Biomedical subjects
Publications and source records attributed to C M Morgans.
A 60 year old man with features of osteogenesis imperfecta presented in biventricular failure with evidence of mitral regurgitation. He responded to conventional treatment but later collapsed and died at home. Necropsy showed a haemopericardium caused by a tear in the left atrium. There was also rupture of the mitral chordae tendineae.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
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The results of a questionary to investigate an open electrocardiograph (E.C.G.) service for family doctors suggest that the service is useful in diagnosis (26% of the E.C.G. reports were unexpected) and in management (the result of the E.C.G. led to specific treatment or alteration to regimen in 22% of cases and in a further 46% to reassurance). The results suggest that during the 45 weeks of the study many outpatient appointments were avoided.Undoubtedly an open E.C.G. service allows the family doctor to give a quicker and better service to his patients. For this reason and because of operational benefits to the hospital the service must be recommended.
Details are presented concerning 59 patients who left hospital between January 1964 and January 1969 after aortic valve replacement with the Starr-Edwards prosthesis. Of the 14 late deaths, 7 are known to have been due to causes related to the prosthesis and 4 to other causes. The 45 surviving patients have nearly all shown clinical improvement and only 3 are unable to work as a result of some complication of the operation. Aortic regurgitation and its consequences appear to be the most significant factor leading to symptoms. In 11 of 16 patients with anaemia there was evidence of intravascular haemolysis. The long-term consequence of this complication is not known.
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Explore the source record for details and available documents.