HAEMODYNAMIC RESPONSE DURING EXERCISE TESTING IN PATIENTS WITH CORONARY ARTERY DISEASE UNDERGOING A CARDIAC REHABILITATION PROGRAMME

Haemodynamic monitoring during exercise testing is seldom used during cardiac rehabilitation. The aim was to evaluate haemodynamic changes using the cardiac impedance method during exercise testing in patients after percutaneous coronary interventions and coronary artery bypass grafting during cardiac rehabilitation. Thirty (25 M; 5 F) patients were included in the programme. The group was divided according to ejection fraction (EF): low – below 50% normal – equal to or above 50%. The exercise test was performed simultaneously with a four-electrode impedance cardiogram before and after rehabilitation. ECG, blood pressure, thoracic impedance, first derivative dz/dt, stroke volume (SV) and cardiac output were recorded. Contractility index (Heather index – HI) and vascular peripheral resistance were calculated. The pattern of haemodynamic changes was normal in 24 patients. The deflection points for HI and SV trend patterns were observed among patients with low EF. The contractility index decreased 90 s before maximal exercise and after the next 30-60 s a deflection point was observed in SV curve trends. In 24 patients with normal EF the contractility index trends did not decrease and SV trends increased until the end of exercise or a deflection point was not noted. The deflection points of the contractility index and SV curves were observed before the clinical indications for exercise test termination appeared in patients with a low ejection fraction. Impedance cardiography may indicate the threshold of the workload during real-time exercise testing

Radio Loud AGN in the Context of the Eigenvector 1 Parameter Space

We consider the properties of radio-loud (RL) AGN in the context of the Eigenvector 1 (E1) parameter space. RL sources show a restricted E1 parameter space occupation relative to the radio-quiet (RQ) majority. The Fanaroff-Riley II ``parent population'' of relatively un-boosted RL sources (median radio/optical flux ratio ~490) shows the most restricted occupation. RL sources have different broad line properties (and inferred black hole masses and Eddington ratios). FWHM H_beta for the broad line component in RL sources are at least twice as large as the RQ majority. The average broad FeII emission line strength is also about half that for RQ sources. Our sample suggests that the RL cutoff occurs near R_k=70 or logP(6cm)=32.0 ergs/s/Hz. Sources below this cutoff are RQ although we cannot rule out the existence of a distinct intermediate population. We show that the Doppler boosted core-dominated RL sources (median flux ratio ~1000) lie towards smaller FWHM(H_beta_bc) and stronger FeII in E1 as expected if the lines arise in an accretion disk. Our subsample of superluminal sources, with orientation inferred from the synchrotron self Compton model, reinforce this general E1 trend and allow us to estimate the role of source orientation in driving E1 domain occupation.Comment: 9 pages, 3 figures, accepted for publication in ApJ

Patient and researcher perspectives on facilitating patient and public involvement in rheumatology research

No abstract available

Cardiometabolic comorbidities in RA and PsA: lessons learned and future directions

Cardiometabolic comorbidities present a considerable burden for patients with rheumatoid arthritis (RA) or psoriatic arthritis (PsA). Both RA and PsA are associated with an increased risk of cardiovascular disease (CVD). PsA more often exhibits an increased risk of metabolically linked comorbidities such as obesity, insulin resistance, type 2 diabetes mellitus and non-alcoholic fatty liver disease. Although both RA and PsA are characterized by a state of chronic inflammation, the mechanisms that contribute to CVD risk in these conditions might not be identical. In RA, systemic inflammation is thought to directly contribute to CVD risk, whereas in PsA, adiposity is thought to contribute to a notable metabolic phenotype that, in turn, contributes to CVD risk. Hence, appropriate management strategies that consider the increased risk of cardiometabolic comorbidities in patients with inflammatory arthropathy are important. In RA, such strategies should focus on the prediction of CVD risk and its management through targeting chronic inflammation and traditional CVD risk factors. In PsA, management strategies should additionally focus on targeting metabolic components, including weight management, which might not only help improve disease activity in the joints, entheses and skin, but also reduce the risk of metabolic comorbidities and improve the quality of life of patients

Stars with fast Galactic rotation observed in Gaia TGAS: a signature driven by the Perseus arm?

