Jacobi Keilii ... Tentamina medico-physica, quinque 1. De sanguinis quantitate 2. De velocitate sanguinis 3. De vi cordis sanguinem per totum corpus propellenda 4. De secretione animali ... : quibus accedit medicina statica britannica, complectens 1. Tabulas perspirationem excretionemque per singulos menses exhibentes ...

Mode of access: Internet.

Laurenti Bellini Opuscula aliquot ... : in quibus praecipue agitur de motu cordis ... de motu bilis ... de fermentis et glandulis ...

Mode of access: Internet.

Alberti Halleri ... Dissertationes de partibus sensibilibus, et irritabilibus. De sanguinis motu, et cordis motu a stimulo nato ...

Mode of access: Internet.

Alberti Halleri ... De partium corporis humani ... Tom. II, Liber quartus. Cordis fabrica, motus.

Mode of access: Internet.

Quatuor luculentorum opusculorum anatomicorum fasciculus. : Quo I. Joannis Baptistae Bianchi Ductuum lacrymalium novorum epistolaris dissertatio; II. Abrahami Vateri Novi ductus salivalis in lingua excretorii demonstratio: III. Henrici Meibomii De vasis palpebrarum novis erudita epistola: IV. Caecilii Folii Viae sanguinis a dextro in sinistrum cordis ventriculum defluentis accurata delineatio: comprehenduntur.

Mode of access: Internet.

Alberti v. Haller ... De partium corporis humani ... Tom. II. Liber quartus. Cordis fabrica. Motus.

Mode of access: Internet.

Physiologico anatomicum laboris momentum, galenicae medicinae professoribus non parum vtile. Vbi de cordis structura, motu, & vsu, necnon arteriarum, venarum & sanguinis in Galenicae Medicinae defensionem accurate peragitur ... /

Mode of access: Internet.

I. Sever. Pinæi Carnut. De integritatis et corruptionis virginum notis : graviditate item & partu naturali mulierum, opuscula ; II. Ludov. Bonacioli Ferr. Enneas muliebris ; III. Fel. Plateri Basil. De origine partium, earumque in utero conformatione ; IV. Petri Gassendi De septo cordis pervio, observatio ; V. Melchioris Sebizii De notis virginitatis ...

Extra engraved title-page, with imprint: Lugud. Batavor. : Apud Adrianum VVijngaerden, & Franciscum Moyarden, 1641.

Lipid goals among patients with diabetes or metabolic syndrome: Lipid Treatment Assessment Project (L-TAP) 2

Objective: This analysis of the Lipid Treatment Assessment Project 2 population compared lipid goal attainment by diabetes and metabolic syndrome status. Research design and methods: Dyslipidaemic patients aged >= 20 years on stable lipid lowering therapy had their lipid levels determined once during enrolment at investigation sites in nine countries between September 2006 and April 2007. Achievement of low-density lipoprotein (LDL) cholesterol success, triglycerides < 150 mg/dl (1.7 mmol/l), and high-density lipoprotein (HDL) cholesterol success (> 40 mg/dl [1.0 mmol/l] in men or > 50 mg/dl [1.3 mmol/l] in women) was compared using logistic regression. Results: A total of 9955 patients were evaluated. Patients with diabetes, compared with those without diabetes, had lower achievement of LDL cholesterol goals (according to National Cholesterol Education Program Adult Treatment Panel [NCEP ATP] III guidelines; 67% vs. 75%), triglycerides < 150 mg/dl (55% vs. 64%), and HDL cholesterol success (61% vs. 74%; p < 0.0001 for all comparisons). The significantly lower lipid goal attainment in patients with diabetes was consistent across participating world regions. Patients with metabolic syndrome, compared with those without metabolic syndrome, had lower achievement of NCEP ATP III LDL cholesterol goals (69% vs. 76%), triglycerides < 150 mg/dl (36% vs. 83%), and HDL cholesterol success (49% vs. 89%; p < 0.0001 for all comparisons). As the number of metabolic syndrome components increased, lipid success rates progressively decreased (p < 0.0001 for LDL cholesterol success, triglycerides < 150 mg/dl, and HDL cholesterol success). Conclusions: This analysis indicates that despite their increased cardiovascular risk, patients with diabetes or metabolic syndrome remain undertreated.

Percutaneous Transatrial Access to the Pericardial Space for Epicardial Mapping and Ablation

