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  • 1
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: The recent studies showed that right ventricular (RV) pacing was associated with worsening of heart failure. The aim of this study is to clarify the clinical significance of paced QRS duration during RV pacing to predict congestive heart failure (CHF) patients. Methods and Results: This study enrolled in 92 patients with atrioventricular block who underwent initial pacemaker implantation. The paced QRS duration was automatically obtained by electrocardiography immediately after pacemaker implantation and then by routine attendance at a pacemaker clinic every 3 months. The paced QRS duration was positively correlated with left ventricular end-diastolic dimension (P 〈 0.05) and left ventricular end-systolic dimension (P 〈 0.05), and tended to negatively correlate with left ventricular ejection fraction (P = 0.0507). The paced QRS duration immediately after pacemaker implantation was 170.4 ± 18.9 ms. During a mean follow-up period of 53 ± 16 months, 16 patients developed CHF. We selected as a cut-off value the nearest whole number (190 ms) that was one standard deviation greater than the mean, and divided into two groups according to baseline paced QRS duration. Patients with a paced QRS duration of 〈190 ms comprised group A (n = 77, nine of which developed CHF) and the remainder comprised group B (n = 15, seven of which developed CHF). Prolonged paced QRS duration (≥190 ms) was associated with a significant increase in the overall morbidity of CHF (P 〈 0.05). Additionally, paced QRS duration significantly prolonged during the follow-up period among group A patients with CHF (P 〈 0.05), but did not change among patients without CHF. Conclusion: We concluded that paced QRS duration can be a useful indicator of impaired left ventricular function in patients with RV pacing. Even in patients whose paced QRS duration is relatively shorter, progressive prolongation of paced QRS duration can predict the development of CHF.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: We sought to determine an appropriate pacing mode on the basis of myocardial perfusion and cardiac function as assessed by nitrogen-13 ammonia positron emission tomography in a patient with end-stage idiopathic dilated cardiomyopathy.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1600-079X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Feng X-L, Usui H, Fujita T, Ichikawa T, Katagiri T, Washiyama K, Kumanishi T. Postnatal developmental changes in NSE and NNE mRNA expression in the rat pineal gland: In situ hybridization histochemistry. J. Pineal Res. 1998; 24:108–116. © Munksgaard, Copenhagen〈section xml:id="abs1-1"〉〈title type="main"〉AbstractBy in situ hybridization, neuron-specific enolase (NSE) and non-neuronal enolase (NNE) mRNAs were examined in the rat pineal gland at the postnatal developmental and adult stages. The distributions of hybridized signals were analyzed in comparison with immunohistochemical staining of synaptophysin (SYN), which is a marker for pinealocytes. In SYN-positive areas that were observed throughout postnatal developmental and adult stages, we detected both NSE and NNE signals, which increased simultaneously during early postnatal development and thereafter became stationary. Quantitative analysis revealed that NNE signals were 2- to 3-fold greater in number than NSE signals at any given stage. This predominant expression pattern of NNE differed from that in neurons, which usually showed both signals at similar levels and seemed to reflect the difference in physiological function from neurons. During the early postnatal stages, a cord-like arrangement of cells without distinct SYN staining was observed. This arrangement was the thickest at postnatal day 0 and became dispersed and thinner with development, showing a relationship with formation of vascularized connective tissue stroma. By in situ hybridization, many of the constituent cells showed weak NNE signals but no distinct NSE signals. However, some cells also showed weak NSE signals, suggesting heterogeneity of these cells. The characteristic NSE and NNE expression patterns in the pineal gland cells clarified in this study might provide a basis for further studies of the differentiation and function of the pineal gland.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1440-1797
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary: We determined the distribution of Spot 35-calbindin-D28K, a vitamin-D dependent calciumbinding protein, in rat kidney using histochemical methods and compared it with the distribution of Ca2+-ATPase activity. Spot 35-calbindin-D28K immunoreactivity was localized in the cytosol of urinary epithelial cells in distal convoluted tubules (DCT), connecting tubules (CNT) and cortical collecting ducts (CCD), identifying the physiologically confirmed site of active transcellular calcium transport. In the cytosol, the immunoreactivity was clustered near the luminal plasma membrane and around the mitochondria. These findings indicated that Spot 35-calbindin-D28K seemed to have a cytosolic calcium buffering effect in the urinary tubular epithelial cells. Enzyme histochemical analysis showed that Ca2+-ATPase activity was localized at the basolateral plasma membrane of distal nephron segments and was strongest at the cortical thick ascending limb of Henle (CTAL), including the macula densa portion. Ca2+-ATPase activity was not evident in DCT, CNT or CCD. Strong Ca2+-ATPase activity and Spot 35-calbindin-D28K immunoreactivity did not coexist in a urinary tubular cell.
