1/14. Case 4: A patient with systemic hypertension and congestive heart failure.hypertension in the setting of symptomatic congestive heart failure requires aggressive treatment. The optimal antihypertensive agent in such patients is one that effectively controls blood pressure without compromising the failing heart.- - - - - - - - - - ranking = 1keywords = heart failure, heart (Clic here for more details about this article) |
2/14. Late ventricular structure after partial left ventriculectomy.Nine months after partial ventriculectomy, a 53-year-old man died of progressive heart failure. His heart was examined to determine the alignment of the muscle fibers around the ventricular scar, which was 11 cm long, 1.3 cm thick and 4 cm wide. The scar reached 2 to 12 mm beyond the surgical suture line. The fibers in the middle and subendocardial layers were malaligned, resulting in convergence, compression and regional necrosis.- - - - - - - - - - ranking = 0.23908145585751keywords = heart failure, heart (Clic here for more details about this article) |
3/14. beriberi cardiomyopathy.In indonesia beriberi is still endemic, but subclinical cases are not uncommon. Three patients suffering from beriberi presented with different clinical manifestations. One had the classical features of Shoshin beriberi and the other two had the non-alcoholic cardiac beriberi (chronic type). The cardiac symptoms of all three patients responded dramatically to thiamine tetrahydrofurfuryl disulfide; there was also some improvement of their polyneuropathy, consistent with the neurophysiologic findings and somatosensory evoked potentials (SSEPs). We conclude that SSEPs provide additional clinical information on beriberi polyneuropathy. The mortality of untreated cardiovascular beriberi is high. In view of the harmless nature of the treatment, a good case could be made for routine administration of thiamine to all patients in whom heart failure is present without clear evidence of the cause.- - - - - - - - - - ranking = 0.21623297018941keywords = heart failure, heart, cardiac (Clic here for more details about this article) |
4/14. Histopathological changes of biopsied myocardium in Shoshin beriberi.Cardiovascular beriberi is caused by thiamine deficiency and usually arises for one of two reasons: alcoholism or diet. Shoshin beriberi is a fulminant form of cardiac beriberi. We investigated the histopathological features of biopsied myocardial tissue samples from two patients with Shoshin beriberi (one patient with nonalcoholic beriberi and another patient with alcoholic beriberi). Interstitial fibrosis and a variation in size of the myocardial fibers were the main findings in the sample from these patients after thiamine treatment. These findings are persistent histopathological features in the myocardium of patients with Shoshin beriberi after thiamine treatment.- - - - - - - - - - ranking = 0.013001667076896keywords = cardiac (Clic here for more details about this article) |
5/14. Importance of abstention from alcohol in alcoholic heart disease.A case of alcohol-associated heart disease, presenting with congestive heart failure, was followed for 36 months. After abstinence from alcohol, fractional shortening rose from 13 to 60%. After 1 1/2 years of abstinence and normal physical capacity, the alcoholic abuse was resumed. Eleven months later, the patient was again in overt heart failure. Withdrawal of alcohol was again associated with significant clinical improvement, but despite being in functional NYHA class I, fractional shortening only increased from 14 to 29%. Endomyocardial morphology was unrelated to the severity of the disease. Alcoholic heart disease is partially reversible, but total abstinence is necessary to preserve cardiac function.- - - - - - - - - - ranking = 0.68657185807946keywords = heart failure, heart, cardiac (Clic here for more details about this article) |
6/14. Improvement of left ventricular function in alcoholic cardiomyopathy documented by serial gated cardiac pool scanning.Serial gated cardiac blood pool scans showed a gradual return to normal left ventricular function over ten months in a 44-year-old patient who presented initially with severe alcoholic congestive cardiomyopathy. The clinical signs of left ventricular failure abated considerably before myocardial function improved objectively on gated blood pool scanning.- - - - - - - - - - ranking = 0.06500833538448keywords = cardiac (Clic here for more details about this article) |
7/14. Regression of severe alcoholic cardiomyopathy after abstinence of 10 weeks.Alcoholic cardiomyopathy usually has a poor prognosis, but the case presented here documents a dramatic regression of left ventricular dysfunction in a patient with alcoholic cardiomyopathy. Ejection fraction determined by echocardiography increased from 12% at the time of presentation to 45% 10 weeks later. This was associated with clinical resolution of congestive heart failure and a decrease in cardiac and left ventricular size documented by chest x-ray and echocardiography.- - - - - - - - - - ranking = 0.20323130311252keywords = heart failure, heart, cardiac (Clic here for more details about this article) |
8/14. Normalization of variables of left ventricular function in patients with alcoholic cardiomyopathy after cessation of excessive alcohol intake: an echocardiographic study.An excessive alcohol intake has been reported as one of the possible causes or risk factors of 'alcoholic cardiomyopathy'. The possibility that this cardiomyopathy may improve or even reverse if the alcohol abuse has been terminated has been suggested, but unequivocal echocardiographic documentation of this improvement has never been described. This study reports the normalization of cardiac chamber dimensions and of variables of left ventricular function documented by M-mode and cross-sectional echocardiographic follow-up studies, after cessation of excessive consumption of alcohol, in three cases of alcoholic cardiomyopathy.- - - - - - - - - - ranking = 0.013001667076896keywords = cardiac (Clic here for more details about this article) |
9/14. Myocardial function in alcoholic cardiac beriberi.A case of alcoholic beriberi is described. Left ventricular systolic function as measured by the radionuclide ejection fraction showed an abnormal fall with exercise. Subsequent return to normal with the administration of thiamine suggests myocardial involvement in the condition.- - - - - - - - - - ranking = 0.052006668307584keywords = cardiac (Clic here for more details about this article) |
10/14. Reversibility of alcoholic cardiomyopathy.A patient with alcoholic cardiomyopathy is described in whom cardiovascular function capacity and radiological heart size fluctuated widely with periods of heavy drinking and abstinence. On two occasions, cessation of drinking resulted in clinical recovery from severe degrees of congestive failure and in complete reversal of cardiac enlargement. Echocardiographic follow-up showed, however, that the true rapidity of myocardial recovery was much slower than estimated clinically and radiologically and than suggested by the previous reports.- - - - - - - - - - ranking = 0.061853486898783keywords = heart, cardiac (Clic here for more details about this article) |
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