Early growth is associated with blood pressure measured on one occasion, but whether early life growth patterns are associated with longitudinal blood pressure trajectories is under-researched. Therefore, we sought to examine the association between early growth and blood pressure trajectories from childhood to adulthood. Blood pressure was measured on 7 occasions between ages 5 and 18 years in...

Due to a complex of vague symptoms in some patients with a ballooning posterior leaflet (BPL), a s b d a d h d personality inventory test (MMPI) wati given to 14 patients exhibiting a midsystolc click and/or late systolic murmur and a positive echocardiogram for a BPL. Seven of the eight symptom-free patients had normal MMPIs. Of the six symptomatic patients, five bad abnormal scores for hyster...

Mitochondrial disorders (MIDs) require biochemical or genetic investigations for being diagnosed. In some cases, however, the diagnosis can be suspected upon the syndromic phenotype or upon clinical presentation and family history, as in the following case. The patient was a 74-year-old male admitted for worsening of pre-existing left-sided ptosis and ophthalmoparesis after a birthday party. Th...

We aimed to assess whether movement of the interatrial septum predicts change in pulmonary capillary wedge pressure (PCWP). In 71 patients undergoing cardiac surgery, the interatrial septum was categorised by its shape and movement using transesophageal echocardiography. Fixed curvature (FC) was identified by bowing of the interatrial septum from left to right throughout the cardiac cycle, mid-...

BACKGROUND AND OBJECTIVES Left ventricular (LV) dyssynchrony has been commonly detected among hypertensive patients with normal LV systolic function and no evidence of congestive heart failure. The purpose of our study was to assess the changes in LV systolic dyssynchrony (SDS(LV)) among hypertensive patients after antihypertensive treatment, and to determine the relationship between SDS(LV) an...

The Attending Physician’s Statement (APS) confirms the history above. It also indicates that she has a normal build and a regular pulse. Blood Pressure is 120/80. A midsystolic click and 2/6 late systolic murmur are audible at the apex. 1991 chest x-ray is reported as normal. 1991 ECG reveals sinus rhythm with minor ST-T wave changes in leads 2, 3 and AVF. A 1990 echocardiogram report discloses...

Echocardiograms of 143 patients with isolated systolic hypertension were compared to 808 patients with combined (systolic and diastolic) hypertension. All patients met electrocardiographic criteria for left ventricular hypertrophy and were evaluated off medication. Patients with isolated systolic hypertension were older, shorter, weighed less, and were mostly women, but body mass index (BMI) wa...

speech delay with an unknown cause is a problem among children. this diagnosis is the last differential diagnosis after observing normal findings in routine hearing tests. the present study was undertaken to determine whether auditory brainstem responses to click stimuli are different between normally developing children and children suffering from delayed speech with unknown causes. in this cr...

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