    Type of Medium: Electronic Resource
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  • 5
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    Journal of cardiovascular electrophysiology 16 (2005), S. 0 
    ISSN: 1540-8167
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1540-8167
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Pathology of Intra-Hisian Block. Introduction: The length of the His bundle and the precise location of injury responsible for split His potentials have not been fully established in patients with intra–Hisian block. We conducted an autopsy study comparing histologic findings in intra-Hisian block versus control hearts. Methods and Results: We studied hearts from 4 intra-Hisian block patients (age 66 to 93 years, mean 79.5) and hearts from 14 patients without AV conduction abnormalities (control). All intra-Hisian block patients underwent electrophysiologic evaluation; 3 patients demonstrated intra-Hisian block and 1 showed no His potential. Autopsies were performed when each patient died. After the heart was fixed in formaldehyde, the AV septal junctional area was removed en bloc and serially sectioned into 7-μm thick slices. For study purposes, we considered the three segments of the His bundle separately: the penetrating bundle, the nonbranching bundle, and the branching bundle. The actual length of each segment was calculated from the number of respective serial sections, and the lesion was reconstructed within the conduction axis. Intra-Hisian block hearts were heavier than control hearts (mean weight 389 vs 301 g; P 〈 0.05). The lesion was situated in the nonbranching bundle in 3 hearts and in the penetrating bundle in 1 heart. Mean compact node length was 3.8 mm in intra-Hisian block hearts and 3.3 mm in control hearts. The penetrating bundle was 2.1 and 2.1 mm, the nonbranching bundle was 3.5 and 1.9 mm, and the branching bundle was 4.5 and 4.6 mm in intra-Hisian block and control hearts, respectively. Conclusion: Most lesions were observed in the nonbranching bundle adjacent to the junction between the central fibrous body and ventricular septum. This segment was longer in intra-Hisian block hearts than in control hearts.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-0533
    Keywords: Glial fibrillary acidic protein ; cDNA ; Chromosomal localization ; Intermediate filament protein ; Glioma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We isolated three glial fibrillary acidic protein (GFAP) cDNA clones from a glioma cell line, U-251 MG. One clone isolated from a U-251 MG cDNA library was long, but lacked both ends. Using poly(A)+ RNA and primers synthesized according to the sequence of this clone, we used the polymerase chain reaction-assisted rapid amplification of cDNA ends (PCR-RACE) method, which is a strategy to isolate cDNA ends, and obtained cDNA clones for the 5′ and 3′ ends. From the sequences of these overlapping clones, the complete nucleotide sequence of human GFAP cDNA was established. The start (ATG) and the stop (TGA) signals were seen at nucleotide positions 15 and 1311, respectively, and divided the entire sequence of 3027 bp into 14 bp of 5′ non-coding, 1296 bp of coding and 1717 bp of 3′ non-coding regions. Using cDNA probes made from both the coding and the 3′ non-coding regions, Northern blot hybridization was performed with two different stringencies on RNAs from human and rodent brains and human GFAP-positive and-negative cells. It was shown that the 3′ non-coding region probe was more specific for human GFAP than the coding region probe which was specific only under higher stringency conditions. This was also suggested by homology analysis of the sequence with those of various intermediate filament proteins. Based on these findings, we performed spot blot hybridization of sorted human chromosomes and Southern blot hybridization of PCR-amplified DNAs of a panel of hamster-human somatic cell hybrids and localized the human GFAP gene to chromosome 17.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1860-1499
    Keywords: Myocardial ischemia ; Reperfusion injury ; Ionic lanthanum probe ; Canine heart ; Sarcolemmal permeability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sarcolemmal permeability during reperfusion in early myocardial ischemia was investigated in dogs by the vital ionic lanthanum probe (La3+) technique and electron microscopy. The left anterior descending coronary artery was occluded for 10–120 min and released for 10 min, and then a 4 mM solution of La3+ ions was injected, and perfusion fixation was performed. In the normal myocardium, La3+ ions were localized in extracellular spaces. After 20 min of ischemia and subsequent reperfusion, deposits of lanthanum were found in 17% of the myocytes prior to the development of irreversible myocardial damage. The number of cells with such deposits increased in proportion to the increased duration of ischemia. These findings indicate that the disruption of sarcolemmal permeability, during the early stages of myocardial injury due to ischemia and reperfusion, contributes to the development of irreversible myocardial damage.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1860-1499
    Keywords: Acute ischemic cardiomyocyte ; Acid phosphatase activity ; Cytochemical ATPase ; Ionic lanthanum probe ; Canine heart
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In acute myocardial ischemia induced by coronary occlusion in the canine heart, mild to moderate ultrastructural changes such as reduction in glycogen granules appeared around 20 min after coronary occlusion. Severe, irreversible alterations, including a mitochondrial dense deposit, appeared after 60 min. With cytochemical study, ATPase activity decreased at 30 min in the sarcoplasmic reticulum (SR) and on the myofibril preceded by activation of acid phosphatase activity in lysosomes and SR. Permeation of lanthanum ion from glycocalyx into the cytosol was observed 30 min after occlusion. These results indicate that activation of acid hydrolases and an inflow of excess Ca++ are likely to be two main causes of ischemic necrosis.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1860-1499
    Keywords: Heart transplantation ; Cyclosporin ; Atrial natriuretic peptide ; Allograft rejection ; Ultrastructure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We examined ultrastructural changes and did immunohistochemical studies of atrial natriuretic peptide (ANP) in biopsied samples obtained from the heart of a 16-year-old Japanese boy with dilated cardiomyopathy and from the transplanted donor heart. In the right ventricle of the diseased heart, a small number of atrial granules containing ANP were found in the perinuclear area of the cardiomyocytes and near areas lacking some myofibrils. Although no evidence of rejection was seen in the right ventricle of the transplanted donor heart under the light microscope, electron microscopy revealed moderate degeneration of cardiomyocytes and injuries to capillary endothelial cells. We did not find atrial granules, although the serum ANP level was elevated. These data suggest that the ultrastructural changes in the transplanted heart were related to a mild rejection, the effects of cyclosporin, or the effects of a domino heart transplantation from a patient with cystic fibrosis. Because of the absence of atrial granules in the right venticle, it is postulated that the high serum ANP level may be attributed to merely an increased secretion of ANP from atrial granules in the atria, without secretion of ANP in the ventricles.
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