Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Oct 2004
Case Reports[Implantable cardioverter-defibrillator in the treatment of two patients with an increased risk of sudden cardiac death].
A 23-year-old female with familial long-QT syndrome and a 48-year-old male with familial dilated cardiomyopathy were given an implantable cardioverter-defibrillator (ICD) as prophylaxis. About half a year after the implantation, there was an appropriate and successful ICD-discharge in both patients in connection with ventricular tachycardia. Treatment with an ICD can be life-saving in patients with cardiac rhythm disorders. The most common indication is ventricular tachycardia or fibrillation due to ischaemic heart disease, but an ICD may also be indicated in patients with cardiomyopathy, congenital heart disease, hereditary arrhythmia or a planned heart transplantation.
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Ned Tijdschr Geneeskd · Oct 2004
Case Reports[Diagnostic image (212). A man with severe abdominal pain].
A 36-year-old man presented with acute abdominal pain due to occlusion of the superior mesenteric artery associated with intestinal rotation caused by an upper abdominal postoperative adhesion.
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Ned Tijdschr Geneeskd · Oct 2004
Case Reports[Diagnostic image (210). A young woman suffering from abdominal pain].
A 33-year-old pregnant woman presenting with low abdominal pain was diagnosed with left-sided tubal extra-uterine pregnancy, which was surgically removed.
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Ned Tijdschr Geneeskd · Oct 2004
Case Reports[Diagnostic image (209). A man after submersion in water].
A 32-year-old man was presented with severe hypothermia and respiratory insufficiency after submersion in water. The ECG showed Osborn waves and a prolonged QRS and QT duration which normalized after correction of the hypothermia.