ABSTRACT
Ventricular rupture occurs in 10% of acute myocardial infarctions and is associated with significant mortality. We describe two cases of ventricular rupture post myocardial infarction who survived. We highlight salient points in their diagnosis and management and review the existing literature to determine what constitutes optimal management in these difficult cases.
Subject(s)
Ventricular Septal Rupture/therapy , Aged , Cardiac Tamponade/etiology , Humans , Intra-Aortic Balloon Pumping , Male , Middle Aged , Proteins/therapeutic use , Recurrence , Ultrasonography , Ventricular Septal Rupture/complications , Ventricular Septal Rupture/diagnostic imaging , Ventricular Septal Rupture/surgeryABSTRACT
An empirical study involving 104 German and 208 Soviet schizophrenics showed that the main factors delaying rehabilitation are a large number of previous hospitalizations, long periods preceding hospitalization, the type of schizophrenia, the desired aim of treatment, disturbed relationship of he patient to his or her environment and performance disturbances. Apart from certain personality deviations, the therapeutic measures also involve factors that delay rehabilitation. The rehabilitation barriers mentioned here could be overcome by the more widespread establishment of follow-up care centres.
Subject(s)
Schizophrenia/rehabilitation , Schizophrenic Psychology , Social Environment , Adult , Combined Modality Therapy , Female , Germany, East , Hospitals, Psychiatric , Humans , Length of Stay , Male , Middle Aged , Personality Disorders/psychology , Prognosis , Psychotherapy/methods , USSRABSTRACT
A report is given on the examination of 100 schizophrenic patients by means of questionnaires for a biographic analysis, the results of which showed social particularities of their lives in the sense of "premorbid disabilities" after Wing, showing the necessity of a multidimensional therapy.
