RESUMEN
There have been studied the left ventricular performance at 71 patients (66 B/5 F) with myocardial infarction during the convalescence period, admitted in the Department of Clinical Rehabilitation in a period of time between 01.01.1992-31.10.1993. Mean age was 49.9 +/- 4.3 years. Most of the patients had antero-septal (33 patients--46%) and posteroinferior (29 patients--41%) myocardial infarction. The left ventricular performance was assessed by the study of exercise electrocardiography (TTI), of the systolic intervals using the Weissler equations and echocardiography (M-mode and 2D). After the period pf training (21 days), we saw a significant reduction of TTI at the same step of the test. The systolic intervals significantly modified after the training were PEVS (p < 0.025), PEP/PEVS (p < 0.025), EF (p < 0.025). EF and SF measured echographically do not indicate significant differences after the training. There are not important improvements of the wall motion disorders at the end of the period.
Asunto(s)
Infarto del Miocardio/fisiopatología , Infarto del Miocardio/rehabilitación , Función Ventricular Izquierda , Adulto , Convalecencia , Femenino , Pruebas de Función Cardíaca/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico , Consumo de OxígenoAsunto(s)
Enfermedades Pulmonares Obstructivas/terapia , Corticoesteroides/uso terapéutico , Adulto , Anciano , Antibacterianos/uso terapéutico , Antiinflamatorios/uso terapéutico , Ejercicios Respiratorios , Broncodilatadores/uso terapéutico , Expectorantes/uso terapéutico , Femenino , Humanos , Respiración con Presión Positiva Intermitente , Masculino , Persona de Mediana EdadAsunto(s)
Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/etiología , Hígado/patología , Adolescente , Adulto , Anciano , Biopsia , Transformación Celular Neoplásica , Femenino , Humanos , Cirrosis Hepática/complicaciones , Cirrosis Hepática/patología , Neoplasias Hepáticas/clasificación , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , alfa-Fetoproteínas/aislamiento & purificaciónRESUMEN
ECG changes were followed up in 69 patients under continuous electrocardiographic monitoring before, during and after esophago-gastro-duodenoscopy (EGD). Of these 32 (46.5%) had ischemic heart disease (IHD). One or more varied abnormalities including supraventricular or ventricular ectopic beats, sinus tachycardia or sinus bradycardia, intermittent right or left bundle branch block, S--T segment depression (and increased preexisting S--T segment depression), T wave flattening or inversion appeared during EGD. Only one patient with IHD developed anginal chest pain during endoscopy. Despite the high incidence of recorded rhythm abnormalities, these were transient, and no treatments were needed. However, it seems advisable to have resuscitation equipment and emergency drugs available during EGD, particularly when it is performed in patients with IHD.