[The hypothalamo-hypophyseal-gonadal system in men with myocardial infarction].
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Biomedical subjects
Publications and source records attributed to Z Sadowski.
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In the investigations carried out the value of the noninvasive methods (routine-, three-minute-, 24-hour-, and load-ECG) for the diagnostics of latent ventricular disturbances of cardiac rhythm was controlled. 114 registrations of ventricular arrhythmias according to the Lown-classes with increasingly prolonged periods (1, 6, 12, and 24 hours) show that for the establishment of a ventricular extrasystolia of the classes IV and V a registrations lasting at least 24 hours is necessary. 1- and 3-minute-ECG are not suited for this. The load-ECG has a limited value in the diagnostics of the ventricular arrhythmias. In 155 persons by means of the transoesophageal diagnostic atrial stimulation additionally the sinus node recovery time and the sinuatrial conduction time were determined. In 33 patients of the group with sinus node syndrome the 24-hour-ECG was registered. The sensitivity for the sinuatrial conduction time is 75% and for the sinus node recovery time is 82%. Altogether the two investigation methods, the non-invasive electrophysiology and the long-term ECG, allowed to make a correct diagnosis in 94% of the patients with sinus node syndrome.
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In the years 1965--1978 thrombosis of the intracranial vessels of different aetiology was diagnosed in 204 patients treated at the Department of Neurosurgery, Medical Academy in Warsaw. The authors selected from this group 8 cases described in greater detail in which there was an evident temporal relationship between trauma and the development of the disease. The severity of the sustained trauma was without a significant influence on the development of post-traumatic thrombosis. Clinical Manifestations increased in intensity usually within the first 48 hours and in only one case they appeared 2 weeks after trauma. In the clinical status of the patients of considerable interest was usually absence of disturbances of consciousness with presence of serious signs of focal central nervous system damage. Of decisive diagnostic significance was cerebral angiography which localized the site of thrombosis and excluded presence of post-traumatic intracerebral haematoma. In 7 cases thrombosis affected the main trunk or branches of the middle cerebral artery. The prognosis as to survival of such patients is generally good but in most cases disability of different degree developed following thrombosis.
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