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1.
Opt Lett ; 49(3): 514-517, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-38300047

RESUMEN

In this Letter, we demonstrate for the first time, to our knowledge, a holographic data synthesis based on a deep learning probabilistic diffusion model (DDPM). Several different datasets of color images corresponding to different types of objects are converted to complex-valued holographic data through backpropagation. Then, we train a DDPM using the resulting holographic datasets. The diffusion model is composed of a noise scheduler, which gradually adds Gaussian noise to each hologram in the dataset, and a U-Net convolutional neural network that is trained to reverse this process. Once the U-Net is trained, any number of holograms with similar features as those of the datasets can be generated just by inputting a Gaussian random noise to the model. We demonstrate the synthesis of holograms containing color images of 2D characters, vehicles, and 3D scenes with different characters at different propagation distances.

2.
Appl Opt ; 63(15): 4182-4191, 2024 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-38856512

RESUMEN

We present, to our knowledge, a novel method to achieve experimental encryption using double random phase encoding with full complex modulation and a single phase-only spatial light modulator. Our approach uses double phase encoding to generate phase-only holograms containing complex-valued input planes for a joint transform correlator (JTC) cryptosystem. This approach enables users to independently manipulate both the phase and amplitude of the cryptographic keys and objects, thereby significantly enhancing the versatility of the optical cryptosystem. We validate the capabilities of our proposed scheme by generating optimized random phase masks and using them to experimentally encrypt various grayscale and binary objects. The experimental complex modulation obtained with the system detailed in this work, in conjunction with optimized random phase masks, results in an enhancement in the quality of the decrypted objects during reconstruction. Both numerical simulations and experimental findings corroborate the effectiveness of our proposal.

3.
Opt Lett ; 48(3): 672-675, 2023 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-36723560

RESUMEN

In this Letter, we propose an opto-digital cryptosystem based on the joint transform correlator architecture without the need for a reference beam, phase-shifting techniques, or an additional window in the input plane. In this system, only two intensity recordings are necessary: the intensity of the key Fourier transform, and the joint power spectrum between the key and an arbitrary object in contact with a random phase mask. Combining them with the knowledge of their respective input modules, we implement a modified Gerchberg-Saxton algorithm to recover the phase associated with the encryption key. The validity of our approach is demonstrated by computer simulations and experimental results.

4.
J Opt Soc Am A Opt Image Sci Vis ; 40(4): C138-C149, 2023 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-37132983

RESUMEN

We propose, implement, and validate a new objective method for predicting the trends of visual acuity through-focus curves provided by specific optical elements. The proposed method utilized imaging of sinusoidal gratings provided by the optical elements and the definition of acuity. A custom-made monocular visual simulator equipped with active optics was used to implement the objective method and to validate it via subjective measurements. Visual acuity measurements were obtained monocularly from a set of six subjects with paralyzed accommodation for a naked eye and then that eye compensated by four multifocal optical elements. The objective methodology successfully predicts the trends of the visual acuity through-focus curve for all considered cases. The Pearson correlation coefficient was 0.878 for all tested optical elements, which agrees with results obtained by similar works. The proposed method constitutes an easy and direct alternative technique for the objective testing of optical elements for ophthalmic and optometric applications, which can be implemented before invasive, demanding, or costly procedures on real subjects.

5.
Appl Opt ; 61(11): 3230-3239, 2022 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-35471307

RESUMEN

We demonstrate the generation of phase holograms of multiple 3D objects at different axial positions without cross talk and significant improvements in performance over conventional methods. We first obtain the phase hologram of two 3D objects, each one comprising 50 layers, using the global Gerchberg-Saxton algorithm. Then, we discuss and demonstrate a propagation approach based on the singular value decomposition of the Fresnel impulse response function that enables fast computation of small distance propagations. Finally, we propose a new iterative hologram generation algorithm, to the best of our knowledge, that takes advantage of this propagation approach and use it to make the hologram of the same scene previously obtained with the global Gerchberg-Saxton algorithm. We perform numerical and experimental reconstructions to compare both methods, demonstrating that our proposal achieves 4 times faster computation, as well as improved reconstruction quality.

