Assuntos
Derrame Pericárdico/complicações , Derrame Pericárdico/diagnóstico por imagem , Pericardite Constritiva/etiologia , Pericárdio/diagnóstico por imagem , Adolescente , Adulto , Tamponamento Cardíaco/complicações , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , UltrassonografiaRESUMO
Left ventricular hydatid cyst was diagnosed in a 4-year-old boy by echocardiography. The patient did not respond to oral mebendazole therapy and had a sudden death, probably due to rupture of the cyst. The occurrence of cardiac hydatid cyst and its life threatening complications are rare and have not been reported in children.
Assuntos
Cardiomiopatias/diagnóstico por imagem , Cardiomiopatias/parasitologia , Morte Súbita Cardíaca/etiologia , Equinococose/diagnóstico por imagem , Ecocardiografia , Antinematódeos/uso terapêutico , Cardiomiopatias/tratamento farmacológico , Pré-Escolar , Equinococose/tratamento farmacológico , Evolução Fatal , Ruptura Cardíaca/etiologia , Humanos , Masculino , Mebendazol/uso terapêutico , Ruptura EspontâneaRESUMO
Oral amiodarone was administered to 38 patients (25 males, 13 females) with mean age of 43.6 years. Ventricular and supraventricular arrhythmias were present in 30 and 8 patients respectively. Amiodarone was given as 400-1200 mg/day for 1-2 weeks as loading dose and then it was maintained as 100-600 mg/day. The mean duration of therapy was 12.4 months. Adverse effects were noted in 21 (55.3%) cases. The commonest adverse effects observed were asymptomatic corneal microdeposits followed by gastrointestinal, cardiac, neurological and cutaneous disturbances. The drug was withdrawn in 2 (5.3%) patients because of nausea and vomiting. One patient died of pulmonary infiltrations. It is concluded that adverse effects are common with amiodarone but are tolerated well, making this drug an excellent choice for treatment of cardiac arrhythmias.
Assuntos
Amiodarona/efeitos adversos , Taquicardia Supraventricular/tratamento farmacológico , Taquicardia Ventricular/tratamento farmacológico , Administração Oral , Adulto , Idoso , Amiodarona/administração & dosagem , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
We report a rare case with a combination of cor-triatriatum, large secundum atrial septal defect and bicuspid aortic valve. The diagnosis was made by cross-sectional echocardiography. A defect was present between proximal (accessory) left atrial chamber and right atrium decompressing the accessory left atrial chamber. The large left to right shunt resulted in severe pulmonary arterial hypertension.