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  • 1
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5018 , USA and 9600 Garsington Road , Oxford OX4 2DQ , UK . : Blackwell Science Inc
    Pacing and clinical electrophysiology 28 (2005), S. 0 
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Clinical implication of mechanical alternans is yet unclear. It may suggest the risk for sudden death in patients with chronic heart failure. Two cases with dilated cardiomyopathy showed mechanical alternans during diagnostic cardiac catheterization. They suddenly died due to ventricular fibrillation before the induction of β-blocker therapy. Patients with mechanical alternans should be treated under intense monitoring until the induction of β-blocker therapy.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5018 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK . : Blackwell Science Inc
    Journal of cardiovascular electrophysiology 15 (2004), S. 0 
    ISSN: 1540-8167
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Introduction: Progressive heart failure and ventricular fibrillation are major causes of death in patients with chronic heart failure. Mechanical alternans (pulsus alternans) has been observed in patients with severe congestive heart failure. Visible T wave alternans occasionally is a precursor of ventricular fibrillation. We investigated the occurrence of both cardiac alternans in 94 patients with chronic heart failure. Methods and Results: Mean left ventricular ejection fraction (LVEF) of the study population was 35 ± 10%. Mechanical alternans was detected in left ventricular pressure during diagnostic cardiac catheterization. Only sustained mechanical alternans was included in the study. Visible T wave alternans, not microvolt alternans, was noted on standard surface ECG. Cardiac alternans was examined at rest, during physiologic tachycardia, and during stepwise dobutamine loading (2–4–8 μg/kg/min). Prevalences of mechanical and electrical alternans were 19.1% and 4.4% at rest, 45.5% and 8.0% during physiologic tachycardia, and 62.1% and 9.5% under dobutamine loading. Overall, 70 patients (74.5%) showed mechanical alternans and 10 patients (10.6%) showed T wave alternans. T wave alternans always appeared with large mechanical alternans. Among patients with mechanical alternans, cases with T wave alternans showed lower LVEF than those without (27.5 ± 4.4 and 35.1 ± 10.2, P 〈 0.002). Conclusion: Visible T wave alternans was detectable in patients with chronic heart failure, especially under tachycardia or catecholamine exposure. Investigating mechanical and mechanoelectrical alternans may bring new insights into the management of patients with chronic heart failure. (J Cardiovasc Electrophysiol, Vol. 15, pp. 295-299, March 2004)
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Molecular and cellular biochemistry 119 (1993), S. 67-71 
    ISSN: 1573-4919
    Keywords: myosin ; actin ; autoimmune myocarditis ; T-lymphocyte ; dendritic cell
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology , Medicine
    Notes: Abstract Concerning cardiac contractile proteins, antigenicity and myocarditogenicity were discussed. In normal states, these proteins are immunologically tolerant, and can not provoke any heart-specific disease. Why the proteins can provoke such lethal autoimmune myocarditis has not been completely elucidated. Shortly after cardiac infection or myocardial ischemia, these proteins may work as the antigen for the autoimmune myocardites. First of all, the role of cardiac myosin has been strongly emphasized. But, the antigen determinants: epitope proteins remain unclear. Either cross-activity to the streptococcal M protein and/or the α-helical coiled-coil protein may be an important factor to determine antigenicity. In this autoimmune myocarditis, the roles of T-lymphocyte and cardiac dendritic cell are noticeable. Through further study on the relation between antigen epitope and the infectious agents in the heart; on cardio-cytotoxity of the T-lymphocyte and on the precise contribution of cardiac dendritic cells, this autoimmune myocarditis will be more clarified.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1573-7241
    Keywords: autoimmune myocarditis ; heart failure ; hemodynamics ; dobutamine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The most important clinical manifestation of myocarditis is congestive heart failure. The precise mechanisms of heart failure during myocarditis have not been elucidated because no animal model that would permit in vivo study of hemodynamics in severe active myocarditis has been available. We monitored hemodynamics and left ventricular function in a rat model of experimental autoimmune myocarditis to determine if this model could be useful for the study of in vivo hemodynamics in severe active myocarditis. Lewis rats were immunized with human cardiac myosin suspended in complete Freund's adjuvant. Baseline hemodynamics were measured using an ultraminiature catheter pressure transducer via the right internal carotid artery, 4 weeks after immunization in one group of rats (acute phase) and 3 months after immunization in another group (chronic phase). Untreated rats served as the control group. Hemodynamic measurements were also obtained after infusion of dobutamine in the acute-phase and chronic-phase groups. The heart weight-to-body weight ratios were significantly higher in both the acute-phase group and the chronic-phase group compared with normal control rats. The baseline left ventricular systolic pressure was significantly lower in the chronic phase group than in the control group. Peak dP/dt and peak -dP/dt were significantly lower in both the acute-phase group and the chronic-phase group compared with the control group. Dobutamine significantly increased left ventricular systolic pressure, peak dP/dt, and peak -dP/dt in the chronic-phase group but caused only minor changes in hemodynamic variables in the acute-phase group. In vivo measurements of hemodynamic variables indicated the presence of left ventricular dysfunction in rats with experimental autoimmune myocarditis. This animal model may be useful for the study of both acute heart failure related to acute myocarditis and chronic heart failure due to diffuse myocardial fibrosis.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1573-6784