6.
Appl Opt ; 61(5): B8-B16, 2022 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-35201120

RESUMEN

In this work, we introduce a modified hologram plane constraint to improve the accuracy of the global Gerchberg-Saxton (GGS) algorithm used for multiplane phase-only hologram generation. This constraint consists of a modified phase factor that depends on the amplitude of the field in the hologram plane. We demonstrate that this constraint produces an increase in the mean correlation coefficient between the reconstructed planes from a multiplane hologram and the corresponding amplitude targets for each plane. Furthermore, this constraint can be applied together with a mixed constraint in the reconstruction planes, leading to a more uniform and controllable reproduction of a target intensity distribution. To confirm the validity of our proposal, we show numerical and experimental results for multiplane holograms with six discrete planes, using both high and low contrast targets. For the experimental results, we implement a holographic projection scheme based on a phase-only spatial light modulator.

7.
J Opt Soc Am A Opt Image Sci Vis ; 37(5): 888, 2020 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-32400724

RESUMEN

This publisher's note corrects the funding in J. Opt. Soc. Am. A36, B110 (2019).JOAOD60740-323210.1364/JOSAA.36.00B110.

8.
Appl Opt ; 59(13): D230-D238, 2020 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-32400646

RESUMEN

In this paper we present an optodigital protocol for the compression of 3D dynamic scenes recorded with an off-axis Fresnel holographic system. The compression protocol involves optical scaling, sampling with binary masks, and multiplexing of the optical field data obtained after a filtering process applied to Fresnel holograms. Volume reduction of up to 93.71% and a 16-fold decrease in the transfer time are achieved. Virtual-optical reconstruction is performed for different values of the parameters involved in the compression protocol. The correlation coefficient is used as a metric to measure the loss caused by the volume reduction process. Furthermore, we show that a high level of lossy compression can be achieved with this protocol, with better reconstruction quality than the MPEG-4 video compression technique. Finally, we perform the experimental reconstruction using a holographic projection system based on a phase-only spatial light modulator, thus highlighting the potential of our proposal.

9.
J Opt Soc Am A Opt Image Sci Vis ; 36(4): B110-B115, 2019 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-31044986

RESUMEN

Tear film stability assessment is one of the main tests in dry eye diagnosis. However, to date, no test methodology has been adopted as the gold standard due to several reasons, such as the methods being invasive, subjective, or unfeasible for the clinical environment. In this paper, a method that overcomes the above-mentioned limitations for tear film stability measurements is presented, and is based on the degradation of corneal reflex images caused by breakups. The experimental setup, which is based on recording the corneal reflex image or the first Purkinje image, is described, as well as the method used to determine tear film stability by means of the associated breakup time (BUT) using corneal reflex image degradation. Images obtained through simulations of the experimental setup are also shown. Moreover, BUT measurements performed using both the conventional fluorescein method and the proposed method in nine healthy adults are presented. Both the experimental and simulation images show corneal reflex image degradation due to the appearance of breakups in the tear film, highlighting the potential of the method to assess tear film stability. We have shown that the corneal reflex image degrades when the tear film breaks up and, thus, the proposed method can be used to assess tear film stability.


Asunto(s)
Córnea/diagnóstico por imagen , Córnea/fisiología , Fenómenos Ópticos , Lágrimas/diagnóstico por imagen , Lágrimas/metabolismo , Adulto , Córnea/fisiopatología , Síndromes de Ojo Seco/diagnóstico por imagen , Síndromes de Ojo Seco/metabolismo , Síndromes de Ojo Seco/fisiopatología , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad , Adulto Joven
10.
Opt Lett ; 43(4): 731-734, 2018 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-29444064

RESUMEN

We propose a simple and efficient technique capable of generating Fourier phase only holograms with a reconstruction quality similar to the results obtained with the Gerchberg-Saxton (G-S) algorithm. Our proposal is to use the traditional G-S algorithm to optimize a random phase pattern for the resolution, pixel size, and target size of the general optical system without any specific amplitude data. This produces an optimized random phase (ORAP), which is used for fast generation of phase only holograms of arbitrary amplitude targets. This ORAP needs to be generated only once for a given optical system, avoiding the need for costly iterative algorithms for each new target. We show numerical and experimental results confirming the validity of the proposal.

11.
Opt Lett ; 43(15): 3558-3561, 2018 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-30067709

RESUMEN

We propose for the first time, to the best of our knowledge, the use of optimized random phases (ORAPs) in a double random phase encryption scheme (DRPE). In DRPE schemes the convolution between two random phase functions encrypts the information to be secured. However, in actual encryption applications, this convolution of random phases also results in unwanted effects like speckle noise. In this Letter we show that under certain conditions this noise can be drastically reduced. These conditions can be easily achieved by using ORAPs. These ORAPs, besides containing information about the parameters of the optical system and maintaining all the security properties of a random phase function, ensure that the encrypted data is a phase-only function. This leads to a great increase in system performance, with decryption quality similar to the reconstruction of a phase-only hologram generated with the Gerchberg-Saxton algorithm. We show both numerical and experimental results confirming the validity of our proposal.

