Clinical features, etiology, and survival in patients with restrictive cardiomyopathy: A single-center experience

Background: Numerous prognostic factors have been proposed for cardiac amyloidosis (CA). The knowledge about other subtypes of restrictive cardiomyopathy (RCM) is scant.Aims: This study aimed to elucidate the etiology and prognostic factors of RCM as well as assess cardiac biomarkers: high-sensitive troponin T (hs-TnT), growth differentiation factor-15 (GDF-15), N-terminal pro-B-type natriuretic peptide (NT-proBNP), and soluble suppression of tumorigenicity 2, as mortality predictors in RCM.Methods: We enrolled 36 RCM patients in our tertiary cardiac department. All patients were screened for CA. Genetic testing was performed in 17 patients without CA.Results: Pathogenic or likely pathogenic gene variants were found in 86% of patients, including 5 novel variants. Twenty patients died, and 4 had a heart transplantation during the study. Median overall survival was 29 months (8–55). The univariate Cox models analysis indicated that systolic and diastolic blood pressure, GDF-15, hs-TnT, NT-proBNP, left ventricular stroke volume, the ratio of the transmitral early peak velocity (E) estimated by pulsed wave Doppler over the early mitral annulus velocity (e’), tricuspid annulus plane systolic excursion, early tricuspid valve annular systolic velocity, the presence of pulmonary hypertension, and pericardial effusion influenced survival (P <0.05). A worse prognosis was observed in patients with GDF-15 >1316 pg/ml, hs-TnT >42 ng/l, NT-proBNP >3383 pg/ml, and pericardial effusion >3.5 mm (Kaplan-Meier analysis, log-rank test, P <0.001).Conclusions: Genetic testing should be considered in every RCM patient where light-chain amyloidosis has been excluded. Survival remains poor regardless of etiology. Increased concentrations of GDF-15, hs-TNT, NT-proBNP, and pericardial effusion are associated with worse prognosis. Further studies are warranted

Sycylia i Kalabrya

Zawiera Ex Libris Biblioteki Publicznej imienia Stefana Hempla Sejmiku Radomskiego w Radomiu

Electric double layer capacitance of restricted primitive model for an ionic fluid in slit-like nanopores: A density functional approach

We apply recently developed version of a density functional theory [Z. Wang, L. Liu, and I. Neretnieks, J. Phys.: Condens. Matter 23, 175002 (2011)]10.1088/0953-8984/23/17/175002 to study adsorption of a restricted primitive model for an ionic fluid in slit-like pores in the absence of interactions induced by electrostatic images. At present this approach is one of the most accurate theories for such model electric double layers. The dependencies of the differential double layer capacitance on the pore width, on the electrostatic potential at the wall, bulk fluid density, and temperature are obtained. We show that the differential capacitance can oscillate as a function of the pore width dependent on the values of the above parameters. The number of oscillations and their magnitude decrease for high values of the electrostatic potential. For very narrow pores, close to the ion diameter, the differential capacitance tends to a minimum. The dependence of differential capacitance on temperature exhibits maximum at different values of bulk fluid density and applied electrostatic potential

Interactions of Zn(II) Ions with Humic Acids Isolated from Various Type of Soils. Effect of pH, Zn Concentrations and Humic Acids Chemical Properties

<div><p>The main aim of this study was the analysis of the interaction between humic acids (HAs) from different soils and Zn(II) ions at wide concentration ranges and at two different pHs, 5 and 7, by using fluorescence and FTIR spectroscopy, as well as potentiometric measurements. The presence of a few areas of HAs structures responsible for Zn(II) complexing was revealed. Complexation at α-sites (low humified structures of low-molecular weight and aromatic polycondensation) and β-sites (weakly humified structures) was stronger at pH 7 than 5. This trend was not observed for γ-sites (structures with linearly-condensed aromatic rings, unsaturated bonds and large molecular weight). The amount of metal complexed at pH5 and 7 by α and γ-structures increased with a decrease in humification and aromaticity of HAs, contrary to β-areas where complexation increased with increasing content of carboxylic groups. The stability of complexes was higher at pH 7 and was the highest for γ-structures. At pH 5, stability decreased with C/N increase for α-areas and -COOH content increase for β-sites; stability increased with humification decrease for γ-structures. The stability of complexes at α and β-areas at pH 7 decreased with a drop in HAs humification. FTIR spectra at pH 5 revealed that the most-humified HAs tended to cause bidentate bridging coordination, while in the case of the least-humified HAs, Zn caused bidentate bridging coordination at low Zn additions and bidentate chelation at the highest Zn concentrations. Low Zn doses at pH 7 caused formation of unidentate complexes while higher Zn doses caused bidentate bridging. Such processes were noticed for HAs characterized by high oxidation degree and high oxygen functional group content; where these were low, HAs displayed bidentate bridging or even bidentate chelation. To summarize, the above studies have showed significant impact of Zn concentration, pH and some properties of HAs on complexation reactions of humic acids with zinc.</p></div

Emission-excitation (EEM) matrices for HAs and HA-Zn systems with Zn concentrations (0, 10 and 50 mg dm^-3) at pH 7.

<p>Emission-excitation (EEM) matrices for HAs and HA-Zn systems with Zn concentrations (0, 10 and 50 mg dm^-3) at pH 7.</p

Drop of pH in solutions of the HAs from the values 5 (A) and 7 (B) as function of increasing Zn(II) concentration.

<p>Drop of pH in solutions of the HAs from the values 5 (A) and 7 (B) as function of increasing Zn(II) concentration.</p

Physicochemical description of the soil samples.

<p>Physicochemical description of the soil samples.</p

FTIR spectra of HA1 and HA4 at pH 5 and 7 with increasing Zn(II) concentrations (mg dm^-3).

<p>FTIR spectra of HA1 and HA4 at pH 5 and 7 with increasing Zn(II) concentrations (mg dm^-3).</p