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Biomedical subjects

A Dolara

Publications and source records attributed to A Dolara.

At least 91 records · Page 5Linked to original sources

[An epidemiological study of congenital heart disease. I. Incidence of cardiovascular malformations in 11,584 live-born babies in the District of Florence (Italy) (author's transl)].

11,584 consecutive live-born babies in the Ostetric Clinic of Florence in the years 1975 and 1976 were examined for the presence of congenital heart disease. Diagnosis was made by necropsy, cardiac catheterization and operation in 20% of cases and by clinical observations in 80%. The 74% of babies who were diagnosed as affected by congenital heart disease at birth were eventually controlled. The incidence of congenital heart disease was 7.1% in 10,789 live-born of weight over 2500 g while it was 37% in 795 under such weight. Global incidence was 9.2%. The first essentials in epidemiological study of congenital heart malformations is to define the method which is used for diagnosis since this is the primary factor responsible for wide variations in incidence. It is suggested that the institution of a Regional Register of malformations would allow more accurate estimate of overall incidence of congenital cardiopathies.

Abnormalities, Multiple↗

[Electrocardiographic records via telephone (author's transl)].

666 electrocardiographic records have been transmitted via telephone from the peripheral Sections of the Cardiology Service of the Arcispedale S. M. Nuova of Florence to the central Unit, during the period november 1976 - June 1978. Transmitters were situated respectively 3, 5 and 15 kilometers from the central set where one or more cardiologists were available along 24 hours. Since the introduction of such tecnique faster electrocardiographic diagnosis in emergency calls was made possible and the immediate presence of a consultant cardiologist in the peripheral Sections required only in exceptional cases. Records of good quality are usually transmitted by this instrumentation (OTE Biomedica, Modello 1181-82) which requires only a minimum of knowledge of electrocardiographic tecnique. Lowering of the conversion voice at either end is avoided by disconnecting the transmitter and the receiving sets at the end of the recording procedure. The low price of such equipment favourably compares with the benefits of its use.

Electrocardiography↗

False aneurysm of the ascending aorta following cannulation.

The development of a false aneurysm of the ascending aorta following arteriotomy and cannulation of the aorta performed during closure of a ventricular septal defect is described. The evidence suggest that the sutures of the arteriotomy led to rupture of the aortic wall and secondarily late formation of a false aneurysm.

Aorta↗

[Hereditary occurrence of the mesotelesystolic click syndrome: a study of 9 families (author's transl)].

Nine families affected by the mid-systolic click syndrome were studied. Of the one hundred and forty-four first-degree relatives, 117 of whom were living, eighty-four were examined. Thirty-five were found to be affected by the syndrome. Twenty-six were females and nine were males. Auscultatory and phonocardiographic findings consisted either of isolated mis-systolic clicks or systolic murmurs or a combination of the two. Electrocardiograms revealed changes of various types, most commonly of the ST-T segment. About seventy per cent of the patients were symptomatic. Nine members, not examined by the authors, had died suddenly; all had a previous history of "cardiopathy". Progressivity of mitral valve disease with age is not confirmed by the present study. It is suggested that the mode of inheritance of the defect might be that of an autosomal dominant form of Mendelian type with delayed expression of the defect. An alternatove hypothesis of a multifactorial inheritance mechanism, which is more stimulating for future studies on the cause of the syndrome, is also taken into consideration.

Adult↗

[Idiopathic aneurysm of the left ventricle. Report of two cases and review of literature (author's transl)].

Two cases of left ventricular aneurysm occurring in young patients (23 and 29 years respectively) are reported. Coronary arteriograms were normal. Pertinent literature was reviewed. About 70 cases of left ventricular aneurysm in patients under 35 years of age have been reported: approximately half of them are congenital. They include both diverticuli of the apex, as a part of a syndrome of congenital defects, and those, much rarer, following myocardial infarction in children with anomalous origin of coronary arteries. A few cases may be attributed to trauma or myocarditis. In 26 patients, including the two reported here, etiology was uncertain (idiopathic aneurysm of the left ventricle) in as much as malformation or an infectious disease might have been the underlying cause.

Adult↗