140 research outputs found

    Prognostic factors in heart failure: Poverty amidst a wealth of variables

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    Identification of Faint Chandra X-ray Sources in the Core-Collapsed Globular Cluster NGC 6752

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    We have searched for optical identifications for 39 Chandra X-ray sources that lie within the 1.9 arcmin half-mass radius of the nearby (d = 4.0 kpc), core-collapsed globular cluster, NGC 6752, using deep Hubble Space Telescope ACS/WFC imaging in B435, R625, and H alpha. Photometry of these images allows us to classify candidate counterparts based primarily on color-magnitude and color-color diagram location. The color-color diagram is particularly useful for quantifying the H alpha line equivalent width. In addition to recovering 11 previously detected optical counterparts, we propose 20 new optical IDs. In total, there are 16 likely or less certain cataclysmic variables (CVs), nine likely or less certain chromospherically active binaries, three galaxies, and three active galactic nuclei (AGNs). The latter three sources, which had been identified as likely CVs by previous investigations, now appear to be extragalactic objects based on their proper motions. As we previously found for NGC 6397, the CV candidates in NGC 6752 fall into a bright group that is centrally concentrated relative to the turnoff-mass stars and a faint group that has a spatial distribution that is more similar to that of the turnoff-mass stars. This is consistent with an evolutionary scenario in which CVs are produced by dynamical interactions near the cluster center and diffuse to larger radius orbits as they age.Comment: 26 pages, 18 figure

    Identification Of Faint Chandra X-Ray Sources In The Core-Collapsed Globular Cluster NGC 6397: Evidence For A Bimodal Cataclysmic Variable Population

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    We have searched for optical identifications for 79 Chandra X-ray sources that lie within the half-mass radius of the nearby, core-collapsed globular cluster NGC 6397, using deep Hubble Space Telescope Advanced Camera for Surveys Wide Field Channel imaging in H alpha, R, and B. Photometry of these images allows us to classify candidate counterparts based on color-magnitude diagram location. In addition to recovering nine previously detected cataclysmic variables (CVs), we have identified six additional faint CV candidates, a total of 42 active binaries (ABs), two millisecond pulsars, one candidate active galactic nucleus, and one candidate interacting galaxy pair. Of the 79 sources, 69 have a plausible optical counterpart. The 15 likely and possible CVs in NGC 6397 mostly fall into two groups: a brighter group of six for which the optical emission is dominated by contributions from the secondary and accretion disk and a fainter group of seven for which the white dwarf dominates the optical emission. There are two possible transitional objects that lie between these groups. The faintest CVs likely lie near the minimum of the CV period distribution, where an accumulation is expected. The spatial distribution of the brighter CVs is much more centrally concentrated than those of the fainter CVs and the ABs. This may represent the result of an evolutionary process in which CVs are produced by dynamical interactions, such as exchange reactions, near the cluster center and are scattered to larger orbital radii, over their lifetimes, as they age and become fainter.NASA HST-GO-10257ANSF REU AST-0452975NSERCCIFARAstronom

    Exotica in the Globular Cluster M4, Studied with Chandra, HST, and the VLA

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    Using the Hubble Ultraviolet Globular Cluster Survey (HUGS) and additional HST archival data, we have carried out a search for optical counterparts to the low-luminosity Chandra X-ray sources in the globular cluster M4 (NGC 6121). We have also searched for optical or X-ray counterparts to radio sources detected by the VLA. We find 24 new confident optical counterparts to Chandra sources for a total of 40, including the 16 previously identified. Of the 24 new identifications, 18 are stellar coronal X-ray sources (active binaries, ABs), the majority located along the binary sequence in a V-I colour-magnitude diagram and generally showing an H-alpha excess. In addition to confirming the previously detected cataclysmic variable (CV, CX4), we identify one confident new CV (CX76), and two candidates (CX81 and CX101). One MSP is known in M4 (CX12), and another strong candidate has been suggested (CX1); we identify some possible MSP candidates among optical and radio sources, such as VLA20, which appears to have a white dwarf counterpart. One X-ray source with a sub-subgiant optical counterpart and a flat radio spectrum (CX8, VLA31) is particularly mysterious. The radial distribution of X-ray sources suggests a relaxed population of average mass ~ 1.2 - 1.5 Msun. Comparing the numbers of ABs, MSPs, and CVs in M4 with other clusters indicates that AB numbers are proportional to cluster mass (primordial population), MSPs to stellar encounter rate (dynamically formed population), while CVs seem to be produced both primordially and dynamically.Comment: 30 pages, 12 figures, 2 pages of supplementary material containing finding chart

    C-Reactive Protein in Heart Failure

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    Background— The role of C-reactive protein (CRP) in heart failure is not well studied. We assessed the prognostic value of CRP in patients randomized in Val-HeFT (Valsartan Heart Failure Trial) and studied changes in CRP that were associated with valsartan. Methods and Results— Characteristics of patients with baseline CRP levels above and below the median value were compared. Univariable and multivariable Cox proportional hazards regression models were used to examine the relationship of CRP to mortality and morbidity. Interactions were tested to determine whether differences in CRP changes from baseline to 4 and 12 months between groups randomly assigned to valsartan or placebo depended on baseline ACE inhibitor use. Median plasma CRP was 3.23 mg/L (interquartile range 1.42 to 7.56 mg/L), which is higher than in the general population. Patients with CRP above the median had features of more severe heart failure than those with CRP levels below the median. The cumulative likelihood of death and first morbid event increased with increasing quartile of CRP. Relative to the lowest CRP quartile, the risk of mortality (hazard ratio 1.51, 95% CI 1.2 to 1.9) and first morbid event (hazard ratio 1.53, 95% CI 1.28 to 1.84) was increased in the highest CRP quartile in multivariable models. CRP added incremental prognostic information to that provided by brain natriuretic peptide alone. CRP did not change significantly over time in the placebo group; however, after 12 months, valsartan was associated with a decrease in CRP in patients not receiving ACE inhibitors but not in those receiving ACE inhibitors at 12 months. Conclusions— CRP is increased in heart failure. Higher levels are associated with features of more severe heart failure and are independently associated with mortality and morbidity. The ability of treatments to reduce CRP levels and the prognostic importance of reducing CRP require further study
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