Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0220723 (PCA)
 4,687 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Three hundred sixty-four patients who suffered a subarachnoid hemorrhage from an aneurysm at either the anterior (ACA) or posterior (PCA) communicating artery location and who were not surgically treated have been followed for up to 21 years in order to study the late morbidity and mortality. For patients surviving six months: (1) little improvement in morbidity was noted during the many years of subsequent follow-up; (2) in general, ACA patients fared better than PCA patients; (3) the neurological state on original admission was strongly correlated with the degree of morbidity; (4) other factors measured at time of original hemorrhage which adversely affected morbidity included the level of blood pressure or the presence of clot or spasm; (5) if deaths from late hemorrhage are excluded, cardiovascular causes account for the majority of subsequent deaths; and (6) the risk of dying from all causes is increased when compared to a population matched by age and sex.
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PMID:The long-term prognosis in untreated cerebral aneurysms: II. Late morbidity and mortality. 73 25

Measurements of flow velocity in the basal cerebral arteries can be obtained non-invasively through the intact skull using 2 MHz pulsed Doppler ultrasound. We investigated 47 patients with subarachnoid hemorrhage and compared flow velocity with angiography. Flow velocity in the middle and posterior cerebral arteries (MCA and PCA) was inversely related to the lumen diameter. Further clues to diagnose MCA spasm were obtained from the ratio of MCA flow velocity divided by the velocity in the distal extracranial internal carotid artery. In the individual patient, the two anterior cerebral arteries should be considered together, since this communicating system often has unique possibilities for collateral flow. Recordings from large MCA aneurysms were obtained before angiography in 4 patients.
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PMID:A non-invasive Doppler ultrasound method for the evaluation of patients with subarachnoid hemorrhage. 298 Jun 23

Measurements of flow velocity in defined segments of the basal cerebral arteries can be obtained through the intact adult skull using 2 MHz pulsed Doppler ultrasound. We compared flow velocity in these vessels with findings from 56 cerebral angiographies obtained in 51 patients at from day 1 to day 21 after subarachnoid haemorrhage (SAH). The diameter of the proximal segment of the middle cerebral, anterior cerebral, and posterior cerebral arteries (MCA, ACA, and PCA, respectively) were measured from anteroposterior films produced in one angiographic laboratory. In patients investigated on day 1-2, the median MCA diameter was 2.8 mm with range 2.3-3.4 mm. The median flow velocity was 56 cm/s, range 36-88 cm/s (within normal limits). There was a clear inverse relationship between the MCA diameter and MCA flow velocity. Eleven of the 13 MCA's having diameter 1.5 mm or less showed flow velocity in excess of 140 cm/s. This seems a useful limit to diagnose pronounced MCA spasm (50% diameter reduction) with this method. Further clues to the severity of MCA spasm were obtained from the ratio calculated dividing the MCA flow velocity by the flow velocity in the ipsilateral, extracranial internal carotid artery (ICA), since spasm probably does not involve the neck vessels. This ratio was from 1.1 to 2.3, median 1.7 at day 1-2, but rose to over 10 in patients with the most severe MCA lumen narrowing. The PCA flow velocity was inversely related to the PCA diameter. Assessment of ACA spasm requires considering findings from both hemispheres combined, since the two proximal ACA's usually anastomose through the anterior communicating artery.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Cerebral vasospasm after subarachnoid haemorrhage investigated by means of transcranial Doppler ultrasound. 305 38

Three hundred and sixty-four patients who suffered a subarachnoid haemorrhage from an aneurysm at either the anterior (ACA) or posterior (PCA) communicating artery location and who were not surgically treated have been followed for up to 21 years in order to study the late morbidity and mortality. For the 213 patients surviving to six months or longer: (1) little improvement in morbidity was noted during the many years of subsequent follow-up; (2) in general, ACA patients fared better than PCA patients; (3) the neurological state on original admission was strongly correlated with the degree of morbidity; (4) other factors measured at the time of original haemorrhage which adversely affected morbidity included the level of blood pressure or the presence of clot or spasm; (5) rebleeding occurs on the average of 3.5% per year during the first decade; (6) the mortality associated with a late rebleed is 67%; (7) if deaths from late haemorrhage are excluded, cardiovascular causes account for the majority of subsequent deaths, and (8) the risk of dying from all causes is increased when compared to a population matched by age and sex.
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PMID:The late morbidity and mortality in ruptured single anterior circulation aneurysms treated by non-surgical therapy. 710 30

Gentiana rigescens ("Dian Longdan" in Chinese) medicinal plant is usually used for its activities of liver protection, cholagogic, anti-inflammatory, anti-fungal, anti-hyperthyroidism, anti-hypertension, hyperglycemia, and relieving spasm and pain. In this study, methods for the discrimination of different geographical origins of G. rigescens by FTIR spectroscopy in hyphenation with chemometric methods were developed. Different pretreatments including standard normal variate, multiplicative scatter correction, first or second derivative, Savitzky-Golay filter, and Norris derivative filter were applied on the spectra to optimize the calibrations. According to spectrum SD, spectrum ranges (3559-2709 and 2026-756 cm(-1)) were selected, and principal component analysis-Mahalanobis distance (PCA-MD) model was built [the cumulative contribution rate of the first 10 principal components, determination coefficient (R2), root-mean-square error of calibration (RMSEC), and root-mean-square error of prediction (RMSEP), and prediction accuracy were 96.4%, 98.6%, 0.5031, 0.7758, and 96.23%, respectively]. The spectral regions (3791-3442, 3043-2765, and 2013-646 cm(-1)) were selected by using the variable importance in projection, and partial least squares discriminant analysis (PLS-DA) model was built (the cumulative contribution rate of the first 10 principal components, R2, RMSEC, RMSEP, and prediction accuracy were 91.3%, 92.0%, 0.1171, 0.1806, and 100%, respectively). This research showed that FTIR spectroscopy in combination with chemometrics methods (PCA-MD and PLS-DA) was suitable for the discrimination of different geographical origins of G. rigescens. Furthermore, it was found that PLS-DA provided better results than PCA-MD.
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PMID:Discrimination of Gentiana rigescens from Different Origins by Fourier Transform Infrared Spectroscopy Combined with Chemometric Methods. 2585 74