Moshe Gueron

Moshe Gueron

Moshe Gueron
Born (1926-03-20) March 20, 1926
Sofia, Bulgaria
Education Hebrew University of Jerusalem, University of Cincinnati, Soroka Medical Center.
Known for Performing the first successful Catheterization in Israel.
First Research regarding to Cardiovascular Manifestations of Severe Scorpion Sting.

Medical career

Profession Cardiologist and Researcher
Institutions Soroka Medical Center
University of Cincinnati
Specialism Cardiovascular diseases

Professor Moshe Gueron (born March 20, 1926) is a retired, pioneering cardiologist and researcher, who founded the Division of Cardiology in Soroka Medical Center.

Introduction

Gueron was born in Sofia, Bulgaria and received his bachelors and M.D. degrees from Hebrew University of Jerusalem. After World War II, he emigrated from Bulgaria to Israel and lived in Tel-Aviv with his parents. Graduating in 1951, Gueron moved to Beer-Sheba where he was founded the Department of Cardiology in Soroka Medical Center after Professor Harry Heller, Chief of Medicine at the Sheba Medical Center, led him to his position by matching between him and Moshe Soroka, one of Soroka Medical Center's founders, who was looking to establish a Cardiology Department at that time.

Medical training

Gueron worked together with Professor Noble O. Fowler, which was his master at University of Cincinnati, where he was doing his specialization and generalization in medicine.[1] Fowler, was a medical scholar of the highest order and functioned as a Director of the Division of Cardiology in Department of Internal Medicine of Medicine College (1970–1986) of University of Cincinnati, and Professor Emeritus at the same institution from 1984 to the time of his death (March 8, 2003) from prostatic carcinoma. Fowler was graduated from the University of Tennessee College of Medicine with a Faculty Medal and a Certificate of Honor in 1941. In May 1997, it was reported that an Israeli medical research team led by Professor Gueron have found the relationship between angina pectoris and the severity of coronary artery disease.[2] It is hoped that such tissue will be used eventually for transplantation in humans suffering from heart disease.

Medical career

Gueron's portrait at the Division of Cardiology in Soroka Medical Center.

Gueron was appointed Professor at Soroka Medical Center in 1967, and was involved in the development of the techniques of heart and heart-lung treatment.[3] Gueron is best known for a research he has managed regarding the treatment of scorpion evenomation and its affection on the human's heart.[4] During his 40 years research, thousands of stung patients were reviewed. Gueron's research has shown that thirty-four patients with severe scorpion sting were reviewed and pertinent data related to the cardiovascular system such as hypertension, peripheral vascular collapse, congestive heart failure or pulmonary edema were analyzed.[5] The electrocardiograms of 28 patients were reviewed, 14 patients showed "early myocardial infarction-like" pattern. The urinary catecholamine metabolites were investigated in 12 patients with scorpion sting. Vanylmandelic acid was elevated in seven patients and the total free epinephrine and norepinephrine in eight. Six of these 12 patients displayed the electrocardiographic "myocardial infarction-like" pattern. Nine patients died and the pathologic lesions of the myocardium were reviewed in seven.[6] The anticipated time line is within three years depending on successful animal trials. Gueron was described hypertension, pulmonary oedema with hypertension, hypotension, pulmonary oedema with hypotension and rhythm disturbances as five different syndromes that may dominate the clinical picture in scorpion sting victim. He suggested that all patients with cardiac symptoms should be admitted to an intensive cardiac unit. Gueron was questioned regarding the value of giving antivenin, and he replied that although is freely available, all cases of scorpion sting are treated without it, and there had not been a single fatality in 1989.[7] In 1990, he reported poor contractility with low ejection fraction, decreased systolic left ventricular performance, lowered fractional percentage shortening observed in echocardiographic and radionuclide angiographic study.[7] In fact, Gueron's research tended to prove the irrelevance of antivenin in patients with severe scorpion sting.

Retirement

Gueron has been working in Soroka Medical Center between years 1964 to 2002 and was the first for doing a catheterization in Israel, and has operated on more than 100,000 patients. Having retired from performing cardiology at the age of 65, he continues to act as a high profile consultant.[8] Gueron is recognized as a world leader in heart research who worked with other fellow physicians as Sir Magdi Yacoub, Michael E. DeBakey, C. Walton Lillehei, Michel Mirowski, Prof. Natalio Krystal, Prof. Bernardo Vidne, Joseph B. Borman among others.[9] Gueron treated world leaders including Boris Yeltsin and Bill Clinton. His contributions to the field of medicine will have spanned the better part of 70 years, since he has published more than 300 full-length research papers in national and international journals.[7] He remains much beloved by the legions of fellows he has trained and the colleagues with whom he has worked. Gueron was close friend of minister Aharon Uzan and Israel's 6th Police Commissioner Haim Tavori.

References

  1. ↑ http://pt.wkhealth.com/pt/re/circ/pdfhandler.00003017-196511000-00022.pdf;jsessionid=L5QLbTJLvgtqkp8J6cMqYXnyJHfGRppQghyw9fb9kw87Nj92cS14!797288596!181195629!8091!-1
  2. ↑ http://www3.interscience.wiley.com/journal/112209247/abstract
  3. ↑ http://www3.interscience.wiley.com/journal/112209247/abstract?CRETRY=1&SRETRY=0
  4. ↑ "Scorpion envenomation.". CHEST Journal 100: 883b. doi:10.1378/chest.100.3.883b.
  5. ↑ http://chestjournal.chestpubs.org/content/57/2/156
  6. ↑ http://content.nejm.org/cgi/content/full/361/6/631
  7. 1 2 3 Bawaskar, H. S. (1999-03-15). Scorpion Sting: Clinical Manifestations, Management and Literature. Sangam Books Ltd. ISBN 978-81-7154-718-0.
  8. ↑ Ilia, Reuben; Shimon Weizman; Moshe Gueron (1991). "Effects of rapid volume expansion on the right filling pressures after prosthetic valve surgery". Catheterization and Cardiovascular Diagnosis 23 (3): 169–171. doi:10.1002/ccd.1810230304. PMID 1868526.
  9. ↑ http://www.biomedexperts.com/Profile.bme/503287/Moshe_Gueron

Publications

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