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A case is presented to demonstrate that tocolysis by beta adrenergic stimulation can be complicated by metabolic myocardial infarction. The possible role of pathophysiologic and pharmacologic facts is discussed, but additional clinical features involved in this particular case may be partly responsible for the above-mentioned complication. Finally, some(More)
The treatment of unstable angina pectoris should take into account self-regulation, the possibilities for improved oxygen transport, and a reduction of myocardial oxygen requirement. It consists primarily of drug therapy (nitrates, Ca-antagonists, amiodarone, beta-blockers). Secondarily, coronarography is performed with a view to surgical therapy.
Transthoracic echocardiography is an easily accessible, non-invasive imaging procedure for evaluation and follow-up of critically ill patients. It is particularly helpful in evaluating patients with thoracic pain, low-output syndrome or heart murmur, and has prognostic value in acute myocardial infarction. It makes a diagnostic contribution in 60 to 90% of(More)
In each indication for cardiac stimulation, dual chamber pacing must be considered if stimulation or sensing in the atrium is possible. It is of particular importance in patients with diastolic ventricular dysfunction. The Heart rate is the most important parameter in stress-adaptation; for this reason we propose to use exclusively the VVIR or DDDR(More)