HEART MURMUR CHANGES FOLLOWING MITRAL COMMISSUROTOMY

HEART MURMUR CHANGES FOLLOWING MITRAL COMMISSUROTOMY

Volume 52, No. July. 1967 solchen 1 ISOPRENALINE Patienten, und 40% bei 80% denen diese Effect und von Isoprenalin den verschiedenen, t...

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Volume 52, No. July. 1967 solchen

1

ISOPRENALINE

Patienten,

und

40%

bei

80%

denen

diese

Effect

und

von

Isoprenalin den

verschiedenen,

treffenden

Faktoren

tion

zu

jeweilige

demonstrieren

7 be-

ermittelten

angeskell

eine

an-

Anamnese des

Asthmas

abgesehen,

und

Hyperventilation

hinsichtlich

des

Alter

der

6

z w is c hen

einerseits

Grad die

Schweregrades vom

zwischen

wurden

sowohl

dererseits

Wert

lag.

Korrelations-Kalkulationen dem

BRONCHIAL

IN

ohne

signifikante

daI3,

8

Korrela-

war. REFERENCES

9

1 American Thoracic Society: “Chronic bronchitis, asthma and pulmonary emphysema,” Amer. Rev. Resp. Dis., 85:762, 1962. 2 BERGLUND, E., BIRATH, G., BJURK, 3., GRIMBY, G., KJELLMER, I., SANDQVIST, L. AND S#{246}DERHOLM, B.: “Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age,” Acta Med. Scand., 173:185, 1963. 3 BERNSTEIN, L., D’SILVA, J. L. AND MENDEL, D.: “The effect of the rate of breathing on the maximum breathing capacity determined with a new spirometer,” Thorax, 7:255, 1952. 4 BIRATH, G., KJELLMER, I. AND SANDQVIST, L.: “Spirometric studies in normal subjects. II. Ventilatory capacity tests in adults,” Acta Med. Scand.,173:193, 1963. 5 GRIMBY, G. AND SdDERHOLM, B.: “Spirometric studies in normal subjects. III. Static lung volumes and maximum voluntary ventilation

ASSESSMENT Under

examination

stenosis 80 mm cardiac pulmonary

with a Hg) by regions artery

OF

were

EFFICACY

10

11

12

OF

patients with mitral high pulmonary hypertension (Over means of catherization of the right and pressure measurement in the before and after mitral commis-

surotOmy. Hemodynamic studies a long time after commissurotomy showed that in 19 patients, the hemodynamic indices practically normalized, in nine cases there was significant improvement however. the pressure in the pulmonary artery remained moderately elevated (40-50 mmHg). The residual manifestations of hypertension In the pulmonary

HEART

MURMUR

A study was made of 126 patIents wIth mitral and at late (up to four commissurotomy.

malization is

always

results. the

does

The

heart

absence

picture

rule

out

murmur

stenosis

Complete of the heart sounds accompanied by

acoustic

not

CHANGES

years) or

nearly after excellent

MITRAL

changes

in after

following

complete commissurotomy or good

may

changes

the

in

Irnell, Department Hospital, Uppsala,

basis

of

tension

is

KOLESNIKOV,

KARIMOV,

efficacy mitral ing to 3, 1966.

vascular

the

derived,

operative with

a

the

of

the

the

anatomic lungs.

authors

treatment high pulmonary

of

A.,

TSUKEEMAN,

G.

I.,

PETROSYAN,

Y. of

S., the from accord.

No.

3:

COMMISSUROTOMY

patients periods

KARPENKO,

of

mitral hyper-

justified. S.

late

On

are

D. S. AND STRANIN, v. G.: “Assessment of mitral commissurotomy in patients suffering stenosis with high pulmonary hypertension catheterization data,” Thor. Sarg. (USSR),

patients is development cent of the

only. after

The return surgery in by clinIcal

attended of re-stenosis patients operated

murmur foliowing

V. changes mitral

No.

23,

3:

by

channel

data

that patients

MITRAL the late

explained

be

the

the opinion stenosis in

of at

write: Dr. University

COMMISSUROTOMY

nor-

of any substantial changes in of an operated mitral stenosis good results, but is noted in half

please Medicine,

circulation

FOLLOWING

immediately

periods

in adults with a note on physical fitness,” Acta Med. Scand., 173:199, 1963. HUME, K. M. AND GANDEVIA, B.: “Forced cxpiratory volume before and after isoprenaline,” Thorax, 12:276, 1957. IRNELL, L.: “A study of bronchial asthma with special reference to its long-term consequences for respiratory and circulatory function and socio-medical condition,” Acta Med. Scand., 176, Suppl. 419, 1964. KALL6S, P. AND DEFFNER-KALL6S, L.: “Mcdihaler, ett nytt hj#{228}lpmedel for den symptomatiska astrnabehandlingen,” Sv. Likartidn., 47: 3367, 1958. LOCKHART, W., SMITH, D. H., MAlE, A. AND WILSON, W. A.: “Practical experience with the peak flow meter,” Brit. Med. 1. 1:37, 1960. SIM0NSS0N, B.: “A comparison between the ventilatory effect of two types of adrenaline, administered through different nebulizers,” I. Allergy, 33:166, 1962. TOIRONEN, S., TARPILA, S. AND BACKMAN, A.: “Spirometric studies of the effect of two adrenaline derivates on bronchial asthma,” Nord. Med., 72:1037, 1964. WRIGHT, B. M. AND MCKERROW, C. B.: “Maximum forced expiratory flow rate as a measure of ventilatory capacity; with a description of a new portable instrument for measuring it,” B it. Med. 1.. 2:1041, 1959.

For reprints, of Internal Sweden.

28

43

ASTHMA

1966.

is

of initial 50 per cent deterioration.

recorded upon.

In

sounds of the The

5.5

per

S. AND OBERBMCHENKO, Y. V.: “Heart occurring directly after arid at late periods commissurotomy,” Thor. Sarg. (USSR),