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Biomedical subjects

P Dini

Publications and source records attributed to P Dini.

At least 55 records · Page 3Linked to original sources

[General anesthesia in patients with intraventricular conduction abnormalities (author's transl)].

This study was undertaken to assess the risk of developing complete heart block during general anesthesia in patients with bundle branch block. His bundle electrograms were recorded during sinus rhythm and after atrail pacing in 11 patients (5 LBBB, 2 RBBB, 3 RBBB and LAH, 1 RBBB and LBH) before and after administration of Pentothal 0.20 g e.v., Succinylcholine 1 mg/kg e.v., and breathing of fluothane 1%or Ethrane. Minimal effects on sinus functions and A-V node conduction was observed during anesthesia; Fluothane only increased slightly AH intervals (+11%). Both Fluothane and Ethrane effects on HV conduction was insignificant. In 9 patients HV intervals increased of 5% after Succinylcholine; 2 patients developed a complete heart block distal to his after the drug. Possible causes of the complete heart block are discussed and a direct effect of Succinylcholine is hypothesized.

Anesthesia, General↗

[On the method for determination of sinus node recovery time (author's transl)].

On the basis of personal experience of 22 patients, 11 with sick sinus node syndrome (SSNS) and 11 without, it was concluded that the seat and length of atrial stimulation has little importance for the determination of recovery time for corrected sinus node (RTCSN). The frequency of optimal stimulation seems to be 110 impulses per minute for 2 minutes, by which it generally reaches the maximum value of RTCSN. Using this method, the falsely normal RTCSN in SSNS subjects can be verified; in these cases the test should be repeated within a larger frequency scope.

Arrhythmia, Sinus↗

[Modifications and control of the myocardial threshold with the Vario pacemaker EM 169 (author's transl)].

Measurements of threshold of electrical stimulation were performed in thirty patients with A-V block, at the time of implantation of the pacemaker, after 10 days, 1-2 months and 1 year. The Vario-pacemaker was used for the measurements. An increase in the stimulation threshold of about 260% was noted after 10 days and 1-2 months. One year after the implantation of the pacemaker, the myocardial threshold was about 200% of the initial value. The method is easy to perform. It is very useful to follow the myocardial threshold changes for a long period after the implantation.

Electrocardiography↗

[The values and limitations of recovery time in sick sinus syndrome (author's transl)].

143 patients were examined for SNRT and thus divided: 1st group: 39 patients with indisputable clinical signs of MNS (bradycardia-tachycardia, synocopes); 2nd group: 18 patients with constant sinusal bradycardia, but without arrhythmias; 3rd group: 86 patients without any clinical signs of sisusal automatism deficit. The average SNRT results were: 2346 plus or minus 1404 msec in the 1st group; 1337 plus or minus 181 msec in the 2nd group and 1021 plus or minus 216 msec in the 3rd. Corrected SNRT gave an average result of 1315 plus or minus 1300 msec in the 1st group; 329 plus or minus 229 msec in the 2nd and 234 plus or minus 133msec in the 3rd group. The values between the average and standard deviation...

Adult↗