Risk Factors and Cellular Differences in Heart Failure: The Key Role of Sex Hormones

Patients with heart failure are conventionally stratified into phenotypic groups based on their ejection fraction. The aim of this stratification is to improve disease management with a more targeted therapeutic approach. A further subdivision based on patient gender is justified. It is recognized that women are underrepresented in randomized controlled clinical trials, resulting in limited clinical and molecular differentiation between males and females. However, many observational studies show that the onset, development, and clinical course of the disease may substantially differ between the two sexes. According to the emerging concept of precision medicine, investigators should further explore the mechanisms responsible for the onset of heart failure due to sex differences. Indeed, the synergistic or opposing effects of sex hormones on the cardiovascular system and underlying heart failure mechanisms have not yet been clarified. Sex hormones, risk factors impact, and cardiovascular adaptations may be relevant for a better understanding of the intrinsic pathophysiological mechanisms in the two sexes. Despite the differences, treatment for HF is similar across the whole population, regardless of sex and gender. In our review, we describe the main differences in terms of cardiovascular dysfunction, risk factors, and cellular signaling modifications related to the hormonal pattern

QUIJOTE Scientific Results. II. Polarisation Measurements of the Microwave Emission in the Galactic molecular complexes W43 and W47 and supernova remnant W44

We present Q-U-I JOint TEnerife (QUIJOTE) intensity and polarisation maps at 10-20 GHz covering a region along the Galactic plane 24<l<45 deg, |b|<8 deg. These maps result from 210 h of data, have a sensitivity in polarisation of ~40 muK/beam and an angular resolution of ~1 deg. Our intensity data are crucial to confirm the presence of anomalous microwave emission (AME) towards the two molecular complexes W43 (22 sigma) and W47 (8 sigma). We also detect at high significance (6 sigma) AME associated with W44, the first clear detection of this emission towards a SNR. The new QUIJOTE polarisation data, in combination with WMAP, are essential to: i) Determine the spectral index of the synchrotron emission in W44, beta_sync =-0.62 +/-0.03, in good agreement with the value inferred from the intensity spectrum once a free-free component is included in the fit. ii) Trace the change in the polarisation angle associated with Faraday rotation in the direction of W44 with rotation measure -404 +/- 49 rad/m2. And iii) set upper limits on the polarisation of W43 of Pi_AME <0.39 per cent (95 per cent C.L.) from QUIJOTE 17~GHz, and <0.22 per cent from WMAP 41 GHz data, which are the most stringent constraints ever obtained on the polarisation fraction of the AME. For typical physical conditions (grain temperature and magnetic field strengths), and in the case of perfect alignment between the grains and the magnetic field, the models of electric or magnetic dipole emissions predict higher polarisation fractions.Comment: Accepted for publication in MNRA

Prevalence and clinical significance of red flags in patients with hypertrophic cardiomyopathy

Introduction: We sought to determine prevalence and predictive accuracy of clinical markers (red flags, RF), known to be associated with specific systemic disease in a consecutive cohort of patients with hypertrophic cardiomyopathy (HCM). / Methods: We studied 129 consecutive patients (23.7 ± 20.9 years, range 0–74 years; male/female 68%/32%). Pre-specified RF were categorized into five domains: family history; signs/symptoms; electrocardiography; imaging; and laboratory. Sensitivity (Se), specificity (Sp), negative predictive value (NPV), positive predictive value (PPV), and predictive accuracy of RF were analyzed in the genotyped population. / Results: In the overall cohort of 129 patients, 169 RF were identified in 62 patients (48%). Prevalence of RF was higher in infants (78%) and in adults >55 years old (58%). Following targeted genetic and clinical evaluation, 94 patients (74%) had a definite diagnosis (sarcomeric HCM or specific causes of HCM). We observed 14 RF in 13 patients (21%) with sarcomeric gene disease, 129 RF in 34 patients (97%) with other specific causes of HCM, and 26 RF in 15 patients (45%) with idiopathic HCM (p  55yo. Se, Sp, PPV, NPV and PA of RF were 97%, 70%, 55%, 98% and 77%, respectively. Single and clinical combination of RF (clusters) had an high specificity, NPV and predictive accuracy for the specific etiologies (syndromes/metabolic/infiltrative disorders associated with HCM). / Conclusions: An extensive diagnostic work up, focused on analysis of specific diagnostic RF in patients with unexplained LVH facilitates a clinical diagnosis in 74% of patients with HCM

