PubMed Health⌕ Search

Biomedical subjects

M Rübesamen

Publications and source records attributed to M Rübesamen.

At least 19 recordsLinked to original sources
PubMed1999

[Manifestation of an anomalous origin of the right coronary artery from the pulmonary artery after development of significant coronary disease].

We describe a 71-year-old man with a history of a small posterior myocardial infarction. Angiographically he showed a coronary artery disease with major proximal stenosis of both branches of the left coronary artery and an occlusion of the marginal branch of the circumflex artery (infarct-related vessel). As an unexpected finding, an anomalous origin of the right coronary artery from the pulmonary artery was also found. This rare condition may cause development of ischemia with potentially lethal complications as a result of coronary steal phenomenon. Surgical treatment is, therefore, indicated even in asymptomatic patients with this anomaly. Possible surgical procedures and there indications are discussed.

Aged↗
PubMed1981

[Esophageal electrocardiography--new variants in derivation technics].

Oesophageal electrocardiography provides for an analysis of heart rhythm that must be considered more accurate than the one obtained in a conventional electrocardiogram. Bipolar intraoesophageal and oesophagosternal or oesophagoparasternal leads, using adequate electrode cables, permit recordings, satisfactory from a technical point of view, even when applying the methods of provocations (ergometry).

Arrhythmias, Cardiac↗
PubMed1980

[Electrophysiological findings in atrial arrest].

It is reported on intracardiac electrophysiological findings of a 50-year-old patient in whom an atrial arrest could be diagnosed. With the help of the intracardiac mapping electric residual activities could be proved in the area of the sinus node, of the anterior atrial bundle as well as of the left atrium. The electrophysiological mechanism, the causes, the ways of conduction as well as the valency of the diagnostic measures are discussed.

Arrhythmias, Cardiac↗
PubMed1979

[Myocardial infarction without coronary artery changes].

Since 1972 6 patients (4 males and 2 females) at the age from 18 to 44 years with myocardial infarctions could be observed whose coronary system in the subsequent coronarographic examinations proved to be unconspicuous. The diagnosis of the infarction was anamnestically, laboratory-chemically, electrocardiographically and partly scintigraphically ascertained. Issuing from features of infarction and pseudoinfarction, respectively, in the ECG other differential-diagnostically important cardiac and extracardiac causes could be excluded. In comparison to patients with coronary sclerosis typical symptomatology could not be delimited. Peculiarities of the clinical picture are the juvenile age, the in most cases short or lacking angina pectoris anamnesis, the frequent lack of factors of risk and the inclination to disturbances of rhythm. Up to now a satisfying etiologic clarification could not be rendered. The relevance of the different possibilities of the disturbed equilibrium between O2-offer and -need concerning the clinical course of our patients is discussed. Here on the side of the O2-offer the spasm of the big and small vessel and the disease of the small vessels are regarded as decisive factors of the development of the infarction, where as the coronary embolism with subsequent lysis is less to be taken into consideration. Other pathogenetic mechanisms, such as the pathologic Hb-O2-dissociation and the metabolic changes influencing the O2-need must be included into the causal chain of this presumably polyetiologic process. Prognostic and therapeutic aspects which closely correlate with the etiologic explanation are discussed.

Adult↗
PubMed1978

[Comparison of the values of automatic ECG analysis according to the Smith and the Pipberger diagnostic programs by means of a serial study in a large industry].

It could be shown that an ECG-screening could be integrated into the routine work of a factory outpatient department. As a result of the automatical analysis of the ECG we got an exact knowledge of the efficiency of Smith's and Pipberger's diagnostic programmes. The suitability of the two programmes for screening examinations resulted from the 91% and 97% certain separation of normal and pathological findings and the small proportion of falsely negative results (Smith, Pipberger). Concerning the exact differentiation of pathological ECG the frequency of recognition of Pipberger's programme still surpassed that one of Smith's programme. However, the two programmes show a diagnostic security which lies above the visual diagnosing. The establishment of findings performed off line per week ascertained a rapid disposal of results. In comparison to former examinations newly detected cases could be established only in a small percentage. The importance for health polities of such examinations results from the necessity of the prophylaxis of cardio-vascular diseases, the numbers of morbidity and mortality of which are permanently increasing.

Cardiovascular Diseases↗
PubMed1978

[Severe Klebsiella serogenes infections].

It is reported on 2 cases of Klebsiella-septikaemia with difficult course. Germs of the group Klebsiella aerogenes could be proved microbiologically. On the basis of the peculiarities of the clinical course the author adopts a definite attitude to the development of the infection, the pathogenesis, to the microbiological proof and to the aimed antimicrobial chemotherapy. The antibiotic treatment was successful in the first case with karbenicillin and gentamycin and in the second case with cephalotin and gentamycin during 4 weeks when a penicillin allergy was present and following this with chloramphenicol and streptomycin during 3 weeks.

Aged↗
PubMed1977

[Experience in the use of Smith's ECG evaluation program].

After the experiences with the use of the programme of Pipberger concerning the automatised ECG-analysis in clinic, outpatient department and factory public health, which were made at the Medical Academy Erfurt during the last years, at this time comparative examinations with the ECG-analysis programme of Smith were performed. The intake of data (3 orthogonal leads) is done by means of a data establishing unit developed by us. For the analog-digital-changing, the pretreatment of data and the transmission of the ECG-data on the digital magnet tape a process-calculator TPA-i is used. The analysis is performed by the computer Robotron 21. The evaluation of the results shows that, when a great number of patients is examined, normal curves are correctly estimated at 100%. The recognition rate of pathological curves has with 79.5% about the same size as the visual judgment. The deficiencies of the diagnostic programme of Smith must be essentially found in the relatively high proportion of falsely negative findings, the insufficient differentiation of the changes of the chamber variation, in the sometimes incorrect formation, why the classification of the curves in individual groups was performed. On account of the certain centage of falsely negative ones the programme is well recognition of normal findings and the tolerable pernotion of the diagnosis and the sometimes lacking insuited for screening examinations.

Diagnosis, Computer-Assisted↗
PubMed1976

[Contribution to the clinical picture of Wegener's granulomatosis].

On the basis of 5 casuistics of Wegener's granulomatosis the author deals with the difficulties of the diagnosis and differential diagnosis, whereby above all is referred to the preculiarities of the cases and the malinterpretation of the diagnoses on admission to the hospital.

Adult↗
PubMed1975

[The correlation of clinical-electrocardiographic criteria with pathologic-anatomical findings in myocardial infarct].

Electrocardiographic signs of myocardial infarction obtained in 591 patients by the corrected orthogonal lead system according to Frank were compared with corresponding results of autopsy-proven material and corrected. By the corrected orthogonal lead system myocardial infarction could be recognized in 89% of the autopsy-proven cases. Moreover, electrocardiographic alterations which suggest accompanying mono- or biventricular hypertrophy were demonstrated.

Adult↗