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1.
Proc Natl Acad Sci U S A ; 116(49): 24446-24451, 2019 12 03.
Artigo em Inglês | MEDLINE | ID: mdl-31740588

RESUMO

Honeybees display a unique biolocomotion strategy at the air-water interface. When water's adhesive force traps them on the surface, their wetted wings lose ability to generate aerodynamic thrust. However, they adequately locomote, reaching a speed up to 3 body lengths·s-1 Honeybees use their wetted wings as hydrofoils for their water surface propulsion. Their locomotion imparts hydrodynamic momentum to the surrounding water in the form of asymmetric waves and a deeper water jet stream, generating ∼20-µN average thrust. The wing kinematics show that the wing's stroke plane is skewed, and the wing supinates and pronates during its power and recovery strokes, respectively. The flow under a mechanical model wing mimicking the motion of a bee's wing further shows that nonzero net horizontal momentum is imparted to the water, demonstrating net thrust. Moreover, a periodic acceleration and deceleration of water are observed, which provides additional forward movement by "recoil locomotion." Their water surface locomotion by hydrofoiling is kinematically and dynamically distinct from surface skimming [J. H. Marden, M. G. Kramer, Science 266, 427-430 (1994)], water walking [J. W. M. Bush, D. L. Hu, Annu. Rev. Fluid Mech. 38, 339-369 (2006)], and drag-based propulsion [J. Voise, J. Casas, J. R. Soc. Interface 7, 343-352 (2010)]. It is postulated that the ability to self-propel on a water surface may increase the water-foraging honeybee's survival chances when they fall on the water.


Assuntos
Abelhas/fisiologia , Locomoção/fisiologia , Asas de Animais/fisiologia , Animais , Fenômenos Biomecânicos , Desenho de Equipamento , Magnetismo , Modelos Biológicos , Água
2.
Proc Natl Acad Sci U S A ; 114(48): 12657-12662, 2017 11 28.
Artigo em Inglês | MEDLINE | ID: mdl-29146825

RESUMO

Saint Elmo's fire and lightning are two known forms of naturally occurring atmospheric pressure plasmas. As a technology, nonthermal plasmas are induced from artificially created electromagnetic or electrostatic fields. Here we report the observation of arguably a unique case of a naturally formed such plasma, created in air at room temperature without external electromagnetic action, by impinging a high-speed microjet of deionized water on a dielectric solid surface. We demonstrate that tribo-electrification from extreme and focused hydrodynamic shear is the driving mechanism for the generation of energetic free electrons. Air ionization results in a plasma that, unlike the general family, is topologically well defined in the form of a coherent toroidal structure. Possibly confined through its self-induced electromagnetic field, this plasmoid is shown to emit strong luminescence and discrete-frequency radio waves. Our experimental study suggests the discovery of a unique platform to support experimentation in low-temperature plasma science.

3.
Crit Care Med ; 45(7): 1115-1120, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28441235

RESUMO

OBJECTIVE: The study is based on previously reported mathematical analysis of arterial waveform that extracts hidden oscillations in the waveform that we called intrinsic frequencies. The goal of this clinical study was to compare the accuracy of left ventricular ejection fraction derived from intrinsic frequencies noninvasively versus left ventricular ejection fraction obtained with cardiac MRI, the most accurate method for left ventricular ejection fraction measurement. DESIGN: After informed consent, in one visit, subjects underwent cardiac MRI examination and noninvasive capture of a carotid waveform using an iPhone camera (The waveform is captured using a custom app that constructs the waveform from skin displacement images during the cardiac cycle.). The waveform was analyzed using intrinsic frequency algorithm. SETTING: Outpatient MRI facility. SUBJECTS: Adults able to undergo MRI were referred by local physicians or self-referred in response to local advertisement and included patients with heart failure with reduced ejection fraction diagnosed by a cardiologist. INTERVENTIONS: Standard cardiac MRI sequences were used, with periodic breath holding for image stabilization. To minimize motion artifact, the iPhone camera was held in a cradle over the carotid artery during iPhone measurements. MEASUREMENTS AND MAIN RESULTS: Regardless of neck morphology, carotid waveforms were captured in all subjects, within seconds to minutes. Seventy-two patients were studied, ranging in age from 20 to 92 years old. The main endpoint of analysis was left ventricular ejection fraction; overall, the correlation between ejection fraction-iPhone and ejection fraction-MRI was 0.74 (r = 0.74; p < 0.0001; ejection fraction-MRI = 0.93 × [ejection fraction-iPhone] + 1.9). CONCLUSIONS: Analysis of carotid waveforms using intrinsic frequency methods can be used to document left ventricular ejection fraction with accuracy comparable with that of MRI. The measurements require no training to perform or interpret, no calibration, and can be repeated at the bedside to generate almost continuous analysis of left ventricular ejection fraction without arterial cannulation.


