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Lopes ME, Le Corvoisier P, Tabet JY, Su JB, Badoual T, Cachin JC, Merlet P, Castaigne A, Hittinger L. [Aldosterone and its antagonists in heart failure]. Presse Med 2003; 32:79-87. [PMID: 12653034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/01/2023] Open
Abstract
UNLABELLED THE ROLE OF ALDOSTERONE: Aldosterone is the key hormone in salt-water homeostasis. In heart failure, it participates in the appearance and maintenance of signs of congestion. Predominantly synthesised in the glomerular area of the cortico-adrenal glands, extra adrenal production areas have recently been identified notably in the brain, the heart and the large artery trunks. Aldosterone is activated in the cells by the intracellular mineral corticoid receptor. IN CARDIOVASCULAR-PATHOLOGIES: In chronic heart failure, patients treated with conversion enzyme inhibitor may escape from the renin-angiotensin blockade and this may lead to increased aldosterone plasma levels. This increase can induce not only vascular lesions and myocardial fibrosis but also renal and cerebral lesions. THE EFFECTS OF SPIRONOLACTONE In patients with NYHA stage III or IV heart failure, addition of spironolactone to the treatment with conversion enzyme inhibitor, diuretic and/or digitalis leads to a reduction in morbidity and mortality, as demonstrated in the RALES study. The mechanisms by which spironolactone has a beneficial effect remain discussed. IN CLINICAL PRACTICE The prescription of spironolactone is limited by hormonal side effects it provokes. IN THE FUTURE Eplerenone, a new competitive aldosterone receptor antagonist that appears to be devoid of such side effects and which, at least experimentally may well have the same beneficial effects, is presently under clinical assessment.
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Affiliation(s)
- M E Lopes
- Service de cardiologie, Hôpital de Rochefort 16 rue du Dr Peltier 17300 Rochefort
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Le Corvoisier P, Lopes ME, Duval-Moulin AM, Antakly Y, Merlet P, Guéret P, Cachin JC, Dubois-Randé JL, Castaigne A, Hittinger L. [Hospital mortality in cardiology. Analysis of deaths occurring in the Federation of Cardiology of a university hospital center]. Arch Mal Coeur Vaiss 2001; 94:1147-54. [PMID: 11794981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
The aim of this study was to examine the nature of cardiovascular deaths occurring in a University Hospital. All the hospital files of 1999 of the Federation of Cardiology of Henri Mondor Hospital, Creteil, of patients who died in the department or after transfer to the intensive care unit or cardiac surgery department, were analysed. Myocardial ischaemia was the leading cause of death, occurring either in the acute phase of transmural infarction or in patients with chronic cardiac failure. Deaths occurring during acute myocardial infarction were associated with late treatment and/or non-reperfusion of the culprit artery. The delay of diagnosis seemed to be secondary to late consultation or difficulty in diagnosis. This resulted in severe left ventricular dysfunction and, in a quarter of cases, mechanical complications. They led to the early death of the patients (2.9 +/- 3.5 days after admission). Campaigns of patient information and education of doctors who see these patients would seem to be the most appropriate approach to reduce the delay before hospital admission in order to reduce mortality related to myocardial infarction. Cardiac failure is a common cause of death in cardiology departments. The deaths of patients occurred after a long follow-up and several days after hospital admission (11 +/- 10 days). Optimisation of the treatment of cardiac failure, the investigation of ischaemic heart disease, the search for new therapeutic strategies of acute cardiac failure and information of patients about their disease, seem to be the principal measures to take to improve the poor prognosis of this disease.
