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C Kallmeyer Martín

Publications and source records attributed to C Kallmeyer Martín.

4 recordsLinked to original sources
PubMed1997

[Results of long-term permanent atrial stimulation in sick sinus disease].

INTRODUCTION: AAI is the pacing mode recommended in patients with sinus node dysfunction (SND) but is the less used in our country. Progression to high grade atrioventricular block (AVB) is argued as the reason to implant VVI or DDD pacemakers. We used AAI pacemakers in patients with SND only if Wenckebach AVB appeared at atrial pacing rates > or = 120 beats/min before implantation. PATIENTS AND METHODS: A series of 45 patients with permanent atrial pacemaker (AAI-PM) systems, were prospectively followed and retrospectively analyzed to investigate the incidence of atrioventricular (AV) conduction disturbances and chronic atrial tachyarrhythmias. AAI-PM were implanted in patients with sinus node dysfunction (SND) in the absence of bundle branch block, only if Wenckebach AV block appeared at atrial pacing rates > or = 120 beats/min. Four patients were lost during follow-up. In 41 patients (23 males, mean age 68 +/- 12 years) the mean follow-up time was 56 months (10 to 110). There was one case of lead failure but no case of dislodgement. RESULTS: 28 of the 41 patients are still successfully paced in AAI mode after a mean of 68.5 months (44-110). Five patients presented chronic atrial fibrillation at a mean of 23 months (10-39) after PM implantation and remained chronically in this situation. Of these, 4 patients had paroxysmal atrial fibrillation documented before PM implantation. Eight patients died during follow-up (range 10-78 months post PM implantation) at mean age 84 years. Causes of death were noncardiovascular in 5 patients, and a cerebrovascular accident in 3 patients. One patient on digoxin and amiodarone had asymptomatic Wenckebach AV block during night sleep. The AV conduction normalized after cessation of drug therapy. Progression to high degree AV block was not documented in any patient. CONCLUSION: AAI is a reliable and safe mode of pacing in patients with SND. If appropriate indications for AAI pacing are followed, progression to high degree AV block is rare and the need to implant additional ventricular lead seems unlikely.

Adult↗
PubMed1995

[Recurrent pericarditis: our experience with colchicine].

To prove the efficacy of colchicine in the prevention of recurrences of acute pericarditis, 5 patients, age 24 to 64 years (mean 36), were treated during 18 months with 1 milligram daily. Previous treatment with steroids and/or non steroid antiinflammatory agents did not prevent 2-3 recurrences per patient, and was discontinued after entry into the study. There where no further recurrences of acute pericardial episodes during the 24 months of follow-up, and no side effects related to the treatment with colchicine were reported. We conclude that colchicine is effective in preventing the recurrences of acute idiopathic pericarditis.

Adult↗
PubMed1990

[Acute myopericarditis with pulmonary infiltration and hypereosinophilia].

A 31 year-old male had the sudden onset of left ventricular failure, left ventricular apical thrombus, large pericardial effusion, pulmonary infiltrates and up to 59% eosinophils in the differential leucocyte count. A pericardial biopsy showed eosinophilic infiltration. The whole clinical picture improved dramatically with corticosteroid therapy. After 1 year of treatment with prednisone left ventricular function improved markedly, pericardial effusion disappeared, eosinophils were absent on the peripheral blood smear and the patient was asymptomatic. No endocardial thickening was detected by echocardiography.

Acute Disease↗