Résumé
To find out the role of coronary artery disease [CAD] as a cause of T wave inversions in electrocardiogram [ECG] in otherwise healthy soldiers who were evacuated from high altitude because of chest pain. A prospective observational study. The study was carried out at CMH Skardu from September 2003 to September 2004 fifty-four consecutive patients evacuated from height > 4000 meters [13123 feet] with symptoms of chest pain and electrocardiographic changes of T-wave inversions in a group of leads were included in the study. Echocardiography and Exercise tolerance test [ETT] was performed on all the patients. All of the patients with indeterminate or inconclusive results on ETT underwent coronary angiography at Armed Forces Institute of Cardiology, Rawalpindi. Out of 54 patients, 36 [66.7%] patients had normal exercise tolerance test. In the rest 18 [33.34%] patients coronary angiogram was done and in 04 patients it was reported abnormal. In 02 [3.70%] patients coronary angiogram confirmed coronary artery disease. In 02 patients coronary angiograms were abnormal but there was no evidence of coronary artery disease. T wave inversions at high altitude suggestive of IHD are not true indicators of underlying coronary artery disease
Sujets)
Humains , Mâle , Électrocardiographie , Études prospectives , Mal de l'altitude , Altitude/effets indésirables , Personnel militaire , Douleur thoracique , Épreuve d'effort , CoronarographieRésumé
Cardiac myxomas are histologically benign tumors but they may be lethal because of their strategic position. These are mostly located in the left atrium and uncommonly in the right atrium. We report a case of a large right ventricular myxoma presenting with heart failure
Sujets)
Humains , Mâle , Myxome/diagnostic , Tumeurs du coeur/diagnostic , Tumeurs du coeur/chirurgie , Défaillance cardiaque/diagnostic , Prothèse valvulaire cardiaque , Procédures de chirurgie cardiaque , Insuffisance mitrale , Ponction-biopsie à l'aiguille , Maladies rares , Appréciation des risques , Ventricules cardiaquesRésumé
Takayasu's arteritis is an uncommon disease. A case of Takayasu's arteritis in a young soldier is reported, who presented with generalized weakness, easy fatigability and claudication of upper limbs. On clinical examination the brachial and radial pulses were absent bilaterally while carotids were palpable. Doppler studies and angiogram confirmed occlusion of right and left subclavian arteries