[Myocardial infarction revealing an antiphospholipid syndrome in a 27-year-old woman].

We report the case of a 27 year old woman, with no vascular risk factors other than moderate smoking, admitted for a first acute anterior myocardial infarction. Emergency coronarography detected an isolated thrombosis, localised at the level of the middle section of the anterior inter-ventricular artery in an otherwise normal coronary network. Angioplasty of the artery with direct stenting was performed successfully and the follow up was uncomplicated.

[Aorta-left ventricular relationship evaluated by Doppler echocardiography and ambulatory arterial prsesure monitoring].

Unlabelled: Arterial distensibility is one of the components of afterload. Arterial distensibility, left ventricular (LV) mass and LV function are closely linked. The aim of this study is to describe the relations between LV mass LV function and arterial distensibility evaluated by echography Doppler (échography Doppler) and ambulatory monitoring pressure.

[Doppler echocardiographic study of arterial distensibility. Comparison with ambulatory arterial pressure monitoring].

Unlabelled: Echocardiography Doppler (ED) is a common tool in hypertension to assess left ventricular (LV) mass or LV function. Echography doppler is also available to assess some arterial distensibility (AD) indexes, but it is less frequently used. The aim of this study is to compare AD indexes obtained from échographie doppler with timing of Korotkoff sound (QKd interval), obtained from ambulatory blood pressure monitoring (APM).

[Comparison of two indices of arterial distensibility: temporal apparitions of Korotkoff sounds and pulse wave velocy. A Doppler echocardiography and ambulatory blood pressure monitoring study].

Arterial distensibility, one of the factors influencing afterload, plays a role in the development of left ventricular hypertrophy. The QKd, the delay before the perception of the Korotkoff sounds, is an index of arterial distensibility available from ambulatory blood pressure monitoring. The pulse wave velocity (PWV), another index of arterial distensibility, can be measured by Doppler echocardiography.

[Aneurysm of the interatrial septum and right-to-left shunt during biventricular infarction. Diagnosis by transesophageal echocardiography].

A right-to-left shunt during infarction with right ventricular extension is a rare and recently described complication. It results from opening of a foramen ovale due to increased right heart pressures. The authors describe another case occurring in a patient with an interatrial septal aneurysm, the diagnosis of which was made by transoesophageal echocardiography.