Anterior myocardial infarction in an adult patient with left ventricular hypertrabeculation/noncompaction [2]

PubMed ID: 16337050[No abstract available

Prevalence matters : The influence of socio-demographic and loss-related variables on the development of prolonged grief disorder

A meta-analysis is currently being conducted on pro-longed grief disorder (PGD) following unnatural losses.Preliminary results indicate a much higher prevalencethan the prevalence of PGD following natural losses. Inaddition, other loss-related variables may be associatedwith PGD prevalence. This symposium aims to illustratethe clinical implications of these‘prevalence matters’bypresenting two studies of large help-seeking samples ofbereaved individuals. The first study is based on datafrom 942 Western homicidally bereaved individuals. Thesecond study examined data from 2404 Arabic speakingbereaved individuals. The third study introduces a cultu-rally-sensitive online assessment measure of PGD forSwiss, Japanese and Chinese bereaved individuals

Mitral balloon valvuloplasty with transesophageal echocardiography without using fluoroscopy

PubMed ID: 1458529Balloon mitral valvuloplasty with Inoue technique was performed in two group of patients. In group I (n = 40) valvuloplasty was performed under fluoroscopy without using echocardiography, whereas in group II (n = 13) valvuloplasty was performed under the guidance of transesophageal echocardiography alone, without using fluoroscopy. Patients in two groups were comparable with regard to clinical variables and hemodynamic parameters. Two female patients in group II were pregnant. Transmitral pressure gradient decrease did not differ significantly between two groups (pressure gradient: 17 ± 5 to 4 ± 1 in group I and 15 ± 4 to 3 ± 1 mm Hg in group II). Mitral valvular area increase was also not different in two groups (1.09 ± 0.2 cm2 to 2.3 ± 0.5 cm2 in group I and 0.9 ± 0.2 to 2 ± 0.3 cm2 in group II). In 14 cases from group I and 2 cases from group II mitral regurgitation increased after valvuloplasty (p < .05). Left atrial perforation occurred in one patient from group I and 2 patients from group II. In conclusion, mitral balloon valvuloplasty under transesophageal echocardiographic guidance alone is a safe and effective procedure in the treatment of mitral stenosis. Copyright © 1992 John Wiley & Sons, Ltd

Joint hypermobility syndrome in panic disorder patients with and without mitral valve prolapse

16th Congress of the European-College-of-Neuropsychopharmacology -- SEP 20-24, 2003 -- PRAGUE, CZECH REPUBLICWOS: 000185412300560European Coll Neuropsychopharmaco

‘Paradoxical’ rise in blood pressure during ultrafiltration in dialysis patients

PubMed ID: 8538935In some hypertensive haemodialysis (HD) patients, blood pressure rises further during ultrafiltration (UF). We investigated seven such patients, who were not responsive to hypotensive drugs, including converting enzyme inhibitors. All had marked cardiac dilatation, but most were non-oedematous. They were treated with repeated intense UF while monitoring cardiac function by echocardiography. After a variable time period they all became (near) normotensive without medication. Mean systolic and diastolic blood pressure decreased by 46 ± 18 and 22 ±9 mmHg respectively while bodyweight decreased by a mean of 6.7 ± 3.0 kg. Plasma volume decreased by 22%, and mean albumin increased from 3.9 ± 0.3 to 4.2 ± 0.3 g/dl. Cardiothoracic index decreased from a 0.56 ± 0.02 to 0.45 ± 0.03. Mitral and tricuspid insufficiency was present in four patients and improved or disappeared in all of them. Diameters of the inferior vena cava, left atrium, and end systolic and diastolic left ventricle markedly decreased in all patients. Ejection fraction increased, but remained subnormal in some patients, while cardiac output increased in five and decreased in two patients. We conclude that paradoxical blood pressure rise with UF usually occurs in the presence overhydration and cardiac dilatation and should be treated by intensified UF. The explanation of this phenomenon remains speculative. © 1995 European Dialysis and Transplant Association-European Renal Association