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Query: UMLS:C0042373 (vascular disease)
 17,070 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Forty-four studies of regional cerebral blood flow (rCBF), fractional oxygen extraction (rOER) and oxygen consumption (rCMRO2) were made on twenty-five patients with recent internal carotid artery territory infarcts. The purpose was to study flow-metabolism relationships in the contralateral hemispheres, and to investigate whether contralateral rCMRO2 was depressed as a result of the recent infarcts. Two groups of controls were included for comparison--seventeen normal volunteers, and ten patients with proven extracranial cerebrovascular disease but without evidence of cerebral infarction. The results demonstrated that: contralateral hemispheric rCMRO2 was less variable than regional oxygen availability (the product of rCBF and arterial oxygen content). This was due, in part, to the effect of individual variations in PaCO2 on rCBF, but other uncontrolled factors, such as intracranial pressure, may have had influences. As a result, rCMRO2 did not correlate with rCBF; mean rCMRO2 in the contralateral hemispheres was 12% lower than normal (a significant difference), but was not different from the value found in patients with extracranial vascular disease in whom there was no evidence of infarction or ischemia; contralateral rCMRO2 did not correlate with the size of the infarct in the opposite hemisphere. It is concluded that rCMRO2 cannot be inferred from rCBF measurements in uncontrolled human studies (as frequently done in the past), and that depression of contralateral rCMRO2 may have preceded infarction in the opposite hemisphere, a consequence of the previous influences of diseases that predispose to stroke.
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PMID:No evidence for transhemispheric diaschisis after human cerebral infarction. 376 54

The relation between the increase in oxygen uptake (VO2) and increase in work rate (WR) between unloaded pedaling and maximal work during incremental cycle ergometer exercise was studied in normal men, men with uncomplicated systemic hypertension and ambulatory men with various cardiovascular diseases. The postulation was that impaired peripheral oxygen delivery would reduce the ratio of the oxygen utilized relative to work performed. The ratio of increase in VO2 to increase in WR (delta VO2/delta WR) was relatively constant: 10.29 +/- 1.01 ml/min/W in normal men (n = 54) for exercise 6 to 14 minutes in duration with uniform work increments of 15, 20, 25 or 30 W/min, regardless of age. The value in men with uncomplicated systemic hypertension (n = 24) was not significantly different from that of normal men. However, more than half of the men with peripheral vascular disease (n = 7) or pulmonary vascular disease (n = 5) or men who had electrocardiographic abnormalities during exercise (n = 39) had a significantly lower delta VO2/delta WR, 8.29 +/- 1.17 ml/min/W (p less than 0.05) especially evident as maximal work rates were approached. Thus, delta VO2/delta WR during incremental exercise testing is predictable for normal men and a reduction in this ratio indicates cardiovascular dysfunction.
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PMID:Relation of oxygen uptake to work rate in normal men and men with circulatory disorders. 382 11

The paper presents the results of the study on the pregnancy effect on visual functions (vision acuity, visual field, condition of the eyeball ground), blood oxygenation as well as spatial summation (photometric harmony) in the visual field in 94 pregnant women with diabetes mellitus (as well as diabetic retinopathy). It was found that out of the total number of the patients 24 (25.6%) had pathologic changes on the eyeball ground typical for the diabetic retinopathy and angiopathy. In the overwhelming majority of the investigated patients (74.4%) oxygen deficiency (oxyhemographic results(-hypoxemia was found. In the considerable number of pregnant women (90.1%) photometric disharmony in the visual field was found that could be a proof for the failure of the retinal nerve cells to summarize the light stimula. On the ground of the study results and the pregnancy termination data the authors made a conclusion about the necessity to organize a special ophthalmologic service for the vision protection in pregnant women with diabetes mellitus and DR to provide the prophylaxis of diabetic retinopathy.
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PMID:Functional condition of the visual analyzer and oxygen metabolism kinetics in pregnant women with diabetes. 387 Sep 41

