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Query: UMLS:C0038454 (stroke)
 147,016 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

1. One major subprogramme of the North Karelia Project was the hypertension programme which aimed at lowering of the high blood pressure among the whole population, and expecially among middle-aged men. The hypertension programme consisted of intervention integrated with the existing health care structure of the county of North Karelia. 2. The hypertension register, which was the major tool of the programme, aimed to maintain patients in treatment and to get information about the development of the programme. Registration of hypertensive subjects was continuous between 1972 and 1977 and registered patients had annual follow-up examinations. 3. After 5 years of the programme, there were approximately 17 000 registered patients which is 9.7% of the total population. 4. Proportion of drop-outs at the annual follow-up examinations was less than 10%. 83% of the registered hypertensive subjects were under drug treatment after 3 years intervention. The percentage of normotensive subjects increased significantly year by year. 5. Preliminary results from the stroke register of the North Karelia Project indicate that the incidence of stroke decreased as hypertension control was improved.
Clin Sci Mol Med Suppl 1978 Dec
PMID:The hypertension register of the North Karelia project. 28 85

The low mortality and perioperative infarction rates for aortocoronary bypass (ACB) make them unsuitable for evaluating the adequacy of myocardial protection. Enzymatic and functional measurements were found to be sensitive and specific indicators of myocardial injury. A prospective concurrent study of 78 patients undergoing triple ACB was conducted to evaluate the effectiveness of three popular methods of myocardial protection. Group I (32 patients) had a single dose of cold (4 degrees C) potassium cardioplegic (CPC) solution infused inducing a mean myocardial temperature (MMT) of 31 +/- 4 degrees C/min. Group II (23 patients) had multiple doses of CPC solution 8nducing a MMT of 22 +/- 2 degrees C/min. Group III (23 patients) had intermittent anoxic arrest at a MMT of 28 +/- 1 degrees C. The groups were not randomized but had comparable clinical symptoms and catheterization findings. Serial measurements of cardiac specific creatine kinase (CK-MB) revealed a peak in enzymatic activity occurring 60 minutes following ACB. The highest CK-MB was significantly (P less than 0.01) lower in group II (25 +/- 8 IU/liter) than group I (50 +/- 8 IU/liter), or group III (68 +/- 14 IU/liter). Myocardial performance was evaluated after ACB by serially measuring left ventricular stroke work index (SW) and left atrial pressure (LAP) in response to volume loading. The rise in SW was significantly (P less than 0.01) greater in group II (3.0 +/- 0.7 gm.m/sq m/mm Hg) than in group I (1.4 +/- 0.7) or group III (1.8 +/- 0.9). The highest SW attained was higher (P less than .01) in group II (43 +/- 7 gm.m/sq m) than group I (19 +/- 6) or group III (34 +/- 8) at comparable LAP values (group I: 20 +/- 5 mm Hg; group II: 18 +/- 3; group III: 18 +/- 4). Post-operative clinical evaluation failed to differentiate among the three groups. The more sensitive indices, however, demonstrated the superiority of cold, multidose cardioplegia in providing optimal myocardial protection.
Surgery 1978 Dec
PMID:Optimal myocardial protection. 30 65

Although the physiological benefits of left ventricular venting during cardiopulmonary bypass have been documented experimentally, air embolus is still a concern clinically, and surgeons, therefore, continue to debate whether or not to vent routinely during coronary revascularization. In this study, 10 patients vented during revascularization and 10 not vented were studied immediately before and after cardiopulmonary bypass using Sarnoff ventricular function curves to assess changes in ventricular performance. Stroke work index by each patient before and after bypass was compared at common left atrial pressures and concomitant similar systemic resistances. In patients who were vented, there was overall no change in function (98 +/- 7% of control; range, 146--73%). In patients who were not vented, there was overall significant depression of function (67 +/- 5% of control; range, 91--45%, p less than 0.01). The overall absence of depression in patients who were vented, several of whom had very poor ventricles before bypass, strongly supports venting for coronary revascularization.
Ann Thorac Surg 1978 Dec
PMID:Ventricular venting during coronary revascularization: assessment of benefit by intraoperative ventricular function curves. 31 66

Central and peripheral hemodynamics was studied by the radioisotope method employing 131I-labelled albumin, the blood flow in the muscles was investigated (using 133Xe) and the longitudinal rheovasogram of the leg and forearm recorded in 10 healthy male volunteers before, during, and after 45-day antiorthostatic hypokinesia. Five of the examines received isoptin, while the remaining 5 formed the control group. Due to the effect of hypokinesia a tendency towards a a decrease in the circulation volume, a reduced stroke index, an increase in the central venous pressure and peripheral resistance, and a decrease in the muscular blood flow were observed. With the prescription of isoptin the changes in the cardiac index and peripheral resistance were corrected, but there was no esstential effect on the level of the venous pressure and the muscular blood flow.
Kardiologiia 1977 Dec
PMID:[Effect of isoptin on the central and peripheral hemodynamics in hypokinesia in healthy persons]. 34 Jul 62

