[Right atrial thrombosis: clinical and pathological findings and course (author's transl)]. / Thrombose atriale droite. Aspects morphocliniques et évolutifs.

Possible correlations between clinical and pathological findings and the results of various paraclinical tests were studied in 17 patients with right atrial thrombosis. Positive correlations existed with supraventricular rhythm disorders, particularly sinus node lesions. The presence of massive pulmonary emboli in all cases is suggestive of the origin of the thrombus being within the atrial cavity. Presumptive signs of right atrial thrombosis are the sudden unexplainable worsening of cardiac insufficiency factors, the appearance of paroxystic disturbances in supraventricular rhythm, and associated signs of pulmonary embolism due to peripheral venous disorders.

[Myocardiopathy of progressive muscular dystrophy]. / La myocardiopathie de la dystrophie musculaire progressive

The authors have effected a clinical, radiological, electrocardiographic and apexocardiographic survey in 13 patients with progressive muscular distrophy (PMD) and in 6 healthy subjects belonging to families affected by the disease, in parallel with a group of 11 patients with severe myasthenia and 23 healthy subjects. Comparing the results with those found in the literature lead to the following results: 1) The ECG modifications and above all the abnormalities of the ventricular complex develop precociously in the PMD and express the pleiotropism of the myopathic gene. 2) The myocardial dyssynergia represents a link in the physiopathological chain of the cardiac distress. 3) The precociousness of electro and apexocardiographic modifications and their presence in healthy parents recommend these investigations in the genetic enquiry. 4) Clinical, histological and haemodynamic data individualize the myocardial distress as a true myocardiopathy.