Assuntos
Imageamento por Ressonância Magnética , Aplicativos Móveis , Volume Sistólico/fisiologia , Função Ventricular Esquerda/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Smartphone
5.
Proc Natl Acad Sci U S A ; 111(18): 6542-7, 2014 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-24778248

RESUMO

There is national and international recognition of the importance of innovation, technology transfer, and entrepreneurship for sustained economic revival. With the decline of industrial research laboratories in the United States, research universities are being asked to play a central role in our knowledge-centered economy by the technology transfer of their discoveries, innovations, and inventions. In response to this challenge, innovation ecologies at and around universities are starting to change. However, the change has been slow and limited. The authors believe this can be attributed partially to a lack of change in incentives for the central stakeholder, the faculty member. The authors have taken the position that universities should expand their criteria to treat patents, licensing, and commercialization activity by faculty as an important consideration for merit, tenure, and career advancement, along with publishing, teaching, and service. This position is placed in a historical context with a look at the history of tenure in the United States, patents, and licensing at universities, the current status of university tenure and career advancement processes, and models for the future.

6.
Biomed Microdevices ; 16(6): 879-86, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25095899

RESUMO

We introduce a novel method for fabricating hollow microneedles for transdermal drug delivery using a composite of vertically-aligned carbon nanotubes and polyimide. Patterned bundles of carbon nanotubes are used as a porous scaffold for defining the microneedle geometry. Polyimide resin is wicked through the carbon nanotube scaffold to reinforce the structure and provide the prerequisite strength for achieving skin penetration. The high aspect ratio and bottom-up assembly of carbon nanotubes allow the structure of the microneedles to be created in a single step of nanotube fabrication, providing a simple, scalable method for producing hollow microneedles. To demonstrate the utility of these microneedles, liquid delivery experiments are performed. Successful delivery of aqueous methylene blue dye into both hydrogel and swine skin in vitro is demonstrated. Electron microscopy images of the microneedles taken after delivery confirm that the microneedles do not sustain any structural damage during the delivery process.


Assuntos
Sistemas de Liberação de Medicamentos/instrumentação , Sistemas de Liberação de Medicamentos/métodos , Nanocompostos/química , Nanotubos de Carbono/química , Administração Cutânea , Agulhas , Resinas Sintéticas/química
7.
Langmuir ; 30(23): 6780-90, 2014 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-24866696

RESUMO

The physicochemical and droplet impact dynamics of superhydrophobic carbon nanotube arrays are investigated. These superhydrophobic arrays are fabricated simply by exposing the as-grown carbon nanotube arrays to a vacuum annealing treatment at a moderate temperature. This treatment, which allows a significant removal of oxygen adsorbates, leads to a dramatic change in wettability of the arrays, from mildly hydrophobic to superhydrophobic. Such change in wettability is also accompanied by a substantial change in surface charge and electrochemical properties. Here, the droplet impact dynamics are characterized in terms of critical Weber number, coefficient of restitution, spreading factor, and contact time. Based on these characteristics, it is found that superhydrophobic carbon nanotube arrays are among the best water-repellent surfaces ever reported. The results presented herein may pave a way for the utilization of superhydrophobic carbon nanotube arrays in numerous industrial and practical applications, including inkjet printing, direct injection engines, steam turbines, and microelectronic fabrication.

