Paul K Mathew

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Fracture-dislocations of the elbow remain among the most difficult injuries to manage. Historically, the combination of an elbow dislocation, a radial head fracture, and a coronoid process fracture has had a consistently poor outcome; for this reason, it is called the terrible triad. An elbow dislocation associated with a displaced fracture of the radial(More)
Nineteen patients with untreated hypothyroidism were evaluated by M-mode echocardiography. Asymmetric septal hypertrophy (ASH), defined as a ratio of interventricular septal thickness to left ventricular posterior wall thickness (IVS/LVPW) equal to or greater than 1.3, was identified in 17 cases. Additional abnormalities recognized by echocardiography(More)
Electrocardiographic monitoring of 52 consecutive patients undergoing upper gastrointestinal endoscopy revealed that arrhythmias during the procedures were common (38.5%) and tended to occur more frequently in the elderly (75%), in persons with heart disease (54.5%), and in persons with chronic lung disease (89%). The incidence of ventricular premature(More)
Stress-related cardiomyopathy is underdiagnosed in the white population. Recently, an increasing awareness of this syndrome was noted in the United States. Stress-related cardiomyopathy was found mostly in women after an immediate stress. The available literature has indicated excellent short-term prognosis and full recovery. We report the case of a(More)
The electrocardiographic manifestations of hyperkalemia have been well described. We report a patient with chronic congestive heart failure and atrial fibrillation for 6 years. who converted to sinus rhythm during an episode of hyperkalemia. To our knowledge, this is the first report of hyperkalemia-induced conversion of chronic atrial fibrillation to sinus(More)
To test the hypothesis that orthostatic hypotension could represent an alternative mechanism contributing to the symptoms of mitral valve prolapse, the systolic and diastolic arterial blood pressures were measured in the supine and standing positions in 86 patients with the diagnosis confirmed by echocardiography. Orthostatic hypotension was demonstrated in(More)