Comparative Analysis of the Diagnostic Effectiveness of SATRO ECG in the Diagnosis of Ischemia Diagnosed in Myocardial Perfusion Scintigraphy Performed Using the SPECT Method.

There is a great need for early diagnosis of ischemic heart disease (IHD), the most common cause of which is haemodynamic disorders caused mainly by obstructive atherosclerosis of the coronary arteries. The diagnosis of IHD is usually made with the use of functional tests, which include resting ECG (R) or examination of significant perfusion disorders during exercise using the SPECT method. Despite the fact that the ECG (R) test is commonly used in cardiological diagnostics, it has a limited diagnostic value, especially in people with a low probability of coronary artery disease (CAD). In order to increase the effectiveness of the ECG (R) examination, SATRO ECG software, based on the single fibres heart activity model (SFHAM), was used to evaluate the electrocardiograms. The introduction of new classifiers from the available medical data to the analysis made it possible to evaluate the diagnostic efficacy of SATRO ECG (TOT) in predicting significant perfusion disorders in the exercise SPECT (TOT 2). These disorders are most often caused by obstructive atherosclerosis of the coronary arteries, which is the main cause of CAD. The database of 316 patients (219 men and 97 women, aged 57 ± 10 years) was analyzed using resting and stress ECG, perfusion scintigraphy performed using the SPECT method, and SATRO ECG analysis. The diagnostic efficacy parameters of SATRO ECG (TOT) in predicting significant perfusion abnormalities in the exercise-induced SPECT (TOT 2) study were: sensitivity, 99%; specificity, 91%; concordance, 96%; and positive, 96%, and negative, 97%, predictive values. The Kappa-Cohen coefficient was 0.92, and the statistical significance coefficient was p < 0.001. These results indicate a statistically significant agreement in the diagnosis of IHD in both diagnostic methods used.

["Alarm substances" as biological markers indicating emotional state before death]. / Substancje alarmowe jako wykladnik stanu emocjonalnego poprzedzajacego zgon.

This scientific project presents the results of preliminary examinations aimed to identify alarm pheromones secreted by mammals. Wistar male rats were used for the experiment. Animals were treated by aversive sensoric stimuli and fear conditioning procedures. The animals' behaviour was registered. Quantitative and qualitative analysis of air samples taken from their environment was conducted with the use of GC-FID and GC-MSD technics. In the rhinocephalon structures (olfactory bulb, olfactory tract) the concentration of glutamate was measured. During the progress of the experiment increasing behavioral reactions of anxiety were observed in the rats. In their atmosphere organic compounds were identified. Some of them can be considered to be alarm substances. In the examined structures of the rhinocephalon on increased concentration of glutamate in each individual was revealed.