Assessment of treatment with orotate magnesium in early postoperative period of patients with cardiac insufficiency and coronary artery by-pass grafts (ATOMIC).

The benefit of the treatment with magnesium orotate (magnerot) was assessed in a randomised, single blind and placebo controlled study. Respecting the inclusion criteria were selected 32 patients with ischemia chronic failure in early postoperative period after CABG. The main improvements induced by magnesium orotate are the increase in exercise capacity (distance ambulated during 6 minutes walk test and ergospirometric parameters) and the reduction of ventricular premature beats. The treatment was well tolerated and the adverse reactions were not significant. The study strongly suggests the benefit of magnesium orotate added to classical antiischemic therapy in the complex management of coronary patients after CABG.

[Posttraumatic pseudoaneurysm of the axillary artery after anterior dislocation of the shoulder: a case report]. / Pseudoanevrism posttraumatic al arterei axilare, dupa luxatie anterioara a umarului: prezentare de caz.

We present a case of a young patient, 44 years old, with a pseudoaneurysm of the axillary artery after anterior shoulder dislocation. The early diagnosis of axillary artery lesions after trauma is difficult in some cases. It's important to mention the possibility of accidental vascular surgery during reduction of the shoulder dislocation. In consequence, in all patients with a penetrating or blunt trauma of the shoulder is required a neurological and vascular examination; in any suspicions, an additional arteriography and computer tomography is indicated. Early repairs of vascular and neurological lesions are very important for the outcome of these patients.

Clinical significance of ventricular dyskinesis in acute myocardial infarction assessed by apexcardiography.

Apexcardiograms [ACG] recorded in 64 patients with anterior acute myocardial infarction disclosed in 36 cases [56.2%] paradoxal systolic precordial pulsation considered as an expression of ventricular dyskinesis [VD]. The functional significance of VD was assessed by the left ventricle systolic time intervals. There was a significant shortening of the left ventricular ejection time (LVET) and a significant increase in the pre-ejection period (PEP) and of PEP/LVET ratio in patients with VD. The heart/chest ratio was greater in patients with VD but the difference was not statistically significant. The condition of the heart after the acute phase of myocardial infarction was much better in patients without VD or with transient VD in than in those with permanent VD. 91.3% of the patients with permanent VD presented heart failure and belonged to the functional class III-IV. These findings indicate that patients presenting ACG-assessed VD have frequently an altered cardiac performance and a worse long-term prognosis.