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Affiliation(s)
- P Le Corvoisier
- Fédération des services de cardiologie, Hôpital Henri-Mondor, 51, avenue du Maréchal de Lattre de Tassigny, 94010 Créteil
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Lellouche D, Nourredine M, Duval AM, Pujadas P, Gartenlaub O, Castaigne A, Cachin JC, Guéret P. [Hypertrophic obstructive cardiomyopathy and double-chamber pacing. Long-term results in a consecutive series of 22 patients]. Arch Mal Coeur Vaiss 1999; 92:1737-44. [PMID: 10665326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
The authors report their experience with dual-chamber pacing in hypertrophy obstructive cardiomyopathy. 22 patients (14 women and 8 men) mean age 60 +/- 13 years were implanted between 1992 and 1998. The criteria for pace-maker implantation were the presence of severe symptoms related with hypertrophy obstructive cardiomyopathy (dyspnea, angina, syncope) and left ventricular outflow tract gradient at mean 30 mmHg. Before pacing, all patients received a medical therapy which included beta-blockers or calcium inhibitors. This treatment was considered as ineffective or responsible of side effects. Patients were followed-up at mean 35.1 +/- 20.3 months. During this period, symptoms improved (mean NYHA class 2.7 +/- 0.5 before pacing vs 1.4 +/- 0.5 after pacing) and left ventricular outflow tract lowered from 95.4 +/- 40.8 to 39.3 +/- 20.5 at 6 months. 34.3 +/- 23.4 at one year and 26.5 +/- 21 at the end of follow-up. Seven patients had RF ablation of atrio-ventricular junction for paroxysmal atrial fibrillation or for lack of hemodynamic improvement with pacing. This procedure permits a significative lowering of gradient and a better ventricular filling. In conclusion, dual-chamber pacing is effective for treatment of hypertrophy obstructive cardiomyopathy when medical therapy is ineffective or bad tolerated at condition of: perfect pacing with permanent ventricular capture and optimal AV delay; RF ablation of AV junction in one third of cases; medical therapy systematically associated in all patients.
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Affiliation(s)
- D Lellouche
- Fédération de cardiologie, CHU Henri-Mondor, Créteil
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Monin JL, Garot J, Scherrer-Crosbie M, Rosso J, Duval-Moulin AM, Dupouy P, Teiger E, Castaigne A, Cachin JC, Dubois-Rande JL, Gueret P. Prediction of functional recovery of viable myocardium after delayed revascularization in postinfarction patients: accuracy of dobutamine stress echocardiography and influence of long-term vessel patency. J Am Coll Cardiol 1999; 34:1012-9. [PMID: 10520783 DOI: 10.1016/s0735-1097(99)00307-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES We sought to evaluate dobutamine stress echocardiography (DSE) for predicting recovery of viable myocardium after revascularization with cineangiography as a gold standard for left ventricular (LV) function. We studied the influence of late vessel reocclusion on regional LV function. BACKGROUND Dobutamine stress echocardiography is a well established evaluation method for myocardial viability assessment. In previous studies the reference method for assessing LV recovery was echocardiography, long-term vessel patency has not been systematically addressed. METHODS Sixty-eight patients with a first acute myocardial infarction (AMI) and residual stenosis of the infarct related artery (IRA) underwent DSE (mean +/- standard deviation) 21 +/- 12 days after AMI to evaluate myocardial viability. Revascularization of the IRA was performed in 54 patients by angioplasty (n = 43) or bypass grafting (n = 11). Coronary angiography and LV cineangiography were repeated at four months to assess LV function and IRA patency. RESULTS Sensitivity and specificity of DSE for predicting myocardial recovery after revascularization were 83% and 82%. In the case of late IRA patency, specificity increased to 95%, whereas sensitivity remained unchanged. In the 16 patients with myocardial viability and late IRA patency, echocardiographic wall motion score index decreased after revascularization from 1.83 +/- 0.15 to 1.36 +/- 0.17 (p = 0.0001), and left ventricular ejection fraction (LVEF) increased from 0.52 +/- 0.06 to 0.57 +/- 0.06 (p = 0.0004), whereas in five patients, reocclusion of the IRA prevented improvement of segmental or global LV function despite initially viable myocardium. CONCLUSIONS Dobutamine stress echocardiography is reliable to predict recovery of viable myocardium after revascularization in postinfarction patients. Late reocclusion of the IRA may prevent LV recovery and influence the accuracy of DSE.
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Affiliation(s)
- J L Monin
- Fédération de Cardiologie, Hôpital Henri Mondor, Créteil, France.
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Jan F, Roussel L, Lassailly R, Chopin D, Rahmouni A, Levy E, Cachin JC. [Arterial hypertension due to compression of the renal artery, revealing ovarian cancer]. Presse Med 1999; 28:841-4. [PMID: 10337336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
Abstract
BACKGROUND The etiologic work-up of hypertension with hyperaldosteronism and elevated serum renin includes search for renal artery stenosis. Intrinsic stenosis is a common finding, but hypertension secondary to extrinsic compression of the renal artery is exceptional. CASE REPORT A 48-year-old woman with an uneventful history was hospitalized for recent onset hypertension. Laboratory tests showed hypokaliemia, and elevated aldosterone and renin. Duplex Doppler exploration of the renal vessels evidenced extrinsic compression of the left renal artery by a tumoral mass found to be a nodal metastasis at surgery. Pathology reported cancer of the ovary. Blood pressure, and aldosterone and renin levels returned to normal after complete tumor resection. No antihypertensive treatment was required. CONCLUSION This is undoubtedly the first case of metastatic cancer of the ovary revealed by hypertension; it can be added to the list of 49 other published cases of extrinsic compression of the renal artery by various causes leading to hypertension. In most cases, surgical removal of the obstacle or nephrectomy provided cure of the hypertension.
