no abstract

Jaramvala, Lyallpur, Punjab. S. M., a Hindu male aged 35, consulted me on the 19th December, 1924, complaining of fever coming on daily at 4 p.m. with rigor and passing off at 11 p.m., and of one week's duration. On examination I found the radial pulse on both sides practically imperceptible, with only an occasional beat perceptible. The spleen and liver were both enlarged. On auscultation, the...

Double outlet right ventricle, a rare congenital heart anomaly of either animals or man, was diagnosed in a three day old Brangus heifer. The clinical course was brief, consisting of terminal recumbency, dyspnea and cyanosis. Upon necropsy, the heart was enlarged as a result of marked dilatation of the right atrium and the right ventricle. The aorta arose from the right ventricle while the left...

A neonate with a double aneuploidy associated with congenital heart defect (CHD) suffered from cyanosis after birth. He had typical features of Down syndrome (DS) including hypertelorism, slightly lowset ears with protruding pinna. Doppler echocardiography indicated complex congenital heart disease with an ostium secundum atrial septal defect, enlarged right ventricle, and mild tricuspid valve ...

nique and the patient’s enlarged heart geometry.5,6 In addition, echocardiography is not a monitoring device. Right heart catheterization (RHC) is a direct measurement of hemodynamic parameters7 and is a reliable tool for evaluating hemodynamic changes in PH patients. However, the frequent use of RHC is also limited by its invasiveness, infection risk, and expense.8 Therefore, a noninvasive tec...

Volume 82, Number 6 www.aafp.org/afp American Family Physician 669 A 16-year-old girl presented with fatigue, weight loss, and dysphagia that began several months earlier. She had restless sleep leading to daytime somnolence and poor school performance, and her family reported loud snoring. Her medical history was unremarkable, except for recurrent upper respiratory tract infections. Physical e...

A neonate with a double aneuploidy associated with congenital heart defect (CHD) suffered from cyanosis after birth. He had typical features of Down syndrome (DS) including hypertelorism, slightly lowset ears with protruding pinna. Doppler echocardiography indicated complex congenital heart disease with an ostium secundum atrial septal defect, enlarged right ventricle, and mild tricuspid valve ...

The patient was a 31-year-old man with a past history of polycythemia vera, “enlarged heart” (1992), transient ischemic attack (1995), and decompensated heart failure (1997). He was referred for evaluation and management of suspected dilated cardiomyopathy. An ECG demonstrated Q waves in the anterolateral leads. Cardiac catheterization was performed. The image shown is a posteroanterior cranial...