In a review the specific reaction of the cardiovascular system of children and youth to actual athletic stress and on a staying power training is dealt with. The present knowledge is imperfect because the medicine had a cautious opinion of the maximum stress of the infantile heart till recent times, and children training systematically were exceptions. The examination of the cardiovascular system of training children is complicated as far as the effects of training are mostly equal in direction like growth, maturing, and development effects. But it is evident that the infantile circulation system is well adaptable to staying power results. During training a cardiac enlargement surpassing the growth rate is arising. Under the condition of rest the heart of the trained child is more subjected to vagal control with the appropriate functional consequences. By submaximum stress an economization of the function can be observed. During stress a stronger inotropia with increased stroke volume and better oxygen absorption is stated. The post-stress phase is characterized by an accelerated return of the deflected functions to the zero level. Furthermore statements are made about the specific ECG of sporting children, about the problems of sports at heart diseases, about acceleration and retardation as well as about the transformation of physiologic knowledge into methodical conceptions for training.
Z Gesamte Inn Med 1977 Dec 01
PMID:[Effect of training in sports on the cardiovascular system of children and adolescents]. 34 6

Ninety-one patients with acute stroke participated in a double-blind, placebo-controlled trial of naftidrofuryl. Treatment was allocated at random and given over 12 weeks, neurological and neurophysical scores being obtained before treatment and at weeks 2, 4, 8, and 12. Both treatment groups greatly improved over the 12 weeks, but the naftidrofuryl-treated patients made greater neurological progress. Of the patients eventually discharged, those given naftidrofuryl spent only half as long in hospital as the controls. Deaths attributable to stroke were significantly fewer in the active-treatment group.
Br Med J 1978 Dec 16
PMID:New approach to treatment of recent stroke. 36 11

Dr. Nicholas Langley was the first recorded "psychiatric" patient in Western Australia. His story provides an insight into the difficulty experienced in managing cases of violent behaviour in a small, isolated group without facilities or expertise. Langley recovered from his symptoms, and was accepted into the local community without undue stigma. He practised as a surgeon in Fremantle, and died at the age of 35, from what was apparently a cerebrovascular accident.
Aust N Z J Psychiatry 1978 Dec
PMID:Early psychiatry in Western Australia: Dr. Nicholas Langley--a born loser. 36 16

Since its creation as the National Heart Institute in 1948, the National Heart, Lung, and Blood Institute (NHLBI) has led a national biomedical research program in heart, lung, blood, and blood vessel diseases, and has become increasingly involved in complex clinical trials to validate its research findings. In addition, NHLBI sponsors demonstrations and educational activities to apply proved research findings in the health care community. NHLBI's approach to these responsibilities involves acquiring new and basic information, testing and evaluating the information, and applying it to improve prevention, detection, and treatment of disease. New equipment such as the heart-lung machine and the pacemaker, better diagnostic procedures, new operative and treatment devices, new drugs, and increased use of preventive medicine have dramatically reduced mortality from heart attack, hypertension and stroke.
Circulation 1979 Dec
PMID:Progress toward prevention of cardiovascular disease. A 30-year retrospective. 38 82

This article presents practical information about using electromyographic biofeedback to train specific muscle groups in the involved upper extermity of hemiplegic patients. Our approach is first to reduce hyperactivity in spastic musculature and then to increase activity levels in weak muscles. Electrode placements and a sequence of training procedures for muscles whose functions are most commonly impaired following stroke are described.
Phys Ther 1979 Dec
PMID:Procedures for EMG biofeedback training in involved upper extremities of hemiplegic patients. 39 May 63

1. Captopril (25 mg) reduced plasma angiotensin II (ANG II) by 53% (P less than 0.001) and mean brachial artery pressure (MBAP) by 18.7 mmHg (P less than 0.001) within 75 min in 26 hypertensive patients. After 2 months (on 150-600 mg/day) MBAP had decreased by 27.1 mmHg (n = 18) with no further change of plasma ANG II. delta MBAP was significantly related to control log plasm renin (PRA) and log ANG II in both conditions. 2. The acute depressor response to captopril was 11.2 mmHg greater (P less than 0.001) than delta MBAP during saralasin infusion (n = 12). 3. Heart rate slightly increased after acute administration of captopril (+3.3 beats/min; P less than 0.005), but cardiac output was not significantly affected; systemic vascular resistance decreased by 10% (P less than 0.01) with unchanged pulmonary vascular resistance. 4. During chronic administration, oxygen consumption, cardiac output and stroke volume increased by 15% (P less than 0.01), with unchanged heart rate; systemic vascular resistance had dropped by 30% (P less than 0.001). 5. Plasma ANG II and plasma aldosterone decreased, and PRA and ANG I increased acutely, with no further changes during chronic treatment.
Clin Sci (Lond) 1979 Dec
PMID:Haemodynamic effects of captopril in hypertensive patients: comparison with saralasin. 39 66


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