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Biomedical subjects

W Heidel

Publications and source records attributed to W Heidel.

At least 19 recordsLinked to original sources

[Treatment of a Morgagni-Adams-Stokes attack in hyperthyroidism by means of temporary electrostimulation].

The authors report on a 74-year-old female patient who revealed Adams-Stokes attacks and was supplied by an R-wave triggered external pacemaker. The patient showed intermittent total AV-block. A frequency of 26 beats was observed. Hypothyroidism was recognized as the cause of this disturbance of cardiac rhythm. After treatment with triiodothyronine the bradycardia disappeared and the external pacemaker could be removed. This case is reported for demonstrating a disturbance of the rhythm caused by hypothyroidism and which is successfully treated by temporary pacemaker and specific drug therapy.

Adams-Stokes Syndrome↗

[Experiences in the use of the so-called M-mode method in the clinical diagnosis of heart diseases].

Since formerly only the diastolic phase of the curve of the mitral valve was in the centre of interest for diagnosing the mitral stenosis, nowadays the systolic area is more taken into consideration, the changes of which apart from the hypertrophies of the heart walls increasingly gains significance for the diagnostics of the idiopathic hypertrophic cardiomyopathies, the floppy valve syndrome, the aneurysm of the heart wall, the atrial septum defect as well as for systolic murmurs of different genesis. The registration of the movement of the posterior wall and the septum give the possibility of determination of the volume. Thus mean values of the stroke volume, the minute volume of the heart and the cardiac index showed a conspicuously good correspondence in persons with healthy heart compared with former determinations by dye dilution technique. As formerly (dye examinations) we found significant differences between normals and values of patients with mitral stenosis in stroke volume, ejection fraction, cardiac output and cardiac index, when we used the echocardiographic technique.

Cardiomyopathies↗

[Changes in the munber of 60-year old and older internal patients during a period of 10 years].

In 273 persons, of them 76 with ischaemic heart disease, 46 with non-coronary heart diseases (vitia, hypertension, chronic cor pulmonale, cardiomyopathy) and a control group of 115 healthy persons, during and after submaximal load under bicycle ergometry the ECG after work was recorded, in which case indication and contraindications of the WHO were taken into consideration. Especially investigated were the degree and the morphology of the ST-T-changes in differential-diagnostic respect in ischaemic heart disease and functional disturbances of the repolarisation. Apart from this the disturbances of rhythm and conduction system were analysed, which appeared under stress. The highest diagnostic evidence was under a load of 400-600 kmp/min and a pulse rate of 130-150/mim.

Adult↗