ABSTRACT
A 60 year old man with features of osteogenesis imperfecta presented in biventricular failure with evidence of mitral regurgitation. He responded to conventional treatment but later collapsed and died at home. Necropsy showed a haemopericardium caused by a tear in the left atrium. There was also rupture of the mitral chordae tendineae.
Subject(s)
Heart Atria/pathology , Osteogenesis Imperfecta/complications , Echocardiography , Heart Rupture/etiology , Heart Rupture/pathology , Humans , Male , Middle Aged , Mitral Valve Insufficiency/complications , Osteogenesis Imperfecta/pathology , Pericardial Effusion/complications , Rupture, SpontaneousSubject(s)
Heart Block/genetics , Adult , Aged , Bundle-Branch Block/genetics , Electrocardiography , Female , Heart Conduction System/physiopathology , Humans , Male , Middle Aged , PedigreeSubject(s)
Angina Pectoris/drug therapy , Piperidines/therapeutic use , Vasodilator Agents/therapeutic use , Aged , Blood Pressure/drug effects , Clinical Trials as Topic , Electrocardiography , Exercise Test , Heart Rate/drug effects , Humans , Male , Middle Aged , Perhexiline/therapeutic use , Placebos , Spirometry , Vital CapacitySubject(s)
Exercise Therapy , Myocardial Infarction/rehabilitation , Adult , Electrocardiography , Female , Humans , Male , Middle Aged , SmokingSubject(s)
Myocardial Infarction/rehabilitation , Physical Education and Training , Adult , Aged , Humans , Male , Middle AgedABSTRACT
Details are presented concerning 59 patients who left hospital between January 1964 and January 1969 after aortic valve replacement with the Starr-Edwards prosthesis. Of the 14 late deaths, 7 are known to have been due to causes related to the prosthesis and 4 to other causes. The 45 surviving patients have nearly all shown clinical improvement and only 3 are unable to work as a result of some complication of the operation. Aortic regurgitation and its consequences appear to be the most significant factor leading to symptoms. In 11 of 16 patients with anaemia there was evidence of intravascular haemolysis. The long-term consequence of this complication is not known.
Subject(s)
Heart Valve Prosthesis , Adult , Aged , Aortic Valve/surgery , Aortic Valve Insufficiency/complications , Aortic Valve Insufficiency/mortality , Aortic Valve Insufficiency/surgery , Aortic Valve Stenosis/complications , Aortic Valve Stenosis/mortality , Aortic Valve Stenosis/surgery , Female , Follow-Up Studies , Heart Valve Prosthesis/adverse effects , Heart Valve Prosthesis/mortality , Humans , Male , Middle Aged , Physical Endurance , Postoperative Complications/diagnosis , Postoperative Complications/epidemiology , Postoperative Complications/mortalityABSTRACT
The results of a questionary to investigate an open electrocardiograph (E.C.G.) service for family doctors suggest that the service is useful in diagnosis (26% of the E.C.G. reports were unexpected) and in management (the result of the E.C.G. led to specific treatment or alteration to regimen in 22% of cases and in a further 46% to reassurance). The results suggest that during the 45 weeks of the study many outpatient appointments were avoided.Undoubtedly an open E.C.G. service allows the family doctor to give a quicker and better service to his patients. For this reason and because of operational benefits to the hospital the service must be recommended.
