[The role of endorphin in silent myocardial ischemia].
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Biomedical subjects
Publications and source records attributed to R Giugni.
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The Authors describe a case of a patient suffering from mitral prolapse whose echocardiogram shows in addition to typical findings of this syndrome an annual systolic anterior motion (SAM) of the anterior mitral leaflet, generally present in the idiopathic hypertrophic obstructive cardiomyopathy and more seldom in some others disease, however not present in this present. The Authors suggest that this finding is correlated to the mitral prolapse and express some hypothesis regarding this possibility.
The Authors described a case of tricuspid valve prolapse without occurrence of mitral valve prolapse in a patient affected by Ebstein's anomaly and atrial septal defect. The possible mechanisms of such apparatus valvular dysfunction are analyzed.
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The Authors describe a case of Friedreich's ataxia complicated by an unusual arrhythmia, torsade de pointes, the only manifestation of cardiac involvment in this patient. Then some hypothesis of etiopathogenetic mechanism of this rhythm disturbance in patients affected with Friedreich's ataxia are proposed.
The authors illustrate two peculiar cases of mitral valve prolapse in patients with coronary artery disease. The first case reports a mitral valve prolapse that, absent in basal conditions, is unmasked by a premature ventricular beat. In the second case concerns about the manifestation of a mitral valve prolapse developed during the course of retrosternal chest pain.