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  • 1
    Digitale Medien
    Digitale Medien
    Amsterdam : Elsevier
    Clinica Chimica Acta 128 (1983), S. 125-132 
    ISSN: 0009-8981
    Quelle: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Amsterdam : Elsevier
    Journal of Chromatography B: Biomedical Sciences and Applications 223 (1981), S. 238-242 
    ISSN: 0378-4347
    Quelle: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Thema: Chemie und Pharmazie
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 3
    Digitale Medien
    Digitale Medien
    Springer
    Journal of molecular medicine 64 (1986), S. 301-306 
    ISSN: 1432-1440
    Schlagwort(e): Myocardial infarction ; Fibrinolysis ; Plasminogen activators
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The early treatment of acute myocardial infarction has changed rapidly in recent years. Given the fact that an occlusive coronary thrombus can be found in most infarct patients within 4 h after clinical symptoms, the idea of instituting medical or mechanical recanalization of the occluded vessel is intriguing. However, invasive measures are time consuming, expensive and not freely available to a great number of patients. Thus, only i.v. fibrinolytic therapy of acute myocardial infarction will gain wider application in the near future. Several concepts have been worked out, one of which uses a high-dosage streptokinase or urokinase regimen. A different therapeutic alternative has been made possible by the development of selective fibrinolytic substances, such as the tissue-type plasminogen activator (t-PA) or the anisoylated plasminogen-streptokinase activator complex (APSAC). Preliminary clinical data have shown that the coronary artery patency rate achieved after i.v. administration of t-PA or APSAC is higher than that after conventional treatment with streptokinase or urokinase. The incidence of severe bleeding complications is low and comparable in these studies. However, until myocardial salvage has been demonstrated with early i.v. fibrinolytic therapy in acute myocardial infarction in a placebo-controlled randomized trial, this therapeutic concept will still be unsettled.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 4
    Digitale Medien
    Digitale Medien
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 265 (1969), S. 131-148 
    ISSN: 1432-1912
    Schlagwort(e): Ca-Influx and Manganese ; Adrenaline ; Theophylline ; Digitoxigenin ; Isolated Guinea Pig Auricle ; Ca-Einstrom und Mangan ; Adrenalin ; Theophyllin ; Digitoxigenin ; Isolierter Meersehweinchenvorhof
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The influence of bivalent manganese ions (Mn++) on the positive inotropic effect of adrenaline, theophylline, and digitoxigenin was studied in isolated, electrically driven left guinea-pig auricles in phosphate-free Tyrode's solutions with different extracellular calcium concentrations ([Ca]e; 0.45; 1.8; 7.2 mM). Mn++ (0.1–50 mM) exerted a dose-dependent negative inotropic effect which was dependent on [Ca]e: Raising [Ca]e decreased the inhibitory action of Mn++. The negative inotropic effect of Mn++ was exclusively due to a decrease in the rate of tension development; the time to peak tension and the duration of contraction remained unchanged. In a solution containing 0.45 mM Ca, pretreatment with 0.1 mM Mn+ significantly diminished the positive inotropic effect of adrenaline (10−9-10−5 g/ml) and theophylline (5×10−6-10−3 g/ml), but did not influence the effect of digitoxigenin (2×10−7-2×10−6 g/ml). The depression of the positive inotropic effect of adrenaline and theophylline with higher concentrations of Mn+ (0.35–2.25 mM, producing a negative inotropic effect of about 50%) was influenced by the [Ca]e. The effect of Mn+ was most evident at 0.45 mM Ca, less pronounced (but significant) at 1.8 mM Ca and was not observed at 7.2 mM Ca. With the same concentrations of Mn+, however, the positive inotropic effect of digitoxigenin was only slightly decreased at 0.45 mM Ca, was not changed at 1.8 mM Ca and was increased at 7.2 mM Ca. As Mn+ selectively blocks the inward movement of Ca ions across the membrane of the myocardial cell during depolarisation, it is tentatively concluded from these experiments that the positive inotropic effect of adrenaline and theophylline may be due at least partially to an increase of the Ca influx during the excitation process, whereas the positive inotropic effect of digitoxigenin seems to be independent of this mechanism.
