Biomedical subjects
Publications and source records attributed to S La Brooy.
In the past, the precise diagnosis of amyloid cardiomyopathy without resort to invasive techniques has been difficult. Recent experience with 2-dimensional echocardiography in cardiac amyloidosis has suggested that there are characteristic, and perhaps unique, features that are regularly imaged. We describe a case where usage of this non-invasive technique allowed accurate definition of cardiac involvement by amyloid.
An evaluation was made of the feasibility of an instant upper-gastrointestinal endoscopy clinic for patients referred to hospital for the investigation of dyspepsia. A total of 200 patients underwent endoscopy using a small-diameter endoscope with only topical pharyngeal anaesthesia but no premedication or sedation. The procedure was successful in 187 of the patients. Its acceptability was high for both patients and doctors. The average duration of the hospital visit was 45 minutes. Instant endoscopy with a small-diameter endoscope provides a convenient and fast primary diagnostic service for patients with dyspepsia.
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