Subject(s)
Kidney Failure, Chronic/surgery , Kidney Transplantation , Mitral Valve Insufficiency/complications , Renal Dialysis/adverse effects , Ventricular Dysfunction, Left/complications , Adult , Glomerulonephritis/complications , Heart Failure/etiology , Humans , Hypertension, Pulmonary/etiology , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/physiopathology , Kidney Failure, Chronic/therapy , Male , Mitral Valve Insufficiency/diagnostic imaging , Ultrasonography , Ventricular Dysfunction, Left/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , /complications , Renal Insufficiency, Chronic/complications , Renal Dialysis , Kidney Transplantation , Heart Failure/surgeryABSTRACT
The hypertrophic cardiomyopathy may be associated with a variable degree of left ventricular outflow tract obstruction. There are several available therapeutic strategies for treatment: pharmacological, dual-chamber pacing, surgery and induced septal infarction. This last one is a novel technique with less experience in practice. We present the clinical case of a patient which showed persistent and severe obstruction in spite of the medications and dual-chamber pacing, and who underwent this novel technique. The results were optimal but new observations arise from this particular case.
Subject(s)
Cardiomyopathy, Hypertrophic/therapy , Embolization, Therapeutic/methods , Heart Septum , Cardiac Catheterization , Cardiomyopathy, Hypertrophic/complications , Cardiomyopathy, Hypertrophic/diagnosis , Ethanol/administration & dosage , Follow-Up Studies , Humans , Infarction , Male , Middle Aged , Ventricular Outflow Obstruction/diagnosis , Ventricular Outflow Obstruction/etiology , Ventricular Outflow Obstruction/therapyABSTRACT
We report a patient suffering from mitral insufficiency after isolated rupture a papillary muscle as a result of a car accident with blunt chest trauma. The diagnosis is often difficult due to related multiple lesions which vary the clinical picture. Physical exploration, electrocardiogram, enzymatic and nuclear scan lack adequate sensitivity and specificity. Echocardiography appears to be the most reliable noninvasive diagnostic method now available.
Subject(s)
Heart Rupture/complications , Mitral Valve Insufficiency/etiology , Papillary Muscles/injuries , Thoracic Injuries/complications , Wounds, Nonpenetrating/complications , Adult , Echocardiography, Doppler, Color , Echocardiography, Transesophageal , Heart Rupture/diagnostic imaging , Humans , Male , Mitral Valve Insufficiency/diagnostic imagingABSTRACT
We report a patient with a proximal right coronary artery lesion in whom opposite shifts of ST segment in V4R lead were observed during and after exercise. ST-segment depression was provoked by exercise, while ST-segment elevation appeared in the recovery phase. We speculate that different degrees of myocardial ischemia (non-transmural vs transmural) may explain this apparently paradoxical response.