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Affiliation(s)
- F Jan
- Fédération de Cardiologie, Hôpital Henri Mondor, Créteil
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Cachin JC. [Myocardial viability. The concept of myocardial viability]. Presse Med 1998; 27:1038-42. [PMID: 9767827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
MYOCARDIAL VIABILITY Certain zones of ischemic, akinetic or severely hypokinetic myocardium are capable of recovering normal contractile function. This is termed myocardial viability and occurs in two different situations: myocardial stunning and myocardial hibernation. MYOCARDIAL STUNNING This term designates temporary but prolonged impairment of myocardial function resulting from a brief episode of ischemia before reperfusion. MYOCARDIAL HIBERNATION Hibernation designates prolonged but potentially reversible myocardial contractile dysfunction caused by chronic myocardial ischemia and persisting at least until blood flow is restored. CLINICAL CONSEQUENCES Theoretically reversible, myocardial stunning or hibernation can have devastating effects if they persist too long. Revascularization with angioplasty or bypass surgery is indicated. DIAGNOSIS The degree of myocardial viability in akinetic zones can be determined by assessing preserved inotropic capacity with stress echocardiography and/or evidencing metabolic activity with isotopic techniques (myocardial scintigraphy, positron emission tomography).
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Affiliation(s)
- J C Cachin
- Fédération de Cardiologie, Hôpital Henri Mondor, Créteil
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Pérez Y, Duval AM, Carville C, Wéber H, Cachin JC, Castaigne A, Dubois-Randé JL, Guéret P. Is left atrial appendage flow a predictor for outcome of cardioversion of nonvalvular atrial fibrillation? A transthroacic and transesophageal echocardiographic study. Am Heart J 1997; 134:745-51. [PMID: 9351743 DOI: 10.1016/s0002-8703(97)70059-0] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Accurate echocardiographic parameters for predicting the success of cardioversion or maintenance of sinus rhythm are poorly defined. This prospective transthoracic and transesophageal echocardiographic study was conducted to test the hypothesis that the left atrial appendage flow pattern could be a predictive parameter of the success of cardioversion and maintenance of sinus rhythm in patients with nonvalvular atrial fibrillation. Eighty-two consecutive patients with nonvalvular atrial fibrillation of <6 months' duration underwent transesophageal examination after transthoracic echocardiography. After exclusion of left atrial thrombus, pharmacologic (n = 18) or electrical (n = 64) cardioversion was successful in 75 of 82 patients. In the group that underwent successful cardioversion, maintenance of sinus rhythm (n = 35) or recurrence of arrhythmia (n = 40) was assessed during a 1-year follow-up. During transesophageal examination, five left atrial appendage thrombi were found, spontaneous echo contrast was present in 26 (32%) patients, and mean peak left atrial appendage emptying velocity was 35 +/- 18 cm/sec. Peak left atrial appendage emptying velocity was found to be statistically related to parameters of left ventricular and left atrial function but not to long-term maintenance of sinus rhythm. No other echocardiographic parameter was identified as a predictor for either the success of cardioversion or the maintenance of sinus rhythm at follow-up. In patients with nonvalvular atrial fibrillation of recent onset, peak left atrial appendage emptying velocity appears to be a complex parameter depending on left atrial and left ventricular function but that does not predict either the success rate of cardioversion or long-term maintenance of sinus rhythm after successful cardioversion.
