Whipple endocarditis without overt gastrointestinal disease: report of four cases.

Background: Cardiac manifestations of Whipple disease are rarely diagnosed before death.

Objective: To describe four patients with endocarditis caused by Tropheryma whippelii who did not have overt gastrointestinal disease.

Design: Case series.

[ACE-inhibitors in acute heart infarct].

The use of ACE-inhibitors in heart failure has been established over the past years. Their use is of uncertain value in the early phases of myocardial infarction, where they are supposed to prevent left ventricular dilatation. More recent studies (ISIS-4, GISSI-3) have tested early treatment by ACE-inhibitors in the acute phase of myocardial infarction.

[Early ergometry following acute myocardial infarction?].

One hundred and twenty patients underwent a symptom limited submaximal exercise test (SSET) 8-40 days after acute myocardial infarction. No complications occurred during the exercise test. Sixty-two patients (52%) showed a normal SSET.