We report on the detection of a small overdensity of stars in velocity space with systematically higher Galactocentric rotation velocity than the Sun by about 20 km s$^{-1}$ in the $Gaia$ Data Release 1 Tycho-Gaia astrometric solution (TGAS) data. We find these fast Galactic rotators more clearly outside of the Solar radius, compared to inside of the Solar radius. In addition, the velocity of the fast Galactic rotators is independent of the Galactocentric distance up to $R-R_{\odot}\sim0.6$ kpc. Comparing with numerical models, we qualitatively discuss that a possible cause of this feature is the co-rotation resonance of the Perseus spiral arm, where the stars in peri-centre phase in the trailing side of the Perseus spiral arm experience an extended period of acceleration owing to the torque from the Perseus arm

Swope Supernova Survey 2017a (SSS17a), the Optical Counterpart to a Gravitational Wave Source

On 2017 August 17, the Laser Interferometer Gravitational-wave Observatory (LIGO) and the Virgo interferometer detected gravitational waves emanating from a binary neutron star merger, GW170817. Nearly simultaneously, the Fermi and INTEGRAL telescopes detected a gamma-ray transient, GRB 170817A. 10.9 hours after the gravitational wave trigger, we discovered a transient and fading optical source, Swope Supernova Survey 2017a (SSS17a), coincident with GW170817. SSS17a is located in NGC 4993, an S0 galaxy at a distance of 40 megaparsecs. The precise location of GW170817 provides an opportunity to probe the nature of these cataclysmic events by combining electromagnetic and gravitational-wave observations.Comment: 25 pages, 10 figures, 2 tables, published today in Scienc

The Old Host-Galaxy Environment of SSS17a, the First Electromagnetic Counterpart to a Gravitational Wave Source

We present an analysis of the host-galaxy environment of Swope Supernova Survey 2017a (SSS17a), the discovery of an electromagnetic counterpart to a gravitational wave source, GW170817. SSS17a occurred 1.9 kpc (in projection; 10.2") from the nucleus of NGC 4993, an S0 galaxy at a distance of 40 Mpc. We present a Hubble Space Telescope (HST) pre-trigger image of NGC 4993, Magellan optical spectroscopy of the nucleus of NGC 4993 and the location of SSS17a, and broad-band UV through IR photometry of NGC 4993. The spectrum and broad-band spectral-energy distribution indicate that NGC 4993 has a stellar mass of log (M/M_solar) = 10.49^{+0.08}_{-0.20} and star formation rate of 0.003 M_solar/yr, and the progenitor system of SSS17a likely had an age of >2.8 Gyr. There is no counterpart at the position of SSS17a in the HST pre-trigger image, indicating that the progenitor system had an absolute magnitude M_V > -5.8 mag. We detect dust lanes extending out to almost the position of SSS17a and >100 likely globular clusters associated with NGC 4993. The offset of SSS17a is similar to many short gamma-ray burst offsets, and its progenitor system was likely bound to NGC 4993. The environment of SSS17a is consistent with an old progenitor system such as a binary neutron star system.Comment: ApJL in pres

Identification of globular cluster stars in RAVE data - I. Application to stellar parameter calibration

We present the identification of potential members of nearby Galactic globular clusters using radial velocities from the RAdial Velocity Experiment Data Release 4 (RAVE-DR4) survey data base. Our identifications are based on three globular clusters – NGC 3201, NGC 5139 (ω Cen) and NGC 362 – all of which are shown to have ∣RV∣ > 100 km s⁻¹. The high radial velocity of cluster members compared to the bulk of surrounding disc stars enables us to identify members using their measured radial velocities, supplemented by proper motion information and location relative to the tidal radius of each cluster. The identification of globular cluster stars in RAVE DR4 data offers a unique opportunity to test the precision and accuracy of the stellar parameters determined with the currently available Stellar Parameter Pipelines used in the survey, as globular clusters are ideal test-beds for the validation of stellar atmospheric parameters, abundances, distances and ages. For both NGC 3201 and ω Cen, there is compelling evidence for numerous members (>10) in the RAVE data base; in the case of NGC 362 the evidence is more ambiguous, and there may be significant foreground and/or background contamination in our kinematically selected sample. A comparison of the RAVE-derived stellar parameters and abundances with published values for each cluster and with BASTI isochrones for ages and metallicities from the literature reveals overall good agreement, with the exception of the apparent underestimation of surface gravities for giants, in particular for the most metal-poor stars. Moreover, if the selected members are part of the main body of each cluster our results would also suggest that the distances from Binney et al., where only isochrones more metal rich than −0.9 dex were used, are typically underestimated by ∼40 per cent with respect to the published distances for the clusters, while the distances from Zwitter et al. show stars ranging from 1 to ∼6.5 kpc – with indications of a trend towards higher distances at lower metallicities – for the three clusters analysed in this study