Transesophageal pacing : a versatile diagnostic and therapeutic tool

Journal Articleinfo:eu-repo/semantics/publishe

Myocarditis

The definition, pathogenesis and clinical picture of myocarditis are reviewed. Recent studies emphasize the importance of immune mechanisms in the genesis of the myocardial damage. Among particular forms of myocarditis, Coxsackie B viral infections, HIV infections, Lyme disease and Chagas disease are successively considered. The main measures for the treatment of myocarditis remain a restriction of physical activities along with the classical medications of heart failure. Due to the increased embolic risk, anticoagulation is often indicated.SCOPUS: sh.jinfo:eu-repo/semantics/publishe

Contribution à l'étude de la fonction ventriculaire gauche chez l'homme par analyse informatisée de l'échocardiogramme

Doctorat en sciences médicalesinfo:eu-repo/semantics/nonPublishe

Bilan actuel de l'échocardiographie transoesophagienne.

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Rôle de l'échographie transoesophagienne dans l'endocardite infectieuse

info:eu-repo/semantics/publishe

Contribution à l'étude de la fonction ventriculaire gauche chez l'homme par analyse informatisée de l'échocardiogramme

Doctorat en sciences médicalesinfo:eu-repo/semantics/nonPublishe

Cardiac myxoma: Related to immunosuppression? A case report

Cardiac myxomas are the most common type of primary cardiac tumours. Nevertheless, it is still a rare tumour and its relation with immunosuppressive therapy, which is essential after organ transplantation, remains uncertain. We report the case of a 30-year-old woman, who underwent kidney and pancreatic transplantation for severe nephropathy due to type I diabetes mellitus and since then, under heavy immunosuppressive treatment. Four years after surgery, a left atrial myxoma was discovered. Three other cases of cardiac myxomas following transplantation and immunodepressive status have been reported in the literature, which raises the question of an association between immunosuppression and the development of cardiac myxomas.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Biplane transesophageal echocardiographic diagnosis of cor triatriatum

A transthoracic echocardiogram disclosed a linear structure in the left atrium of an adult presenting with atypical chest pain. Biplane transesophageal echocardiography revealed a cor triatriatum. The longitudinal plane was most useful for the assessment of the membrane orifice and the Doppler flow pattern.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Predictors of the variation of the ejection fraction during exercise in patients with and without coronary heart disease

The aim of this study was to determine the factors influencing the different response of the ejection fraction (EF) of the left ventricle at exercise observed in patients with and without significant coronary heart disease. We have studied 98 patients referred for coronary angiography (82 men, 16 women), of whom 49 patients had a previous myocardial infarction and 71 patients had significant coronary heart disease. Exercise testing was performed and combined with a cardiac blood pool imaging at equilibrium. The variation of the EF between rest and peak exercise (ΔEF) was measured. Twelve clinical, exercise-related, isotopic, and coronary arteriographic variables were examined in a linear univariate and statistical analysis. In the univariate regression, seven variables were significant regressors on the ΔEF. In the multivariate regression, only four variables were significant regressors on the ΔEF. Three independent predictors were found: the rate-pressure product, the ST depression, and the occurrence of a previous myocardial infarction. These three independent predictors reflect the myocardial functional reserve.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Cœur triatrial chez l'adulte

A 18-year old girl suffering from effort dyspnea presented to our hospital. She had no previous medical history. The first investigations revealed a linear structure traversing the left atrium. A transoesophageal echocardiogram demonstrated a thin mobile membrane in the atrium. Many investigations were realized to describe better this structure and its contribution to the symptoms. Cor triatrium is a rare congenital disease and its discovery is rare in adulthood. So, there are no guidelines for the optimal management.SCOPUS: ar.jinfo:eu-repo/semantics/publishe