Gene/Protein Disease Symptom Drug Enzyme Compound
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 15,125 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We investigated left ventricular (LV) function in 40 patients (pts) with hypertension (HT), 16 pts with hypertrophic cardiomyopathy (HCM), 3 pts with ASH and HT and in 27 control subjects by M-mode echocardiography using supine exercise (50 watts, 3 minutes). The hypertensive subjects were echocardiographically divided into three subsets; the normal LV (17 cases), the hypertrophied LV (17 cases) and the dilated LV (6 cases). Similarly, pts with HCM were echocardiographically and cineangiographically divided into three subsets; ASH (asymmetric septal hypertrophy, 6 cases), APH (predominant apical hypertrophy, 6 cases) and DFH (diffuse left ventricular hypertrophy, 4 cases). Changes of left ventricular dimension Controls and HT: Stroke volume was increased during exercise in the controls, normal LV and hypertrophied LV groups by decreasing LV end-systolic dimension ( LVDs ), but it was increased in dilated LV group by increasing LV end-diastolic dimension ( LVDd ) (Frank-Starling mechanism). LVDd was increased transiently in the controls and normal LV group during recovery, but its grade and duration were more pronounced in the latter. LVDd did not change significantly in hypertrophied and the dilated LV groups. HCM: LVDd and LVDs did not change significantly during exercise in all 3 groups. LVDd was increased transiently during recovery in ASH group, but not in the other groups. Changes of peak velocity of circumferential fiber shortening (VCF) and the ratio of peak systolic blood pressure to LV end-systolic volume (PSP/ LVVs ). Controls and HT: Peak VCF was increased during exercise most markedly in the normal LV group, but it was not increased in the dilated LV group. PSP/ LVVs was increased significantly during exercise in the controls, the normal and hypertrophied LV groups, but not in the dilated LV group. HCM: Peak VCF showed a significant increase during exercise in ASH group, but not in the other two groups. Changes of the D/S ratio. The ratio of systolic to diastolic velocity of the LV posterior wall was expressed as a D/S. This ratio did not change significantly in the controls, HT and APH groups, but it was decreased significantly in ASH and DFH groups. LV end-systolic wall stress and LVDs relationship ( ESWst - LVDs ).(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:[Exercise echocardiography in different types of hypertension classified by left ventricular geometry; comparison with hypertrophic cardiomyopathy]. 668 25

We report a family, in which two members, the propositus and his father had an left ventriculography highly indicative of non-obstructive or labile mild obstructive hypertrophic cardiomyopathy. In these two members the M-mode and the two dimensional echocardiography did not reveal the features of the hypertrophic cardiomyopathy, i.e. the increased thickness of the interventricular septum and the asymmetric septal hypertrophy, whereas the electrocardiogram and the Frank vectorcardiogram showed an increase of the QRS anterior forces voltage in the transverse plane. In a third relative, the younger brother of the propositus, a similar discrepancy between the VCGraphic and the echocardiographic data was present. The presence of significant ECG-VCGraphic abnormalities in subjects with documented hypertrophic cardiomyopathy and slightly increased septalto-free wall ratio has been previously reported by other Authors. However, the interest of our observation is in the presence of this discrepancy in many members of the same family. Although the ventriculographic pattern was not consistent in our subjects with that found by Yagamuchi et al. in patients with apical non-obstructive hypertrophic cardiomyopathy, a prevailing obliteration of the apical portion of the left ventricular chamber at end-systole was evident in both our cases. This finding however was not revealed by two-dimensional echocardiogram. Although it was not possible exclude on firm grounds that cases described were a normal variant, our observation seems to confirm that the echocardiography does not offer the unique "gold standard" for the non-invasive identification of the hypertrophic cardiomyopathy.
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PMID:[Hypertrophic cardiomyopathy: ECG-VCG abnormalities in absence of the echocardiographic markers in a family (author's transl)]. 719 6

