268 research outputs found
Can human cardiovascular regulation during exercise be learnt from feedback from arterial baroreceptors?
During dynamic exercise, a large fall in systemic vascular resistance occurs. Arterial pressure (AP) is, however, maintained through a combination of central command and neural activity from muscle afferents that adjust the autonomic outflow to the circulation. How these signals are calibrated to provide accurate regulation of AP remains unclear. This study tests the hypothesis that the calibration can be ālearntā through feedback from the arterial baroreceptors arising over multiple trials of exercise. Eight healthy subjects undertook three different protocols in random order. The test protocol consisted of 7 days' training, when subjects were exposed on 70 occasions to 4 min of exercise (50% of maximal oxygen uptake capacity) paired with neck suction (ā40 mmHg) to mimic an excessive rise in AP at the carotid baroreceptors with exercise. Two control protocols involved training with either exercise or neck suction alone. No significant changes in mean AP, diastolic AP or heart rate during normal exercise were detected following training with any protocol. However, the rise in systolic AP with exercise was attenuated by an average of 7.3 Ā± 2.0 mmHg (mean Ā± s.e.m., P < 0.01) on the first and second days following training with the test protocol, but not with either control protocol (P < 0.05 for difference between protocols, ANOVA). In conclusion, this study failed to show that mean AP during normal exercise could be reduced through prior conditioning by overstimulation of the baroreceptors during exercise. However, a reduction in systolic AP was observed that suggests the presence of some plasticity within the autonomic response, consistent with our hypothesis
Cardiovascular magnetic resonance in patients with pectus excavatum compared with normal controls
<p>Abstract</p> <p>Purpose</p> <p>To assess cardiothoracic structure and function in patients with pectus excavatum compared with control subjects using cardiovascular magnetic resonance imaging (CMR).</p> <p>Method</p> <p>Thirty patients with pectus excavatum deformity (23 men, 7 women, age range: 14-67 years) underwent CMR using 1.5-Tesla scanner (Siemens) and were compared to 25 healthy controls (18 men, 7 women, age range 18-50 years). The CMR protocol included cardiac cine images, pulmonary artery flow quantification, time resolved 3D contrast enhanced MR angiography (CEMRA) and high spatial resolution CEMRA. Chest wall indices including maximum transverse diameter, pectus index (PI), and chest-flatness were measured in all subjects. Left and right ventricular ejection fractions (LVEF, RVEF), ventricular long and short dimensions (LD, SD), mid-ventricle myocardial shortening, pulmonary-systemic circulation time, and pulmonary artery flow were quantified.</p> <p>Results</p> <p>In patients with pectus excavatum, the pectus index was 9.3 Ā± 5.0 versus 2.8 Ā± 0.4 in controls (P < 0.001). No significant differences between pectus excavatum patients and controls were found in LV ejection fraction, LV myocardial shortening, pulmonary-systemic circulation time or pulmonary flow indices. In pectus excavatum, resting RV ejection fraction was reduced (53.9 Ā± 9.6 versus 60.5 Ā± 9.5; P = 0.013), RVSD was reduced (P < 0.05) both at end diastole and systole, RVLD was increased at end diastole (P < 0.05) reflecting geometric distortion of the RV due to sternal compression.</p> <p>Conclusion</p> <p>Depression of the sternum in pectus excavatum patients distorts RV geometry. Resting RVEF was reduced by 6% of the control value, suggesting that these geometrical changes may influence myocardial performance. Resting LV function, pulmonary circulation times and pulmonary vascular anatomy and perfusion indices were no different to controls.</p
Hypothermia following antipsychotic drug use
Objective: Hypothermia is an adverse drug reaction (ADR) of
antipsychotic drug (APD) use. Risk factors for hypothermia in
ADP users are unknown. We studied which risk factors for
hypothermia can be identified based on case reports.
Method: Case reports of hypothermia in APD-users found in
PUBMED or EMBASE were searched for risk factors. The
WHO international database for Adverse Drug Reactions was
searched for reports of hypothermia and APD use.
Results: The literature search resulted in 32 articles containing
43 case reports. In the WHO database, 480 reports were
registered of patients developing hypothermia during the
use of APDs which almost equals the number of reports for
hyperthermia associated with APD use (n=524). Hypothermia
risk seems to be increased in the first days following start
or dose increase of APs. APs with strong 5-HT2 antagonism
seem to be more involved in hypothermia; 55% of hypothermia
reports are for atypical antipsychotics. Schizophrenia was
the most prevalent diagnosis in the case reports.
Conclusion: Especially in admitted patients who are not able
to control their own environment or physical status, frequent
measurements of body temperature (with a thermometer that
can measure low body temperatures) must be performed in
order to detect developing hypothermia
A percutaneous technique for catheterization of the pulmonary artery without fluoroscopy.
Hemodynamic differences between supine and upright exercise in patients with congestive heart failure.
MuskelfunktionsmeĆplatz zur Kraftmessung im Bereich der Sprunggelenke - Muscle Function Test Device for Measuring Forces in the Region of the Ankle Joint
Heart Rate, Stroke Volume and Vasomotor Regulation in the Cat during Exertion and Postural Changes
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