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[Segmental contractility and geometry of the left ventricle of patients with isolated lesions of the mitral valve].

Investigations showed that patients with "pure" stenosis of the left atrioventricular orifice as well as those with mitral insufficiency were characterized by left ventricular myocardial dysfunction expressed in a decrease of the index of left ventricular integral function--the ejection fraction and in change of geometry of the left ventricular cavity. Asynergy (hypokinesia) of the anterior wall segments and the posterior basal segment was revealed in patients with "pure" stenosis and "pure" mitral insufficiency. Hypokinesia in patients with primary mitral insufficiency was revealed in the ant

Reflex cardiovascular effects of intracoronary acetylstrophanthidin in the conscious dog.

The present experiments were designed to examine the reflex cardiovascular effects of intracoronary administration of acetylstrophanthidin in the conscious dog. Administration of 4 micrograms/kg of this agent into the left circumflex coronary artery increased left ventricular dP/dtmax but had no effect on mean arterial pressure, heart rate, renal resistance, or iliac resistance. The positive inotropic effects of acetylstrophanthidin were less under control conditions (+599 mmHg/s) than during bilateral cervical vagal cold block (+850 mmHg/s, P less than 0.05); however, interruption of vagal ef

Clinical comparison of inhalation anaesthetic agents.

Despite the continued revival in the use of local anaesthetic techniques, and the fact that some of the versatility of inhalation agents is being approached by newer short acting i.v. anaesthetic and analgesic agents, volatile anaesthetics will continue to play an important role in the management of patients undergoing surgery. The individual agents have distinct properties and varying benefit-to-risk ratios depending upon the medical status of the patients and the type of surgery to be undertaken. In certain circumstances, such as their role in the anaesthetic management of patients with coro

Use of beta-adrenoceptor blocking drugs in hyperthyroidism.

There is an increasing use and variety of beta-adrenoceptor blocking agents (beta-blockers) available for the treatment of hyperthyroidism. Recent comparative studies suggest that atenolol (200mg daily), metoprolol (200mg daily); acebutolol (400mg daily), oxprenolol ( 160mg daily), nadolol ( 80mg daily) and timolol (20mg daily) produce a beneficial clinical response equal to that seen with propranolol ( 160mg daily). Most beta-blockers reduce resting heart rate by approximately 25 to 30 beats/min, although a lesser reduction is seen with those possessing intrinsic sympathomimetic activity such

Symptomatic status and prognosis of patients after operation for hypertrophic obstructive cardiomyopathy: efficacy of ventricular septal myotomy and myectomy.

Since 1960, at the National Institutes of Health, ventricular septal myotomy and myectomy has been the mode of treatment for severely symptomatic patients with hypertrophic cardiomyopathy and obstruction to left ventricular outflow who do not respond to medical therapy. Our long-term results of operation for hypertrophic cardiomyopathy are reviewed in 240 patients operated upon prior to 1980. Postoperatively, most patients had improved symptomatically (i.e. 70%) and manifested marked reduction or abolition of the basal left ventricular outflow gradient (i.e. 98%). However, 8% of the patients d

Isovolumic relaxation time in normal subjects and patients with cardiac disease: comparison of determinations made with echocardiographic techniques and apex cardiography.

Isovolumic relaxation time (IVRT) was determined in 17 controls and 41 patients. Nine patients had ischemic heart disease (IHD), 7 mitral prolapse (MVPS), 13 hypertension (HPB), 7 pregnancy (P), and 5 cardiomyopathy (CM). Echocardiographic measurements of IVRT were made from the aortic second sound to the rapid opening of the mitral valve (A2D1). Determinations by apexcardiography were made from the aortic second sound to the 0 point (A2O). The IVRT was distinctly shorter when assessed by A2D1 than by conventional apexdardiography in conventional apexcardiography in controls (69.2 +/- 16.4 mse

Asynergy in coronary heart disease. Evolving clinical and pathophysiologic concepts.