Heart failure during the COVID-19 pandemic: clinical, diagnostic, management, and organizational dilemmas

The coronavirus 2019 (COVID-19) infection pandemic has affected the care of patients with heart failure (HF). Several consensus documents describe the appropriate diagnostic algorithm and treatment approach for patients with HF and associated COVID-19 infection. However, few questions about the mechanisms by which COVID can exacerbate HF in patients with high-risk (Stage B) or symptomatic HF (Stage C) remain unanswered. Therefore, the type of HF occurring during infection is poorly investigated. The diagnostic differentiation and management should be focused on the identification of the HF phenotype, underlying causes, and subsequent tailored therapy. In this framework, the relationship existing between COVID and onset of acute decompensated HF, isolated right HF, and cardiogenic shock is questioned, and the specific management is mainly based on local hospital organization rather than a standardized model. Similarly, some specific populations such as advanced HF, heart transplant, patients with left ventricular assist device (LVAD), or valve disease remain under investigated. In this systematic review, we examine recent advances regarding the relationships between HF and COVID-19 pandemic with respect to epidemiology, pathogenetic mechanisms, and differential diagnosis. Also, according to the recent HF guidelines definition, we highlight different clinical profile identification, pointing out the main concerns in understudied HF populations.© 2022 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology

QUIJOTE scientific results - III. Microwave spectrum of intensity and polarization in the Taurus Molecular Cloud complex and L1527

ABSTRACT: We present new intensity and polarization observations of the Taurus Molecular Cloud (TMC) region in the frequency range 10–20 GHz with the multifrequency instrument (MFI) mounted on the first telescope of the Q-U-I-JOint TEnerife (QUIJOTE) experiment. From the combination of the QUIJOTE data with the WMAP 9-yr data release, the Planck second data release, the DIRBE maps, and ancillary data, we detect an anomalous microwave emission (AME) component with flux density SAME,peak = 43.0 ± 7.9 Jy in the TMC and SAME,peak = 10.7 ± 2.7 Jy in the dark cloud nebula L1527, which is part of the TMC. In the TMC the diffuse AME emission peaks around a frequency of 19 GHz, compared with an emission peak about a frequency of 25 GHz in L1527. In the TMC, the best constraint on the level of AME polarization is obtained at the Planck channel of 28.4 GHz, with an upper limit πAME < 4.2 per cent (95 per cent C.L.), which reduces to πAME < 3.8 per cent (95 per cent C.L.) if the intensity of all the free–free, synchrotron and thermal dust components are negligible at this frequency. The same analysis in L1527 leads to πAME < 5.3 per cent (95 per cent C.L.) or πAME < 4.5 per cent (95 per cent C.L.) under the same assumption. We find that in the TMC and L1527 on average about 80 per cent of the H II gas should be mixed with thermal dust. Our analysis shows how the QUIJOTE-MFI 10–20 GHz data provide key information to properly separate the synchrotron, free–free, and AME components.This work has been partially funded by the Spanish Ministry of Economy and Competitiveness (MINECO) under the projects AYA2007-68058-C03-01, AYA2010-21766-C03-02, AYA2012-39475-C02-01, AYA2014-60438-P: ESP2015- 70646.C2-1-R, AYA2015-64508-P and the Consolider-Ingenio project CSD2010-00064 (EPI: Exploring the Physics of Inflation)

Parâmetros genéticos e análises de componentes principais para peso corporal e características morfológicas em bovinos de corte da raça Nelore.

