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[Clinical picture of various types of inferior myocardial infarcts. Clinico-electrocardiographic study].

Vnitr Lek

July 1993

II. interní klinika, Fakultní nemocnice I 1. lékarské fakulty Univerzity Karlovy Praha.

In the submitted study the authors evaluate the relationship of the clinical course in patients with inferior myocardial infarction (AIM) in relation to the electrocardiographic (ECG) finding in standard and dextro-lateral leads. In a group of 96 patients (mean age 65 +/- 10 years, 66 men and 30 women) according to the ECG 38 had an isolated inferior AIM (group 1), 28 had signs of extension of the inferior AIM to the posterior wall of the left ventricle (group 2) and 30 patients in group 3 had an extension of the inferior AIM to the right ventricle, i.e.

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The paper is concerned with analysis of the results of clinico-electrocardiographic investigation of 107 rescuers, engaged in the elimination of the effects of the Chernobyl accident. A high percent (27.2%) of the detectability of borderline arterial hypertension was noted among the rescuers (aged to 39) that was determined by a strong psychoemotional tension resulting from work and radiation phobia.

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An attempt was made for the first time to determine the prevalence of the early ventricular repolarization syndrome (EVRS) in cardiovascular diseases in order to specify the clinico-electrocardiographic significance of the given electrophysiological phenomenon and its interrelationship with the rate of rhythm and heart conduction disorders. The changes discovered cast doubt on the generally accepted concept of the benign character of the EVRS and orient to the necessity of pharmacological correction in more frequent arrhythmogenic episodes in EVRS carriers suffering from cardiovascular pathology. Some diagnostic methods (electrocardiography, pharmacological tests) have been evaluated and suggested as optimal for diagnosing the EVRS.

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The presented study reflects materials of the treatment of patients with sarcoidosis of the heart showing contraindications to hormonal therapy. The author describes absolute and relative contraindications to steroid therapy of cardiac sarcoidosis as well as methods treatment of these patients. Treatment efficacy is based on immediate and long-term results of a clinico-electrocardiographic examination of 44 patients suffering of sarcoidosis of the heart.

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