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Biomedical subjects

E Bertrand

Publications and source records attributed to E Bertrand.

At least 235 records · Page 13Linked to original sources
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[57 cases of infectious endocarditis: diagnosis, clinical course, prognostic factors].

Through a retrospective study on 57 patients, the authors have studied the diagnosis signs, the clinical course, and the factors which affect the prognosis of bacterial endocarditis. Echocardiography has allowed them to establish a diagnosis with 72 p.c. of cases and the bacteriological investigations with 42 p.c. Out of these endocarditides, 39 were found on natural valves, 6 were associated with congenital cardiopathies, 9 followed the replacement of a valvula, and 3 were associated with endomyocardial fibrosis. Cardiac insufficiency (56 p.c.), and renal insufficiency (24 p.c.) were prevailing. The discussion turns on the diagnosis factors and the factors involved in the prognosis. Considering that the death rates were 64 p.c. with the patients who had undergone medical treatment and 14 p.c. with those who had undergone operations, the relevance of the surgical treatment has been emphasized.

Adolescent↗
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[The heart and malaria].

The authors study cardiac symptoms in malaria and consider four different situations. -Cardiac symptoms in 50 cases of acute malaria: these symptoms are functional in 14 p. 100 of the cases and objective in 40 p. 100 of the cases. Changes of repolarisation of the ECG recorded in 36 p. 100 of the cases may be related to hyperthermia (acting as a stress test) or to a malarial change in myocardium. - Cardiac symptoms in other malarial aspects: they are caused by a myocardiopathy resulting of malarial chronic anemia. - Cardiac symptoms during malarial fit in patients already affected by a cardiopathy: they are mainly blood hypopressure, persistent tachycardia and they are more a consequence of the hyperthermic strain applied to an already damaged heart than of malaria by itself. - Cardiac symptoms, related to the use of antimalarial drugs. They are obvious in acute voluntary intoxications, in excessive doses or in case of normal doses in patients with renal insufficiency or hypokaliemia.

Adolescent↗