ABSTRACT
Cardiac arrhythmias including supraventricular tachycardia are commonly encountered during pregnancy. The case of a young Indian woman with recurrent attacks of supraventricular tachycardia during pregnancy which was managed with adenosine and verapamil is reported. The possible mechanisms of maternal and fetal complications are discussed.
Subject(s)
Adenosine/therapeutic use , Anti-Arrhythmia Agents/therapeutic use , Pregnancy Complications, Cardiovascular/drug therapy , Tachycardia, Supraventricular/drug therapy , Verapamil/therapeutic use , Adult , Anti-Arrhythmia Agents/adverse effects , Female , Humans , Infant, Newborn , Obstetric Labor Complications/chemically induced , Polycythemia/chemically induced , Postpartum Hemorrhage/chemically induced , Pregnancy , Recurrence , Verapamil/adverse effectsABSTRACT
Two rare cases of amebic pericardial effusion as a complication of amoebic liver abscess in the left lobe are described. The pericardial amebiasis should be suspected in a patient presenting with signs and symptoms of pericardial effusion with an evidence of hepatic abscess (in the left lobe) or in a patient with pericardial effusion of uncertain etiology. Aspiration of "anchovy sauce" pus from both the pericardial cavity and the liver should be regarded as confirming the diagnosis of amebic pericarditis secondary to amebic liver abcess because demonstration of Entamoeba hystolytica is seldom possible. Removal of pericardial pus and metronidazole intake were markedly effective in treating our patients.
Subject(s)
Liver Abscess, Amebic/complications , Pericardial Effusion/etiology , Adult , Cardiomegaly/diagnostic imaging , Electrocardiography , Humans , Male , Pericardial Effusion/parasitology , Pericarditis/parasitology , Pleural Effusion/diagnostic imaging , RadiographyABSTRACT
In Varanasi carditis is the most important major manifestation of an acute attack of rheumatic fever and is the only one which results in sequelae. In our country carditis constitutes the largest single manifestation of rheumatic fever in its index attack. The overall picture is most distressing with its high incidence (78%), and severity as evidenced by high mortality (70%) in the initial phase. It is necessary to provide institutional treatment for those seriously infected to ensure them the fairest chance of recovery from their carditis without permanent damage to the heart. The diagnosis of carditis is therefore imperative in all cases of acute rheumatic fever even in the absence of other major criteria which may be subdued.
