[Gingivitis in children. Morphological, bacteriological and immunological particulars].
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Biomedical subjects
Publications and source records attributed to P Rouxel.
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The authors report the case of a 42 year old female with a phaeochromocytoma who, in the course of a hypertensive episode, had ECG changes typical of a myocardial infarction. These changes regressed within a few days. A normal coronary arteriogram confirmed the purely functional nature of this episode of acute myocardial ischaemia. In addition to the case report, the authors discuss the physio-pathological and electrocardiographic features of the coronary insufficiency of phaeochromocytoma, and also the problem of the rapide regression of the changes of infarction on the ECG.
The association of mitral stenosis with an abnormal pulmonary venous return in the absence of an atrial septal defect, is a rare occurrence, and three cases are reported here. If this diagnosis is suggested by the chest Xray, it is confirmed by haemodynamic investigation, which defines the abnormal pulmonary drainage, guages the size of the left-right shunt, and demonstrates the degree of mitral steonsis. If the defect is poorly tolerated, surgical treatment is required.
The search for electrocardiographic, haemodynamic and above an metabolic criteria suggestive of "myocardial ischaemia" in the course of an atrial pacing test was found to be positive in three patients suffering from atypical thoracic pains, and in whom selective coronary arteriograms might be considered as normal. It appaear thus that the criterion of a normal coronary arteriography and a negative or unsignificant effort test is insufficient to discard the diagnosis of "myocardial ischaemia" when confronted with such pains habitually considered as anorganic. The accurate mechanism of these pains, probably identical to that or those of "angina with normal coronary arteriography" remains undecided.
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