8.
Eur Heart J Open ; 4(3): oeae040, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38863521

RESUMO

Aims: The ageing process notably induces structural changes in the arterial system, primarily manifesting as increased aortic stiffness, a precursor to cardiovascular events. While wave separation analysis is a robust tool for decomposing the components of blood pressure waveform, its relationship with cardiovascular events, such as aortic stiffening, is incompletely understood. Furthermore, its applicability has been limited due to the need for concurrent measurements of pressure and flow. Our aim in this study addresses this gap by introducing a spectral regression learning method for pressure-only wave separation analysis. Methods and results: Leveraging data from the Framingham Heart Study (2640 individuals, 55% women), we evaluate the accuracy of pressure-only estimates, their interchangeability with a reference method based on ultrasound-derived flow waves, and their association with carotid-femoral pulse wave velocity (PWV). Method-derived estimates are strongly correlated with the reference ones for forward wave amplitude ( R 2 = 0.91 ), backward wave amplitude ( R 2 = 0.88 ), and reflection index ( R 2 = 0.87 ) and moderately correlated with a time delay between forward and backward waves ( R 2 = 0.38 ). The proposed pressure-only method shows interchangeability with the reference method through covariate analysis. Adjusting for age, sex, body size, mean blood pressure, and heart rate, the results suggest that both pressure-only and pressure-flow evaluations of wave separation parameters yield similar model performances for predicting carotid-femoral PWV, with forward wave amplitude being the only significant factor (P < 0.001; 95% confidence interval, 0.056-0.097). Conclusion: We propose an interchangeable pressure-only wave separation analysis method and demonstrate its clinical applicability in capturing aortic stiffening. The proposed method provides a valuable non-invasive tool for assessing cardiovascular health.

9.
J Am Heart Assoc ; 13(8): e033290, 2024 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-38591330

RESUMO

BACKGROUND: Noninvasive pulse waveform analysis is valuable for central cardiovascular assessment, yet controversies persist over its validity in peripheral measurements. Our objective was to compare waveform features from a cuff system with suprasystolic blood pressure hold with an invasive aortic measurement. METHODS AND RESULTS: This study analyzed data from 88 subjects undergoing concurrent aortic catheterization and brachial pulse waveform acquisition using a suprasystolic blood pressure cuff system. Oscillometric blood pressure (BP) was compared with invasive aortic systolic BP and diastolic BP. Association between cuff and catheter waveform features was performed on a set of 15 parameters inclusive of magnitudes, time intervals, pressure-time integrals, and slopes of the pulsations. The evaluation covered both static (subject-averaged values) and dynamic (breathing-induced fluctuations) behaviors. Peripheral BP values from the cuff device were higher than catheter values (systolic BP-residual, 6.5 mm Hg; diastolic BP-residual, 12.4 mm Hg). Physiological correction for pressure amplification in the arterial system improved systolic BP prediction (r2=0.83). Dynamic calibration generated noninvasive BP fluctuations that reflect those invasively measured (systolic BP Pearson R=0.73, P<0.001; diastolic BP Pearson R=0.53, P<0.001). Static and dynamic analyses revealed a set of parameters with strong associations between catheter and cuff (Pearson R>0.5, P<0.001), encompassing magnitudes, timings, and pressure-time integrals but not slope-based parameters. CONCLUSIONS: This study demonstrated that the device and methods for peripheral waveform measurements presented here can be used for noninvasive estimation of central BP and a subset of aortic waveform features. These results serve as a benchmark for central cardiovascular assessment using suprasystolic BP cuff-based devices and contribute to preserving system dynamics in noninvasive measurements.


Assuntos
Pressão Arterial , Determinação da Pressão Arterial , Humanos , Pressão Sanguínea/fisiologia , Pressão Arterial/fisiologia , Determinação da Pressão Arterial/métodos , Aorta/fisiologia , Cateterismo
10.
Artif Intell Med ; 154: 102918, 2024 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-38924863

RESUMO

Radial applanation tonometry is a well-established technique for hemodynamic monitoring and is becoming popular in affordable non-invasive wearable healthcare electronics. To assess the central aortic pressure using radial-based measurements, there is an essential need to develop mathematical approaches to estimate the central pressure waveform. In this study, we propose a new Fourier-based machine learning (F-ML) methodology to transfer non-invasive radial pressure measurements to the central pressure waveform. To test the method, collection of tonometry recordings of the radial and carotid pressure measurements are used from the Framingham Heart Study (2640 individuals, 55 % women) with mean (range) age of 66 (40-91) years. Method-derived estimates are significantly correlated with the measured ones for three major features of the pressure waveform (systolic blood pressure, r=0.97, p < 0.001; diastolic blood pressure, r=0.99, p < 0.001; and mean blood pressure, r=0.99, p < 0.001). In all cases, the Bland-Altman analysis shows negligible bias in the estimations and error is bounded to 5.4 mmHg. Findings also suggest that the F-ML approach reconstructs the shape of the central pressure waveform accurately with the average normalized root mean square error of 5.5 % in the testing population which is blinded to all stages of machine learning development. The results show that the F-ML transfer function outperforms the conventional generalized transfer function, particularly in terms of reconstructing the shape of the central pressure waveform morphology. The proposed F-ML transfer function can provide accurate estimates for the central pressure waveform, and ultimately expand the usage of non-invasive devices for central hemodynamic assessment.