Positron emission tomography (PET) is a noninvasive technique that allows the quantification of regional physiologic and biochemical function in vivo. Biochemically active compounds, labeled with positron-emitting isotopes, are administered and the subsequent distribution of radioactivity measured. Although images are produced, they are of secondary importance to the ability to measure cellular metabolic function. The capability of PET to measure regional blood flow, oxygen, and substrate metabolism make it particularly useful in conditions of vascular compromise. Brain and heart have been studied extensively during normal function and while ischemic. PET is able to distinguish ischemic tissue from normal and reversibly from irreversibly injured tissue. PET has been used to document the need for and the metabolic response to vascular surgery. Although PET is complex and expensive, it may offer a means for establishing a more scientific basis for the therapy of vascular disease.
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PMID:Positron emission tomography: new analytic tool for vascular disease. 387 67

This study was undertaken to determine the minimum CBF and CMRO2 required by the human brain to maintain normal function and viability for more than a few hours. Positron emission tomography (PET) was used to perform regional measurements in 50 subjects with varying degrees of cerebral ischemia but no evidence of infarction. There were 24 normal subjects, 24 subjects with arteriographic evidence of vascular disease of the carotid system, and two subjects with reversible ischemic neurological deficits due to cerebral vasospasm. Minimum values found in the 48 subjects with normal neurological function were 19 ml/100 g-min for regional cerebral blood flow (rCBF) and 1.3 ml/100 g-min for regional cerebral metabolic rate of oxygen (rCMRO2). Minimum values for all 50 subjects with viable cerebral tissue were 15 ml/100 g-min for rCBF and 1.3 ml/100 g-min for rCMRO2. Comparison of these measurements with values from 20 areas of established cerebral infarction in 10 subjects demonstrated that 80% (16/20) of infarcted regions had rCMRO2 values below the lower normal limit of 1.3 ml/100 g-min. Measurements of rCBF, regional cerebral blood volume, and oxygen extraction fraction were less useful for distinguishing viable from infarcted tissue. These data indicate that quantitative regional measurements of rCMRO2 with PET accurately distinguish viable from nonviable cerebral tissue and may be useful in the prospective identification of patients with reversible ischemia.
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PMID:Cerebral blood flow and cerebral metabolic rate of oxygen requirements for cerebral function and viability in humans. 387 67

The reduction in functional residual capacity (FRC) after anesthesia and thoracic surgery may result in atelectasis, hypoxia, and respiratory failure. Mechanical ventilation reverses the FRC reduction but may also decrease cardiac output and increase the pulmonary vascular resistance index (PVRI) in some patients. The cardiopulmonary effects of stopping mechanical ventilation after open-heart surgery were studied in 17 children. FRC, arterial pH, and PaO2 were significantly reduced, while PaCO2, oxygen consumption, and right ventricular stroke work index significantly increased. Mean FRC on spontaneous respiration was below normal despite continuous positive airway pressure. PVRI increased significantly in patients whose FRC fell below 22 ml/kg on spontaneous respiration. The PVRI increase was most marked in patients with pre-existing pulmonary vascular disease. These results confirm the value of appropriate mechanical ventilation in the early postoperative management of children undergoing open-heart surgery, particularly those with pulmonary vascular disease.
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PMID:Effects of mechanical ventilation on cardiopulmonary function in children after open-heart surgery. 388 Dec 23

