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Biomedical subjects

H Verneyre

Publications and source records attributed to H Verneyre.

31 records · Page 2Linked to original sources
PubMed1989

[Echography and scintigraphy using technetium 99m pyrophosphate in the diagnosis of cardiac amyloidosis].

The diagnosis of amyloid cardiomyopathy was only based, until the last few years, on the results of invasive techniques. It seems presently that the combined contribution of cardiac sonography and scintigraphy using technetium 99m pyrophosphate, makes, most of the time, this diagnosis possible without need for additional examinations. This notion is illustrated by a typical case-report and data from the literature. Demonstration on the cardiac sonogram of a thickening of the walls-while the context and especially the electrocardiogram are not in favor of a left ventricular hypertrophy--associated with a very particular "hyperechoing" aspect and an abnormal fixation on the scintigram, may be considered specific of this disease.

Amyloidosis↗
PubMed1979

[Traumatic coronary-cardiac fistulas. Apropos of a case].

The case of a 24-year old patient having suffered a bullet wound was reported. After a hemopericardium accompanied by minor signs of tamponade, a continuous murmur gradually appeared due to a fistula between the right coronary artery and the right atrium, which was strictly symptomless: surgical repair was performed eight years after the accident. This satisfactory spontaneous outcome, after surviving the life threatening danger of tamponade and myocardial infarction was also observed in the 21 cases of coronary-cardiac fistulae already published. The fistula, which almost always involves the right heart cavities, only gives rise to a continuous murmur which is often discovered at a later stage. The long term course of traumatic coronary-cardiac fistulae can only be assessed by comparison with congenital coronary-cardiac fistulae, which are much better known, and the consequences of which are on all accounts similar. Four complications are discussed: heart failure, coronary insufficiency, infectious endocarditis, and the rupture of the fistulized coronary artery due to aneurysmal dilatation. These risks are statistically small and more theoretical then real, and the justification of systematic repair of traumatic coronary-cardiac fistulae now rests essentially on the relatively low risk of the procedure.

Adolescent↗
PubMed1975

[Clinical considerations apropos of 51 cases of cardiothyrotoxicosis].

A series of 51 cases of thyrotoxicosis gathered during a period of 6 years in a department with a cardiological orientation is analysed. This peculiar form of thyrotoxicosis is often unrecognized in view of its frequent occurence in aged subjects (which is misdiagnosed as "senile heart") and of the incidence in its causality of a toxic adenoma, the endocrine semiology of which is often reduced. In front of any case of heart failure of unknown cause, one should systematically think of a thyroid aetiology. A persistent sinus rhythm is not enough to discard it. A low cholesterol rate should induce to continue the investigation. The subnormal character of the classical laboratory parameters (including the thyroid hormone assay) does not always make it possible to exclude definitely the diagnosis. When the clinical picture is suggestive, only the radio-isotope examination with dynamic tests is liable to provide decisive data.

Adenoma↗
PubMedDate not supplied

[Pheochromocytoma disclosed by isolated inflammatory syndrome].

Among the atypical forms of phaeochromocytoma the isolated inflammatory form is rare and difficult to diagnose clinically. The authors report such a case, where computerized tomography and magnetic resonance imaging contributed enormously to the diagnosis.

Adrenal Gland Neoplasms↗
PubMedDate not supplied

[Myocardial infarction and rectocolonic polyps].

The prevalence of polyps in the rectum and sigmoid colon was estimated in 103 patients with recent myocardial infarction and 200 controls. All patients were asymptomatic and older than 35 years. A flexible proctosigmoidoscopy was performed. One or more adenomatous polyps were found in 19.6 p. 100 of patients with myocardial infarction and in 16.2 p. 100 of controls (difference not statistically significant). In males, the odds ratio for adenomatous polyps was 0.92 (confidence limits, 0.43-1.93). Acceptability of the flexible rectosigmoidoscopy was excellent in controls and poor in patients with myocardial infarction (1.0 p. 100 and 26.4 p. 100 of patients respectively refused this procedure). Tolerance, bowel preparation and the length of the explored rectosigmoid were not different. There was no statistically significant difference in the site, number or size of polyps. This study shows a high prevalence of polyps in patients with myocardial infarction and control groups although not statistically different. Consequently, a screening procedure for polyps is not indicated in patients with myocardial infarction.

Adult↗