[Regression of hypertrophy of the left ventricle in hypertensive subjects treated with captopril].
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Biomedical subjects
Publications and source records attributed to G Forin.
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A brief summary of a course in geriatric cardiology given to geriatric specialists is presented in the form of a review of cardiological methods applicable to the examination of the elderly, and the diagnosis of their heart diseases. Reference is made to the recent literature and work done at the University of Pavia with particular attention to "senile myocardiopathy" and "bundle-branch blocks and semiblocks in the elderly". The indications, modalities, meaning, and limits of non-invasive examinations are explained. Mention is also made of the usefulness of a study of His's bundle, cardiac catheterisation, and angiocardiography in selected cases, particularly when these are oriented towards therapeutic or rehabilitative management, bearing in mind the current tendency to enlarge the frontiers of heart surgery when the result will be to prolong or improve the quality of life, even in the elderly.
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A three-year follow-up study was made of 45 elderly subjects with left anterior hemiblock, either alone or associated with right bundle-branch block. In the LAH + RBBB group, there was a higher mortality rate and frequent evolution toward complete A-V block. The prognostic significance of left fascicular hemiblocks is discussed.
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The results of a three-year follow-up study of 45 elderly subjects (mean age 79,5 years, range 67-96 years) with left anterior hemiblock (LAH) alone or associated to right bundle branch block (RBBB) are reported. In the presence of isolated LAH no significant changes in the mortality rate were observed. The patients with LAH+RBBB showed an increase in mortality rate and not rarely (2 cases out of 13) an evolution toward a complete A-V block. The role of age as a factor influencing the natural history of these patients is discussed.
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