Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0020538 (hypertension)
 170,190 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study was undertaken to determine the etiology of non-rheumatic aortic regurgitation (AR) by two-dimensional echocardiography. Dimensions of the aortic root at the levels of the surgical aortic ring (ARDs), sinus of Valsalva (AOD), and anatomical aortic ring (ARD) were measured in 23 patients who underwent aortic valve replacement due to AR with idiopathic aortic root dilatation, in 15 hypertensive patients without AR and in 15 normal controls. The 23 patients with AR were classified as annuloaortic ectasia (AAE) (seven cases) and non-AAE (16 cases) groups. In the AAE group, the ascending aorta and aortic root were markedly dilated and had a pear-like configuration on aortography while the aorta had a normal configuration in the non-AAE group. ARDs was significantly larger in the non-AAE and AAE groups than in the hypertension and normal control groups. AOD and ARD were significantly larger in the hypertension and non-AAE groups than in the normal controls, and those in the AAE group were greater than those in any other group. The end-diastolic shape of the aortic valve in the long-axis view was "Y" shaped in the normal control and hypertension groups, "T" shaped in the non-AAE group, and the patients with AAE showed no cuspal coaptation. AR due to aortic ring dilatation, mainly reported by pathologists, were due to marked degree of ARD dilatation. However, our two-dimensional echocardiographic study showed that moderate dilatation of the entire aortic root in the non-AAE group seemed to be an important factor in the genesis of AR, even without dilatation of ARD.
 ...
PMID:[Clinical significance of aortic ring dilatation and changes in aortic root configuration in the pathogenesis of non-rheumatic aortic regurgitation]. 281 37

Atherosclerotic narrowing of the renal arteries may result in severe consequences including chronic renal ischemia, renal artery atheroembolism and renal vascular hypertension. Ischemic renal disease is increasingly recognised as a potentially treatable cause of chronic renal failure. Its precise prevalence is still poorly determined as there is no population based studies. The patients with ARD, particularly those with high grade stenosis and systolic hypertension are at very high risk for renal atrophy and renal failure. Angiogram is usually required to confirm the diagnosis. However, the diagnosis is likely in the elderly patient with systemic atherosclerosis and hypertension in whom a rapid rise in serum creatinine concentration is associated with decreased renal length. Disease is associated with high mortality when treated medically. In contrast, clinical improvement is reported after renal revascularisation. Therefore, consider the diagnosis in the patients at risk, because revascularisation (surgical or endovascular) can successfully preserve renal function in selected patients.
 ...
PMID:Ischemic nephropathy. 1086 22

Eryngium foetidum L. is a biennial herb which is used extensively as a medicinal plant in most tropical regions. It is of increasing importance as a spice plant cultivated in India, Vietnam, Australia and elsewhere with well documented procedures for maximum yield. It also possesses a wide range of ethnomedicinal uses including treatment for burns, earache, fevers, hypertension, constipation, fits, asthma, stomach ache, worms, infertility complications, snake bites, diarrhea and malaria. Chemical evaluation of the leaves indicated the presence of flavonoids, tannins, a saponin and several triterpenoids; but no alkaloids were reported. A significant constituent of the essential oil of the plant is E-2-dodecenal ("eryngial"), with isomers of trimethylbenzaldehyde being present in lesser proportions. Variability in the composition of essential oil was clearly dependent on the geographic location of the growing plant. Pharmacological studies of the aerial plant parts have demonstrated anthelmintic activity due to eryngial, anti-inflammatory action due to the phytosterol fractions, anti-convulsant activity in the respective models, and selective antibacterial activity against Salmonella species and the Erwinia genus of bacteria. A fraction of the essential oil rich in eryngial is the subject of a US patent application for its effectiveness against parasitic trypanosomes, nematodes, fungi and bacteria in humans and other mammals. These findings suggest the need for further research of this herb and its products.
 ...
PMID:Eryngium foetidum L.: a review. 2106 39