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Biomedical subjects

I Sosa

Publications and source records attributed to I Sosa.

6 recordsLinked to original sources

Left ventricular diastolic dysfunction in patients with congestive heart failure.

This study reviewed 372 male patients with congestive heart failure. Two hundred and eighty-three (77%) had congestive heart failure due to systolic dysfunction as demonstrated by radionuclide angiography. Eighty-seven (23%) with congestive heart failure were identified who had normal ejection fractions. All patients met the Framingham criteria for congestive heart failure. These 87 individuals had unrecognized diastolic heart failure. It is important to distinguish between systolic and diastolic heart failure because the pathophysiology, treatment, and prognosis differ significantly. The most frequent cause of diastolic heart failure in this study was hypertension. Diastolic dysfunction should be considered in patients with acute heart failure and severe uncontrolled hypertension, or in patients with ischemic heart disease who develop acute pulmonary edema. Patients who do not respond or deteriorate when treated for heart failure using conventional therapy may also have diastolic dysfunction. These patients warrant special recognition and tailored management.

Aged

[Emergency surgical procedures in neonates and infants over a 20-year period].

The authors analyse their experience concerning emergency treatments during the twenty year period at their Surgical department in which there never was a pediatric surgeon. The most common surgical procedures are presented, which should be carried out in emergency; it is accentuated that such patients have also to be surgically treated in Subregional hospital's Centers, in which there are no the necessary conditions; that does oblige the general surgeon to pay attention in his everyday activities to these small but delicate patients. Newborns and breastfed babies together with acute surgical disorders, can often have other health problems (or associated diseases), so that there is a necessity of team work and close collaboration between surgeon, anesthesiologist, pediatrician and radiologist in the managing of such patients.

Emergencies

Myopericarditis in acquired immunodeficiency syndrome diagnosed by gallium scintigraphy.

Myocarditis is among the cardiac complications of acquired immunodeficiency syndrome and, yet, is often not discovered until autopsy. Gallium scintigraphy has been employed in diagnosing this entity, but few data are available about its diagnostic accuracy and value. Here, the authors report two cases of myopericarditis as diagnosed by gallium scan.

Acquired Immunodeficiency Syndrome