ABSTRACT
Se administro amioradona oral, por un plazo maximo de 28 dias, a 20 pacientes con fibrilacion auricular cronica (FAC). En 7 casos (35%), se obtuvo conversion a ritmo sinusal entre los 14 y 21 dias de tratamiento. Hubo una mayor probabilidad de lograr la conversion en aquellos pacientes con menor duracion de la arritmia y menor tamano de la auricula izquierda. Se concluye que la amiodarona oral, puede ser una buena prueba terapeutica en algunos pacientes con FAC
Subject(s)
Adult , Middle Aged , Humans , Male , Female , Amiodarone , Arrhythmia, Sinus , Atrial FibrillationSubject(s)
Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Humans , Male , Immersion , Tachycardia, ParoxysmalABSTRACT
80 autopsy cases with the diagnosis of infectious endocarditis were reviewed from the Department of Pathology of the Instituto Nacional de Cardiología. Cases included were those who had history of conduction abnormalities. 5% of cases had conduction abnormality due to infectious endocarditis. In 12% of cases, this was attributed to some other cause independent of IE. Only 2 cases had complete AV block and in one of them (1.25%) there was a ventricular septal lesion. It was concluded that abnormalities are a least frequent complication in the natural history of IE. Generally it is due to the extension of the infectious process in the aortic valve towards the ventricular septum and when present carries a bad prognosis.
Subject(s)
Endocarditis, Bacterial/complications , Heart Block/etiology , Electrocardiography , Endocarditis, Bacterial/pathology , Heart Block/pathology , Heart Septum/pathology , Humans , MexicoABSTRACT
A case of pulmonary arteriovenous fistula associated with rheumatic mitral heart disease is presented. We have reviewed the literature and no published case with such association has been described. The loud mitral insufficiency murmur hide the continuous murmur of the fistula. The angiographic study demonstrated the A-V fistula. Retrospectively the diagnosis should have been suspected due to cyanosis, slight clubbing, the radiologic findings and the important Qs/Qt shunt. The associated pulmonary embolic phenomena made more difficult the diagnosis.
