Cardiac arrhythmias and other complications in patients after myocardial infarction during a long term training program]

In 85 patients with myocardial infarction undergoing a physical training on a bicycle ergometer 3 times a week over a period of 18 months beginning 5 weeks after the acute infarction, telemetric and haemodynamic investigations were made. The telemetry was done during ergometer training, dynamic and isometric gymnastics and during work at home. The diastolic pulmonary arterial pressure under exercise was registered in 43 patients before the beginning of the training program; in 16 of these patients a control heart catheterization was made after a training period of 4 months. During the ergometer training program 32% of all patients had ventricular premature beats more than 1:10, 6% had paroxysmal ventricular tachycardias, 1 patient had supraventricular tachycardias and 1 patient died at home after having a tachycardia of unknown origin. During dynamic or isometric gymnastics or under work at home the patients had not more arrhythmias than in the telemetric controls during the ergometer training. Arrhythmias and other complications are very often found in patients with high diastolic pulmonary arterial pressure in the exercise test.     

'Limbic spindles': a re-appraisal.

Respiration-linked spindles are frequently recorded from nasopharyngeal electrodes and these have been reported to represent neuronally generated limbic activity. Evidence is presented from sphenoidal and nasopharyngeal recordings suggesting that these spindles are artifactual, due to unstable electrode contacts that record palatal vibration during partial airway obstruction.     

Weitere Beobachtungen über eine häufige Entstehungsursache von „Peritonsillarabscessen” nach Tonsillektomie

Ohne Zusammenfassung     

Die intrathekale Cortisontherapie bei lumbalen Discopathien

Zusammenfassung Es wird über die intrathekale Kristallcorticoidinstillation bei 182 Patienten mit therapieresistenten discogen bedingten Ischialgien, Lumbalsyndromen und Rezidivbeschwerden nach Bandscheibenoperationen berichtet. Von 122 eigenen Patienten konnten 88 nachuntersucht werden. Indikation, Wirkungsmechanismus, Technik und Komplikationen werden aufgezeigt. Aufgrund der zum Teil guten Spätresultate sind die Autoren der Ansicht, daß die intrathekale Kristallcortisongabe eine Bereicherung der konservativen Therapie bei therapieresistenten Fällen von lumbalen Discopathien bzw. beim Postlaminektomiesyndrom darstellt.

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Intrathecal cortison injection in lumbar disc problems

Summary Intrathecal instillation of corticosteroid was used in treatment of 188 patients with persistent sciatica or lumbar pain caused by disc hernia or osteochondrosis and recurrent sciatica or lumbar pain after disc operation. 88 of 122 own patients were followed up. Indication, mechanism of steroid action, technic, complications and results are discussed. According to the good results in part of the patients, still after years, the authors believe, that intrathecal corticosteroid administration is a further useful method of conservativ treatment of degenerativ lumbar disc affections. This therapy can also be used in patients with recurrent, persistent lumbar or leg pain after disc operation.

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Herrn Prof. Dr. Ph. Erlacher zum 90. Geburtstag gewidmet.     

Celiac disease and multiple jejunal diverticulosis

Summary A 60-year-old woman with diarrhea, weight loss, steatorrhea, and anemia was found to have multiple jejunal diverticula and a flat jejunal mucosa on peroral biopsy. Serial metabolic studies and multiple jejunal biopsies conducted during a 40-day period of gluten withdrawal showed a decrease in steatorrhea, a return toward normal of mucosal lipid distribution, and focal improvement in the morphology of the jejunal surface epithelium. During gluten read-ministration, fecal fat excretion increased and the distribution of lipid droplets in the jejunal mucosa again became abnormal. The administration of an antibiotic for 16 days had no effect on the clinical, biochemical, or histologic abnormalities. The results suggest that the malabsorption was attributable to celiac disease and not to the jejunal diverticulosis.Supported in part by Grants FR-00044 from the Division of Research Facilities and HE-06089 from the National Institutes of Health, U. S. Public Health Service.Serum Vitamin B₁₂ and folate determinations were performed by Dr. Frederick A. Klipstein, Columbia University College of Physicians and Surgeons, New York, N. Y., and total lipid assays by Bio-Science Laboratories, Los Angeles, Calif.