[Ruptured sinus of Valsalva aneurysms in childhood].
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Biomedical subjects
Publications and source records attributed to H Bellin.
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In the country of Rostock the registers of myocardial infarction were evaluated in 4 districts after a period of one year. Here could be established that the incidence of infarctions in the various districts was 23.7 (Wismar), 18.9 (Bad Doberan), 13.7 (Rostock) and 17.6 (Stralsund). The sex ratio to the disadvantage of men is corresponding at 2 : 1. The incidence of infarctions and the lethality linearly increase with growing age. 4 weeks after the manifestation of the infarction the total lethality varies between 43.6 and 57% in the various districts. More than half to 3/4 of all cases of death are in the prehospital phase. As decisive periods of delay up to the admission to hospital the delay by patients and the delay by transport could be established. With 15 minutes to 30 minute the delay by physician is in every case the shortest period of delay. In comparison to an international WHO-study the periods of delay by physician and transport are in the first ten places among 23 towns.
Form and results of the rehabilitation of patients with myocardial infarction during and after clinical treatment are described in a 4-year-study. According to the form a system rehabilitation is concerned. It comprises a continuous course of early mobilisation during clinical treatment, immediately following group exercise treatment after clinical treatment, then a sanatory cure and a continuing life-long group training. The results are an ergometrically objectified increase of physical function which is larger than in an untrained patient and a decrease of the factor of risk, on the basis of which a high degree of occupational and social rehabilitation is gained.
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Taking into consideration an own observation of Conn's syndrome the diagnostics and therapy of the primary hyperaldosteronism is described. The recognition of Conn's syndrome is important for that account as it coincides with an operatively curable hypertension. Therefore, a diagnostic step programme is proposed. Thus, the first tentative diagnosis shall be made already by a general practitioner. Other specialised and highly specialised investigations have the task to ascertain the diagnosis and to find the right way in therapy.
135 patients operated for stenosis of the mitral valve were observed and treated 10.3 years, on the average. Three years of this time belong to the preoperative period and 7.3 years to the postoperative one. For evaluating the degree of stenosis, several ultrasound cardiograms were made yearly. After the operation one ultrasound examination was made every year for observing progress. In order to examine the effect of penicillin metaphylaxis on the process of restenosis, the patients were classified into different groups. The best operative result was maintained if continuous postoperative treatment with penicillin was made.
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