President Roosevelt’s Secret Hypertensive Heart Disease

2015 ◽  
Author(s):  
W. Bruce Fye
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Severe Hypertension ◽  
Medical Center ◽  
Hypertensive Heart Disease ◽  
White House ◽  
Fourth Term ◽  
Commander In Chief

Franklin D. Roosevelt’s health was a factor in the 1944 election. Presidential press secretary Stephen Early and White House physician Ross McIntire worried that Thomas Dewey might win if voters learned that Roosevelt had severe hypertension and had an episode of congestive heart failure. Three weeks before the election, Mayo cardiologist Arlie Barnes visited the Bethesda Naval Medical Center where he learned that some physicians suspected that Roosevelt had a “serious heart ailment.” When Barnes returned to Rochester he mentioned this to a few friends. Word of this conversation reached Early, and FBI agents interrogated Barnes and other Mayo physicians two weeks before the election. During the campaign’s closing days, White House insiders orchestrated events designed to showcase a healthy commander in chief. Stifling rumors about Roosevelt’s health was part of their strategy to defeat Dewey. Less than three months into his fourth term, Roosevelt had a stroke and died.

scholarly journals Laporan Kasus: Anestesi Blok Peribulbar pada Pasien dengan Gagal Jantung Kongestif yang Dilakukan Enukleasi

2019 ◽  
Vol 7 (2) ◽  
pp. 134-138
Author(s):  
Muhamad Adli ◽  
Caroline Wullur
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Mitral Regurgitation ◽  
Aortic Regurgitation ◽  
Hypertensive Heart Disease ◽  
Functional Class ◽  
Cardiac Depression ◽  
Peribulbar Block ◽  
Class Iv

Seorang pria berusia 73 tahun datang ke Instalasi Gawat Darurat Pusat Mata Nasional Rumah Sakit Mata Cicendo pada bulan November 2018 dengan keluhan nyeri mata yang mengeluarkan darah dan disertai dengan keluhan sesak. Pemeriksaan mata menunjukkan prolaps okuli dan direncanakan untuk dilakukan enukleasi. Ahli kardiologi mendiagnosis sebagai hypertensive heart disease, congestive heart failure functional class IV, moderate mitral regurgitation, moderate aortic regurgitation. Laporan kasus ini bertujuan memaparkan keberhasilan tata laksana anestesi pada pasien usia lanjut dengan gagal jantung kongestif yang dilakukan enukleasi dalam blok peribulbar. Teknik blok peribulbar dipilih agar tidak memperberat masalah kardiovaskular serta untuk meminimalisir depresi kardiak. Teknik ini dilakukan dengan menyuntikkan obat anestesi lokal levobupivakain 0,5% pada inferotemporal, medial kantus, dan superonasal. Operasi berlangsung tanpa keluhan nyeri dan fluktuasi hemodinamik yang signifikan. Pascaoperasi pasien sadar penuh dengan skala nyeri NRS 60 menit pascaoperasi 0. Hal ini menunjukkan bahwa teknik anestesi blok peribulbar memberikan hasil memuaskan pada tindakan enukleasi. Enucleation under Peribulbar Block Anesthesia in Patients with Congestive Heart Failure: A Case ReportA 73-year-old male patient was presented to the emergency department of the National Eye Center Cicendo Hospital with a painful and bloody eye as well as shortness of breath. Eye examination revealed ocular prolapse and patient was scheduled for enucleation. The cardiologist diagnosed the patient with hypertensive heart disease, congestive heart failure functional class IV, moderate mitral regurgitation, and moderate aortic regurgitation. Patient then underwent treatment for six days. This case report aimed to describe the successful management of anesthesia in elderly patients with congestive heart failure who underwent peribulbar block for enucleation procedure. To prevent further cardiac problems and to minimize the risk of cardiac depression in this patient, the anesthetic technique chosen was peribulbar block with the injection of local anesthetic drug levobupivacaine 0.5% at the inferotemporal, medial canthus, and superonasal. The surgary took place without complaints of intraoperative pain and without significant hemodynamic fluctuations. Postoperatively, the patient was fully conscious and sixty minutes postoperative pain scale (Numeric Rating Scale) in this patient was 0. This shows that the peribulbar block anesthesia technique can provide satisfactory results for enucleation procedure.

scholarly journals GAMBARAN AKTIVITAS LISTRIK JANTUNG PASIEN RAWAT INAP DENGAN CONGESTIVE HEART FAILURE (CHF) DI IRINA F-JANTUNG RSUP PROF DR. R. D. KANDOU MANADO

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
I Made S. K. Raka ◽  
Vennetia R. Danes ◽  
Wenny Supit
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Electrical Activity ◽  
Hypertensive Heart Disease ◽  
Heart Rhythm ◽  
The Body ◽  
St Segment Elevation ◽  
Old Myocardial Infarction

