Subject(s)
Exercise Therapy , Myocardial Infarction/rehabilitation , Adult , Humans , Male , Middle Aged , Physical Fitness , Severity of Illness Index , Time Factors , Treatment OutcomeABSTRACT
The author depicted several cases of myocardial infarction which onset or preinfarction angina symptoms were taken by the patients for a catarrhal disease. The signs enabling the doctor to exclude the "catarrhal" origin of patient's feelings were indicated. The author suggested that the term of "catarrhal" variant of myocardial infarction onset" should be used as a pattern of its atypical onset.
Subject(s)
Myocardial Infarction , Angina, Unstable/diagnosis , Diagnosis, Differential , Humans , Male , Medical History Taking , Middle Aged , Myocardial Infarction/diagnosisABSTRACT
The paper recommends a number of rules useful in interviewing patients, draws attention to some typical mistakes made by physicians gaining clinical information from their patients. It is thought advisable to provide medical students with advanced guidelines how to manage a valid and informative interview of patients.
Subject(s)
Clinical Clerkship/standards , Internal Medicine/education , Medical History Taking/methods , Humans , Internal Medicine/standards , Medical History Taking/standards , USSRABSTRACT
The dynamics of left ventricular contraction was studied in 107 patients with cardiac fibrillation 1 and 6-8 days after restoration of sinus rhythm by electroimpulsive therapy. It has been found that contraction of the left ventricle improves markedly 24 hours after the sinus rhythm is restored and practically does not change by the 6th -8th day after that. On the grounds of such dynamics of left ventricular contraction it is concluded that it is quite sufficient to observe complete bedrest after successful defibrillation for 24 hours, since the risk of normalization embolisms and pulmonary edema sharply diminishes beginning 24 hours after the sinus rhythm has been restored. It is shown that the dynamics of myocardial contration following restoration of the sinus rhythm cannot serve for the prognostication of the remote results of electroimpulsive therapy.