Resumo: O objetivo do presente trabalho foi estudar as associações entre características de escores visuais de estrutura corporal ao sobreano (ES), precocidade ao sobreano (PS) e musculosidade ao sobreano (MS), e peso ajustado aos 455 dias de idade, por meio de análises de componentes principais, de forma a obter variáveis indicadoras de biotipo animal e estimar os parâmetros genéticos. Foram analisados 10.888 registros de bovinos de corte da raça Nelore, provenientes de um rebanho participante do Programa Nelore Brasil. As análises de componentes principais (PCA) foram realizadas por meio do software STATISTICA. Utilizando como autovetor o primeiro componente principal das análises, foram calculados valores para os animais com informações de escores visuais e pesos ajustados, que originaram as características de índices de biotipo INDs1, INDs2 e INDs3. Os componentes de (co) variância e os parâmetros genéticos foram estimados por inferência Bayesiana, utilizando modelo ui-característica pelo software AIREMLF90. As estimativas de herdabilidade para P455, ES, PS, MS, INDs1, INDs2 e INDs3 foram de 0,50, 0,33, 0,41, 0,34, 0,36, 0,44 e 0,30, respectivamente. As características estudadas apresentam variância genética aditiva suficiente para responderem satisfatoriamente a seleção. Mais estudos sobre as associações genéticas entre os índices de biotipo e características de importância econômica são necessários. Palavras?chave: bovinos de corte, componentes principais, estrutura corporal, herdabilidade, musculosidade, precocidade Abstract: The aim of this study was to assess the relationship between visual scores of body structure (BY), finishing precocity, and muscling (MY) evaluated at yearling, and weight adjusted to 455 days of age, through principal components analysis, in order to obtain indicators of animal biotype and to estimate the genetic parameters. A total of 10.888 records of Nelore beef cattle from a herd of Nelore Brasil program were analyzed. Principal components analyzes (PCA) were performed using STATISTICA software. Using as eigenvector or the first main component of the analyzes, values were calculated for the animals with information of visual scores and adjusted weights, which gave rise to the biotype indexes characteristics INDy1, INDy2, INDy3. The (co) variance components and genetic parameters were estimated by Bayesian inference, using a uni-characteristic model by AIREMLF90 software. The estimates of heritability for W455, BY, PY, MY, INDs1, INDs2 and INDs3 were 0.50, 0.33, 0.41, 0.34, 0.36, 0.44 and 0.30, respectively. As characteristics studied, they present sufficient genetic variance to satisfy the selection. More studies on genetic associations between biotype indexes and economic importance are needed

The QUIJOTE experiment: project overview and first results

QUIJOTE (Q-U-I JOint TEnerife) is a new polarimeter aimed to characterize the polarization of the Cosmic Microwave Background and other Galactic and extragalactic signals at medium and large angular scales in the frequency range 10-40 GHz. The multi-frequency (10-20~GHz) instrument, mounted on the first QUIJOTE telescope, saw first light on November 2012 from the Teide Observatory (2400~m a.s.l). During 2014 the second telescope has been installed at this observatory. A second instrument at 30~GHz will be ready for commissioning at this telescope during summer 2015, and a third additional instrument at 40~GHz is now being developed. These instruments will have nominal sensitivities to detect the B-mode polarization due to the primordial gravitational-wave component if the tensor-to-scalar ratio is larger than r=0.05.Comment: To appear in "Highlights of Spanish Astrophysics VIII", Proceedings of the XI Scientific Meeting of the Spanish Astronomical Society, Teruel, Spain (2014

Planck 2015 results. XXVII. The Second Planck Catalogue of Sunyaev-Zeldovich Sources

We present the all-sky Planck catalogue of Sunyaev-Zeldovich (SZ) sources detected from the 29 month full-mission data. The catalogue (PSZ2) is the largest SZ-selected sample of galaxy clusters yet produced and the deepest all-sky catalogue of galaxy clusters. It contains 1653 detections, of which 1203 are confirmed clusters with identified counterparts in external data-sets, and is the first SZ-selected cluster survey containing > $10^3$ confirmed clusters. We present a detailed analysis of the survey selection function in terms of its completeness and statistical reliability, placing a lower limit of 83% on the purity. Using simulations, we find that the Y5R500 estimates are robust to pressure-profile variation and beam systematics, but accurate conversion to Y500 requires. the use of prior information on the cluster extent. We describe the multi-wavelength search for counterparts in ancillary data, which makes use of radio, microwave, infra-red, optical and X-ray data-sets, and which places emphasis on the robustness of the counterpart match. We discuss the physical properties of the new sample and identify a population of low-redshift X-ray under- luminous clusters revealed by SZ selection. These objects appear in optical and SZ surveys with consistent properties for their mass, but are almost absent from ROSAT X-ray selected samples

QUIJOTE Experiment: status of telescopes and instrumentation

The QUIJOTE Experiment (Q-U-I JOint TEnerife) is a combined operation of two telescopes and three instruments working in the microwave band to measure the polarization of the Cosmic Microwave Background (CMB) from the northern hemisphere, at medium and large angular scales. The experiment is located at the Teide Observatory in Tenerife, one of the seven Canary Islands (Spain). The project is a consortium maintained by several institutions: the Instituto de Astrofísica de Canarias (IAC), the Instituto de Física de Cantabria (IFCA), the Communications Engineering Department (DICOM) at Universidad de Cantabria, and the Universities of Manchester and Cambridge. The consortium is led by the IAC