Search PubMed⌕ Search

Biomedical subjects

A M Alonso

Publications and source records attributed to A M Alonso.

21 records · Page 2Linked to original sources

[Epidemiology of neurosensorial deafness in the Foral Community of Navarra].

Congenital deafness is a relatively frequent disorder that shows a heterogeneous aetiology. Knowledge and the control of some risk factors have decreased the incidence of acquired deafness and increased the relative importance of genetic cause. In an attempt to investigate the clinical relevance of congenital deafness and the mechanisms of prevention in our population, a clinical and genetic study of cases with neurosensorial deafness born in Navarra between 1975 and 1990 was carried out. A total of eighty-one cases were identified, giving an incidence of 0.8 per thousand. Thirty per cent of the cases showed deafness associated with defects. Cause of deafness was identified in seventy per cent of the cases with whom a detailed clinical and genetic study could be performed (n=50). Genetic factors were responsible for the disorder in more than half of these cases. The most frequent hereditary factor was of the autosomic recessive type. This was associated with a more severe form of hearing loss.

English Abstract↗

[Effect of prosthesis type and size on the hemodynamic response of mitral valve prostheses to exertion].

BACKGROUND: Doppler echocardiography is current tool for hemodynamic evaluation of mitral prosthetic heart valves. It's accepted that the area and the gradients by Doppler echocardiography are not influenced at rest by valvular type and valvular size. We evaluated the influence of valvular type, mechanical-biological, and size on exercise hemodynamic of normally-functioning mitral prosthesis. Thirty-seven patients with mitral prosthesis, mean age 56 +/- 10 years, underwent exercise Doppler echocardiography. Peak and mean prosthetic gradient were obtained at rest, during and at maximal exercise with a nonimaging transducer. Mechanical prosthesis were 23 and biological valves 14. Valvular size was less than 26 mm in 7 patients and more than 28 mm in 20 patients. Exercise increased the heart rate from 80 +/- 14 to 143 +/- 22 (p < 0.001), peak gradient from 11.4 +/- 4 to 26.1 +/- 7 mm Hg (p < 0.001) and mean gradient from 4.8 +/- 1 to 13.7 +/- 5 mm Hg (p < 0.001). We found similar peak (11.4 +/- 3 & 11.3 +/- 4) and mean gradient (3.4 +/- 1 & 2.9 +/- 0.7) at rest between mechanical and biological valves; at maximum exercise, peak (26 +/- 7 & 26 +/- 6) and mean gradient (13.9 +/- 6 & 13.2 +/- 4) were also similar. Prosthesis with > 28-mm-size compared with prosthesis < 26-mm-size showed minor peak gradient at second step (21.3 +/- 4 & 26.4 +/- 6, p < 0.05) and at peak exercise (25.4 +/- 7 & 29.8 +/- 8, ns). Hemodynamics on exercise using Doppler echocardiography was not influenced by valvular type (mechanical-biological) in normal mitral prosthesis. However, mitral prosthesis of small size showed worse on hemodynamics exercise than bigger ones.

Bioprosthesis↗