Divorce of mitral valve prolapse and neurocirculatory asthenia.
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Biomedical subjects
Publications and source records attributed to T Peltonen.
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The changes in heart rate and systolic time intervals were studied in a group of 10 young healthy male volunteers during immersion of their hand in ice water for 1 min. The heart rate and systolic time intervals were measured from electro-, phono-, and impedance cardiograms in the standard way. When the cold immersion was done in the supine position the left ventricular ejection time (LVET) and the electromechanic systole (Q-S2Tc) shortened, and when corrected for the heart rate the Q-S2Tc lengthened in the beginning of the immersion. In the head-up position the Q-S2T shortened in the beginning of the immersion while the rate-corrected systolic time intervals remained unchanged. Most of the changes in the systolic time intervals disappeared before the last quarter of the cold immersion. It was observed that during the cold immersion the linear regression coefficients between the heart rate and the Q-S2T in the supine position as well as between the heart rate and the LVET, Q-S2T and the PEP in the head-up position were greater than the regression coefficients used in the rate correction.
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Haemodynamics of two reindeer (18 h and 4 days old) and one elk (1 week old) calves were studied by catheterization and angiography. Early closure of foetal shunts, high cardiac output and large ejection fractions were observed in all three animals. Pulmonary arterial blood pressure decreased to the full-grown level during the first days of life in the reindeer. Electrocardiography showed cranial-orientated QRS vector in both species. The cardiovascular system of the Cervidae is well developed at birth and adapts rapidly during the neonatal period.
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As the obstetrician attends to the mother and the pediatrician to the child, the placenta often tends to be ignored. Nevertheless, essential anamnestic information about the condition of a newborn infant, and especially of a premature, can be gained from careful scrutiny of the placenta and fetal membranes. This paper emphasizes the importance of gross examination of the placenta and membranes as a source of immediate information to the pediatrician within the delivery room.
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Bronchography was performed in lambs before, during and after the first breath. Swallowing of the contrast medium containing tracheobronchial fluid was observed before the first breath. Intratracheal pressure changes ranging up to 20 mmHg were observed during respiratory movements which did not open the alveoli. The lamb did not start breathing as long as the snout was covered although there was a direct connection between the trachea and atmospheric air through a tracheostomy. When the snout was uncovered a lamb in good condition drew its first breath and the spreading of the contrast material into the peripheral parts of the lungs was almost explosive. The diameter of the tracheobronchial tree widened as a result of the initiation of respiration. It is suggested that both swallowing in the pharynx and absorption into the blood circulation below the larynx play an essential role in the disappearance of the tracheobronchial fluid. Intrauterine aspiration seems less probable in the light of these observations.