[Hypertension and nutrition].
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Biomedical subjects
Publications and source records attributed to R Wenger.
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112 patients in a medical ward were examined clinically and biochemically with regard to their vitamin status (plasma vitamin A, plasma vitamin C, blood glutathione reductase, vitamin B1, vitamin B2, N-methyl nicotinic acid amide and pyridoxic acid excretion). The nutritional habits were assessed by means of a questionnaire. The results of these two examinations were correlated with the clinical findings. The assessment of the vitamin B2 status showed a deficiency in 8 cases and a marginal vitamin B2 supply in a further 4 cases. The thiamine intake was insufficient in 43 cases and marginal in 42 cases. The biochemical assessment of vitamins C, B1 and PP indicated a deficiency of these vitamins. Dermatological signs pointed to a deficiency of vitamins A and B2. There was a significant correlation between the plasma vitamin A level and the serum iron level. The importance of milk and vegetables in the diet is stressed and also the association between milk consumption and the serum cholesterol level.
Three cases of contingent wound myiasis (traumatic myiasis) in man in Austria caused by Lucilia sericata (2 cases) and Sarcophaga argyrostoma and Lucilia sericata (1 case) are reported.
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Uncommon observation of endocardial fibroelastosis of the left auricle and ventricle found at autopsy. The 46-year-old female patient had her mitral valve replaced 15 months ago because of mitral stenosis (and slight incompetence). The left auricle with certainty did not show endocardial fibrosis at the time of operation. The therefore acquired postoperative fibroelastosis of the left auricle is probably caused mechanically resp. by hypoxia since postoperatively valvular incompetence and restenosis with severe thrombosis of the artificial valve developed. There are no reasons to assume an inflammatory etiology. It must remain open if the fibroelastosis of the left ventricle was congenital. Its possible etiology - if it was also acquired - is discussed.
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Coronary care units, their organization, functioning and therapeutic results are described. If a medical intensive care service is available in the area, then coronary care should be connected to it. The qualifications and specialist training of the medical and nursing staff are discussed, as well as the organization of coronary care in sparsely-populated areas. Correct transportation is important. Adequate information with regard to coronary care facilities should be given to high-risk patients and their relatives, and the population should be informed as to the prevention of coronary disease.
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The principle of vectorcardiography is first discussed. The setting out in space is very instructive. An over-valuation of slight vectorcardiographic changes can lead to wrong conclusions. The changes in right hypertrophy may in many cases be important for diagnosis. This is true for cases of intraventricular conduction disturbance and incomplete right bundle branch block. In certain cases of myocardial infarction, the vectorcardiogram can be valuable as additional diagnostic method. Finally the diagnostic possibilities of vectorcardiography in pacemaker patients, contour irregularities of the vector loops, congenital valvular heart disease and ventricular extrasystole, and the question of standardisation are discussed.
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