The widespread use of cardiac ventriculography has focused interest on the frequency with which asynergy accompanies coronary heart disease as well as on its clinical and prognostic implications and dynamic nature. Recently, "intervention ventriculography" using nitroglycerin or postextrasystolic potentiation has indicated that asynergic zones may be more accurately classified as reversible (implying viable myocardium) or irreversible (nonviable or scarred myocardium), and thus the ventriculographic definition of aneurysm must reflect not only the severity of asynergy but its contractile reser

Decreased premature ventricular contractions through use of the relaxation response in patients with stable ischaemic heart-disease.

To determine whether decreased sympathetic-nervous-system activity achieved by the relaxation response could decrease premature ventricular contractions (P.V.C.s), eleven ambulatory patients with proven, stable ischaemic heart-disease and P.V.C.s were investigated. The patients, who were taking no medication for the P.V.C.s, were trained to elicit regularly the relaxation response through a non-cultic psychological technique. The frequency of the P.V.C.s was measured by computer analysis of Holter monitor tapes for 2 complete days before learning the technique, which was learned in approximate

Postnatal Development Shapes the Cardiac Response to Milrinone.

BACKGROUND: Milrinone, a phosphodiesterase-3 (PDE-3) inhibitor, is widely used to improve cardiac output in pediatric and adult patients. Yet, developmental differences in myocardial responsiveness to milrinone remain incompletely understood. In this study, we examined the impact of postnatal maturation on the acute cardiac effects of milrinone using an intact guinea pig heart model. METHODS: Neonatal (0-2 days), juvenile (4-10 days), and adult (> 6 months) guinea pig hearts were excised, Langendorff-perfused, and cardiac metrics were evaluated under basal conditions and in response to acute

Fetal Cardiac Remodeling and Subclinical Myocardial Dysfunction in Pregnancies Complicated by Placenta Accreta Spectrum: A Prospective Echocardiographic Study.

OBJECTIVES: To investigate the pattern of fetal cardiac remodeling and dysfunction associated with placenta accreta spectrum (PAS), a disorder characterized by abnormal placental angioarchitecture, and to test the hypothesis that PAS imposes a distinct hemodynamic burden on the fetal heart. METHODS: This prospective case-control study included 50 singleton pregnancies diagnosed with PAS and 50 gestational age-matched uncomplicated pregnancies as controls. Comprehensive fetal echocardiography was performed to assess structural parameters-including right and left ventricular free wall thickness

Early cardiovascular changes in hypertensive pregnancies: insights from left atrial strain and compliance.

BACKGROUND: Hypertensive disorders of pregnancy (HDP), which include gestational hypertension and preeclampsia, are associated with adverse maternal and fetal outcomes and may result in subclinical cardiac dysfunction. Traditional echocardiographic parameters, including the ejection fraction and Doppler indices, often fail to detect early myocardial and atrial abnormalities. OBJECTIVE: To evaluate early cardiovascular changes in pregnant women with hypertensive disorders, with an explicit focus on left atrial (LA) strain and compliance assessed through speckle-tracking echocardiography. METH

Integrated Multilayer Omics Reveals the Underlying Mechanisms in Xylazine-Related Heart Injury in Rats.

Xylazine abuse is emerging as a global problem, whereas the toxic mechanisms of xylazine poisoning are seldom studied. The present study aims to assess the heart injury in xylazine poisoning and uncover the underlying mechanism. Forty male SD rats were randomly dived into four groups: control (saline), low dose (10 mg/kg xylazine), median dose (20 mg/kg xylazine) and high dose (40 mg/kg xylazine). The rats were injected with the drug intraperitoneally for 28 consecutive days, and then cardiac ultrasound examination was performed and serum and heart tissues were collected. Genomic, proteomic, a

Measurement of non-invasive cardiac output during cycling exercise in ischemic stroke inpatients: A pilot study.