11.
Ann Biomed Eng ; 51(11): 2617-2628, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37479898

RESUMO

Cuff-based pulse waveform acquisition (CBPWA) devices are reliable solutions for non-invasive cardiovascular diagnostics. However, poor signal resolution has limited clinical applications. This study aims to demonstrate the improved signal quality of CBPWA devices by implementing passive pneumatic low-pass filters (pLPF). Conventionally, pressure sensor output resolution is a percentage of the operating range. Therefore, measurement of small pressure changes in a large range must sacrifice signal resolution to accommodate for the large mean pressures. We design a pLPF to obtain the running mean pressure and combine it with a high-resolution differential pressure sensor for isolating the signal's pulsatile component. Thirty-one volunteers participated in a device proof-of-concept study at Caltech. Volunteers were measured at rest in the supine position on the left arm. The filtering behavior is mathematically modeled and experimentally verified, showing good agreement between measured and predicted cutoff frequencies. In the human study, the device successfully captured high-fidelity pulse waveform measurements for all volunteers: a blood pressure (BP) reading was followed by inflate-and-hold acquisition in diastolic BP (DBP), mean arterial pressure (MAP), and supra systolic BP (sSBP). The study demonstrated the reliability and high signal resolution of pLPF for CBPWA. Considering the widespread use of the brachial cuff, a system for high-resolution CBPWA motivates the clinical implementation of non-invasive pulse waveform analysis (PWA).

12.
Nat Commun ; 14(1): 3323, 2023 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-37369710

RESUMO

Robot designs can take many inspirations from nature, where there are many examples of highly resilient and fault-tolerant locomotion strategies to navigate complex terrains by recruiting multi-functional appendages. For example, birds such as Chukars and Hoatzins can repurpose wings for quadrupedal walking and wing-assisted incline running. These animals showcase impressive dexterity in employing the same appendages in different ways and generating multiple modes of locomotion, resulting in highly plastic locomotion traits which enable them to interact and navigate various environments and expand their habitat range. The robotic biomimicry of animals' appendage repurposing can yield mobile robots with unparalleled capabilities. Taking inspiration from animals, we have designed a robot capable of negotiating unstructured, multi-substrate environments, including land and air, by employing its components in different ways as wheels, thrusters, and legs. This robot is called the Multi-Modal Mobility Morphobot, or M4 in short. M4 can employ its multi-functional components composed of several actuator types to (1) fly, (2) roll, (3) crawl, (4) crouch, (5) balance, (6) tumble, (7) scout, and (8) loco-manipulate. M4 can traverse steep slopes of up to 45 deg. and rough terrains with large obstacles when in balancing mode. M4 possesses onboard computers and sensors and can autonomously employ its modes to negotiate an unstructured environment. We present the design of M4 and several experiments showcasing its multi-modal capabilities.


Assuntos
Biomimética , Corrida , Animais , Biomimética/métodos , Desenho de Equipamento , Locomoção , Caminhada , Aves
14.
PLoS Biol ; 7(11): e1000246, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19924233

RESUMO

Heart valve anomalies are some of the most common congenital heart defects, yet neither the genetic nor the epigenetic forces guiding heart valve development are well understood. When functioning normally, mature heart valves prevent intracardiac retrograde blood flow; before valves develop, there is considerable regurgitation, resulting in reversing (or oscillatory) flows between the atrium and ventricle. As reversing flows are particularly strong stimuli to endothelial cells in culture, an attractive hypothesis is that heart valves form as a developmental response to retrograde blood flows through the maturing heart. Here, we exploit the relationship between oscillatory flow and heart rate to manipulate the amount of retrograde flow in the atrioventricular (AV) canal before and during valvulogenesis, and find that this leads to arrested valve growth. Using this manipulation, we determined that klf2a is normally expressed in the valve precursors in response to reversing flows, and is dramatically reduced by treatments that decrease such flows. Experimentally knocking down the expression of this shear-responsive gene with morpholine antisense oligonucleotides (MOs) results in dysfunctional valves. Thus, klf2a expression appears to be necessary for normal valve formation. This, together with its dependence on intracardiac hemodynamic forces, makes klf2a expression an early and reliable indicator of proper valve development. Together, these results demonstrate a critical role for reversing flows during valvulogenesis and show how relatively subtle perturbations of normal hemodynamic patterns can lead to both major alterations in gene expression and severe valve dysgenesis.


