Journal of The American Society of Echocardiography, Nov 1, 1992
Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, ... more Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery.
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of Europe... more In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors ...
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of Europe... more In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors ...
REVISTA ARGENTINA DE CARDIOLOGÍA / VOL 72 Nº 4 / JULIO-AGOSTO 2004 ... Valor pronóstico del eco e... more REVISTA ARGENTINA DE CARDIOLOGÍA / VOL 72 Nº 4 / JULIO-AGOSTO 2004 ... Valor pronóstico del eco estrés con ejercicio en pacientes con ... EVANGELINA PIERSIGILLI, GUSTAVO M. FERRARI, ESTEBAN LUDUEÑA CLOS, OSVALDO MANUALE, HORACIO AVACA, ...
A Brugada phenocopy has been defined as a clinical situation that presents with an abnormal elect... more A Brugada phenocopy has been defined as a clinical situation that presents with an abnormal electrocardiogram identical to any of the electrocardiographic patterns found in Brugada syndrome in the absence of the characteristic congenital genetic abnormalities. The first confirmed case of type 1 Brugada phenocopy associated with severe left pneumothorax is presented. A provocative test with ajmaline, which proved to be negative, was performed to confirm the diagnosis. The presence of ST-segment elevation in the context of pneumothorax is most infrequent.
Background: Transesophageal atrial pacing echocardiography is an accurate test for detection of c... more Background: Transesophageal atrial pacing echocardiography is an accurate test for detection of coronary artery disease (CAD). In the expanding population of patients with permanent pacemakers, a pacing stress test can be administered noninvasively by external programming of the pacemaker. Objective: To establish the prognostic value of pacemaker stress echocardiography (PSE) to predict major adverse coronary events (MACE) in patients with suspected or known CAD. [MACE =CAD death, nonfatal myocardial infarction (MI), unstable angina (UA), or need of a myocardial revascularization procedure (MRP)]. Methods: From July 2000 to January 2003, 35 patients with a mean age of 73.9 ± 7 years with known or suspected CAD were consecutively submitted for PSE. Mean follow-up was 12.8 ± 8 months. 31 patients (88.6%) with permanent implanted pacemakers (23 patients in DDD mode and 7 patients in VVI mode) underwent PSE by external programming and 4 patients (11.4%) had transesophageal atrial pacing performed. A 4-stage protocol was used (base, 85%, 100% of maximum expected heart rate, and recovery), each lasting 3 minutes. Current medication was not discontinued. Patient features: men 19 (54.3%), hypertension 20 (57.1%), hypercholesterolemia 15 (42.9%), smoking 11 (31,4%), diabetes 10 (26.6%), atrial fibrillation: 5 (14.3%), previous MI 7 (20%), previous CABG 3 (8.6%), previous PCI 3 (8.6%), normal LVEF 27 (77.1%). Medical treatment: beta-blockers 14 (40%), Ca-antagonists 10 (28.6%), nitrates 1 (2.9%), ACE-I/ARBS 11 (31.4%), aspirin 18 (51.4%), diuretics 5 (14.3%). Results: Ischemic PSE: 12 p (34,3%); High-risk 1 patients (2.9%), intermediate-risk 5 patients (14.3%), low-risk 6 patients (17.1%). MACE: PCI: 1 patients (2.9%), non fatal MI: 1 patients (2.9%); CAD death and UA: 0 patients (0%). The negative predictive value (PV) of a non-ischemic PSE was 95% and the positive PV of an ischemic PSE was only 8.3%. Table TABLE. MACE: MACE (+) MACE (−) PV Non-ischemic PSE(12p) 1 11 Neg.PV Ischemic 1 22 Pos.PV 95% PSE(23p) 8.3% Conclusion: In this small cohort of patients with suspected or known CAD, a nonischemic PSE has a high negative PV.
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of Europe... more In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors that lead to a myocardial infarction and death at the early age of 54. As Paul Dudley White and Ignacio Chávez in America, Paul Wood in Europe will be remembered as the emblematic figure leading the transition of cardiology into the modern era.
Journal of the American Society of Echocardiography, 1992
Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, ... more Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery.
Journal of the American Society of Echocardiography, 1992
Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, ... more Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery.
Journal of The American Society of Echocardiography, Nov 1, 1992
Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, ... more Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery.
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of Europe... more In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors ...
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of Europe... more In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors ...