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Affiliation(s)
- Y Pérez
- Department of Cardiology, University Hospital Henri Mondor, Créteil, France
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Pérez Y, Duval AM, Carville C, Wéber H, Cachin JC, Castaigne A, Guéret P. [Echocardiographic factors predicting the maintenance of sinus rhythm one year after cardioversion for non-valvular atrial arrhythmias]. Arch Mal Coeur Vaiss 1997; 90:911-8. [PMID: 9339251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Echocardiographic factors predictive of the maintenance of sinus rhythm after successful cardioversion were investigated in 94 patients with non-valvular atrial arrhythmias of recent onset. Seventy-five patients with atrial fibrillation and 19 with atrial flutter admitted for reduction of their arrhythmias underwent transthoracic and transoesophageal echocardiography. After excluding a thrombus in the left atrial appendage or checking that it had disappeared (5 patients), and electrical (n = 74) or pharmacological (n = 20) cardioversion was successfully performed. The maintenance of sinus rhythm (n = 44) or recurrence of arrhythmia (n = 50) were controlled every 3 months for one year. The mean value of the peak positive blood flow in the left atrial appendage was 38 +/- 20 cm/s for the whole group. It was not possible to identify an echocardiographic parameter predictive of maintenance of sinus rhythm at one year either in the whole group or in the subgroups with atrial flutter or atrial fibrillation. In the group in atrial flutter, the mean value of the peak positive blood flow in the left atrial appendage was significantly greater than in the group with atrial fibrillation: 49 +/- 22 cm/s vs 35 +/- 18 cm/s, respectively; p < 0.05. The peak of positive flow in the left atrial appendage was statistically related to indirect parameters of left atrial function and of left ventricular function in the group with atrial fibrillation but only with parameters of left ventricular function in the smaller group with atrial flutter.
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Affiliation(s)
- Y Pérez
- Fédération de cardiologie, hôpital Henri-Mondor, Créteil
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Perez Y, Lellouche D, Nghiem DK, Cachin JC, Castaigne A. Chronic irregular idiopathic ventricular tachycardia with myocardial dysfunction suppressed by verapamil in an adult. Eur Heart J 1994; 15:1419-22. [PMID: 7821323 DOI: 10.1093/oxfordjournals.eurheartj.a060405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
We report a case of an almost permanent ventricular tachycardia that occurred in a 39-year-old man a few weeks before admission to the hospital. This arrhythmia was noticeable by its total irregularity and its association with a left ventricular dysfunction. The precise nosological frame for the arrhythmia was difficult to define. This case presented as an idiopathic left ventricular tachycardia, the features of which could be consistent with an atypical parasystole. The rapid abolition of the rhythm disturbance by oral verapamil without recurrence at 6 months resulted in normalization of the contractile function.
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Affiliation(s)
- Y Perez
- Hopital Henri Mondor, Department of Cardiology, Creteil, France
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Perez Y, Petitpas G, Sagez JF, Cachin JC. [Myocardial infarction and effort rhabdomyolysis. Problems caused by serum enzymatic assays]. Arch Mal Coeur Vaiss 1993; 86:501-4. [PMID: 8239878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The authors report the case of a patient who presented with myocardial infarction and rhabdomyolysis. The mild ECG changes in the basal leads and the normal MB creatinine phosphokinase fraction, expressed as a percentage of total CPK, delayed the diagnosis of myocardial infarction. The presence of a rhabdomyolysis without any clinical manifestation was suspected from the severe and prolonged increase in cardiac enzyme levels. Contrary to the usual method of measuring the MB fraction of CPK by immuno-inhibition, the fluorimetric immuno-enzymological technique enabled diagnosis of the infero-lateral-basal infarct, later confirmed by echocardiography and left ventriculography. This new technique would seem to be very useful, given the high sensitivity and specificity and its rapidity not only in the context of myocardial infarction associated with rhabdomyolysis, but also in the frontier forms of unstable angina and definitive myocardial infarction.
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Affiliation(s)
- Y Perez
- Service de médecine interne et cardiologie, hôpital Henri-Mondor, Créteil
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11
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Boesch C, Dubois-Rande JL, Pochmalicki G, Lellouche D, Teiger E, Saal JP, Cachin JC, Mallo C, Castaigne A, Jan F. [Hemodynamic study of intravenous milrinone in 26 patients with NYHA class III or IV cardiac failure]. Ann Cardiol Angeiol (Paris) 1992; 41:509-12. [PMID: 1298193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The hemodynamic effects of milrinone (WIN 47203) were studied in 26 NYHA Class III or IV patients. The compound was administered intravenously using a protocol including an initial push dose of 50 micrograms/kg in 10 min, followed by a 24 hour infusion at the dose of 0.5 microgram/kg/min. Maximal response was obtained after 15 min and persisted during the infusion: cardiac index increased from 2.08 +/- 0.36 l/min/m2 to 3.09 +/- 0.68 l/min/m2, while capillary pressure fell from 25 mmHg to 16-17 mmHg. These variations were significant (p = 0.01). Heart rate was stable. Mean peripheral blood pressure fell modestly (6%). Systemic vascular resistance fell by 30% and pulmonary vascular resistance by 20%. All these results confirmed the beneficial effect of this inotropic agent administered intravenously. The increase in ventricular premature contractions noted by many justifies the careful surveillance of these patients by monitoring.
