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Marked sinus bradycardia and QT prolongation in a diabetic patient with severe hypoglicemia.
We report an uncommon case of an insulin-treated patient, presenting severe hypoglycemia, coma, marked sinus bradycardia and QT prolongation. Intravenous administration of glucose and atropine awaked the patient and increased heart rate but did not affect QT prolongation. Basal and exercise electrocardiogram excluded primary diseases associated with QT prolongation. Pathophysiologic aspects of electrocardiographic and clinical findings occurring in the hypoglycemic patients are briefly disussed
Atherosclerotic vascular diseases have really the same risk factors? Comparison between large abdominal aortic aneurysm and obstructive non-coronary arterial disease
Objectives The purpose of this study was to investigate whether there are differences among clinical conditions and traditional atherosclerotic risk factors between patients with large abdominal aortic aneurysm and those with occlusive non-coronary arterial disease. Methods We clinically examined 519 patients with asymptomatic abdominal aortic aneurysm and 672 with severe obstructive arterial diseases before surgical repair. Results In patients with abdominal aortic aneurysm, we identified a clear predominance of males ( p < 0.001), more alcohol consumers ( p < 0.05), higher values of diastolic blood pressure ( p < 0.05), higher values of serum creatinine ( p < 0.005), more hyperuricemic patients ( p < 0.005) and less diabetics ( p < 0.001). In patients with occlusive atherosclerotic vasculopathies, we observed more smokers ( p < 0.05), higher systolic blood pressure and more hypertensives ( p < 0.05 respectively) and a prevalence of hypertriglyceridemia ( p < 0.05). Conclusions Patients with abdominal aortic aneurysm were mostly males with diastolic hypertension, impaired renal function and less diabetics, while patients with occlusive arteriopathy were more smokers, hypertensives and more hypertriglyceridemics
Comparison between stented and two different stentless( Shelhigh Superstentless and Toronto SPV) aortic bioprostheses on left ventricular remodelling.
Coronary bypass grafting combined with mitral valve anuloplasty in severe ischaemic dilated cardiomyopathy
Bioprotesi aortiche stentless e stented. Valutazione ecocardiografica del rimodellamento ventricolare sn a breve termine.
Midterm effects on LV remodeling of aortic bioprosthetic valves. Comparison between a stented (CEP) and two different stentless (Shelhigh Superstentless and Toronto SPV)
Bioprotesi aortiche stented e stentless. Valutazione ecocardiografica del rimodellamento ventricolare sinistro a breve termine.
Short-term echo-doppler evaluation in patients submitted to aortic valve replacement with the Shelhigh Superstentless Bioprosthesis
Myocardial revascularization associated with mitral valve anuloplasty in patients with severe ischemic dilated cardiomyopathy
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