REVISTA ARGENTINA DE CARDIOLOGÍA / VOL 72 Nº 4 / JULIO-AGOSTO 2004 ... Valor pronóstico del eco e... more REVISTA ARGENTINA DE CARDIOLOGÍA / VOL 72 Nº 4 / JULIO-AGOSTO 2004 ... Valor pronóstico del eco estrés con ejercicio en pacientes con ... EVANGELINA PIERSIGILLI, GUSTAVO M. FERRARI, ESTEBAN LUDUEÑA CLOS, OSVALDO MANUALE, HORACIO AVACA, ...
A Brugada phenocopy has been defined as a clinical situation that presents with an abnormal elect... more A Brugada phenocopy has been defined as a clinical situation that presents with an abnormal electrocardiogram identical to any of the electrocardiographic patterns found in Brugada syndrome in the absence of the characteristic congenital genetic abnormalities. The first confirmed case of type 1 Brugada phenocopy associated with severe left pneumothorax is presented. A provocative test with ajmaline, which proved to be negative, was performed to confirm the diagnosis. The presence of ST-segment elevation in the context of pneumothorax is most infrequent.
Background: Transesophageal atrial pacing echocardiography is an accurate test for detection of c... more Background: Transesophageal atrial pacing echocardiography is an accurate test for detection of coronary artery disease (CAD). In the expanding population of patients with permanent pacemakers, a pacing stress test can be administered noninvasively by external programming of the pacemaker. Objective: To establish the prognostic value of pacemaker stress echocardiography (PSE) to predict major adverse coronary events (MACE) in patients with suspected or known CAD. [MACE =CAD death, nonfatal myocardial infarction (MI), unstable angina (UA), or need of a myocardial revascularization procedure (MRP)]. Methods: From July 2000 to January 2003, 35 patients with a mean age of 73.9 ± 7 years with known or suspected CAD were consecutively submitted for PSE. Mean follow-up was 12.8 ± 8 months. 31 patients (88.6%) with permanent implanted pacemakers (23 patients in DDD mode and 7 patients in VVI mode) underwent PSE by external programming and 4 patients (11.4%) had transesophageal atrial pacing performed. A 4-stage protocol was used (base, 85%, 100% of maximum expected heart rate, and recovery), each lasting 3 minutes. Current medication was not discontinued. Patient features: men 19 (54.3%), hypertension 20 (57.1%), hypercholesterolemia 15 (42.9%), smoking 11 (31,4%), diabetes 10 (26.6%), atrial fibrillation: 5 (14.3%), previous MI 7 (20%), previous CABG 3 (8.6%), previous PCI 3 (8.6%), normal LVEF 27 (77.1%). Medical treatment: beta-blockers 14 (40%), Ca-antagonists 10 (28.6%), nitrates 1 (2.9%), ACE-I/ARBS 11 (31.4%), aspirin 18 (51.4%), diuretics 5 (14.3%). Results: Ischemic PSE: 12 p (34,3%); High-risk 1 patients (2.9%), intermediate-risk 5 patients (14.3%), low-risk 6 patients (17.1%). MACE: PCI: 1 patients (2.9%), non fatal MI: 1 patients (2.9%); CAD death and UA: 0 patients (0%). The negative predictive value (PV) of a non-ischemic PSE was 95% and the positive PV of an ischemic PSE was only 8.3%. Table TABLE. MACE: MACE (+) MACE (−) PV Non-ischemic PSE(12p) 1 11 Neg.PV Ischemic 1 22 Pos.PV 95% PSE(23p) 8.3% Conclusion: In this small cohort of patients with suspected or known CAD, a nonischemic PSE has a high negative PV.
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of Europe... more In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors that lead to a myocardial infarction and death at the early age of 54. As Paul Dudley White and Ignacio Chávez in America, Paul Wood in Europe will be remembered as the emblematic figure leading the transition of cardiology into the modern era.
Journal of the American Society of Echocardiography, 1992
Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, ... more Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery.
Journal of the American Society of Echocardiography, 1992
Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, ... more Congestive heart failure developed in a 53-year-old man with a history of bicuspid aortic valve, angina, and pericarditis. Two-dimensional echocardiography showed a sinus of Valsalva aneurysm related to the anterior coronary sinus and color flow mapping identified a perforation of the anterior aortic cusp. These findings were confirmed during surgery.
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