The electrocardiographic and vectorcardiographic (Frank system) features of the first degree relatives of subjects with documented familial hypertrophic cardiomyopathy were analysed. A total of nine affected members and 29 relatives were examined in four families. THe subjects were considered to be affected when the septal to free posterior wall thickness ratio exceeded 1.3 at M-mode echocardiography. Four relatives had asymmetric septal hypertrophy. Among 25 relatives without evidence of asymmetric septal hypertrophy, two over 20 years and 10 under 20 years of age showed increased voltage of QRS anterior forces (Qz amplitude greater than 0.80 mV) on the orthogonal electrocardiogram. The vectorcardiographic data of the relatives under 20 years of age without evidence of asymmetric septal hypertrophy (18 subjects) were compared with those of 38 normal control subjects of comparable age range. The young relatives without disproportionate septal hypertrophy had significantly greater Qz amplitude and Q/Rz ratio than the normal control subjects. In contrast, the echocardiographic data were not significantly different. We suggest that the electrocardiographic finding of abnormal anterior forces in one or more first degree relatives of subjects with documented hypertrophic cardiomyopathy may constitute a valuable aid in ascertaining the genetic transmission of the disease and in recognising affected members without echocardiographic evidence of hypertrophic cardiomyopathy.
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PMID:Familial hypertrophic cardiomyopathy: vectorcardiographic findings in echocardiographically unaffected relative. 720 Jul 94

Idiopathic thrombocytopenic purpura(ITP) is an immunohematological disorder for which appropriate diagnostic and treatment strategies are unclear. In 1982 in Japan and 1996 in ASH, guideline for ITP treatment was produced, respectively. These guidelines selected the steroid for the first line treatment. Appropriate steroid treatment was recommended based on the severity or grade of bleeding and platelet counts. Patients with platelet counts above 50,000 do not require treatment ordinarily. Treatment was indicated in-patients with platelet counts under 20,000-30,000, and those with platelet counts under 50,000 with presence of bleeding tendency or risk factor for bleeding. Most ITP patients responded well with initial steroid treatment and 33% of them had a complete remission from ITP, but remaining patients decreased platelet counts with the steroid dose reduction. The management of the bleeding symptoms without the adverse effects is an important point of steroid medication in ITP after first line treatment.
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PMID:[Glucocorticoids therapy as a first line treatment in ITP]. 1271 81

The paper investigates the changes in porosity (i.e., in the accessible adsorption capacity of carbonaceous adsorbents for pollutants during filter bed maturation) of three activated carbons applied in a filter bed pilot operation. The results of this investigation may help to reduce operating costs, increase granular activated carbon bed life, maximize the useful life of biofilters, and understand the mechanism of water purification by carbon adsorbents. The analysis of the pore structure was limited to the first year of service of the beds, since this was when the largest decrease in the available pore capacity occurred. Low-temperature nitrogen adsorption isotherms were used to evaluate the structural parameters and pore size distributions (PSDs) of carbon samples (virgin (reference) and mature adsorbents for different periods of water treatment) on the basis of the Nguyen and Do (ND) method and density functional theory (DFT). These results were compared with small-angle X-ray scattering (SAXS) investigations (PSDs calculated by Glatter's indirect transformation method (ITP)). The results show that in general, the ND and ITP methods lead to almost the same qualitative distribution curve behavior. Moreover, the enthalpy of immersion in water, mercury porosimetry, densities (true and apparent), and the analysis of ash are reported and compared to explain the decrease in adsorptive capacity of the carbons investigated. On the other hand, the efficacy of TOC (total organic carbon, i.e., a quantity describing the complex matrix of organic material present in natural waters) removal and the bacteria count were analyzed to explain the role of adsorption in the elimination of contaminants from water. Finally, a mechanism of organic matter removal was suggested on the basis of the above-mentioned experimental data and compared with mechanisms reported by other authors.
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PMID:Changes of the porous structure of activated carbons applied in a filter bed pilot operation. 1619 63