A 21-year-old white man presented with cardiogenic shock and refractory pulmonary congestion. At the transthoracic echocardiogram a subvalvar left ventricular aneurysm of the inferior wall with severe mitral regurgitation was observed. The outcome was favorable after surgical correction of the mitral reg...
César, Luiz A. Machado;
Pamplona, David;
Ferreira, Joao Fernando M;
Brito Júnior, Fabio S. de;
Uchida, Augusto H;
Moretti, Miguel A;
Pfeferman, Elcio;
Amato, Reynaldo V;
Luz, Protasio Lemes da;
Bellotti, Giovanni;
Pileggi, Fulvio.
PURPOSE: The decision of stopping cardiopulmonary resuscitation (CPR) in patients brought to emergency room in arrest remains a challenge. Such decision is even more difficult when someone is brought by bystanders, after an acute loss of consciousness without any out-of-hospital care. To evaluate the pro...
PURPOSE: To establish the influence of age, sex and the presence of coronary heart disease on heart rate variability. METHODS: The heart rate variability was studied in the time and frequency domain in 77 normal (group I) and 30 coronary heart disease patients (group II). The ECG was recorded during 300 ...
PURPOSE: To evaluate the levels of blood pressure when measured by casual and ambulatory blood pressure monitoring. METHODS: We studied 16 sedentary and normotensive subjects (mean 43 +/- 3 years old) showing an exaggerated blood pressure response (SBP > 220 mmHg) during a cycloergometric test, hyperreac...
PURPOSE: To analyze the clinical and electrocardiographic characteristics of early repolarization syndrome (EP) in patients with thoracic pain. METHODS: Patients with thoracic pain and early repolarization were studied. EP was diagnosed on the basis of the presence of two or more criteria: ST elevation; ...
Objetivo: enfatizar a importância do achado de ST-T em "pá de pedreiro" em derivaçoes com o QRS predominantemente negativo, como sinal de intoxicaçao digitálica. Casuística: analisam o caso de uma paciente, onde há eletrocardiogramas antes da digitalizaçao, durante a intoxicaçao digitálica e de...
Descrevemos nossa experiência com o uso de adenosina no diagnóstico e tratamento de quatro pacientes pediátricos com taquicardia supraventricular. Brevemente, revisamos o reconhecimento e manejo das taquidisritmias supraventriculares em crianças, bem como a farmacocinética, indicaçoes e efeitos col...
Two cases of congenital trabecular hypoplasia of the right ventricle are reported. In the first, the neonatal diagnosis was missed and the child did well until the 13th month of life when a modified Blalock-Taussig shunt was done because of increasing cyanosis. Outcome was good until the 4th year of life...
Pastore, Carlos Alberto;
Moffa, Paulo Jorge;
Tobias, Nancy Maria;
Moraes, Aguinaldo Pereira de;
Kaiser, Elizabeth;
Cuoco, Marco Antonio;
Mansur, Alfredo;
Granado, Giuliana;
Sanchez, Maria del Carmo;
Bellotti, Giovanni;
Pileggi, Fulvio.
PURPOSE: To compare the correlation between the departure areas (DA), negative or positive, in patients whose electrocardiogram showed left bundle branch block (LBBB) and association with left ventricular hipertrophy (LVH) and myocardial infarction (MI), to the electrocardiographic (ECG) and vectocardiog...
