[Changes in amplitude of the R wave in V5 during a computerized exercise test: value in the diagnosis of coronary insufficiency].

In order to determine the real value of the amplitude variations of the R wave V5 during a stress test, in the recognition of coronary insufficiency, the stress tests of 227 patients were reviewed and compared to the results of coronary angiography. This permitted to find 93 patients with healthy coronaries and 134 patients presenting an involvement of the anterior inter-ventricular artery (AIVA); 37 have a one-vessel disease, 38 have a two-vessel disease, 59 a tri-vessel disease. Quantitative analysis of the modifications of the R wave in V5 during stress, finds mean values of amplitude variations of 1.

[Fab fragments of antidigoxin antibodies and acute digitalis poisoning].

Acute digitalis intoxication is infrequent and severe. The mortality rate is between 15 and 20 per cent. Its treatment has been greatly improved with the appearance, in 1976, of a specific serotherapy: Fab fragments of antidigoxin antibodies.

[Left intraventricular and right auricular double thrombus. Apropos of a case with favorable development under medical treatment].

The authors report a case of right auricular and left intraventricular double thrombus involving the tricuspid valve, diagnosed by two-dimensional echocardiography. This double thrombus developed in a male of 54 years presenting dilated cardiomyopathy with heart failure who was admitted as an emergency case due to cerebral embolism. Surgery and fibrinolytic agents were contraindicated and heparin treatment was initiated.

[Pulsed and continuous Doppler in qualitative and quantitative diagnosis of mitral insufficiency].

The aim of this study was to assess the diagnostic value of pulsed and continuous wave Doppler in mitral regurgitation. One hundred and twenty-one patients (64 women and 57 men aged 13 to 76 years, average 54 years) investigated for mitral regurgitation or ischaemic heart disease underwent left ventricular angiography and continuous wave and pulsed Doppler echocardiography. In addition to clinical examination, they also underwent M mode, 2D echocardiography and phonocardiography.