ABSTRACT
In a 61-year-old man, renal cell carcinoma of the right kidney was diagnosed 10 years after renal transplantation. Echocardiography revealed a right ventricular mass 5.5 x 3.5 m in size. The patient died suddenly 10 weeks later, post-mortem examination confirmed diagnosis of right ventricular metastasis of renal cell carcinoma. This case underlines the importance of echocardiographic examination in tumor patients if signs of heart failure, angina pectoris, embolism, or rhythm disturbances arise; or if cardiac murmur becomes audible, or heart size increases.
Subject(s)
Carcinoma, Renal Cell/secondary , Heart Neoplasms/secondary , Heart Ventricles/pathology , Kidney Neoplasms/pathology , Kidney Transplantation/pathology , Postoperative Complications/pathology , Carcinoma, Renal Cell/pathology , Death, Sudden, Cardiac/pathology , Diagnosis, Differential , Follow-Up Studies , Heart Neoplasms/pathology , Humans , Kidney/pathology , Male , Middle AgedABSTRACT
In April 1976 a dialysis camper with Redy-dialysis equipment was put into service by the Institute of Nephrology of the 4th Department for Internal Medicine of the City Hospital Nürnberg. In the following six years of service the bus was rented 40 times by 20 different home dialysis patients and was driven more than 100 000 km in Europe on 700 days. Two hundred and eighty haemodialyses with the Redy-system showed that this kind of dialysis during the holidays can be carried out without running a greater risk than with home dialysis itself. A home dialysis patient describes his own experiences with the 'Redy-bus'.
Subject(s)
Hemodialysis, Home/instrumentation , Kidney Failure, Chronic/therapy , Kidneys, Artificial , Mobile Health Units/organization & administration , Adult , Female , Germany, West , Holidays , Humans , Male , Middle AgedABSTRACT
In modern industrial countries the technological progress has shifted the occupational stress to the psychomental sphere. In the course of this alteration the number of work places with driving, controlling, and monitoring increased considerably. On 10 engine-drivers during high-speed driving from 210 to 250 km/h heart rate and electrocardiogram were monitored continuously. The blood pressure was measured intermittently. The elimination rate of catecholamines in urine, and the levels of cyclic AMP and catechol-O-methyltransferase in plasma were determined in reference to the trial to quantify the psychomental strain by biochemical parameters. In consequence of the individual affective conditions of the engine-drivers it has been attempted to scale the subjective strain.
