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  • 1
    ISSN: 1432-1912
    Keywords: Human heart auricle ; Muscarinic receptors ; Adenylate cyclase ; Inotropic response
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Binding to muscarinic receptors was compared with adenylate cyclase inhibition in membranes derived from human heart auricles, and with inhibition of the contraction of auricular muscle fibers. In the absence of GTP, agonists recognized two classes of receptors both of which bound antagonists with the same affinity. In the presence of GTP, both classes of receptors for agonists were converted into a single low affinity state. Carbachol and oxotremorine inhibited adenylate cyclase activity by 43%, pilocarpine being less efficient (−28%). The 3 agonists exerted similar inhibitory effects on the inotropic response, in 7 out of 9 preparations of electrically- and norepinephrine-stimulated fibers. Dose-effect curves suggested that spareness (or an amplification mechanism) was implicated in the occupancy of low affinity binding sites by carbachol and oxotremorine (but not by the partial agonist pilocarpine) and the resulting inhibition of both adenylate cyclase activity and contractile force.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1433-8726
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Treatment of hypernephroma presenting with atria-caval involvement without distant metastases is a surgical challenge. The procedures used in three different cases are described. In one case the caval thrombus extending into the atria-caval junction was delivered during clamping of the atrium without cardiovascular bypass. In another case the remaining atrial thrombus was removed in a second session with cardiovascular bypass. For the third case cardiac bypass was established immediately to permit safe and complete removal of the atria-caval thrombus. In order to plan the surgical procedure adequately, it appears essential to determine exactly the upper level of the thrombus. In cases with atrial involvement, cardiovascular bypass is advisable to perform radical surgery under the safest conditions.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical microbiology & infectious diseases 13 (1994), S. 142-145 
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case of monomicrobial endocarditis due toPrevotella bivia in a 60-year-old man without previous cardiac lesions is reported. The extremely indolent course with multiple systemic emboli as the only clinical manifestation occurring at least seven months before diagnosis and the persistently negative blood cultures were remarkable features of this case. The incidence, clinical characteristics, treatment and outcome of published cases of infective endocarditis due to anaerobic bacteria are briefly reviewed.
    Type of Medium: Electronic Resource
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