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Biomedical subjects

J Morais

Publications and source records attributed to J Morais.

96 records · Page 6Linked to original sources
PubMedDate not supplied

Dipyridamole testing compared to exercise stress for thallium-201 imaging in patients with left bundle branch block.

Because of numerous reports of false positive results with thallium-201 (Tl-201) stress testing in patients with left bundle branch block, the authors decided to evaluate another mode of coronary vasodilatation, dipyridamole, for the diagnosis of coronary atheromatosis. Nine patients were prospectively studied with stress and dipyridamole Tl-201 scintigraphy; both tests were performed within three to 79 days of one another. Five of the patients also had coronary angiograms (four within one year, one five years earlier). Four of the patients had normal results with both tests (two normal angiograms, two not performed); two had reversible septal defects with stress-induced coronary vasodilatation but normal dipyridamole studies (only one had an angiogram, which was normal); one patient had a fully reversible septal defect with stress and a fixed defect with dipyridamole (normal angiogram); one had a partially reversible septal stress defect which was fixed with dipyridamole; and one had a normal stress study but a reversible septal defect with dipyridamole (an angiogram performed five years earlier showed 30 to 40% stenosis of the anterior descending artery). Because it seems that dipyridamole produces fewer false positive results, it should be used instead of stress testing to induce coronary vasodilatation in patients with left bundle branch block.

Angiography↗
PubMedDate not supplied

[Collapse of the aortic valve in dilated myocardiopathies: echocardiographic study].

In order to clarify the early systolic partial closure (notching) of aortic valve in patients (pts) with dilated cardiomyopathy (DC), authors (AA) evaluated the M-mode echocardiograms corresponding to 41 pts with DC. Pts were separated in two groups, according to the presence of systolic notching: group A (18 pts) presenting systolic notching; group B (23 pts) in which no systolic notching was observed. For each group, the same echocardiographic parameters were evaluated related to aortic root, left atrium, left ventricule (LV), aortic valve and mitral valve. Both groups were compared statistically. Results--Group A presented a reduced motion of aortic root and greater initial maximal aortic cuspids separation. AA therefore conclude that in pts with DC the systolic notching has no eventual relation with mitral regurgitation. In this setting no conclusions about LV function can be inferred, and it is suggested that systolic notching may bear some relation with differences in the distribution of transvalvular aortic flow.

Adult↗
PubMedDate not supplied

[The dichotic listening test in the determination of cerebral dominance in normal subjects (author's transl)].

The dichotic listening test is supposed to produce lateral differences in performance that would be in relationship with the functional asymmetry of the brain. Although the existence of this relationship is beyond doubt, the review of the literature shows that it may be affected by many uncontrolled factors and that cerebral dominance in normal people cannot be predicted on the basis of the test of dichotic listening. Some attempts to identify those uncontrolled factors are examined here. It appears, in addition, that the main contribution of the structural interpretation of the auditory laterality effect is that it provided a description of the neural course of auditory information. Regarding the hypotheses that inferiority of one ear would be due either to a delay in reaching the processing centers, or to a loss of information as a consequence of a longer pathway, it is claimed that the first is inconsistent with some empirical data and the second is, until now, entirely speculative.

Auditory Perception↗