Document Detail


Takayasu's arteritis. Clinical study of 107 cases.
MedLine Citation:
PMID:  12655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical experience derived from the retrospective study of 107 cases of TA over a 19 year period is presented. The disease predominated in females (8.5:1), with age of onset usually less than 20 years. In half of the cases an acute inflammatory phase was observed, characterized mainly by systemic and cardiovascular symptoms. Subsequently the natural course of TA was toward chronicity with gradual deterioration. The most frequent variety of TA (65 per cent of the patients) was Type III, in which the supra-aortic trunks and the abdominal aorta were involved. The predominant clinical features were reduction of amplitude of peripheral arterial pulses (96 per cent), vascular bruits (94 per cent), and raised blood pressure (72 per cent), mainly resulting from renal arterial involvement (62 per cent). Heart failure (28 per cent) is rarely the result of direct coronary arteritis. TA is most often confused with aortic coarctation, but usually the aortogram distinguishes these. The etiology of TA is discussed. The high incidence of previous and present active tuberculous (48 per cent) in the present series and previous experimental work suggest that tuberculosis may play an important role in the etiology of TA. Treatment for antihypertension and heart failure should be employed when indicated. Treatment with corticosteroids requires further evaluation. Treatment for tuberculosis is not justified in all cases until the exact role of tuberculosis is well established.
Authors:
E Lupi-Herrera; G Sánchez-Torres; J Marcushamer; J Mispireta; S Horwitz; J E Vela
Related Documents :
3974275 - Determinants of operative mortality for patients undergoing aortic valve replacement. d...
3180405 - Surgical management of doubly committed subarterial ventricular septal defects.
21445785 - Effect of oxygenation on stem-cell therapy for myocardial infarction.
3657265 - Aortic valve replacement in the presence of sternal metastases from prostatic carcinoma...
12072695 - Use of echocardiography for hemodynamic monitoring.
17003965 - Long-term inhibition of myocardial infarction by postconditioning during reperfusion.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  93     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1977 Jan 
Date Detail:
Created Date:  1977-02-16     Completed Date:  1977-02-16     Revised Date:  2009-10-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  94-103     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aorta / pathology
Aorta, Abdominal / pathology
Aorta, Thoracic / pathology
Aortic Arch Syndromes / diagnosis*
Arteries / pathology
Arteritis / classification,  diagnosis*,  pathology
Child
Child, Preschool
Chronic Disease
Female
Humans
Male
Middle Aged
Takayasu Arteritis / classification,  diagnosis*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Present state of alpha and beta adrenergic drugs III. Beta blocking agents.
Next Document:  Effect of antiserum on transplantable hematopoietic colony-forming units during Rauscher leukemia de...