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Biomedical subjects

G A Feruglio

Publications and source records attributed to G A Feruglio.

At least 73 records · Page 4Linked to original sources
PubMed1979

[Right ventricular infarction. Report of a case with chronic congestive failure (author's transl)].

A case of myocardial infarction with severe shock, marked systemic venous congestion and transient A-V block was observed in our Coronary Care Unit four years ago; signs of pulmonary venous congestion were absent. The patient, still alive, remains seriously incapacitated, with persistent signs of right ventricular failure. Recently, coronary angiography has shown total proximal obstruction of a "dominant" right coronary artery. The left coronary artery was free from significant obstructions. Right and left ventriculography have shown severe diffuse impairment of right ventricular contractility and akinesis of the left ventricular posterobasal segment. Echocardiography has demonstrated marked paradoxical movement of the interventricular septum. The scanty literature on this rare syndrome is reviewed; diagnostic criteria, therapeutic approaches and prognosis are briefly discussed.

Angiography↗
PubMed1978

[Programmed rehabilitation of infarct patients. Methods and results].

Rehabilitation is now regarded as an integral part of the treatment of myocardial infarctees. The programme followed by the cardiological institutions of the Udine regional hospital and physical medicine and rehabilitation is described. Divided into four stages, it is put into effect after careful assessment of the patient's physical capability and psychological profile. The results of three years' work are presented.

Disability Evaluation↗
PubMed1978

[Permanent cardiac pacing in Italy to-day (author's transl)].

The current status of cardiac pacing in Italy is outlined by the following figures: 121 hospitals implant over 10,000 pacemakers each year. Of this number 69% are new implants which raises the incidence of new treated cases to 111 per million population, with the highest peach (197) in Tuscany. This figure was only 61 in 1973. At elsewhere, the dominant age group is the 7th decade; the prime indication for pacing is the symptomatic patient with a-v block (62% of all cases), the next most common one being chronic fascicular block (11%) and sick sinus syndrome (10%). The transvenous route is utilized in 98.3% of cases. The pacemaker of choice is the R-inhibited units; fixed rate units are used in only 4% of cases and units with conventional mercury battery cells in 66%, in favour of pacers with longer energy sources (e.g. lithium). Fifteen companies are supplying pacemakers in Italy and four of them are local manufacturers. An estimate 18,000 patients are being paced throughout the country to-day. Their density is highest in the region Friuli-Venezia Giulia (948 per million population). Follow-up of patients as a whole is not satisfactory being adequate only in about 50% of hospitals; telephone monitoring is available but in a few locations. The average cost of permanent pacing in Italy is the equivalent of 2.50 U.S. dollars per day.

Adolescent↗
PubMed1978

[A regional experience with permanent cardiac pacing: in Friuli-Venezia Giulia the highest density of pacemaker patients in Italy, to-day (author's transl)].

In Friuli-Venezia Giulia, a region of 1,243,463 inhabitants, a total of 1,629 first implants have been carried out since the first patient was treated with permanent cardiac pacing (P.C.P.) early in 1692. This patient is still alive. In the last four years, the annual rate of implants was 185 per million inhabitants. The average age of patients is 72.9. The most frequent indication for pacing is the a-v block (64.5%), followed by the fascicular blocks (10.8%) and the sick sinus syndrome. No asinchronous fixed rate generators are implanted at present; lithium batteries are the power source of choice to-day. There have been 1,120 replacements in the Region, mainly due to battery depletion (89.9% of cases). A total of 442 patient deaths have occurred in 10 years due to neoplasms (17%), cerebrovascular accidents (15.6%), respiratory infections (15%), myocardial infarction (8%) and other causes. In 8.8% of cases the death was sudden. There are 1,179 patients in follow-up in the Region (948 per million inhabitants). A computer system, described elsewhere in these proceedings, allows a close follow-up of these patients along with the evaluation of long term pacing on a reliable statistical basis.

Adolescent↗
PubMed1978

[The Italian experience in permanent pacing. A casuistry for more of 10 years: a policentric study (author's transl)].

According to a recent national survey, 387 patients were treated by permanent pacing in 10 Italian centers, between 1961 and 1966. Of these patients 205 have died; 131 (77 males and 54 females) are still alive and no informations could be obtained for the remaining 51 (13%). The overall survival of patients treated during this period of time is therefore not less than 34% which is comparable to that of general population of the same age group. The 131 patients still alive have totaled 1,486 years of pacing and have used up to 784 pacers. Comparing the incidence of the most common causes for replacement during the periods 1961-66 and 1973-77, electrode failures dropped from 21 to 0.9%; circuitry malfunctions occurred in 10.5 and 7.8%; battery depletion rose from 36.8 to 69% of the cases. According to their clinical conditions, the 131 patients on long-term follow-up can be grouped as follows: 62% are in class 1 or 2 of NYHA; 26.7% are in class 3, and 3.8% in class 4. Moreover, 53.4% of patients are living an active life, having some sort of occupation and 29% are holding a driving license.

Aged↗
PubMed1978

[Proposal for a national system of pacemaker patient registration. Goals, technical aspects and cost analysis (author's transl)].

Based on a personal experience with computer logging of pacemaker data, the Authors describe a system for a nation-wide registration of pacemaker patients. The advantages of such registration are stressed. The way of collecting and storing data, the interactions between pacemaker centers and the central registration system, the registration card, the estimated costs are discussed in detail.

Computers↗
PubMed1978

[The computer assisted pacemaker clinic at the regional hospital of Udine (author's transl)].

For a close follow-up of large groups of pacemaker patients and for evaluation of long term pacing on a reliable statistical basis, many pacemaker centers in the world are now using computer systems. A patient data system with structured display records, designed to give complete, comprehensive and surveyable information and which are immediately retrievable 24 hours a day, on display or printed sets, seems to offer an ideal solution. The pacemaker clinic at the Regional Hospital of Udine has adopted this type of system. The clinic in linked to a live, on-line patient data system (G/3, Informatica Friuli-Venezia Giulia). The input and retrieval of information are made through a conventional keyboard. The input formats have fixed headings with coded alternatives and a limited space for comments in free text. The computer edits the coded information to surveyable reviews. Searches can be made on coded information and data of interest.

Computers↗