Assuntos
Valvas Cardíacas/embriologia , Coração/embriologia , Fatores de Transcrição Kruppel-Like/metabolismo , Proteínas de Peixe-Zebra/metabolismo , Animais , Circulação Sanguínea/efeitos dos fármacos , Circulação Sanguínea/genética , Embrião não Mamífero , Regulação da Expressão Gênica no Desenvolvimento/efeitos dos fármacos , Regulação da Expressão Gênica no Desenvolvimento/genética , Hemodinâmica/efeitos dos fármacos , Hibridização In Situ , Fatores de Transcrição Kruppel-Like/genética , Lidocaína/farmacologia , Microscopia Confocal , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Temperatura , Peixe-Zebra , Proteínas de Peixe-Zebra/genética
15.
Ann Biomed Eng ; 50(1): 29-38, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34993697

RESUMO

Aortic stenosis is a common cardiac condition that impacts the aorta's hemodynamics downstream of the affected valve. We sought to better understand how non-uniform stiffening of a stenotic aortic valve would affect the wall shear stress (WSS) experienced by the walls of the aorta and the residence time near the valve. Several experimental configurations were created by individually stiffening leaflets of a polymer aortic valve. These configurations were mounted inside an in vitro experimental setup. Digital particle image velocimetry (DPIV) was used to measure velocity profiles inside a model aorta. The DPIV results were used to estimate the WSS and residence time. Our analysis suggests that leaflet asymmetry greatly affects the amount of WSS by vectoring the systolic jet and stiffened leaflets have an increased residence time. This study indicates that valve leaflets with different stiffness conditions can have a more significant impact on wall shear stress than stenosis caused by the uniform increase in all three leaflets (and the subsequent increased systolic velocity) alone. This finding is promising for creating customizable (patient-specific) prosthetic heart valves tailored to individual patients.


Assuntos
Estenose da Valva Aórtica , Próteses Valvulares Cardíacas , Aorta , Valva Aórtica , Estenose da Valva Aórtica/etiologia , Velocidade do Fluxo Sanguíneo , Próteses Valvulares Cardíacas/efeitos adversos , Hemodinâmica , Humanos , Modelos Cardiovasculares , Estresse Mecânico
16.
Langmuir ; 27(14): 9005-11, 2011 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-21671597

RESUMO

Among diverse types of synthetic materials, arrays of vertically aligned carbon nanotubes have attracted the most attention, mainly because of their exceptional mechanical, electrical, optical, and thermal properties. However, their wetting properties are yet to be understood. In this present study, oxygenated surface functional groups have been identified as a vital factor in controlling the wetting properties of carbon nanotube arrays. The results presented herein indeed show that a combination of ultraviolet/ozone and vacuum pyrolysis treatments can be used to vary the surface concentration of these functional groups such that the carbon nanotube array can be repeatedly switched between hydrophilic and hydrophobic.


Assuntos
Nanotecnologia/instrumentação , Nanotubos de Carbono/química , Ozônio/química , Raios Ultravioleta , Molhabilidade , Modelos Moleculares , Conformação Molecular , Oxirredução , Temperatura , Fatores de Tempo
17.
J Exp Biol ; 214(Pt 13): 2283-91, 2011 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-21653822

RESUMO

Several characteristics of drag-based paddling propulsion are studied with a simple mechanical model and a measurement technique for mapping three-dimensional flow fields. In drag-based propulsion, the temporal change of the vortex strength is an important parameter in the relationship between vortex formation and thrust generation. Our results indicate that spanwise flow behind the paddling propulsor significantly affects tip vortex development and thrust generation. The distribution of spanwise flow is dependent on the propulsor shape and the Reynolds number. A delta-shaped propulsor generates strong spanwise flow compared with a rectangular propulsor. For the low Reynolds number case, spanwise flow is not as strong as that for the high Reynolds number case. Without sacrificing total impulse, the flexible propulsor can smooth out thrust peaks during sudden stroke motions, which is favorable for avoiding structural failures and stabilizing body motion. We also explored the role of stopping vortex shedding in efficient thrust generation by determining the relationship between stroke angles and total impulses generated by paddling propulsors.


