The prognosis of idiopathic cardiomegaly in Jamaica with reference to the coronary arteries and other factors: clinical aspects - abstract
West Indian med. j
; 20(4): 255, Dec. 1971.
Artigo
em Inglês
| MedCarib
| ID: med-6346
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
The mode of death, and the factors which appear to influence the prognosis of idiopathic cardiomegaly have been examined. In more than half the deaths in patients with idiopathic cardiomegaly, death was sudden or unexpected. Electrocardiograms recorded on patients with idiopathic cardiomegaly showed a high rate of abnormalities commonly regarded as indicative of coronary artery disease (36 percent in men and 50 percent in women), a high prevalence of cardiac arrhythmias, particularly multiple ventricular extrasystoles; and high voltage complexes characteristic of left ventricular hypertrophy. Fifty seven per cent of patients whose death was unexpected or sudden, showed multiple ventricular ectopic beats. The differences and similarities between idiopathic cardimegaly and coronary heart disease have been shown. It is concluded that the background of some cases of idiopathic cardiomegaly may be myocardial ischaemia occurring at a gradual and insidious pace, and probably diffusely involving a smaller category of coronary vessel. A possible role for intramuscular Lignocaine in the control of the chronic ventricular ectopic rhythms has been demonstrated. There was a statistically significant association between idiopatic cardiomegaly and positive serological tests for treponemal infection (AU)
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
/
Doença Cardiovascular
/
Doença Isquêmica do Coração
Base de dados:
MedCarib
Assunto principal:
Cardiomegalia
/
Doença das Coronárias
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
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Humanos
/
Masculino
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
West Indian med. j
Ano de publicação:
1970
Tipo de documento:
Artigo
/
Congresso e conferência