PubMed Health⌕ Search

Biomedical subjects

L Piatti

Publications and source records attributed to L Piatti.

7 recordsLinked to original sources

DDI pacing in the bradycardia-tachycardia syndrome.

The bradycardia-tachycardia syndrome is a subgroup within the larger category of sinus node dysfunction. Pacing is often required to treat either the protracted asystolic spells following the spontaneous termination of a paroxysmal supraventricular tachyarrhythmia or to protect the patient from pharmacologically exacerbated bradycardias. While the optimal pacing mode for this subset of patients remains debatable, recent reports have favored the use of atrial ventricular sequential pacing with intact atrial sensing (DDI). This paper reports our experience with a series of 30 consecutive patients in whom the DDI mode was utilized as part of the management of this syndrome. DDI pacing has been demonstrated to be safe, extremely effective, and easy to use in this group of patients.

Aged↗

[Screening for obesity in a schoolchildren population of the 20th zone of Milan and a nutritional education intervention].

Our study was performed in 1986-'87 and 1987-'88 school years on 12.354 three to eighteen years old students (the whole scholastic population of zone 20 of Milan) in order to apply dietary education on obese subjects. Mean prevalence of obesity was 13.4% with elevated percentages in 11 to 13 years old students (17.9%), with respect to primary (14.1%), high school (12.4%) and nursery school (4.7%). The 36% of obese subjects (more than 50% of adolescents) had already tempted to reduce body weight. Intervention reduced % weight excess (from 33.6 +/- 0.5% to, 28.8 +/- 0.5% after 12 months, p less than 0.001); 67% of obese subjects lost weight and body weight returned within normal limits in 31% of subjects. An educational dietetic strategy may be successful in childhood obesity.

Adolescent↗

Vagoglossopharyngeal neuralgia with syncope in the course of carcinomatous meningitis.

In a patient with vagoglossopharyngeal neuralgia secondary to an intracranial tumor, accompanied by vasodepressor syncope a short course of intrathecal antimitotic therapy relieved the symptoms altogether without need either for drugs routinely effective against neuralgia or for intracranial resection of the glossopharyngeal nerve and the superior roots of the vagus.

Adult↗

[Neurogenic pulmonary edema. Description of a case occurring after an epileptic crisis].

A 34-year-old woman without heart disease had an acute pulmonary edema after a grand mal seizure. Neurogenic pulmonary edema is characterized by the primary role played by the central nervous system in its pathogenesis, usually in the absence of cardiopulmonary disease. We believe that the initiating mechanism was a marked, although brief, generalized vasoconstriction, followed by a shift of blood from the peripheral vascular bed to the pulmonary vascular bed. We stress the need of treating the underlying neurologic disease as the only regional way of preventing the recurrence of pulmonary edema.

Adult↗