BACKGROUND: Cardiac dysfunction accompanies acute ischemic stroke and affects the effective implementation of early rehabilitation interventions. There is a lack of reference hemodynamic data on cardiac function in the subacute phase of ischemic stroke. OBJECTIVE: In this study, we aimed to identify appropriate cardiac parameters for exercise training utilizing a pilot study. METHODS: We used a transthoracic electrical bioimpedance non-invasive cardiac output measurement (NICOM) device to monitor cardiac function in real time for two groups [i.e., subacute ischemic stroke inpatients group (n

Comparative Proteomic and Phosphoproteomic Analyses Reveal Molecular Signatures of Myocardial Infarction and Transverse Aortic Constriction in Aged Mouse Models.

In the elderly population, coronary heart disease (CHD) often coexists with hypertension. However, excessive blood pressure reduction can paradoxically increase the incidence of adverse events. Understanding the molecular mechanisms underlying hypertension and CHD in aged populations is crucial for developing targeted therapies and improving clinical outcomes. In this study, we constructed myocardial infarction (MI) and transverse aortic constriction (TAC) modelsY in aged mice to simulate the disease states of CHD and hypertension, respectively. Using integrated proteomic and phosphoproteomic

A new Doppler index, cerebro-placental-uterine ratio, and fetal cardiac parameters in early onset preeclampsia.

OBJECTIVE: Our aim was to investigate the significance of cerebro-placento-uterine ratio CPUR, a new Doppler index, and fetal cardiac parameters (Mod MPI, EFT) in early-onset preeclampsia (EOPE) and to examine whether these parameters are related to perinatal outcome. STUDY DESIGN: Forty participants diagnosed with EOPE (preeclampsia cases diagnosed before 34 weeks of gestation) and 40 healthy pregnant women were included in this study. Demographic data were recorded. Doppler parameters such as middle cerebral artery (MCA), umbilical artery (UA), and uterine artery (Ut-A), and left modified m

Characterizing the Role of Left Ventricular Indices and Biventricular Interaction in Bronchopulmonary Dysplasia-Associated Pulmonary Hypertension in Extreme Prematurity.

INTRODUCTION: Bronchopulmonary dysplasia (BPD) is a common respiratory morbidity in preterm infants. The onset of pulmonary hypertension leads to worse respiratory outcomes. The contribution of left ventricular diastolic dysfunction in BPD-PH is well reported. We evaluated the serial left ventricular function and possible ventricular interdependence among BPD-PH. METHODS: This is a single-center, prospective observational study. Infants <28 weeks of gestation are included. RESULTS: Eighty infants were enrolled. The incidence of BPD-PH was 23%. The BPD-PH group had a high incidence of hemodyn

Sacubitril/Valsartan Ameliorates Crizotinib-Induced Cardiotoxicity in Mice.

BackgroundLung cancer is one of the major cause of death globally. Crizotinib is a first-line drug used in treating non-small-cell lung cancer (NSCLC). However, the pathophysiological mechanisms underlying its cardiotoxicity are unknown. This study investigated the mechanisms of crizotinib-induced cardiotoxicity and explored whether this toxicity can be prevented by the angiotensin receptor/neprilysin inhibitor sacubitril/valsartan.MethodsMale C57BL/6 mice were randomly divided into three groups: control, crizotinib (40 mg ⋅ kg - 1 ⋅ d - 1 for four weeks), and crizotinib + sacubitril/valsartan

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… Myh7 is closely related to a variety of cardiomyopathies, myocardial contraction, and adrenergic signaling in cardiomyocytes. Therefore, Myh7 may be a potential gene target associated with crizotinib-induced cardiotoxicity. Table 2. KEGG enrichmen related to cardiovascular diseases . … Myh7 is both highly expressed and involved in multiple processes in KEGG enrichment, including a variety of cardiomyopathy, myocardial contraction, and adrenergic signaling in cardiomyocytes. Therefore, Myh7 may be a potential gene target of crizotinib-induced cardiotoxicity. …