Left coronary to pulmonary artery fistula.
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Biomedical subjects
Publications and source records attributed to M Anuar.
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Acute nonspecific carditis with advanced heart block is rare. We observed nine cases with complete heart block and one with Mobitz type II block over an eight and a half year period. Temporary cardiac pacing was instituted in all while permanent pacing was required in six patients. No death was recorded.
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The clinical pattern of infective endocarditis as seen in 101 patients at the University Hospital in Kuala Lumpur from 1968 to 1977 is reviewed. There were 60 males and 41 females. Majority of the patients were between 10-40 years of age. The most frequent underlying heart disease was rheumatic valvular disease (69%). Endocarditis was most frequent when aortic and mitral valve disease co-existed. Other than one patient who had candida endocarditis on a Bjork Shiley valve, the other patients had congenital heart disease. Patent ductus arteriosus was the commonest congenital heart disease. Microorganisms were identified in 77 patients. Streptococcus species was the commonest, followed by streptococcus aureus. The clinical features included fever, splenomegaly, petechial haemorrhages, finger clubbing, heart failure, peripheral and pulmonary emboli and neurological lesions. On adequate antibiotic therapy the hospital mortality was 22.7%. Most of the deaths were due to major cardiac or neurological complications.
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