Abstract: Congestive Heart Failure (CHF) occurs when the heart is unable to pump the blood to fulfill body's need of blood related to tissue metabolism. Electrical activity of the heart is the state in which the heart has to pump the blood and to contract, triggered by an action potential that spreads through the membrane of muscle cells. Electrocardiogram (ECG) is generated by the electrical activity of the heart muscle. It is a recording of a heart condition obtained by placing electrodes on the body. This study aimed to describe the heart electrical activity of patients with congestive heart failure. This was a retrospective descriptive study. The population was all patients hospitalized in Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado. Samples were ECG recordings of all patients with CHF hospitalized at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado during Desember 2012-January 2013. The results showed that hypertensive heart disease (HHD) was the most frequent cause of CHF (45.5%). Meanwhile, CHF due to old myocardial infarction (OMI) was rare (18.2%). Conclusion: The most common cause of CHF among hospitalized patients at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Manado was HHD. ECG of patients with CHF et causa HHD showed an overview of normal heart rhythm and tachycardia, PR interval and a normal QRS complex, left axis deviation, ST segment elevation, depression on different leads, and pathological Q.Keywords: congestive heart failure, electrical activity, electroCardiogramAbstrak: Gagal jantung kongestif atau congestive heart failure (CHF) terjadi bila jantung tidak dapat memompakan darah untuk memenuhi kebutuhan darah dalam tubuh untuk metabolisme jaringan. Aktivitas listrik jantung yaitu keadaan dimana jantung dapat memompa darah, jantung harus berkontraksi yang dicetuskan oleh potensial aksi yang menyebar melalui membran sel-sel otot. Elektrokardiogram (EKG) adalah suatu sinyal yang dihasilkan oleh aktifitas listrik otot jantung. EKG ini merupakan rekaman informasi kondisi jantung yang diambil dengan memasang elektroda pada badan seseorang. Penelitian ini bertujuan untuk mengetahui gambaran aktivitas listrik jantung pada pasien gagal jantung kongestif. Penelitian ini menggunakan metode deskriptif retrospektif. Populasi ialah semua pasien rawat inap di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado. Sampel ialah rekaman EKG semua pasien dengan diagnosis gagal jantung kongestif di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado selama bulan Desember 2012- Januari 2013. Hasil penelitian memperlihatkan bahwa penyebab gagal jantung kongestif yang terbanyak ialah hypertensive heart disease (HHD) (45,5%), dan yang paling sedikit ialah old myocardial infarction (OMI) (18,2%). Simpulan: Penyebab terbanyak gagal jantung kongestif pada pasien rawat inap di Irina F-Jantung RSUP Prof. Kandou Manadoialah HHD. EKG pada pasien CHF et causa HHD memberikan gambaran irama jantung yang normal dan juga takikardi, interval PR dan kompleks QRS normal, aksis deviasi kekiri, elevasi dan depresi segmen ST pada sadapan yang berbeda, dan Q patologik.Kata kunci:gagal jantung kongestif, aktivitas listrik jantung, elektrokradiogram

scholarly journals Hypoproteinemia as an Precipitating Factor of Congestive Heart Failure in Hypertensive Heart Disease

1980 ◽  
Vol 17 (5) ◽  
pp. 527-532
Author(s):  
Toshikazu Senoo ◽  
Shiro Ishida ◽  
Katsutoshi Ohta ◽  
Yutaka Inaba ◽  
Masaru Takagi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Hypertensive Heart Disease ◽  
Precipitating Factor

Early Surgical Intervention for Infective Endocarditis

2002 ◽  
Vol 10 (4) ◽  
pp. 298-301 ◽  
Author(s):  
Hong Sheng Zhu ◽  
Pei Yan Yao ◽  
Jia Hao Zheng ◽  
A Thomas Pezzella
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Infective Endocarditis ◽  
Complex Disease ◽  
Surgical Intervention ◽  
Elective Surgery ◽  
Postoperative Bleeding ◽  
Arterial Embolization ◽  
Early Surgical Intervention

Infective endocarditis remains a serious and complex disease with significant morbidity and mortality. Sixty cases of infective endocarditis were retrospectively reviewed, consisting of 41 males and 19 females aged 7 to 50 years (mean, 30 years). Congenital heart disease was diagnosed in 19 of the patients and rheumatic heart disease in 41. Congestive heart failure occurred in 36 and systemic embolism in 8 cases. Blood cultures were positive in only 21.7% of the cases, while vegetations were detected by 2-dimensional echocardiography in 70%. Elective surgery was performed in 57 patients and emergent operation for systemic arterial embolization and/or intractable congestive heart failure in 3 patients. Two patients required reoperation for postoperative bleeding. All but 2 patients had been followed up for 6 to 160 months with no evidence of reinfection. Three patients with mechanical valve implantation later died of intracranial bleeding due to over-anticoagulation. The remaining 55 resumed normal activity. The encouraging outcomes were the result of an aggressive diagnostic approach and early surgical intervention.

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