Effects of preload, afterload and inotropy on dynamics of ischemic segmental wall motion

OBJECTIVES: This study sought to explore the separate and combined effects of changes in preload, afterload and contractility on the dynamics of systolic bulging. BACKGROUND: The extent of ischemic systolic bulging has been shown to be mechanically disadvantageous to left ventricular pump performance. The factors that determine ischemic segmental wall motion have not been systematically studied. METHODS: Fourteen beagles were instrumented with sonomicrometers, micromanometer pressure gauges and a balloon in the inferior vena cava. Regional function was evaluated before and after 90 s of proximal left circumflex coronary artery occlusion. Occlusions were repeated after increasing systolic pressure by 5 to 10 (afterload I) and 15 to 20 mm Hg (afterload II) with graded aortic occlusion during inotropic stimulation with dobutamine (2.5 and 5 micrograms/kg body weight per min intravenously), with simultaneous 5 micrograms/kg per min dobutamine infusion and afterload II and during 2.5% halothane (negative inotrope) concentration. A 20-min recovery period was allowed between each stage of the experiment so that regional function returned to its preocclusion level. Ischemic wall motion was characterized by percent systolic bulging and its peak positive systolic lengthening rate (+dL/dt). RESULTS: Because bulging is markedly influenced by regional preload, systolic bulging was characterized over a wide range of end-diastolic lengths of the ischemic segment during caval balloon occlusion. During each intervention, a decrease in regional preload increased the extent of percent systolic bulging. This preload dependency was more pronounced with dobutamine infusions. An increase in afterload was not associated with increased percent systolic bulging at any given preload. At a predetermined preload, bulging was not appreciably altered when an increase in left ventricular systolic pressure was not associated with a change in peak positive first derivative of left ventricular pressure (+dP/dt) but was significantly worse when peak +dP/dt increased. Dobutamine caused a dose-dependent increase in percent systolic bulging and peak +dL/dt that was positively correlated with peak +dP/dt. CONCLUSIONS: By using different loading and inotropic interventions and analyzing the regional wall motion behavior over a range of regional preloads, we can conclude that preload and rate of pressure (tension) development are the principal determinants of systolic bulging. Increases in left ventricular pressure alone had a minimal effect on systolic bulging.     

Comparative study on adaptive rational macromodels of highly resonant structures

Two macromodeling techniques using rational bases are investigated to accurately predict the natural frequencies of highly resonant microwave structures. Three methods are proposed and compared to calculate pole‐free solutions to the Thiele continued fraction and vector fitting pole‐residue models of the characteristic equation det[Z(s)]. © 2007 Wiley Periodicals, Inc. Int J RF and Microwave CAE, 2007.     

Peripheral osteopenia in adult patients with insulin-dependent diabetes mellitus

Alterations in bone metabolism in diabetes mellitus is a topic of special interest. Bone blood flow is increased in the distal limb of diabetic patients, which is believed to increase osteoclastic activity. We measure bone mineral density using dual-photon absorptiometry in the distal lower limb, the femoral neck, and the lumbar spine in 41 IDDM patients and in 30 control persons. In the diabetic group there was a 10% reduction of bone mineral density in the femoral neck (p < 0.01) and a 12% reduction in the distal limb (p < 0.001) compared with the control group. No significant difference was found in the lumbar spine (p = 0.22). Our data yield incidence for peripheral osteopenia in IDDM-patients, independent of any systemic bone disease such as osteoporosis. A link between decreased bone mineral density and diabetic neuropathy has been observed for the femoral neck (p < 0.001), but not for the distal limb or axial skeleton. Whether there is a common aetiological link or a casual connection between diabetic neuropathy and bone mineral density has still to be determined.     

Vorticity field structure associated with the 3D Tollmien-Schlichting waves

Details of the vorticity field structure associated with the 3D Tollmien-Schlichting waves have been examined based upon the recent numerical studies of the subject. First, a single obliquet-s wave has been found to have the velocity component parallel to the wave front playing an overall dominant role, in particular, to create the longitudinal vorticity. The so-called Benney-Lin longitudinal vortices are then demonstrated to be, in fact, a minor consequence compared with the localized longitudinal vorticity field and its periodic pumping. Finally, the formation of the longitudinal vorticity field in the fundamental- and subharmonic-mode interactions is explained. The research reported in this paper has been supported in part by Bundesministerium für Forschung und Technologie and by Deutsche Forschungsgemeinschaft. The major part of the paper has been presented at the Third Asian Congress of Fluid Mechanics, 1–5 September 1986, in Tokyo, as a General Lecture by the senior author, FRH.     

Effect of an enhanced natural radioactivity on mammal fertility

Male and female mice of the BALB/c strain were placed on the floor of a hut built at a site of the Permian Basin of Lodève (Southwest France) where the dose rate of γ radiation amounts to about 10 mrad/h. In previous experiments such high natural radioactivity was shown to induce point mutations in plant material as well as chromosome aberrations in somatic cells of experimental mammals. Controls were kept near the radioactive site under comparable conditions. After the exposure period, the animals were mated in our laboratory, with control mice of the same strain.Due to the high radiosensitivity of mouse oocytes, the fertility of the exposed females was drastically reduced in spite of the fact that the dose received did not exceed 13.8 rad. The fertility of the males exposed to 13 rad, 15 rad or to 45 rad was increased above the control values but was reduced for the animals receiving 63 rad. Analysis of the results show that the differences in fertility are mainly due to a decrease in the number of sterile pairs when males have been exposed to doses upto 45 rad and to an inverse effect when animals received 63 rad. Since histology and weight of the testes suggest that the germ cell population was normal, one has to conclude that the variations in fertility result from physiological effects.     

Presence of X-prolyl-dipeptidyl-peptidase in lactic acid bacteria

Prolyl-dipeptidyl-peptidase activity was detected in cell extracts of 21 lactic acid bacteria tested. Using disc electrophoresis and various substrates it was possible to distinguish it from proline iminopeptidase and proline endopeptidase. Generally the activity was high and was greater than that of proline iminopeptidase of proline endopeptidase at neutral pH and at 25 degrees C.     

Low-power monolithic RF peak detector analysis

Closed-form expressions are derived for the transfer characteristic of a low-power monolithic RF peak detector. These are compared with computer simulation and experimental measurements