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Memorial to Quintiliano H de Mesquita a Genius in Medicine of
the 20th Century |
Algumas
partes do texto estão em português / Some small parts are in
Portuguese language
|

Photo, 1983
1918 - 2000† |
One of the
major
discoveries of Doctor Mesquita
was the Myogenic Theory of
Myocardial Infarction,
developed in 1972. The Myogenic Theory
supports the use of
cardiac
glycosides (cardiotonics)
for
the prevention and
clinical
treatment
of acute coronary syndromes.
Among other developments are the Ventricular Aneurism Surgery
of the Heart performed by Charles
Bailey in 1954 and the first diagnosis of Right Ventricular
Infarction, in vivo, by ECG, made in 1958.
(He
did more than 30 pioneer contributions to medical literature) |
Major
contributions by Doctor Mesquita
to the Medical Science
- 1º case of ventricular aneurysmectomy
performed by Charles P. Bailey (1954) (Heart
Aneurysm Surgery)
- 1º case of right ventricular infarction
with diagnosis realized in vivo inside new electrocardiographic
patterns contradicting the cavity theory and confirming the
vectorial theory (1958). (The
Vectorial Theory)
- 1º case of unstable angina pectoris
ceased as a immediate result of cardiotonic administration; Myogenic
Theory confirmation (1972). (The
Myogenic Theory)
Some Personal Communications to Dr. Mesquita referring to Myogenic
Theory
of Myocardial Infarction,
to
Heart Aneurysm Surgery by Bailey and about the first right
ventricular infarction diagnosis:
Ary L.
Goldberger - USA (1),
Robert Roberts - USA (2),
Frank I. Marcus - USA (3),
M. S. Pathy - England (4),
Bernard Lown - USA (5),
Isabel Coma-Canella - Spain (6),
J. Candell Riera - Spain (7),
Myron Prinzmetal (8)
- USA, Charles P. Bailey – USA (9)
Small history of the Myogenic Theory
Doctor Mesquita,
who started clinical
activities in 1941, very early (in 1954) experienced great
frustration with the failure of anticoagulants as logical
preventives for the myocardial infarction. Anticoagulants
were abandoned worldwide after 1969, shaking down the classic thrombogenic theory as origin of the
myocardial infarction.
In 1972, Doctor Mesquita developed the
Myogenic Theory, in a pathophysiological basis where the origin of
myocardial infarction is myogenic and not thrombogenic, as opposed to the stated by
the classical theories. He started from that time to treat patients
with cardiotonic drugs based on his myogenic theory, in a large
success not equaled by the traditional treatment. Due to his
concepts and results, Doctor Mesquita awarded in 1975 the "Ernst
Edens - Traditionspreis", by the "Internationale Gesellschaft Für
Infarktbekampfung" (International Society Against Myocardial
Infarct), located in Stuttgart - Germany (1),
and a special report by Bunte Magazine, Germany in 10/04/1980 (2).
Some
other important
contributions to electrocardiography
Contributions on
Wolff-Parkinson-White Syndrome
Published many other papers about
Wolff-Parkinson-White Syndrome, including in
partnership with Myron Prinzmetal and Maurice Lev in 1961, at
http://circ.ahajournals.org/cgi/content/abstract/24/1/41
Papers published in English at Internet:
-
Myogenic Theory of Myocardial Infarction - Book
( download free of charge - Summary in
English)
-
Interview about the Myogenic Theory to Infarct Combat Project, 1999
-
Myogenic Theory Explains
-
Decalog for CHD Patients
-
Angina as Red Flag for CHD Patients
-
Myogenic Theory, CHD Cardiotonic Therapeutics,
ECG diagnosis of Right Ventricular Infarction, etc.
-
Tribute to Doctor James Bryan Herrick
-
Myocardial
Infarction diagnosis by ECG (Library)
-
There are no Justifiable Reasons to Realize
Costly and Aggressive Management for Acute Coronary Syndromes
-
Reinvigorating old ECG concepts: "Nodal AV Rhythm - maintenance of 3
morphological types"
-
Reinvigorating old ECG concepts: "Incomplete Bundle Branch Block:
distinction of types 1a and type 2 from our classification (1948)".
-
Reinvigorating old ECG concepts: "Sino-Atrioventricular Symbiotic
Rhythm (SA-AV) "
-
Batista Partial Ventriculectomy Procedure
-
(Books, Titles and Bibliography at
the end of the page)
Algumas homenagens póstumas
- Tributo ao Doutor Quintiliano H. de Mesquita (1918 - 2000),
publicado nos Arquivos Brasileiros de Cardiologia, Janeiro de 2001.
"Após
o falecimento, o tardio mas justo reconhecimento"
-
Homenageado pela Sociedade
Paraibana de Cardiologia e SBC/PB que atribuíram ao melhor trabalho
classificado nas apresentações de temas livres do IV Congresso
Paraibano de Cardiologia o prêmio “Quintiliano Mesquita” – também no
mesmo informativo da Sociedade Paraibana de Cardiologia de Maio de
2001 a publicação do artigo “Exemplo
de Vida”, pelo Dr. Paulo Bezerra de Araújo Galvão.
-
Homenagem do Dr. Cláudio A S
Baptista, através do artigo “Quintiliano
de Mesquita: Um Princípio, Uma Luta”
publicado no Jornal da Sociedade Brasileira de Cardiologia
de Nov/Dez de 2000 e republicado em História da Cardiologia pela
SBC, em seu site na Internet.