To assess the long-term hemodynamic consequences of combined heart and lung transplantation, we investigated six rhesus monkeys 2.6 to 4.6 years (mean 4.0) after operation. Total follow-up was 24.0 primate-years. Autotransplantation had been carried out in four animals and allotransplantation in two, and the hemodynamic results were compared with those in three normal monkeys of similar size. Each animal underwent simultaneous right and left heart catheterization and pulmonary arteriography. Hemodynamic measurements were made at three levels of inspired oxygen. Arterial oxygen tension was within normal limits in all animals, and pulmonary artery pressure and pulmonary vascular resistance index did not change significantly with changes in the levels of inspired oxygen. Indices of left ventricular systolic function were normal in all animals. Values for pulmonary artery pressure and pulmonary vascular resistance index were similar in the autograft and normal groups: in the allograft group, the average pressure was 30/17 mm Hg (mean 24) and the index was 5.6 units . m2--both levels significantly higher than normal (pressure was 16/10 mm Hg, mean 13, [p less than 0.001] and index was 2.5 units . m2 [p less than 0.02]). Pulmonary arteriography in the allograft group with the highest pulmonary vascular resistance index (6.1 units . m2) was compatible with pulmonary vascular disease. Pulmonary arteriograms in the remaining eight monkeys were normal. Prolonged survival following combined heart and lung transplantation is possible in primates. Autotransplantation (and probable persisting denervation of the cardiopulmonary axis) does not necessarily result in abnormal long-term hemodynamics. The elevation in pulmonary artery pressure and pulmonary vascular resistance index in the allograft group may be related to previous episodes of pulmonary rejection, infection, or drug reaction.
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PMID:Long-term hemodynamics following combined heart and lung transplantation in primates. 391 17

A modified method combining the two methods of measuring either tissue oxygen tension (pO2) or transcutaneous pO2, which have already been proven in other clinical fields, is presented for application in particular skin diseases. This so-called "cutaneous pO2 measurement" (pcuO2) is based on measurements from commercially available transcutaneous pO2 devices, but produces moderate hyperemia through the lower electrode temperature (e.g., 40.5 degrees C) instead of maximal hyperemia (by 44 degrees-45 degrees C temperature). Values obtained this way depend more upon local skin properties, including peripheral capillary flow, than on the arterial pO2. Thus the data are termed cutaneous pO2 (pcuO2). With this method, over 140 measurements were carried out on 14 healthy subjects and 14 patients with progressive systemic scleroderma (PSS); the measurements were made at various skin sites (interdigital fold II/III, back of mid-hand) and under different conditions (3-min upper arm arterial occlusion, 5-min arm muscle activity, cold stimulus to fingers). The pcuO2 values obtained from the PSS patients were significantly below (0-15 mm Hg) those from the healthy subjects (15-42 mm Hg). Fall and recovery times for pcuO2 (during and after arterial occlusion) were prolonged about twice as long in the patients. The pcuO2 reactions to muscle activity and cold stimulus were also significantly delayed in the patients as compared to the subjects. The modified method of cutaneous oxygen tension measurement presented can be employed for more precise assessment of the degree and severity of vascular disorder in PSS, and it is complementary to other clinical methods.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Comparative cutaneous measurement of oxygen pressure (pcuO2) in healthy individuals and in patients with progressive scleroderma]. 395 66

Inhalation of 100% oxygen by nine children with pulmonary vascular disease increased pulmonary blood flow measured at cardiac catheterisation; there was no significant change in pulmonary artery pressure. Fifteen children with pulmonary vascular disease that was severe enough to preclude corrective cardiac operation were studied to determine the effect of long term oxygen treatment on pulmonary vascular disease. Nine received long term domiciliary oxygen for a minimum of twelve hours a day for up to five years. Though the untreated group closely resembled the treated group their survival was significantly less good. All nine treated children are alive whereas five of the six children who did not receive oxygen have died.
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PMID:Effect of long term oxygen treatment at home in children with pulmonary vascular disease. 396 7

The authors studied the variation in tcPO2 during a stress test conducted on a treadmill in normal subjects and in patients with stage I and II vascular disease according to Fontaine's classification. The tcPO2 was measured in the foot. In normal subjects, during exercise, there was an inital fluctuation in the tcPO2 which subsequently remained stable. In patients with arterial disease, the tcPO2 was variable. During the recovery phase, the tcPO2 gradually decreased to its previous level in normal subjects, but in patients with arterial disease, it abruptly fell to below its original value and then gradually returned to this value. This fall and the recovery time are related to the degree of arterial insufficiency in the limb examined. The end of the pain on effort coincides with the beginning of the increase in tcPO2. These findings, during the recovery phase, are related, according to the authors, to the oxygen debt of the muscle masses situated proximally to the point of recording.
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PMID:[Transcutaneous measurement of PO2 in healthy subjects and in arteriopathy patients during the exercise test]. 398 Oct 73


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