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Biomedical subjects

J Boschat

Publications and source records attributed to J Boschat.

125 records · Page 7Linked to original sources

[Myocardial infarction: comparative study of principal risk factors in the two sexes].

A study of the distribution of the various risk factors for coronary artery disease as a function of the age and sex of a homogenous population of 316 patients has brought to light the following findings: -- These was found to be a greater incidence (statistically significant) of hypertension disorders of glucose metabolism obesity and hypercholesterolaemia in the females, and of tobacco consumption (cigarettes) and, to a lesser extent, of hypertriglyceridaemia and of gout in the males; -- The females who 'tot up' risk factors have their myocardial infarction at a greater age than the males -- The risk factor which separates the two sexes in the consumption of cigarette tobacco. These findings agree with those already in the literature.

Adult↗

[Recent myocardial infarction and complete bundle branch block. Comparative macroscopic pathological study].

Fifty five anatomo-clinical cases of patients who died of a recent myocardial infarction were divided into two groups according to existence of a complete block of one of the branches of the bundle of His, which occured at the same time as the myocardial necrosis: group A: 14 cases comprising 13 complete right blocks and only one complete left block, or absence of intraventricular conduction disorders: group B: 41 cases. The macroscopic anatomical study separated the two groups: in group A there was a very high frequency of healed posterior infarction, extensive recent anterior infraction, transeptal through the anterior and upper half of the interventricular septum by occlusion of the anterior interventricular artery in its proximal segment, above the origin of the second anterior septal artery, associated to severe stenosing lesions of the other coronary trunks, in particular the right coronary artery.

Adult↗

[Rupture of the heart in the acute phase of myocardial infarct. Anatomic-macroscopic study].

The data of the macroscopical-anatomical examination of 14 cases of cardiac rupture (10 women, 4 men) complicating acute myocardial infarction were compared with those obtained at autopsy, with the same protocol, in 31 cases of myocardial infarction which resulted in death before the 30th day after the onset. Many anatomical facts separated both groups from each other (size, aspect, limits of myocardial necrosis, state of the coronary arteries). Eventual surgical conclusions might be drawn from this study.

Cardiomegaly↗

Postinfarction atrioventricular septal rupture.

Postinfarction communication between a left ventricular aneurysm and the right atrium is a rare acquired disease. We report a case of a 72-year-old man who recently had dyspnea on minimal exertion and was found to have left ventricle-to-right atrial shunt by two-dimensional transthoracic echocardiography. This diagnosis was confirmed with transesophageal echocardiography, cardiac catheterization, and angiography. The patient underwent successful repair but died of multisystem failure. This case shows the importance of transthoracic echocardiography for the adequate diagnosis and management of such cases.

Aged↗

[Anterior infarction of the left ventricle and infarct of the posterior wall of the right ventricle caused by thrombosis of the anterior interventricular artery].

The association: anterior infarction of the left ventricle-posterior infarction of the right ventricle, is a rare entity. The authors report the case of a 64 year-old woman, who died on the fifth day of an extended anterior myocardial infarction, present on electrocardiograms; there were however immediate signs of right heart failure unexplained by a pericardial effusion. At the autopsy, the unusual length and distribution of the anterior interventricular artery which was completely obstructed near its origin by a thrombosis occurring on a severe atheromatous and calcified stenosis, explain this association.

Coronary Disease↗