-
Quintiliano H. de Mesquita: O Depoimento de um
aliado e colaborador, por Carlos Monteiro, 2003. (Depoimento)
-
Quintiliano H de Mesquita: A
História e a Luta de um Gênio da Medicina do Século XX,
por Carlos Monteiro, 2003 (A
história e a luta).
Prêmio Recebido e
Importantes Homenagens em vida
A relação das
contribuições realizadas pelo Doutor Mesquita para a Ciência Médica
- Artigo "Gloriosa Trajetória e Rica Memória do Instituto de Cardiologia do
Hospital Matarazzo "1945-1979" apresentando 33 Trabalhos Inéditos na
Literatura Mundial e 41 Trabalhos Inéditos na Literatura Nacional
(1942 a 2000).
Livro e Lista Parcial de Artigos publicados em Português na Internet:
Sua participação
em importantes momentos da formação da cardiologia brasileira na
década de 40 (Fotos)
-
Nos cursos intensivos de cardiologia do Hospital Municipal de São
Paulo, sob a direção do Dr. Pazzanese
-
No
curso de eletrocardiografia dado pelo Dr. Frank Norman Wilson, em
1942
-
Nos cursos de eletrocardiografia dados por ele no Instituto de
Cardiologia do Hospital Matarazzo
em
São Paulo
Books:
Bibliography:
- Heart aneurysm. Presentation of case
operated by Bailey, Rev Hospital N.S. Aparecida, 1956:9:151 with
reprint by Rev Hospital Matarazzo numbers 3 and 4 - Volume IX, 1956
- Anticoagulant and myocardial
infarction. Publicações Médicas, 1962; 33:3
- Contribution to the study about right
ventricular infarction. Arq. Bras Cardiol, 1960; 13:162
- Electrocardiographic aspects of right
ventricular infarction. Arq Bras Cardiol, 1963;16:113
- Effects of strophanthin K, by
intravenous route, in treatment of clinical infarctioning picture
and of myocardial infarction. Revta. Bras. Clin. Terap, 1973;2:647
- Use of cardiotonic in treatment of
angina pectoris and impending myocardial infarction syndrome, Revta.
Bras. Clin. Terap., 1973; 5:309
- Cardiotonic in the prophylaxis of
myocardial infarction. Revta. Bras. Clin. Terap, 1976; 5:309
- Functional preservation of ischemic
myocardium by long time on use of cardiotonic. Medicina de Hoje,
1978; 154
- Cardiotonic and acute myocardial
infarction in man. Revta. Bras. Clin. Terap, 1981; 10:645
- "QS" wave in right ventricular
infarction: cavity theory and vectorial theory - Report of 2 cases,
Arq. Bras. Cardiol, 1981; 36/2:125
- The cardiotonic in chronic coronary
disease and prevention of myocardial infarction Rev. Bras. Med,
1982; 39:359; Rev. Bras. Clin. Terap, 1982; 11:794
- First myocardial infarction in
silent chronic coronariopathy: angiographic coronary and
ventriculographic aspects. Rev. Bras. Med. 1982; 39:427
- The cardiotonic in intermediate
coronary syndrome. Rev. Bras. Med. (Cardiologia), 1983; 2:317
- A new and simplified electrocardiographic classification of acute myocardial infarction.
Rev. Bras. Med. (Cardiologia), 1985; 4:34
- Importance of age as a prognostic
factor in acute myocardial infarction. Rev. Bras. Med. (Cardiologia)
, 1985; 4:34
- Association of proscilaridine-A and
verapamil by oral route in treatment of unstable angina pectoris.
Rev. Bras. Med. (Cardiologia), 1985; 4:99
- Pathophysiological and therapeutics
implications of acute myocardial infarction in view of coronary
arteries either angiographically normal or with pervious stenotic
lesions. Rev. Bras. Med. (Cardiologia), 1985; 4:187
- Point of view. Why Myogenic Theory
and Not Thrombogenic Theory. Arq. Bras. Cardiol. 1994;62 (4):271,
Republished at Internet in 2003.
- Electrocardiogram of right
ventricular infarction. Historical and critical evolution. Ars
Cvrandi, 1995;28:12-49
- Unstable Angina: Atherosclerotic
Etiology, Myogenic Pathophysiology and Cardiotonic Therapeutic. Ars
Cvrandi, 1999;32: Monothematic in Cardiology (Part III)
- Cardiotonic: Insuperable in
preservation of myocardial stability as preventive of acute coronary
syndromes and responsible for the prolonged survival. Study
of almost 1200 cases - 28 years of follow-up,
Ars Cvrandi,
May 2002;35:3
- Effects of cardiotonic + coronary
dilator in stable coronary myocardiopathy, with or without previous
infarction in the long run.
Ars Cvrandi, September 2002;35:7
Titles:
- Honorary Professor of Medicine from the
Federal University of Paraíba state.
- Founder and Chief of the Angiocardiology
Institute of Matarazzo Hospital, 1945-1979.
- Founder
Membership of the Brazilian Society of Cardiology.
- Founder Membership of the Brazilian
Society of Angiology.
- Distinguished Member of the Cardiology
Society from Paraíba state.
- Founder and Emeritus Member of the
Academy of Medicine from Paraíba state.
- Executive Director of Instituto de Combate ao Enfarte do
Miocárdio 1999/2000 - São Paulo, Brazil.
- Founder and member from
the board of Infarct Combat Project
1999/2000
Instituto de Combate ao Enfarte do Miocárdio
Website:
http://www.infarctcombat.org/OInstituto/home.html
Email:
instituto(at)infarctcombat.org
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