Use of the continuity equation for transesophageal Doppler assessment of severity of proximal left coronary artery stenosis: a quantitative coronary angiography validation study

AbstractObjectives. We tested the value of transesophageal Doppler echocardiography (TEDE) for quantitating proximal left coronary artery (LCA) stenosis by using the continuity equation.Background. The continuity equation applied to a stenosis states that the ratio of the time–velocity integral (TVI) of prestenotic to stenotic flow velocities is equal to the ratio of stenotic to prestenotic cross-sectional areas. TEDE allows the measurement of coronary blood flow velocities within the proximal part of the LCA.Methods. Forty-one patients with a stenosis of the proximal or mid left anterior descending coronary artery or with a nonostial stenosis of the left main coronary artery were studied. Coronary flow velocities were recorded by TEDE guided by color flow imaging. Prestenotic velocities were recorded by pulsed Doppler echocardiography and transstenotic velocities were recorded by pulsed or high pulse repetition frequency or continuous wave Doppler echocardiography. The prestenotic and transstenotic diastolic TVIs were calculated and the TEDE-derived percent area stenosis was calculated as (1 − TVI ratio) × 100. Quantitative angiography lesion analysis was performed using a computer-assisted automated edge-detection system.Results. TEDE recordings were successful in 35 of the 41 patients. A good linear correlation was found between TEDE and quantitative angiographically derived percent area stenosis (r = 0.89, p = 0.0001, SEE 5.7). However, TEDE measurements underestimated the actual percent area stenosis (slope of regression 0.54). A better agreement (slope 1.08) was obtained after dividing prestenotic velocity by 2 in the continuity equation, based on the assumption of a parabolic cross-sectional velocity profile in the prestenotic segment.Conclusions. TEDE may be used for quantitating stenosis of the proximal part of the LCA with the use of a modified continuity equation that takes into account the parabolic velocity profile in the normal prestenotic segment

Spatial and temporal CO2 exchanges measured by Eddy Covariance over a temperate intertidal flat and their relationships to net ecosystem production

peer reviewedMeasurements of carbon dioxide fluxes were performed over a temperate intertidal mudflat in southwestern France using the micrometeorological Eddy Covariance (EC) technique. EC measurements were carried out in two contrasting sites of the Arcachon flat during four periods and in three different seasons (autumn 2007, summer 2008, autumn 2008 and spring 2009). In addition, satellite images of the tidal flat at low tide were used to link the net ecosystem CO2 exchange (NEE) with the occupation of the mudflat by primary producers, particularly by Zostera noltii meadows. CO2 fluxes during the four deployments showed important spatial and temporal variations, with the flat rapidly shifting from sink to source with the tide. Absolute CO2 fluxes showed generally small negative (influx) and positive (efflux) values, with larger values up to −13 μmol m−2 s−1 for influxes and 19 μmol m−2 s−1 for effluxes. Low tide during the day was mostly associated with a net uptake of atmospheric CO2. In contrast, during immersion and during low tide at night, CO2 fluxes where positive, negative or close to zero, depending on the season and the site. During the autumn of 2007, at the innermost station with a patchy Zostera noltii bed (cover of 22 ± 14% in the wind direction of measurements), CO2 influx was −1.7 ± 1.7 μmol m−2 s−1 at low tide during the day, and the efflux was 2.7 ± 3.7 μmol m−2 s−1 at low tide during the night. A gross primary production (GPP) of 4.4 ± 4.1 μmol m−2 s−1 during emersion could be attributed to microphytobenthic communities. During the summer and autumn of 2008, at the central station with a dense eelgrass bed (92 ± 10%), CO2 uptakes at low tide during the day were −1.5 ± 1.2 and −0.9 ± 1.7 μmol m−2 s−1, respectively. Night time effluxes of CO2 were 1.0 ± 0.9 and 0.2 ± 1.1 μmol m−2 s−1 in summer and autumn, respectively, resulting in a GPP during emersion of 2.5 ± 1.5 and 1.1 ± 2.0 μmol m−2 s−1, respectively, attributed primarily to the seagrass community. At the same station in April 2009, before Zostera noltii started to grow, the CO2 uptake at low tide during the day was the highest (−2.7 ± 2.0 μmol m−2 s−1). Influxes of CO2 were also observed during immersion at the central station in spring and early autumn and were apparently related to phytoplankton blooms occurring at the mouth of the flat, followed by the advection of CO2-depleted water with the flooding tide. Although winter data as well as water carbon measurements would be necessary to determine a precise CO2 budget for the flat, our results suggest that tidal flat ecosystems are a modest contributor to the CO2 budget of the coastal ocean

