heart murmurs/acidente vascular cerebral

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Mesenteric pseudoaneurysm and cerebral stroke as sequelae of infective endocarditis in an adolescent.

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Infective endocarditis is uncommon in children, and there is a paucity of literature concerning cases that involve unique or resistant organisms. Complications associated with infective endocarditis are distinctly rare and poorly characterized, especially unusual sequelae such as pseudoaneurysm of

Clinical Presentation and Multi-Parametric Screening Surrogates of Ischemic Stroke Patients Suffering from Infective Endocarditis.

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BACKGROUND Infective endocarditis (IE) represents a life-threatening condition due to complications like cardiac failure and thromboembolism. In ischemic stroke, IE formally excludes patients from approaches addressing the recanalization of occluded vessels, challenging decision-making in the early

A survival case of painless chronic type A aortic dissection with a history of stroke and anticoagulant use.

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We report the case of a patient with completely painless chronic aortic dissection, who presented to another hospital with a left hemiparesia 3 months ago and received anticoagulation therapy with a diagnosis of ischemic stroke. Most of her symptoms had resolved when she presented to our outpatient

[Stroke as the dramatic presentation of infectious endocarditis: the importance of the clinical history].

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The authors describe a case of infective subacute endocarditis due to Streptococcus mitis in a 72 year-old woman with systemic complaints and joint symptoms, that had started 4 months before, diagnosed as a polymyalgia rheumatica, who suddenly presented with aphasia and hemiplegia. The delay in the

Stroke complicating traumatic ventricular septal defect.

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BACKGROUND Traumatic ventricular septal defect (VSD) occurs in approximately 5% of blunt or penetrating cardiac injuries and can result in rare complications. OBJECTIVE To report the serious complication of stroke after a traumatic VSD. METHODS A 27-year-old man with no previous medical history

Reappraisal of cardiac murmurs related to aortic regurgitation.

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BACKGROUND With the advent of color Doppler echocardiography, which can detect even a trivial aortic regurgitation (AR), the spectrum of the audible cardiac murmurs caused by AR which presents specific and characteristic findings should receive further refinement. METHODS Twenty-eight subjects with

[Embolic stroke of cardiac origin].

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Embolism from thrombi, vegetations, and tumours in the heart and from thrombi in the proximal aorta accounts for 20% of cases of ischaemic stroke. These sources of embolism may be revealed by echocardiography but overall the therapeutic consequences are limited. Therefore, a selective strategy is

Clinical characteristics and thrombolytic outcomes of infective endocarditis-associated stroke.

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OBJECTIVE Our aim was to describe the clinical features of infective endocarditis (IE) in the acute stroke setting and outcomes following thrombolytic therapy. METHODS This is a single-center, retrospective, descriptive case series of IE-related stroke (IES). Infective endocarditis diagnosis was

Epidemiology of stroke in the elderly in Thailand.

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Epidemiology of stroke in the elderly in Thailand was conducted from August 1994 to October 1996. The total of 3,036 Thai elderly were included in this study. They represented the elderly population from four regions; Central Region (615 elderly, Nakhon Pathom Province), Northern Region (840

The blue man who presented with a stroke.

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A 19-year-old man presented with sudden onset of right eye ptosis, diplopia and giddiness. He had no previous medical illnesses with negative history of exertional dyspnoea, epistaxis, haemoptysis, palpitations, chest pain and chronic cough. Examination revealed central cyanosis, digital clubbing,

Giant Left Atrial Myxoma: Cause for Position-Dependent Nocturnal Dyspnea and Cardiac Murmur.

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Primary tumors of the heart are rare. The majority of them are benign, the left atrial myxoma being the most frequent one. Clinical appearance varies from unapparent to life-threatening complications such as stroke, acute heart failure, or even sudden death. Diagnosis and consecutive surgical

Conditions leading to pediatric cardiology consultation in a tertiary academic hospital.

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OBJECTIVE To determine the basis for cardiac consultations for pediatric patients in an academic hospital setting. METHODS The activities of the cardiology consultation service were tabulated for 12 months, from July 2001 to June 2002. Patients were identified from 4 sources, ie, a monthly log of

[A 93-year-old woman presenting consciousness disturbance, left hemiplegia, and respiratory distress].

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We present a 93-year old female who abruptly developed left hemiplegia on the way to the wash room. She was admitted to another hospital where her consciousness deteriorated and artificial respiration was necessary. She was transferred to our hospital 20 days after the onset of her stroke. On

[Aortic coarctation is correlated with bicuspid aortic valve and intracranial aneurysm: a case report and review of the literature].

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Aortic coarctation is often linked to bicuspid aortic valve and only rarely to congenital aneurysm of the circle of Willis. It is possible that a common pathogenetic substrate determines this association, but it has not yet been demonstrated. In this report we describe the case of a 32-year-old

[The prompt squatting in the ambulance of pediatric cardiology (author's transl)].

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The result of prompt squatting is an increase of the venous return and of the arterial resistance. Consequences are increasing of the end-diastolic and systolic chamber pressure, stroke volume, average arterial blood pressure as well as decreasing of the frequency of the pulse controlled by

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