Long-term results of the Spanish trial on treatment and survival of patients with predominantly mild heart failure.

A randomized open-label clinical trial was conducted to determine whether mortality, readmission, or quality of life differed between heart failure patients managed with captopril plus diuretics and those with digoxin plus diuretics. A total of 345 heart failure patients in New York Heart Association functional classes 2 and 3 without atrial fibrillation, dyspnea of bronchopulmonary origin, or hypertension not controlled with diuretics was randomized for digoxin (n = 175) or captopril (n = 170) treatment and followed up for a median of 4.5 years.

[Non-invasive methods for evaluating reperfusion in acute myocardial infarct: enzymes and MIBI-SPECT cardiac gammagraphy].

Introduction: Several studies point out the importance of what is called rescue angioplasty or fibrinolysis when thrombolysis has been ineffective in acute myocardial infarction. Therefore, it is necessary to make use of new non-invasive methods to asses reperfusion and to safely establish that such a treatment has not been effective.

Patients And Method: We present a work which is based on the assessment of patients with acute myocardial infarction treated with or without fibrinolysis.

[Myocardial sarcoidosis treated with implantable defibrillator].

We describe the case of a 33 year old diabetic patient with systemic sarcoidosis who, prior to this, had episodes of myocardiac alterations such as ventricular tachycardia, which partially improved with steroid therapy. She eventually needed a defibrillator-pacemaker implant which serves to reduce the high risk of sudden death in this type of patient. The myocardiac biopsy did not show granuloma.

[Comparison between the unipolar and bipolar mode for estimation and detection of auricular and ventricular duration in acute and chronic cardiac pacing].

Unlabelled: To add data on controversy between the advantages and inconveniences of using either unipolar or bipolar modes for permanent cardiac pacing, we have studied 15 patients. In all of them a CPI Delta-925 (DDD) pulse generator was implanted. Non invasive pacing threshold values in volts were measured at 0.