ABSTRACT
Cardiac echinococcosis is rare despite endemic occurrence of echinococcosis in some regions of the world. Clinical presentation can vary and may be misleading. Diagnosis is facilitated by new imaging techniques. Surgery is mandatory to avoid serious complications. We report a case of cardiac echinococcosis with pseudo, ischemic clinical and electrical presentation.
Subject(s)
Cardiomyopathies/diagnosis , Cardiomyopathies/parasitology , Echinococcosis/diagnosis , Myocardial Ischemia/diagnosis , Aged , Diagnosis, Differential , Humans , MaleABSTRACT
The success of thrombolytic therapy for acute myocardial infarction is limited by failure of reperfusing 25% of occluded arteries, bleeding complications in 0.4 to 1% of patients and the possibility of recurrent ischemia. These problems can be overcome by the use of immediate angioplasty without previous thrombolytic therapy. Between February and December 1993, twelve patients (ten men and two women) admitted for acute myocardial infarction were treated by immediate angioplasty. Five patients had a contraindication to thrombolysis and seven had angioplasty as a deliberate choice. Successful recanalisation was obtained in 11 patients (92%) with one reocclusion at 24 hours. Two patients admitted in cardiogenic shock 12 hours after the onset of symptoms died lately with multiorgan failure. Only one case of clinical restenosis was observed and was redilated. In conclusion, immediate angioplasty without prior thrombolytic therapy is a rapid method of revascularisation with minimal risk and good outcome when it is used early after acute myocardial infarction.
Subject(s)
Angioplasty, Balloon, Coronary , Myocardial Infarction/therapy , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Middle Aged , Myocardial Infarction/mortality , Recurrence , Time FactorsABSTRACT
OBJECTIVES: Study the efficacy and side effects of low doses dopamine (3 gamma/kg/mn) in non shocky patients with heart failure. METHODS: Evaluate change in diuresis, blood pressure, heart rate, ureas, creatinine before and after administration of dopamine. SAMPLE: Prospective study on 28 patients cohort with average age of 67 years in decompensated heart failure secondary to various causes. RESULTS: Dopamine improved significantly diuresis in 75% of patients even in resistant cases of diuretics. No alteration of renal function has been noted and side effects were considered negligible. CONCLUSIONS: Dopamine at diuretic dose may be used in any non shocky heart failure patients regardless the etiology.
Subject(s)
Blood Pressure , Dopamine/therapeutic use , Heart Failure/drug therapy , Heart Failure/physiopathology , Aged , Blood Pressure/drug effects , Creatinine/urine , Dopamine/pharmacology , Female , Heart Failure/etiology , Heart Failure/urine , Heart Rate/drug effects , Humans , Prospective StudiesABSTRACT
The authors report a case of surgical repair of total anomalous pulmonary venous connection in a 36-year-old male. This is a very rare disease in adulthood since over 80% of the infants die before one year of age. Fifty-two surgical cases were previously reported in the literature. An extensive review of these cases is presented. Surgery is the only treatment and offers excellent short- and long-term results.
Subject(s)
Heart Defects, Congenital/surgery , Pulmonary Veins/abnormalities , Pulmonary Veins/surgery , Adolescent , Adult , Age Factors , Brachiocephalic Veins/abnormalities , Echocardiography , Female , Follow-Up Studies , Heart Defects, Congenital/diagnosis , Heart Defects, Congenital/diagnostic imaging , Heart Septal Defects, Atrial/diagnosis , Heart Septal Defects, Atrial/diagnostic imaging , Heart Septal Defects, Atrial/surgery , Humans , Male , Middle Aged , Radiography , Time Factors , Vena Cava, Superior/abnormalitiesABSTRACT
The new protocol of amiodarone was proposed to treat and to prevent some paroxysm and refractory arrhythmias with classic treatments. It is to administer an oral charge dose of 30mg/kg/day of amiodarone taken in one time during three days, then reduce progressively that posology. This protocol was applied on 60 patients with a success of 75% and a recur of 3.5%. Few secondary effects were observed, all reversible with the end of protocol. But no cardiac decompensation, no pro-arrhythmogene effect were signaled and especially no cardiac failure.
Subject(s)
Amiodarone/therapeutic use , Arrhythmias, Cardiac/drug therapy , Administration, Oral , Adolescent , Adult , Aged , Aged, 80 and over , Amiodarone/administration & dosage , Arrhythmias, Cardiac/diagnosis , Arrhythmias, Cardiac/epidemiology , Child , Child, Preschool , Clinical Protocols , Drug Administration Schedule , Electrocardiography , Electrocardiography, Ambulatory , Female , Humans , Infant , Male , Middle Aged , Prospective Studies , RecurrenceABSTRACT
A 49 years old man suffered from transient hemiplegic episodes following bacterial endocarditis, cultures being negative and with a fever resistant to antibiotics. Complete stomatological evaluation revealed multiple dental infective sites constituting "portals of entry". Radical treatment of these sites contributed to the complete cure of the infective syndrome.
