Staphylococcal pneumonia in children and adults.
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Biomedical subjects
Publications and source records attributed to G JACOBSON.
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Although catheterization is the most accurate and sometimes the only adequate method of measuring pulmonary hypertension as an indication for mitral valvotomy in rheumatic heart disease, it is so costly and complex that simpler methods are desirable. Clinical evidence of pulmonary hypertension is least accurate; electrocardiography is confirmatory in half of all cases. Roentgenologic findings are more helpful; moderate or severe enlargement in the pulmonary arteries has been associated in 92 per cent of cases with resting systolic pressure of 50 to 90 mm. of mercury in the pulmonary artery. In cases in which there is little or no enlargement, hypertension may still be present and demonstrable only by catheterization. Other roentgen signs noted as helpful are abrupt narrowing of the large branches of the pulmonary artery in the middle and lower lobes, and the septal lines of Kerley.
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A relatively new intravenous opaque medium, Hypaque(R) in 50 per cent solution, was used in 50 consecutive patients. None of them had a serious reaction. Twenty-two had mild reactions which were of no clinical significance. The radiographs obtained seemed to be equal in quality to those obtained with other contrast media.
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