SENNING, Åke
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An implantable pacemaker in the heart. IN: Medical electronics: Proceedings of the Second International Conference on Medical Electronics, Paris 24-27 June 1959. Edited by C. N. Smyth.London : Iliffe, 1960."This is the original report of the first fully implantable pacemaker that was designed by Elmqvist and surgically inserted under the skin of a patient in October 1958. It is an abstract of their presentation that signalled (along with events in Minneapolis) the birth of the modern pacemaker industry" (W. Bruce Fye). Subjects: CARDIOLOGY › CARDIOVASCULAR DISEASE › Arrythmias › Pacemakers, INSTRUMENTS & TECHNOLOGIES › Medical Instruments › Pacemakers |
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Nonoperative dilatation of coronary-artery stenosis: Percutaneous transluminal coronary angioplasty.New Eng. J. Med., 301, 61-68, 1979.Grüntzig developed the first successful balloon angioplasty for expanding lumens of narrowed arteries. Abstract "In percutaneous transluminal coronary angioplasty, a catheter system is introduced through a systemic artery under local anesthesia to dilate a stenotic artery by controlled inflation of a distensible balloon. "Over the past 18 months, we have used this technic in 50 patients. The technic was successful in 32 patients, reducing the stenosis from a mean of 84 to 34 per cent (P<0.001) and the coronary-pressure gradient from a mean of 58 to 19 mm Hg (P<0.001). Twenty-nine patients showed improvement in cardiac function during follow-up examination. Because of acute deterioration in clinical status, emergency bypass was later necessary in five patients; three showed electrocardiograpic evidence of infarcts. "Patients with single-vessel disease appear to be most suitable for the procedure, and a short history of pain indicates the presence of a soft (distensible) atheroma likely to respond to dilatation. We estimate that only about 10 to 15 per cent of candidates for bypass surgery have lesions suitable for this procedure. A prospective randomized trial will be necessary to evaluate its usefulness in comparison with surgical and medical management. (N Engl J Med 301:61–68, 1979)." Subjects: CARDIOLOGY › CARDIOVASCULAR DISEASE › Coronary Artery Disease |