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Biomedical subjects

J F Hansen

Publications and source records attributed to J F Hansen.

At least 145 records · Page 8Linked to original sources
PubMed1978

Treatment of Prinzmetal's angina due to coronary artery spasm using verapamil: a report of three cases.

In 3 patients with Prinzmetal's variant angina there were inferior epicardial injury patterns on the electrocardiogram, corresponding to right coronary artery narrowing. Attacks were provoked by beta-adrenergic blockade and stopped by nitroglycerine and atropine. Spasm of the right coronary artery was demonstrated in the 2 patients who had high parasympathetic activity. In all 3 cases attacks disappeared on verapamil. We suggest that calcium-antagonists, which dilate the coronary arteries, should be used in the treatment of Prinzmetal's angina pectoris rather than beta-adrenergic blockers, which do not have this property.

Angina Pectoris↗
PubMed1977

Thrombogenic properties of arterial catheters: a scanning electron microscopic examination of the surface structure.

We performed 300 consecutive coronary arteriographies with 2 different kinds of catheters: polyurethane catheters and polyethylene catheters. The thromboembolic complication rate for investigations with each type of catheters is compared to the surface structure as seen with the scanning electron microscope (SEM). The complication rate was 21.4% for polyurethane catheters and 0.3% for polyethylene catheters. The inner surface of polyurethane catheters was irregular, while the inner surface of polyethylene catheters appeared smooth. The outer surface of polyurethane catheters was slight irregular, while the outer surface of polyethylene catheters was smooth. These results are compared to other investigations of the surface structure of coronary catheters and to reports on the thromboembolic complication rate at coronary arteriography. It is concluded that the 2 types of catheters have different thrombogenic properties and that the surface structure is of major importance for this difference.

Cardiac Catheterization↗
PubMed1977

The prognosis in Ebstein's disease of the heart. Long-term follow-up of 22 patients.

A follow-up study of 22 patients with Ebstein's anomaly has been performed. Nine patients died 1-21 years (mean 9) after the initial admission while the 13 patients alive at the end of the observation period had been followed for 5-26 years (mean 15). Clinical, ECG, radiological, and haemodynamic features were analyzed with reference to their prognostic significance. The presence or absence of cyanosis due to right-to-left shunt through an atrial septal defect (ASD) distinguished best between a good and poor prognosis. Right-sided heart failure and dyspnoea at rest, often associated with palpitations, precordial pains and syncopes, were grave prognostic findings. After the initial signs of heart failure there was a rapid deterioration, death ensuing within a few years. Operation with insertion of a prosthetic valve (and closure of the ASD) should be seriously considered at the appearance of heart failure.

Adolescent↗
PubMed1977

Forearm and splanchnic blood flow at rest and during exercise in relation to the systemic arteriovenous oxygen difference in cardiac patients.

In eleven patients with chronic heart failure forearm blood flow (FBF) was measured by plethysmography with a mercury-in-silastic strain gauge and splanchnic blood flow (SBF) with indocyanine green (ICG) infusion clearance at rest during right heart catheterization. The measurements were repeated during 8 min supine exercise on a bicycle ergometer, SBF during exercise being calculated from the changes of the brachial artery to hepatic vein oxygen differences and the ICG values at rest. Close correlations were found between cardiac output and FBF, and cardiac output and SBF at rest. During exercise forearm and splanchnic vascular resistances were both closely correlated with the brachial to pulmonary artery oxygen difference. It is concluded that in patients with heart failure vasoconstriction occurs during exercise in resting limbs and visceral organs, both closely related to the circulatory strain.

Adult↗
PubMed1975

The effect of reduction in blood volume on plasma renin activity in man.

1. The blood volume was reduced by approximately 10% in nine adult humans. 2. Plasma renin activity was measured before and at intervals after the venesection. In seven subjects there was no significant change. In two subjects there was a slight but significant increase in plasma renin activity. 3. It is concluded that reduction in blood volume is not a major short-term factor in regulating renin production in humans.

Adult↗
PubMed1975

Idiopathic hypertrophic subaortic stenosis.

The clinical and laboratory findings in 29 patients with idiopathic hypertrophic subaortic stenosis are presented. Dyspnoea during exercise, angina pectoris, syncope combined with left ventricular hyperthrophy on ECG and chest X-ray and a systolic ejection murmur at the apex and the left sternal border are the most important findings. The findings were different in patients below and above 30 years of age. Most of the patients below 30 were in function group I, had a normal heart volume on chest X-+ray, and syncope was related to exercise. All patients above 30 had symptoms, nearly all were in function groups II-IV and often complained of palpitations, had increased heart volume on chest X-ray, sign of enlarged left atrium or atrial fibrillation of ECG. Syncope was not related to exercise, but always associated with palpitation in patients above 35 years of age. Pathologic Q waves were found more often in the younger age group. The differential diagnosis is discussed in relation to fixed aortic stenosis, mitral valve disease, ventricular septal defect, coronary artery disease, and hypertrophic cardiomyopathy without outflow tract obstruction.

Adolescent↗