Assuntos
Metabolismo Energético , Natação/fisiologia , Animais , Fenômenos Biomecânicos , Fenômenos Biofísicos , Biofísica , Locomoção , Movimento , Estresse Mecânico
18.
Ann Biomed Eng ; 49(1): 251-261, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32458221

RESUMO

Age-related macular degeneration (AMD) is the leading cause of central vision loss in the developed world. Wet AMD can be managed through serial intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF) agents. However, sometimes the treatment is ineffective. Given that the half-life of the drug is limited, inefficient mixing of the injected drug in the vitreous chamber of the eye may contribute to the ineffectiveness. Here, we introduce thermal heating as a means of enhancing the mixing-process in the vitreous chamber and investigate parameters that potentially influence its effectiveness. Our in vitro studies reveal the importance of the heating location on the eye. A significant increase in the mixing and delivery of drugs to the targeted area (the macula) could be achieved by placing heating pads to induce a current, against gravity, in the vitreous. The presented results can potentially help in the development of a better strategy for intravitreal injection, subsequently improving the quality of patient care.


Assuntos
Sistemas de Liberação de Medicamentos , Temperatura Alta , Modelos Biológicos , Corpo Vítreo , Fluoresceína/administração & dosagem , Glicerol/administração & dosagem , Humanos , Injeções Intravítreas , Macula Lutea/metabolismo , Água/administração & dosagem , Degeneração Macular Exsudativa/tratamento farmacológico
19.
Hypertension ; 77(2): 338-346, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33390053

RESUMO

Intrinsic frequencies (IFs) derived from arterial waveforms are associated with cardiovascular performance, aging, and prevalent cardiovascular disease (CVD). However, prognostic value of these novel measures is unknown. We hypothesized that IFs are associated with incident CVD risk. Our sample was drawn from the Framingham Heart Study Original, Offspring, and Third Generation Cohorts and included participants free of CVD at baseline (N=4700; mean age 52 years, 55% women). We extracted 2 dominant frequencies directly from a series of carotid pressure waves: the IF of the coupled heart and vascular system during systole (ω1) and the IF of the decoupled vasculature during diastole (ω2). Total frequency variation (Δω) was defined as the difference between ω1 and ω2. We used Cox proportional hazards regression models to relate IFs to incident CVD events during a mean follow-up of 10.6 years. In multivariable models adjusted for CVD risk factors, higher ω1 (hazard ratio [HR], 1.14 [95% CI], 1.03-1.26]; P=0.01) and Δω (HR, 1.16 [95% CI, 1.03-1.30]; P=0.02) but lower ω2 (HR, 0.87 [95% CI, 0.77-0.99]; P=0.03) were associated with higher risk for incident composite CVD events. In similarly adjusted models, higher ω1 (HR, 1.23 [95% CI, 1.07-1.42]; P=0.004) and Δω (HR, 1.26 [95% CI, 1.05-1.50]; P=0.01) but lower ω2 (HR, 0.81 [95% CI, 0.66-0.99]; P=0.04) were associated with higher risk for incident heart failure. IFs were not significantly associated with incident myocardial infarction or stroke. Novel IFs may represent valuable markers of heart failure risk in the community.


Assuntos
Pressão Sanguínea/fisiologia , Artérias Carótidas/fisiopatologia , Insuficiência Cardíaca/epidemiologia , Hemodinâmica/fisiologia , Adulto , Idoso , Feminino , Coração/fisiopatologia , Insuficiência Cardíaca/fisiopatologia , Humanos , Incidência , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Prognóstico , Risco , Medição de Risco
20.
J Cardiovasc Magn Reson ; 12: 33, 2010 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-20515489

RESUMO

BACKGROUND: Displacement encoded Cardiovascular MR (CMR) can provide high spatial resolution measurements of three-dimensional (3D) Lagrangian displacement. Spatial gradients of the Lagrangian displacement field are used to measure regional myocardial strain. In general, adjacent parallel slices are needed in order to calculate the spatial gradient in the through-slice direction. This necessitates the acquisition of additional data and prolongs the scan time. The goal of this study is to define an analytic solution that supports the reconstruction of the out-of-plane components of the Lagrangian strain tensor in addition to the in-plane components from a single-slice displacement CMR dataset with high spatio-temporal resolution. The technique assumes incompressibility of the myocardium as a physical constraint. RESULTS: The feasibility of the method is demonstrated in a healthy human subject and the results are compared to those of other studies. The proposed method was validated with simulated data and strain estimates from experimentally measured DENSE data, which were compared to the strain calculation from a conventional two-slice acquisition. CONCLUSION: This analytical method reduces the need to acquire data from adjacent slices when calculating regional Lagrangian strains and can effectively reduce the long scan time by a factor of two.


Assuntos
Ventrículos do Coração/patologia , Ventrículos do Coração/fisiopatologia , Imageamento Tridimensional , Imageamento por Ressonância Magnética/métodos , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Masculino
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