Pathology of infective endocarditis. A postmortem evaluation.
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Biomedical subjects
Publications and source records attributed to K Somers.
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A study of 412 persons aged at least 45 years showed that cardiovascular disease, especially hypertension, was common. Cardiac enlargement was the most frequent complication of hypertension; cerebrovascular accidents were rare. Cardiomegaly without hypertension or valvular disease was found in 29 persons. Valvular disease was present in 17 persons, but was symptomless in all but 3 cases.
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This report describes nine cases of endomyocardial fibrosis occurring in four families. All patients came from Rwanda or South-western Uganda, and five had tropical splenomegaly syndrome as well. It seems likely that genetic as well as environmental factors are operative in the aetiology of endomyocardial fibrosis.
The induction of anaesthesia with intravenous diazepam is a valuable contribution to the simpler use of cardioversion and is the method of choice because it is readily available for elective cardioversion. Fifty-six cardioversion procedures were carried out by this method in an African hospital. No special premedication or drug preparation was used. There were no hazards apart from transient apnoea in two patients and persisting amnesia in one patient.
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