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Affiliation(s)
- C Boesch
- Service de Médecine IV, Hôpital Henri Mondor, Créteil
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Coudurier P, Cachin JC. [Characteristics of the treatment of cardiac insufficiency in patients over 70 years of age]. Rev Prat 1984; 34:2569-73. [PMID: 6505569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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13
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Jan F, Vasile N, Cachin JC, Ferrané J, Beaumont JL. [Electrocardiogram during selective coronarography. Principal modifications observed during electrocardiography in 26 patients]. Coeur Med Interne 1975; 14:421-33. [PMID: 54237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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14
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Jan F, Vasile N, Luxereau P, Cachin JC, Ferrane J, Beaumont JL. [Information furnished by recorded electrocardiograms during radiologic opacification of aorto-coronary bypasses]. Ann Med Interne (Paris) 1975; 126:403-8. [PMID: 1084113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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15
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Jan F, Sébastien P, Jacotot B, Cachin JC. [Pulmonary emboli caused by hormonal treatment. (Apropos of 2 cases)]. Coeur Med Interne 1972; 11:765-9. [PMID: 4652265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Vasile N, Luxereau P, Cachin JC, Duron F, Ferrane J. [Value of selective coronary arteriography for preoperative investigation of valvular heart disease]. Ann Med Interne (Paris) 1972; 123:759-64. [PMID: 4642191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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17
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Coppet R, Cachin JC, Jan F, Beaumont JL. [Diphtheric myocarditis. Apropos of a clinical case]. Ann Med Interne (Paris) 1971; 122:531-6. [PMID: 5559823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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18
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Ourbak P, Bourdarias JP, Cachin JC, Rocha P, Scebat L, Lenègre J. [Hemodynamic effects of propranolol on obstructive myocardiopathy]. Arch Mal Coeur Vaiss 1971; 64:352-71. [PMID: 4397007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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19
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Cachin JC, Gorin NC, Vonthron A, Jan F. [Adams-Stokes syndrome caused by the administration of propranolol during a sino-auricular block]. Coeur Med Interne 1970; 9:387-90. [PMID: 5450475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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20
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Siguier F, Godeau P, Herreman G, Cachin JC. [Vibrio fetus septicemia (review of the literature apropos of a case of endocarditis)]. Coeur Med Interne 1968; 7:495-505. [PMID: 5748195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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21
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Barrillon A, Blondeau P, Cachin JC, Ourbak P, Lenègre J. [Triatrial heart in the adult]. Arch Mal Coeur Vaiss 1968; 61:1306-20. [PMID: 4973269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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22
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Bourdarias JP, Zappacosta C, Ourbak P, Cachin JC, Gay A, Scebat L. [Measure of the cardiac output by the dye dilution technic. I. Comparative study with Fick's method]. Rev Fr Etud Clin Biol 1968; 13:299-305. [PMID: 4878786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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23
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Gay A, Cachin JC, Zappacosta C, Ourbak P, Bourdarias JP, Scebat L. [Measurement of cardiac output by the dye dilution technic (simplified method of calculation by the so-called initial triangle method)]. Arch Mal Coeur Vaiss 1967; 60:1823-9. [PMID: 4969547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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24
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Himbert J, Cachin JC, Lenègre J. [A little-known heart disease: interauricular communication (ostium secundum) with mitral insufficiency]. Presse Med (1893) 1967; 75:2507-12. [PMID: 6073726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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25
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Cachin JC, Himbert J, Lenègre J. [Ostium secundum and mitral insufficiency. I. Signs and diagnosis]. Arch Mal Coeur Vaiss 1967; 60:989-1003. [PMID: 4963456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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26
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Cachin JC, Milliez P. [Treatment of permanent arterial hypertension by a combination of reserpine and a salidiuretic]. Sem Ther 1967; 43:86-87. [PMID: 5600414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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27
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Cachin JC. [Chronic cor pulmonale: its clinical forms and treatment]. Rev Infirm Assist Soc 1966; 16:926-31. [PMID: 4162394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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28
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Cachin JC. [Asthma; symptoms, diagnosis, treatment]. Rev Infirm Assist Soc 1966; 16:215-20. [PMID: 4159586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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29
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Cachin JC. [Mitral stenosis: symptoms, diagnosis, therapy]. Rev Infirm Assist Soc 1965; 15:694-9. [PMID: 4158610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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30
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Slama R, Cachin JC, Bourthoumieux A. [The Luciani-Wenckebach phenomenon and echo systoles in retrograde ventriculo-auricular conductions]. Arch Mal Coeur Vaiss 1965; 58:648-57. [PMID: 4953522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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