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BACKGROUND Cardiac manifestations of Whipple disease are rarely diagnosed before death. OBJECTIVE To describe four patients with endocarditis caused by Tropheryma whippelii who did not have overt gastrointestinal disease. DESIGN Case series. SETTING Five hospitals in eastern Switzerland. PATIENTS Three men and one woman undergoing replacement of(More)
One hundred and twenty patients underwent a symptom limited submaximal exercise test (SSET) 8-40 days after acute myocardial infarction. No complications occurred during the exercise test. Sixty-two patients (52%) showed a normal SSET. ST-segment depression (greater than or equal to 1 mm) was detected in 21 (17.5%). Dyspnea, fatigue, inadequate blood(More)
The use of ACE-inhibitors in heart failure has been established over the past years. Their use is of uncertain value in the early phases of myocardial infarction, where they are supposed to prevent left ventricular dilatation. More recent studies (ISIS-4, GISSI-3) have tested early treatment by ACE-inhibitors in the acute phase of myocardial infarction. On(More)
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