise testing, 2-dimensional echocardiogramm and Holter-ECG. Additionally, stress-echocardiogramm, nuclear exercise testing and invasive procedures can be necessary...
February 1, 1997: Versicherungsmedizin
A Moïse, C Fournier, C Bourmayan, F Fernandez, A Gerbaux
Five cases of hypertrophic obstructive cardiomyopathy with coronary artery disease are reported; 2 males and 5 females, aged 27, 49, 64, 67, and 70 years respectively. Four patients had angina, the other being asymptomatic. The diagnosis of hypertrophic obstructive cardiomyopathy was based on the presence of at least 4 of the following 5 signs: an ejectional systolic murmur, an external carotid pulse tracing showing a second endsystolic peak, an echocardiogramme showing both systolic anterior motion of the mitral valve and asymmetrical septal hypertrophy biloculation and/or disaxation of the left ventricular cavity on selective angiography, and a spontaneous or provoked intraventricular pressure gradient of over 30 mm Hg...
February 1981: Archives des Maladies du Coeur et des Vaisseaux
J Turina, R Jenni, M Turina, H P Krayenbuehl
Echocardiographic recordings in 87 patients with chronic volume overload of the left ventricle (32 pure aortic incompetence, 18 mixed aortic lesions with predominating regurgitation, 17 mitral incompetence and 20 combined aortic and mitral incompetence) who underwent valve replacement between 1975 and 1976 were reassessed to determine the prognostic interest of echocardiography in the long-term postoperative period. The follow-up was a least 2.5 years (average 2.8 years). Patients with coronary artery disease or paravalvular leaks were excluded from the study...
June 1980: Archives des Maladies du Coeur et des Vaisseaux
J L Neimann, J P Godenir, G Roche, P Voiriot
An unusual form of mitral valve endocarditis was observed on echocardiography. A 49 year old female with well tolerated mitral stenosis and mild aortic incompetence contracted staphylococcal endocarditis. Pulmonary venous hypertension developed and the diastolic murmur increased. The echocardiogramme showed voluminous vegetations obstructing the stenosed mitral orifice in diastole, simulating a left atrial myxoma. An acute ischaemic episode of the lower limb occurred under antibiotic therapy. A voluminous fibrino-cruoric infected embolus was extracted from the iliac artery and a second echocardiogramme showed the intra mitral mass to have disappeared...
October 1980: Archives des Maladies du Coeur et des Vaisseaux
J P Lesbre, P Bernasconi, A Kalisa, Y Demenois, C Schurtz, J L Rey, P Bor
The electrocardiogrammes and echocardiogrammes of 10 weight lifters and 20 endurance trained top class athletes (runners, basket ball players and cyclists) were analysed. The electrocardiogrammes confirmed the notion of a specific profile in endurance trained athletes with left ventricular diastolic overload pattern. The echocardiogrammes did not show increased left ventricular wall thickness in the resistance trained athletes. It did show however a clear increase in left ventricular internal diastolic dimension and posteror wall thickness--the anatomical substratum of the large heart in athletes--in some categories of endurance trained athletes (cyclists and basket ball players)...
August 1980: Archives des Maladies du Coeur et des Vaisseaux
J Viossat, C B Abbou, C Farias, E Brochet, I Melanidis, M Grivaux, A Deloche
Between October 15th 1981 and January 31st 1982, 297 echocardiogrammes were performed in the department of cardiac surgery at Broussais Hospital, 31 of which were requested and carried out as emergency procedures by day or night, 187 pre- or postoperatively and 79 in the out-patient clinic. M mode and 2D echocardiographies were performed at the bedside when necessary, namely in the intensive care unit pre- and postoperatively. The examination was performed by trained personnel, both in the out-patient clinic and in the intensive care unit...
June 1984: Archives des Maladies du Coeur et des Vaisseaux
M Enriquez-Sarano, S Dunica, J Sergent, P Charbel, J Acar
2D echocardiography has become one of the most important investigations in the preoperative assessment of mitral stenosis. This study was undertaken to determine the reliability of the information so obtained, by comparison with the surgical appearances. The study population consisted of 104 patients (average age 45 years, 76% women) undergoing open heart surgery for pure mitral stenosis (72%) or mixed mitral valve disease (28%) between 1980 and 1981. All underwent 2D echo using a phased array Aloka SSD 800 80 degrees sector scanner...
