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Biomedical subjects

G Coatantiec

Publications and source records attributed to G Coatantiec.

6 recordsLinked to original sources

[Deceptive and revealing clinical forms of acute respiratory insufficience in chronic bronchopneumopathies].

The authors report 6 cases of acute respiratory failure complicating chronic bronchial and lung disease admitted to hospital with the diagnosis of: heart disease, 3 cases, pulmonary oedema, pulmonary embolism, atrial flutter; status asthmaticus : one case; neuro-psychiatric disease : 2 cases (toxic coma and agitation). The authors emphasize the frequency of chronic bronchial disease and recall the signs of acute decompensation discussing the possible difficulties in diagnosis and the therapeutic implications.

Aged

[Misleading pulmonary emboliu].

The authors report 12 cases of pulmonary embolism with misleading signs and discuss the difficulty in diagnosis: 1) the frequency of incomplete forms; 2) lack of specificity of the clinical and paraclinical picture of pulmonary embolism which may simulate pulmonary or heart disease; 3) difficulties in interpretation of the signs of pulmonary embolism in cases of prior heart or pulmonary disease.

Aged

[Myotonic dystrophy and acute respiratory insufficiency].

Myotonic dystrophy or Steinert's disease may be discovered during acute respiratory failure, sometimes caused by a general anaesthetic. It complicates chronic respiratory failure which is present in almost all cases, both restrictive and obstructive, the clinical signs of which progress with the myopathy. Apart from myotonic degeneration of the respiratory muscles, a hypoventilation syndrome of central origin has been described, but the etiology of this respiratory failure is dominated by repeated aspiration pneumonia favoured by constant dysphagia and passage of food into the trachea and poor cough reflex. One should attempt to correct this.

Acute Disease

[Acute coronary thrombosis in a 28 year-old woman].

A 28-year-old woman, with no previous cardiovascular history, was hospitalized for myocardial infarction complicated by bifascicular block followed by complete atrio-ventricular block with a regressive course. A coronary arteriography performed on the 10th day demonstrated a thrombosis of the anterior interventricular artery, the rest of the coronary network being normal. The influence of a dyslipidaemia and the taking of oral contraceptives was discussed as an aetiology.

Acute Disease