[Antero-lateral myocardial infarct in a 20-year-old man].
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Adult↗
Biomedical subjects
M Bolens
Publications and source records attributed to M Bolens.
Reversible second degree atrioventricular block after a severe sickle cell crisis.
Despite the high prevalence of sickle cell disease and trait in the black population and its serious potential for microinfarction, there are only a few reports on acute myocardial damage during vasoocclusive crisis. We report a unique case of transient second degree atrioventricular (A-V) block of Mobitz I and II type during a severe sickle cell crisis. Localized high ventricular septum hypoperfusion demonstrated by a 99mTc-MIBI radionuclide study and reversible echocardiographic wall motion abnormalities in the same area were strong indicators for a local ischemic event in the A-V node and His bundle area, explaining the observed transient conduction abnormalities. The present report draws attention to a potentially lethal complication of sickle cell crisis.
Child↗
Organizing the clinical data in the medical record.
We have developed a method of collecting and arranging clinical data that makes the medical record more useful in patient care and research. The design is based on two principles: that detailed clinical findings should be recorded independently of any diagnostic interpretation, and that time should be integrated as a dimension of the medical record. Analysis of the principal components of the medical record as we have organized it allows identification of clinical entities on the basis of synchronous or sequential features and facilitates precise tracking of symptoms, evaluation of therapeutic effects, comparison of treatments, identification of patients at risk of recurrence, transmission of observations from physician to physician, and analysis and reinterpretation of the observations recorded.
Ambulatory Care↗