June 1984: Archives des Maladies du Coeur et des Vaisseaux
B Valeix, P Labrunie, F Jahjah, P Sans, C Malmejac, J C Jouven, S Lévy, R Gérard
A case of hemopericardium after coronary recanalisation with streptokinase during the acute phase of myocardial infarction is reported, emphasising the value of routine daily echocardiography in all cases of intracoronary thrombolysis. The patient was a 48 year old man with a primary antero-lateral infarct in whom coronary angiography was performed at the 4th hour, showing total proximal obstruction of the left anterior descending artery. The streptokinase protocol of intracoronary thrombolysis was performed, resulting in recanalisation of the left anterior descending artery at the 30th minute...
September 1983: Archives des Maladies du Coeur et des Vaisseaux
D Crochet, H Petitier, J de Laguerenne, P Wanlin, S Chiffoleau, R Grossete, J F Godin
The results of cardiac catheterisation in 137 cases of pure adult aortic stenosis considered to be isolated after non-invasive investigation (clinical examination, carotid pulse tracing, echocardiogramme) are reported. The authors analyse the reliability and risks of this examination to which they attribute a triple objective; evaluation of the severity of the AS, evaluation of LV and/or mitral valve dysfunction and the assessment of the coronary circulation in patients with angina or in all patients over 54 years of age or with coronary calcifications...
September 1983: Archives des Maladies du Coeur et des Vaisseaux
N M Mukharliamov, V A Krol, Iu N Belenkov, M M Nasrulaeva
The problems of studying the contractile function of the myocardium were investigated in patients with acquired heart diseases and varying stages of circulation insufficiency. Echocardiography was used to examine 92 patients, aged 17 to 38 years. The results of the examination permitted to obtain a clear understanding of the degree of changes in the myocardium contractile function. The most valuable parameters of echocardiogrammes which permit to record the early signs of cardiac insufficiency include the myocardium excursions rate, the ejection fraction, the contraction rate of the circular fibers of the myocardium, the percentage of shortening the anterior-posterior dimensions of the left ventricle...
April 1976: Kardiologiia
B A Konstantinov, V V Zaretskiĭ, V V Bobkov, V A Sandrikov, E F Lukushkina
Echocardiography was used for the examination of 45 patients with rheumatic mitral valve insufficiency. Echocardiographic data were found to permit making the diagnosis of mitral valve disease and differentiating within the group of mitral valve disease as such. A mitral disease with prevailing insufficiency is characterized on an echocardiogramme by a unidirectional diastolic movement of thickened mitral cusps, by an increased general excursion of the mitral valve, dilatation of the left ventricular cavity, increased systolic excursion of the ventricular septum, and a significant dilatation of the left atrial cavity...
January 1977: Kardiologiia
J F Guadalajara, B L Fishleder, S Jain, A Villeda, C Friedland
There were studied 14 patients with congestive myocardiopathy demonstrated by cardiac catheterism at nine, echocardiogramme at five and/or necropsy at four. There were registered mytral insufficiency blowings at thirteen and tricusp insufficiency blowings at five. Of them, there were 11 that presented pathologic noises III and IV. Right apexcardiogramme showed growth of such cavity at the twelve patients that were studied. "a" index of the same precordiogramme had qualitative correlation with systolic pulmonary pression...
July 1979: Archivos del Instituto de Cardiología de México
G Wagner
In echocardiographic investigations the mitral valve occupies a central position. Its pathological changes in the echocardiogramme in the diseases of the mitral valve itself as well as in other cardiopathies are described. Apart from the morphological estimation the measuring methods are discussed.
August 1, 1978: Zeitschrift Für die Gesamte Innere Medizin und Ihre Grenzgebiete
C Lelguen, F Fernandez, A Gerbaux, E Neveux, P Bickert, P Maurice, J Louvet, E Farah, J Acar
Twenty seven cases of late thrombosis of ball and floating or tilting disc prostheses were studied. All patients were on anticoagulant therapy which appeared to be well adapted in 33% patients. Signs suggestive of thrombosis were inconsistant and the diagnosis was made on the association of severl of the following features: -- systemic embolism (44%); -- radiographic signs of left ventricular failure (51%); -- absence of opening click, variable A2 -- opening click intervals, apparition or aggravation of a systolic regurgitant murmur or a distolic murmur suggestive of obstruction on the phonocardiogramme; -- delayed opening of the mobile component or the presence of abnormal echos between the ball and anterior cage echo on the echocardiogramme; -- a gradient of over 12 mmHg across the prosthesis...
July 1979: Archives des Maladies du Coeur et des Vaisseaux
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