RESUMO
The case history of a twenty-one month old boy who presented with congestive cardiac failure in association with chronic tonsillar and adenoidal hypertrophy is presented. This is the first such case to be reported from Jamaica. The aetiology of cardiac failure in association with upper airway obstruction is briefly discussed (AU)
Assuntos
Humanos , Lactente , Masculino , Doenças Nasofaríngeas/complicações , Doença Cardiopulmonar/complicações , Tonsila Faríngea/patologia , Obstrução das Vias Respiratórias/complicações , Anemia/complicações , Diurese , Eletrocardiografia , Hipertrofia , Doença Cardiopulmonar/diagnóstico por imagem , Tonsila Palatina/patologia , JamaicaRESUMO
The clinical features and epidemiology of diffuse pulmonary fibrosis in Guyana have been investigated. The condition is limited to East Indians and is characterised by progressive dyspnoea leading to pulmonary heart-disease and congestive heart-failure. 19 hospital patients studied, and 7 others radiographically confirmed, had all smoked "blackfat" tobacco, a variety which is not widely used.(Summary)
Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Fibrose Pulmonar/epidemiologia , Tabagismo , Tabaco , Peso Corporal , Dispneia/etiologia , Guiana , Insuficiência Cardíaca/etiologia , Fibrose Pulmonar/etiologia , Fibrose Pulmonar/diagnóstico por imagem , Doença Cardiopulmonar/etiologia , Testes de Função RespiratóriaRESUMO
The heart weight and the weights of the component parts have been measured in a group of 126 Jamaicans of African origin on whom autopsy was performed at the Pathology Department of the University of the West Indies. This series comprised 58 normal cases, 46 cases of hypertension, and 22 cases of chronic lung disease. The mean heart weight for normal males was 294.5 g and for females 258.5 g. These figures are similar to those reported from Uganda but less than those from Britain and North America. The differences in heart weight are probably correlated with difference in body size. Total heart weight in the hypertensives was greater than in normals because of left ventricular hypertrophy. In chronic lung disease total heart weight was greater than that of normals due to enlargement of the right ventricle and of the combined atria. Right ventricular weight was also increased in cases of hypertension. (AU)
Assuntos
Pessoa de Meia-Idade , Adolescente , Adulto , Idoso , Criança , Humanos , Masculino , Feminino , Coração , Cardiomegalia , Hipertensão , Pneumopatias , Tamanho do Órgão , Doença Cardiopulmonar , JamaicaRESUMO
Four cases of lung fibrosis are described in Jamaicans. The cases are of interest because the fibrosis differed in origin. Each terminated with failure of a hypertrophied right heart, the duration of failure being relatively short before death (AU)
