[Decentralized coronary care program: better quality of care and shorter waiting lists when angiography and vascular surgery are performed locally].
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Biomedical subjects
Publications and source records attributed to G Ahlberg.
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Nine young or middle aged patients with early symptoms of Welander's distal myopathy were subjected to a detailed neurological examination including quantitative sensory testing, determination of motor and sensory nerve conduction velocity (NCV), sensory nerve action potentials, electromyography (EMG) and muscle biopsy from the tibialis anterior muscle (TA). Slight weakness of the extensors of the fingers and hands was found in all nine patients, and of the dorsiflexors of the feet in seven. All patients had a distal sensory disturbance most prominent for temperature which agrees with earlier observations. EMG changes in TA and extensor digitorum communis (EDC) muscles were of myopathic type. Slight abnormalities compatible with either myopathy or early neuropathy were found in one muscle biopsy. These findings indicate that a neurogenic lesion affecting at least the peripheral sensory system is present at an early stage of Welander's distal myopathy and that the neurogenic lesion might precede the myopathic changes.
Out of 383 myocardial infarction (MI) patients aged below 70 years, 252 (66%) were judged after the third day in hospital to have had uncomplicated infarctions. These patients were allocated at random to two groups, one of which was given treatment for 8 days and the other for 15 days. No significant differences in mortality, morbidity or incapacity for work could be detected during the three-month period of follow-up. The findings thus support previous conclusions that early discharge from hospital after uncomplicated MI is not associated with greater risk for the patient than later discharge.
The Landry-Guillain-Barré syndrome is considered rare in connection with pregnancy. In mild cases the course of the pregnancy is unaffected. In severe cases, with respiratory depression and bulbar symptoms, especially during late pregnancy, the syndrome entails an increased risk to both mother and foetus. Therapeutic abortion of cesarean section are not considered to be indicated. A pregnant woman developed the disease during the final trimester and gave birth to premature twins during respirator treatment. The mother and the infants survived.
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