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Biomedical subjects

J Gouffault

Publications and source records attributed to J Gouffault.

At least 55 records · Page 3Linked to original sources

[Myocardial infarct in 2 stages].

The two-step myocardial infarction is defined by a peculiar course: the initial stage is a temporary rudimentary infarction, the late stage a typical transmural necrosis, separated by a free interval of a variable duration. A coronary arteriography undertaken when the recurrence starts might eventually lead to recommend an emergency operation: two-step myocardial infarction might represent one of the best indications for emergency aorta-to-coronary artyery by-pass operation.

Anticoagulants↗

[Comparative study of metabolic criteria of acute myocardial ischemia in man].

The study of various myocardial metabolic substrates in basal conditions and in the course of an atrial pacing test in two groups, one control, and the other including angina pectoris in patients with sound coronary arteries, provides the confirmation that the only valid metabolic criterion for acute myocardial ischaemia in man is represented by the decreased extraction or production of lactates. The sugnificance and the specidicity of this parameter is discussed.

Acute Disease↗

[Disputable thoracic pain with normal coronary arteries. Metabolic study].

The search for electrocardiographic, haemodynamic and above an metabolic criteria suggestive of "myocardial ischaemia" in the course of an atrial pacing test was found to be positive in three patients suffering from atypical thoracic pains, and in whom selective coronary arteriograms might be considered as normal. It appaear thus that the criterion of a normal coronary arteriography and a negative or unsignificant effort test is insufficient to discard the diagnosis of "myocardial ischaemia" when confronted with such pains habitually considered as anorganic. The accurate mechanism of these pains, probably identical to that or those of "angina with normal coronary arteriography" remains undecided.

Adult↗