RESUMO
Determining the severity of coronary heart disease is of great importance to the cardiologist. There is a very good correlation between the severity of coronary heart disease and perfusion abnormalities to the myocardium as determined by radioisotope studies. We present our experience with forty (40) cases of ischemic heart disease diagnosed with sestamibi and its correlation with the obstruction of the coronary arteries by angiography. There is good correlation between the sestamibi findings and the coronary artery angiography obstructions and our findings concur with those published in the literature, which is between 75-85 per cent
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Angiografia Coronária , Circulação Coronária , Isquemia Miocárdica , Compostos Radiofarmacêuticos , Infarto do Miocárdio , Isquemia Miocárdica/fisiopatologia , Isquemia Miocárdica , Reações Falso-PositivasRESUMO
This article summarise our experience with the Beta-Blocker in the management of congestive heart failure, which did not respond to the usual medical treatment
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Carbazóis/uso terapêutico , Insuficiência Cardíaca/tratamento farmacológico , Metoprolol/uso terapêutico , Propanolaminas/uso terapêutico , Antagonistas Adrenérgicos beta/uso terapêuticoRESUMO
This article resumes the modern management of acute myocardial infarction. It analyzes the complementary benefits of two different types of treatment: thrombolytic therapy and percutaneous transluminal angioplasty
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Angioplastia Coronária com Balão , Angiografia Coronária , Ativador de Plasminogênio Tipo Uroquinase/administração & dosagem , Ativadores de Plasminogênio/administração & dosagem , Eletrocardiografia , Estreptoquinase/administração & dosagem , Fibrinolíticos/administração & dosagem , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/terapia , Recidiva , Terapia Combinada , Terapia TrombolíticaRESUMO
47 transesophageal echocardiograms (TEE) were performed on 43 patients (27 men and 20 women) in 30 months. The average age was 52.1 +/- 24.3 years. The most frequent indications for the procedure were: search for the source of emboli in 15 patients, suspected endocarditis and valvulopathies in 11. The main findings were intracavitary thrombi in 9 and vegetations in 8. The findings on TEE changed the medical management in 22 patients, confirmed suspected diagnosis in 15, and added nothing new in 10. Hypotension occurred in only one patient and resolved when the transducer was withdrawn. Comparing their results with those found in the literature the authors found that the indications were similar. TEE is an easy, safe and trustworthy study in selected patients