    Materialart: Digitale Medien
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  • 5
    Digitale Medien
    Digitale Medien
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 279 (1973), S. 313-325 
    ISSN: 1432-1912
    Schlagwort(e): Dibutyryl-c-AMP ; Adrenaline ; Isolated Rat and Guinea-Pig Auricles ; Positive Inotropic Effect ; 45Ca Exchange
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The positive inotropic effect of adrenaline has been assumed to result from an increase in the intracellular level of c-AMP which, in turn, might enhance the permeability of the cardiac cell membrane to Ca2+. In order to further test this hypothesis, the effects of cyclic N6-2′-O-dibutyryl-adenosine-3′,5′-monophosphate (DB-c-AMP; 10−3 M) on mechanical performance, 45Ca uptake and total tissue calcium concentration were investigated in electrically stimulated (120 beats/min) left auricles isolated from female rats weighing 180–220 g. The experiments were performed in Tyrode solution containing 0.9 mM CaCl2; the duration of 45Ca exposure was 3–60 min. In this study, DB-c-AMP markedly enhanced contractile force but the drug failed to detectably increase 45Ca exchange (Figs. 1 and 2). This finding seemed to indicate that the effects of DB-c-AMP on myocardial 45Ca exchange were completely different from those of adrenaline which previously (and in this study; Fig. 4) has been shown to accelerate 45Ca exchange in auricles obtained from guinea-pigs of “normal” size. However, under the conditions used, adrenaline (2.2–5.5×10−6 M) also failed to significantly enhance 45Ca exchange not only in rat auricles (Fig. 3) but also in small auricles isolated from very light guinea-pigs (body-weight 75–150 g; Fig. 4). From these findings it is concluded that druginduced changes in membrane calcium fluxes, which possibly occur, only might have escaped detection under the present experimental conditions. The “pool saturation phenomenon” previously described by Grossman and Furchgott (1964b; 1964c) is discussed to be the underlying mechanism. Thus, substantial conclusions on the effects of DB-c-AMP on myocardial Ca fluxes can as yet not be drawn. They must await experiments in which an adrenaline induced increase in cardiac 45Ca exchange becomes detectable.
    Materialart: Digitale Medien
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  • 6
    Digitale Medien
    Digitale Medien
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 277 (1973), S. 107-112 
    ISSN: 1432-1912
    Schlagwort(e): Dibutyryl Cyclic AMP ; Adrenaline ; Heart ; Contractile Force ; 45Ca Uptake
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The effects of dibutyryl cyclic AMP (DB-AMP; 10−3M) and adrenaline (2.2×10−6 M) on contractile force, 45Ca uptake, and total myocardial Ca concentration were investigated in electrically driven left auricles isolated from rat hearts. The experiments were performed at an extracellular Ca concentration of 0.45 mM and at low frequency of stimulation (15 beats/min). 45Ca exposure was 5 min. Under the conditions used, both drugs increased contractile force and enhanced 45Ca uptake (expressed as relative specific activity) by about 30% (DB-AMP) and 40% (adrenaline), respectively. Thus, the results provide evidence that the effects of adrenaline on 45Ca uptake in mammalian cardiac muscle can be mimicked by DB-AMP.
    Materialart: Digitale Medien
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  • 7
    Digitale Medien
    Digitale Medien
    Springer
    Journal of molecular medicine 61 (1983), S. 609-615 
    ISSN: 1432-1440
    Schlagwort(e): Atrial fibrillation ; Atrial flutter ; Electrocardiography ; Electrophysiology
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Sixteen patients were investigated by means of programmed atrial stimulation at two different driving rates: 100 and 120/min. All patients had an increased atrial vulnerability at both driving rates. After intravenous flecainide application (1 mg/kg body weight as a bolus followed by the same amount given by infusion over a period of 20 min) the increased vulnerability was abolished in 11 and 9 patients respectively. In the remaining patients the rate of induced atrial tachyarrhythmia decreased. These findings correlate with a significant prolongation of the effective refractory period of the right atrium and a significant shortening of the relative refractory period of the right atrium. It is concluded that flecainide may be effective in the treatment of atrial arrhythmias in man.
