Premature opening of the pulmonary valve in right ventricular myocardial infarction.

An echocardiogram performed in a patient with a large right ventricular infarction reveals a premature opening of the posterior leaflet of the pulmonic valve. This opening appears initiated by the atrial contraction and its clinical and pathophysiological significance is discussed. We conclude that perturbations of the pulmonary valvular motion can occur during right ventricular infarction and reflect a profound alteration in phasic right ventricular flow.

Combined mexiletine and amiodarone treatment of refractory recurrent ventricular tachycardia.

A combined mexiletine and amiodarone treatment was applied in nine cases with recurrent refractory ventricular tachycardia. During the first two days of treatment, mexiletine and amiodarone were perfused intravenously at a dose of 1,000 mg. and 1,500 mg.

[Hemodynamic complication of ventricular stimulation in a patient with moderate aortic stenosis].

This report is concerned with a patient aged 76 with mild to moderate aortic stenosis and transient A-V block who was treated by stand-by intracardiac pacing. In spite of this, the patient continued to present syncopal attacks. It is demonstrated that these episodes were related to dramatic decreases of systolic blood pressure and cardiac output occurring whenever the right ventricle was paced.