Background-Puncture of the atrial appendage may provide access to the pericardial space. The aim of this study was to evaluate the feasibility of epicardial mapping and ablation through an endocardial transatrial access in a swine model. Methods and Results-An 8-F Mullins sheath was used to perforate the right (n=16) or left (n=1) atrial appendage in 17 pigs (median weight, 27.5 kg; first and third quartiles [Q1, Q3], 25.2, 30.0 kg). A 7-F ablation catheter was introduced into the pericardial space to perform epicardial mapping and deliver radiofrequency pulses on the atria. The pericardial space was entered in all 17 animals. In 15 (88%) animals, there was no hemodynamic instability (mean blood pressure monitoring, initial median, 80 mm Hg; Q1, Q3, 70, 86 mm Hg; final median, 88 mm Hg; Q1, Q3, 80, 96 mm Hg; P=0.426). In these 15, a mild hemorrhagic pericardial effusion was identified and aspirated (median, 20 mL; Q1, Q3, 15, 30 mL) during the procedure, and postmortem gross analysis revealed that the atrial perforation was closed in these animals. In 2 (12%) of the 17 animals, there was major pericardial bleeding with hemodynamic collapse. On gross examination, it was found that pericardial space was accessed through right ventricular perforation in 1 animal and the tricuspid annulus in the other. After the initial study, we used an occlusion device in 3 other animals to attempt to seal the puncture (2 at the right atrial appendage and 1 at the right ventricle). These 3 animals had no significant pericardial bleeding. Conclusions-Transatrial endovascular right atrial appendage puncture may provide a potential alternative route for pericardial access. Further studies are needed to evaluate its safety with longer and more-complex procedures before being applied in clinical settings. (Circ Arrhythm Electrophysiol. 2011;4:331-336.)

In festo transfigurationis domini nostri Jesu Christi, de Liszt, enquanto possível lugar metafórico e teológico

Dissertação apresentada para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Musicologia Histórica

Cianose e morte durante a terapêutica antimonial em paciente com esquistossomose pulmonar e glomerulonefrite, e que apresentara púrpura e icterícia

Relata-se um caso de paciente acometida de esquistossomose mansoni hepatoesplênica, com comprometimento pulmonar, a qual veio a falecer, após administração de pequena dose de antimonial, em intensa dispnéia e cianose, sem sinais de "fragmentatio cordis". Não havia sinais clínicos de insuficiência cardíaca congestiva, embora os dados de necropsia sugerissem êste diagnóstico. Salienta-se o agravamento rápido da sobrecarga ventricular direita, após a anti-monioterapia, e a desproporção entre os quadros anatômico e clínico de acometimento pulmonar da parasitose. Comentam-se o diagnóstico diferencial da cianose em casos de pneumopatia esquistossomótica 2 a presença de púrpura trombocitopênica, de icterícia e de glomerulonefrite crônica.

A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria Immitis in Dogs

Canine dirofilariosis is a life-threatening parasitic disease that is increasingly reported worldwide. Once diagnosed the main treatment goals are to improve the animal's clinical condition and to eliminate all life stages of the parasite with minimal posttreatment side effects. This can be achieved through mechanical, surgical, or chemotherapeutical approaches. Currently, manual extraction is the preferred method to remove adult heartworms due to its diminished invasiveness, reduced damage to the vascular endothelium, and shortened anaesthesia duration. However, it remains an expensive technique that can be highly traumatic. To address this issue, a nontraumatic homemade catheter-guided snare was developed for heartworm removal by adapting and folding a 0.014-inch coronary wire (BMW, Abbott Vascular). Transvenous heartworm extraction was performed on a dog severely infected with adult heartworms by inserting the modified snare into a 6-F Judkins right coronary guiding catheter BMW (Cordis) and advancing it into the right ventricle under fluoroscopic guidance. Fifteen adult specimens of Dirofilaria immitis were successfully extracted from the pulmonary artery and right ventricle without complications. To assure the death of both larvae and adults, postoperative treatment was successfully managed using ivermectin, doxycycline, and melarsomine, with no recurrence after surgery.

Aneurisma de artéria coronária um ano e cinco meses pós-implante de stent com eluição de sirolimus

Paciente de 52 anos de idade, do sexo masculino, com diagnóstico de angina instável pós-infarto. A angiografia coronariana revelou obstrução luminal de 90% no terço médio da artéria coronária direita e de 90% no ramo marginal da artéria circunflexa. Após o uso de clopidogrel 300 mg associado ao ácido acetilsalicílico, o paciente foi submetido a implante de stent com eluição de sirolimus (CYPHER; Johnson&Johnson-Cordis) 2,5 x 18 mm, na lesão do ramo marginal esquerdo. Após um ano e cinco meses do implante do stent CYPHER, foi observada em nova angiografia a presença de aneurisma coronariano intra-stent, no ramo marginal esquerdo. O presente relato sugere que o implante de stent coronariano revestido com sirolimus pode ocasionar, tardiamente, a formação de aneurisma da artéria coronária.

1.° Liber gestorum Salvatoris nostri Jesu Christi, quem invenit Theodosius Magnus Hierosolymis in Praetorio Pontii Pilati ; sive evangelium Nicodemi. — 2.° Sermo in decollatione sancti Joannis Baptistae. — 3.° Visio angelica quam ostendit Deus Guetino, famulo suo : is autem erat Monachus sancti Vincentii Metensis. — 4.° Visio de qualitate poenarum infernalium, beato Paulo Apostolo à Michaële Archangelo revelata. — 5.° Beati Anselmi parabolae ad mores informandos idoneae — 6.° Philosophorum apophthegmata quaedam.

DD. de Bethune