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A 23-year-old man presented with recurrent exercise-induced ventricular tachycardia (VT), complicated by systemic embolisation. Catecholamine--sensitive VT was reproduced on exercise testing and programmed electrical stimulation, displaying features suggestive of enhanced automaticity as well as re-entry. Both 2D-echocardiography and gated heart pool scan… (More)
The surgical repair of atrial septal defects (Bailey et al., 1953; Gross et al., 1953; Bjork et al., 1954) has led to a greater awareness of the anatomy of the right atrium. In two cases of this condition we have seen an important variant involving the valve of the inferior vena cava. This structure was described by Bartolomeno Eustachius (1563), but its… (More)
In an attempt to identify which parameters predict survival in advanced dilated cardiomyopathy, 232 patients presenting for assessment for cardiac transplantation were investigated and followed for 10 +/- 12 months (range 2 weeks to 5 years). Etiology of dilated cardiomyopathy included ischemic heart disease (33%), idiopathic (42%) and miscellaneous (25%).… (More)
Plasma anticardiolipin antibody (ACA) was measured in 83 patients having coronary artery bypass graft surgery and results were correlated with the incidence of early (1-2 weeks) and late (12 months) graft occlusion, as judged by angiography. There was an association between preoperative ACA level and the incidence of late graft occlusion in relation to both… (More)
As the result of the restructuring and decentralisation of the administration of St Vincent's Hospital, Sydney, I was Clinical Chief of a pilot "institute" for three years operating within a "patient-focused model" in hospital management. By the end of the trial, we had improved performance despite reductions in hospital and unit budgets.
Seventy-nine patients with idiopathic dilated cardiomyopathy were assessed and followed up to evaluate 9 variables that might predict duration of survival after assessment for cardiac transplantation. Patients with ischemic heart disease, alcoholic and peripartum cardiomyopathy were excluded. There were 38 deaths (48%) during the 18-month (mean) follow-up.… (More)