ECLAIRE: Effects of Climate Change on Air Pollution Impacts and Response Strategies for European Ecosystems. Project final report

The central goal of ECLAIRE is to assess how climate change will alter the extent to which air pollutants threaten terrestrial ecosystems. Particular attention has been given to nitrogen compounds, especially nitrogen oxides (NOx) and ammonia (NH3), as well as Biogenic Volatile Organic Compounds (BVOCs) in relation to tropospheric ozone (O3) formation, including their interactions with aerosol components. ECLAIRE has combined a broad program of field and laboratory experimentation and modelling of pollution fluxes and ecosystem impacts, advancing both mechanistic understanding and providing support to European policy makers. The central finding of ECLAIRE is that future climate change is expected to worsen the threat of air pollutants on Europe’s ecosystems. Firstly, climate warming is expected to increase the emissions of many trace gases, such as agricultural NH3, the soil component of NOx emissions and key BVOCs. Experimental data and numerical models show how these effects will tend to increase atmospheric N deposition in future. By contrast, the net effect on tropospheric O3 is less clear. This is because parallel increases in atmospheric CO2 concentrations will offset the temperature-driven increase for some BVOCs, such as isoprene. By contrast, there is currently insufficient evidence to be confident that CO2 will offset anticipated climate increases in monoterpene emissions. Secondly, climate warming is found to be likely to increase the vulnerability of ecosystems towards air pollutant exposure or atmospheric deposition. Such effects may occur as a consequence of combined perturbation, as well as through specific interactions, such as between drought, O3, N and aerosol exposure. These combined effects of climate change are expected to offset part of the benefit of current emissions control policies. Unless decisive mitigation actions are taken, it is anticipated that ongoing climate warming will increase agricultural and other biogenic emissions, posing a challenge for national emissions ceilings and air quality objectives related to nitrogen and ozone pollution. The O3 effects will be further worsened if progress is not made to curb increases in methane (CH4) emissions in the northern hemisphere. Other key findings of ECLAIRE are that: 1) N deposition and O3 have adverse synergistic effects. Exposure to ambient O3 concentrations was shown to reduce the Nitrogen Use Efficiency of plants, both decreasing agricultural production and posing an increased risk of other forms of nitrogen pollution, such as nitrate leaching (NO3-) and the greenhouse gas nitrous oxide (N2O); 2) within-canopy dynamics for volatile aerosol can increase dry deposition and shorten atmospheric lifetimes; 3) ambient aerosol levels reduce the ability of plants to conserve water under drought conditions; 4) low-resolution mapping studies tend to underestimate the extent of local critical loads exceedance; 5) new dose-response functions can be used to improve the assessment of costs, including estimation of the value of damage due to air pollution effects on ecosystems, 6) scenarios can be constructed that combine technical mitigation measures with dietary change options (reducing livestock products in food down to recommended levels for health criteria), with the balance between the two strategies being a matter for future societal discussion. ECLAIRE has supported the revision process for the National Emissions Ceilings Directive and will continue to deliver scientific underpinning into the future for the UNECE Convention on Long-range Transboundary Air Pollution

ECLAIRE third periodic report

The ÉCLAIRE project (Effects of Climate Change on Air Pollution Impacts and Response Strategies for European Ecosystems) is a four year (2011-2015) project funded by the EU's Seventh Framework Programme for Research and Technological Development (FP7)