[Controversies on the subject of rehabilitation in ischemic cardiopathy].
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Biomedical subjects
Publications and source records attributed to V Rulli.
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The research performed in the last ten years has allowed important knowledge related to cardiocirculatory physiopathology concerning subjects treated with artificial pacemakers. Relying upon available data, one may today state with certainty that subjects treated with artificial pacemakers may afford an activity very often quite near to the physiologic one: it ensues that every attempt must be made (particularly referring to subjects under 50 years) in order to resume work adaptation correlated with similar efficient possibilities about peripheral circulation. A rehabilitation treatment, on a valid functional evaluation ground, is today possible and desirable, as is demonstrated by some patients who have again resumed their activity.
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The Authors studied the postural variations of right pulmonary circulation in 30 normal subjects with rheographic technique. In lying position the rheograms remain without modifications concerning the derivations's area (superior or middle or inferior right pulmonary lobes). In standing position the rheogram of superior lobe increases his area, that of inferior lobe decreases and that of middle lobe remains unvariated. This pattern of behaviour is early modified by cardiac or pulmonary diseases. Also if this technique is easy to perform and in our experience is reproducible, we think that we must accept his limits in view of lack of a very accurate and exact calibration.
Five cases of Smeloff-Cutter prosthesis implanted in the mitral position nine years ago were investigated with combined echocardiographic and phonocardiographic recordings. In two cases a malfunction was demonstrated and a surgical confirmation was obtained at the reoperation. Normal and abnormal echocardiographic patterns of the Smeloff-Cutter prosthesis are reported and discussed. The Authors stress the importance of combined echo-phono recordings when malfunction of the mobile element of a mechanical prosthesis is suspected.
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