ABSTRACT
First-degree heart block is a common electrocardiographic manifestation of acute rheumatic fever and is included in Jones' diagnostic criteria. Other electrocardiographic changes such as sinus tachycardia, bundle branch blocks. nonspecific ST-T wave changes, atrial and ventricular premature complexes have been reported with variable frequency. However, complete heart block is an exceptionally rare manifestation of acute rheumatic fever. We report the clinical course of a 16-year-old boy with acute rheumatic fever who had prolonged P-R interval in the electrocardiogram on admission which subsequently progressed to complete heart block. The patient regained normal sinus rhythm within a few minutes without any pharmacologic or electrical intervention.
Subject(s)
Acute Disease , Adolescent , Disease Progression , Electrocardiography , Heart Block/etiology , Humans , Male , Rheumatic Fever/complications , Rheumatic Heart Disease/complicationsABSTRACT
In the past decade, in-hospital mortality rates from acute myocardial infraction [AMI] have been reduced from about 20% to nearly 10% with use of thrombolytic therapy combined with other pharmacologic and interventional means [1]. New trends in the management of myocardial infarction have recently emerged. This article discusses the latest trend in the management of acute myocardial infarction
Subject(s)
Humans , Thrombolytic Therapy/methods , Coronary Disease , Aged , Anticoagulants , Nifedipine , VerapamilABSTRACT
Apresenta-se estudo sobre conhecimentos e práticas de 1000 pessoas da cidade de Campinas (SP) em relaçäo a glaucoma, ambliopia, estrabismo, conjuntivite e acidentes oculares, quanto ao problema em si e sua prevençäo. Realizam-se entrevistas, de forma aleatória, com 200 pessoas no "campus" da Universidade de Campinas e 800 transeuntes no centro da cidade. Conclui-se pela insuficiência de conhecimentos e existência de conceitos e práticas errôneas sobre os aspectos abordados, recomendam-se o desenvolvimento de programas de educaçäo em saúde para prevençäo de distúrbios visuais e a realizaçäo de pesquisas no campo da oftalmologia sanitária