    Materialart: Digitale Medien
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  • 8
    Digitale Medien
    Digitale Medien
    Springer
    Journal of molecular medicine 62 (1984), S. 885-886 
    ISSN: 1432-1440
    Schlagwort(e): Cephalosporins ; Vitamin K1-epoxide ; Coumarin-like action
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In three patients treated with cephalosporins (one patient with latamoxef, two patients with cefazedone) vitamin K1 was injected to investigate whether this was followed by an increase in vitamin K1 2,3-epoxide plasma concentrations as compared to controls. Such a rise in K1-epoxide concentrations in the plasma can be demonstrated following treatment with coumarins. This reflects an inhibition of the vitamin K1-epoxide reductase in the liver. Coumarins are thought to induce hypoprothrombinaemia by such a mechanism. In all three patients we found a considerable increase in the vitamin K1-epoxide plasma concentrations following injection of 10 mg vitamin K1, whereas in normal subjects only traces of K1-epoxide could be detected (〈0.030 µg/ml). The K1-epoxide concentrations found in our three patients treated with cephalosporins were 0.12, 0.16 and 0.19 µg/ml, respectively. This indicates that latamoxef or cefazedone might reduce clotting factor synthesis by a coumarin-like mechanism of action in these patients. Although the effect of cephalosporins in enhancing vitamin K1-epoxide plasma concentrations is less than that of coumarins, it might cause severe hypoprothrombinaemia in the presence of latent vitamin K deficiency.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 9
    Digitale Medien
    Digitale Medien
    Springer
    Journal of molecular medicine 60 (1982), S. 71-75 
    ISSN: 1432-1440
    Schlagwort(e): Pulmonary arterial pressure ; Right pulmonary artery ; Suprasternal echocardiography ; Pulmonalarteriendruck ; rechte Pulmonalarterie ; suprasternale Echokardiographie
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Zusammenfassung 175 Patienten wurden innerhalb von 24 h vor der Herzkatheteruntersuchung mit Hilfe der suprasternalen M-mode Echokardiographie untersucht. Es wurde geprüft, ob sich eine pulmonale Hypertonie durch Messung der Weite der rechten Pulmonalarterie im suprasternalen Strahlengang abschätzen läßt. Gruppe I bestand aus 103 Patienten ohne pulmonale Hypertonic (enddiastclich ≤12 mm Hg; Mitteldruck≤20 mm Hg). Gruppe II umfaßte 72 Patienten mit einer pulmonalen Hypertonie. Die rechte Pulmonalarterie konnte bei 91,2% der Patienten dargestellt werden. Der enddiastolische Durchmesser der rechten Pulmonalarterie in Gruppe I betrug 17.9±0.2 mm (MW±mittlerer Fehler des Mittelwertes) und korrelierte zur Körperoberfläche der Patienten (r=0.63;p〈0.001). Die Indexweite der rechten Pulmonalarterie in Gruppe I betrug 9.9±0.1 mm/m2 und unterschied sich von der in Gruppe II mit 14.1±0.4 mm/m2 (p〈0.001). Die prozentuale systolische Erweiterung der rechten Pulmonalarterie in Gruppe I betrug 21.2±0.8%, in Grupper II 9.2±0.8% (p〈0.001). Die Indexweite der rechten Pulmonalarterie korrelierte zum enddiastolischen Pulmonalarteriendruck (r=0.82;p〈0.001). Die prozentuale systolische Erweiterung zeigte eine negative log-lineare Beziehung zum diastolischen Pulmonalarteriendruck (r=0.67;p〈0.001). Eine pulmonale Druckerhöhung kann über die veränderte Weite der rechten Pulmonalarterie und dem Bewegungsmuster des Gefäßes im suprasternalen Strahlengang diagnostiziert werden.
    Notizen: Summary We studied 175 patients within 24 h before cardiac catheterization with suprasternal echocardiography to evaluate whether pulmonary arterial hypertension can be derived by measuring the size of the right pulmonary artery. Group I consisted of 103 patients without pulmonary arterial hypertension (enddiastolic≤12 mm Hg; mean pressure ≤20 mm Hg) and group II consisted of 72 patients with pulmonary arterial hypertension. The right pulmonary artery could be imaged in 91.2% of the patients studied. The size of the right pulmonary artery at the end of diastole in group I measured 17.9±0.2 mm (mean±SEM) and correlated best to the body surface area in this group (r=0.63;p〈0.001). The respective index size amounted to 9.9±0.1 mm/m2, and was different from that in group II with 14.1±0.4 mm/m2 (p〈0.001). The systolic percent expansion of the right pulmonary artery in group I was 21.2±0.8% and in group II 9.2±0.8% (p〈0.001). The index size of the right pulmonary artery for both groups correlated best to the pulmonary enddiastolic pressure (r=0.82;p〈0.001). The systolic per cent expansion showed a negative log linear relationship to the pulmonary enddiastolic pressure (r=0.67;p〈0.001). Thus, pulmonary arterial pressure can be derived by measuring the size of right pulmonary artery with suprasternal echocardiography.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 10
    Digitale Medien
    Digitale Medien
    Springer
    Journal of molecular medicine 63 (1985), S. 193-204 
    ISSN: 1432-1440
    Schlagwort(e): Suprasternal M-mode echocardiography ; Cardiovascular diseases
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The suprasternal approach can be used to image the aortic arch, the right pulmonary artery and the left atrium. Dilatation or dissections involving the aortic arch were detected echocardiographically from the suprasternal notch. The echocardiogram of the right pulmonary artery is altered in cases of acute and chronic pulmonary hypertension. Intrapulmonary thrombi in patients with acute pulmonary embolism were visualized with this technique. A volume overloading of the pulmonary circulation due to a congenital left to right shunt, as well as a decreased pulmonary blood flow due to a congenital right to left shunt causes characteristic changes in the wall motion pattern of the right pulmonary artery. Hypoplasia or aplasia of the central pulmonary arteries can be diagnosed as well. Imaging of the left atrium from the suprasternal notch may help to differentiate between supraventricular and ventricular rhythm disturbances. The suprasternal approach is therefore recommended to be used as a routine part of each echocardiographic examination.
    Materialart: Digitale Medien
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