Jugular pulse and flow velocity anomalies: a diagnostic clue to an obstructive tricuspid prosthetic dysfunction.

Report of a case of obstructive dysfunction of a tricuspid Starr-Edwards (6120) ball prosthesis, diagnosed on phonocardiographic (PCG) diastolic anomalies with abnormal diastolic pattern of the jugular pulse, abnormal jugular flow velocity curve, and confirmed by cinefluoroscopy. The thrombotic origin of the obstruction was assessed on the regression of PCG and cinefluoroscopic anomalies under fibrinolytic therapy.

[Hyperthyroidism caused by amiodarone. Apropos of 4 clinical cases]. / L'hyperthyroïdie à l'amiodarone. A propos de quatre observations cliniques

The authors report four new cases of hyperthyroidism associated with prolonged treatment with amiodarone. Massive doses of beta-blockers were required to deal with the severely disordered rhythm in one of the patients. Amiodarone, which is an effective treatment for angina, is not free from risk, even at the doses which are currently accepted. Hyperthyroidism, which may occur even in patients who have had no past history of any thyroid troupble at all, remains a most unusual complication.