    Keywords: polyacrylamide ; galactose ; hepatocyte ; attachment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: Abstract Homo polymers of acrylamide having glucose (PAAm-glucose) and galactose (PAAm-galactose) as pendent groups were synthesized. Tissue culture polystyrene (TCPS) plates coated with these polymers showed increased surface wettability. Coating of PAAm-glucose and PAArn-galactose on to TCPS plates was also confirmed by X-ray photoelectron spectroscopic (XPS) characterization. Rat hepatocytes in primary culture attached to the surfaces of PAArn-galactose homopolymer, but not to those of PAAm-glucose homopolymer. © Rapid Science Ltd. 1998
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1573-6784
    Source: Springer Online Journal Archives 1860-2000
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: Summary Adult rat hepatocytes in primary culture formed floating, non-spheroidal aggregates on the surfaces coated with 1 % polyacrylamide. In the cells of aggregates, DNA synthetic capacity was limited, but albumin secreting capacity was maintained at least for 2 weeks. These properties were influenced by addition of serum.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1573-0778
    Keywords: ePTFE ; hepatocytes ; multilayer hepatocyte aggregates ; porous membrane ; primary culture
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Process Engineering, Biotechnology, Nutrition Technology
    Notes: Abstract Feasibility of using a macroporous membrane material, expanded polytetrafluoroethylene (ePTFE), for culturing hepatocytes on its surface was examined. Adult rat hepatocytes were attached to an ePTFE surface and cultured in a hormonally defined medium supplemented with or without fetal calf serum (FCS, 10%) or bovine serum albumin (BSA, 0.03–3%). When cultured in a FCS-suplemented medium, hepatocytes reorganized themselves into multilayer cell aggregates on an ePTFE surface. The morphological characteristics of hepatocytes were influenced by the modification of the ePTFE surface as well as the culture medium. Hepatocytes cultured on a polyvinylalcohol (PVA)-coated ePTFE surface formed many more multilayer cell aggregates than those cultured on an uncoated ePTFE surface. Such highly multilayered hepatocyte aggregates were also noted when the cells were cultivated in a BSA-supplemented medium. On the other hand, when cultured in a FCS- or BSA-free medium, hepatocytes formed cell monolayers on both PVA-coated and uncoated ePTFE surfaces as did the cells on a collagen-coated polystyrene surface. The hepatocytes in the aggregates exhibited high albumin expression capability and low DNA synthesis rate as compared with those in monolayer cultures. The multilayer hepatocyte aggregates, as immobilized on a PVA-coated ePTFE surface in a serum-supplemented medium, are shown to be not only morphologically, but functionally differentiated, and will provide us a model system for the development of a bioreactor using hepatocytes, particularly for a hybrid-type artificial liver.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Polymer Science 62 (1996), S. 687-694 
    ISSN: 0021-8995
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics
    Notes: Polyrethanes, based on 2-[bis(2-hydroxyethyl)methylammoni]ethylstearylphosphate, alone or together with 1,4-butanediol as the chain extender, poly(isoprene) diol and 4,4′-methylenediphenyl diisocyanate, were prepared. These segmented phospholipid polyurethanes were characterized by IR, elemental analyses, and gel permeation chromatography. The polyurethane, with both phospholipid diol and 1,4-butanediol as the chain extender, was further investigated by differential scanning calorimetry, x-ray diffraction, scanning electron microscopy, plasma contact and clotting time. An x-ray diffraction measurement for the polymer shows a intense scattering at 79.3 Å corresponding to the length of soft segments, which is hydrophobic poly(isoprene), and a weak diffuse scattering at 5.1 Å corresponding to the distance between the hydrophobic poly (isoprene) layers. The hemocompatibilities of the polymer were evaluated by platelet rich plasma contacting studies and by scanning electron microscopy using medical grade poly(vinyl chloride) as control. The hot-pressed films of the polymer exhibit a favorable surface in terms of platelet adhesion, and the morphology of adhered platelets undergoes to a relatively lower degree of variation compared to poly(vinyl chloride). Moreover, the clotting time of the polymer in contact with human platelet rich plasma was 220, 100, and 86 s for the phospholipid-based polyurethane, poly(vinyl chloride), and glass, respectively. © 1996 John Wiley & Sons, Inc.
    Additional Material: 5 Ill.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1022-1352
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: A series of new amphiphilic polyurethanes containing long-chain alkyl groups as hydrophobic part and phosphatidylcholine analogues as hydrophilic part in the side chains was synthesized and characterized by their IR and 1H NMR spectral data and elemental analyses. The detailed studies for polyurethane 7b show that no evidence of any blood platelet attachment was apparent from the platelet rich plasma (PRP) contact studies and by scanning electron microscopy (SEM) evaluation for the synthesized polyurethane. Moreover, it quickly forms a gel in chloroform, N,N-dimethylformamide, dimethyl sulfoxide and even to some extent in water. Preliminary studies suggest that these new polyurethanes are very interesting due to their excellent blood compatibilities and prospective importance for biomedical applications.
    Additional Material: 3 Ill.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Macromolecular Chemistry and Physics 197 (1996), S. 2827-2835 
    ISSN: 1022-1352
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: A series of phospholipid diols based on different lengths of alkyl chains such as eicosyl, stearyl, cetyl, lauryl, octyl, and butyl was synthesized and characterized. The phospholipid diols were subjected a polyaddition polymerization with hexamethylene diisocyanate. The haemocompatibilities of the resulting phospholipid polyurethanes were evaluated by platelet rich plasma contacting experiments and viewed by scanning electron microscopy. The polymers with alkyl chains of 20, 18, 16, and 12 carbon atoms showed much better haemocompatibilities than those with alkyl chains of 8 and 4 carbon atoms.
    Additional Material: 3 Ill.
    Type of Medium: Electronic Resource
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