12.
Opt Lett ; 41(3): 599-602, 2016 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-26907433

RESUMEN

We introduce for the first time, to the best of our knowledge, a three-dimensional experimental joint transform correlator (JTC) cryptosystem allowing the encryption of information for any 3D object, and as an additional novel feature, a second 3D object plays the role of the encoding key. While the JTC architecture is normally used to process 2D data, in this work, we envisage a technique that allows the use of this architecture to protect 3D data. The encrypted object information is contained in the joint power spectrum. We register the key object as a digital off-axis Fourier hologram. The encryption procedure is done optically, while the decryption is carried out by means of a virtual optical system, allowing for flexible implementation of the proposal. We present experimental results to demonstrate the validity and feasibility of the method.

13.
BBA Adv ; 5: 100115, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38318251

RESUMEN

Water is essential for metabolism and all life processes. Despite this, many organisms distributed across the kingdoms of life survive near-complete desiccation or anhydrobiosis. Increased intracellular viscosity, leading to the formation of a vitrified state is necessary, but not sufficient, for survival while dry. What properties of a vitrified system make it desiccation-tolerant or -sensitive are unknown. We have analyzed 18 different in vitro vitrified systems, composed of one of three protective disaccharides (trehalose, sucrose, or maltose) and glycerol, quantifying their enzyme-protective capacity and their material properties in a dry state. Protection conferred by mixtures containing maltose correlates strongly with increased water content, increased glass-transition temperature, and reduced glass former fragility, while the protection of glasses formed with sucrose correlates with increased glass transition temperature and the protection conferred by trehalose glasses correlates with reduced glass former fragility. Thus, in vitro different vitrified sugars confer protection through distinct material properties. Next, we examined the material properties of a dry desiccation tolerant and intolerant life stage from three different organisms. The dried desiccation tolerant life stage of all organisms had an increased glass transition temperature and reduced glass former fragility relative to its dried desiccation intolerant life stage. These results suggest in nature organismal desiccation tolerance relies on a combination of various material properties. This study advances our understanding of how protective and non-protective glasses differ in terms of material properties that promote anhydrobiosis. This knowledge presents avenues to develop novel stabilization technologies for pharmaceuticals that currently rely on the cold-chain. Statement of significance: For the past three decades the anhydrobiosis field has lived with a paradox, while vitrification is necessary for survival in the dry state, it is not sufficient. Understanding what property(s) distinguishes a desiccation tolerant from an intolerant vitrified system and how anhydrobiotic organisms survive drying is one of the enduring mysteries of organismal physiology. Here we show in vitro the enzyme-protective capacity of different vitrifying sugars can be correlated with distinct material properties. However, in vivo, diverse desiccation tolerant organisms appear to combine these material properties to promote their survival in a dry state.

14.
bioRxiv ; 2024 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-39131385

RESUMEN

Cellular desiccation - the loss of nearly all water from the cell - is a recurring stress in an increasing number of ecosystems that can drive proteome-wide protein unfolding and aggregation. For cells to survive this stress, at least some of the proteome must disaggregate and resume function upon rehydration. The molecular determinants that underlie the ability of proteins to do this remain largely unknown. Here, we apply quantitative and structural proteomic mass spectrometry to desiccated and rehydrated yeast extracts to show that some proteins possess an innate capacity to survive extreme water loss. Structural analysis correlates the ability of proteins to resist desiccation with their surface chemistry. Remarkably, highly resistant proteins are responsible for the production of the cell's building blocks - amino acids, metabolites, and sugars. Conversely, those proteins that are most desiccation-sensitive are involved in ribosome biogenesis and other energy consuming processes. As a result, the rehydrated proteome is preferentially enriched with metabolite and small molecule producers and depleted of some of the cell's heaviest consumers. We propose this functional bias enables cells to kickstart their metabolism and promote cell survival following desiccation and rehydration.

15.
bioRxiv ; 2023 Nov 16.
Artículo en Inglés | MEDLINE | ID: mdl-38014150

RESUMEN

Water is essential for metabolism and all life processes. Despite this, many organisms distributed across the kingdoms of life survive near-complete desiccation or anhydrobiosis (Greek for "life without water"). Increased intracellular viscosity, leading to the formation of a vitrified state is necessary, but not sufficient, for survival while dry. What properties of a vitrified system make it desiccation-tolerant or -sensitive are unknown. We have analyzed 18 different in vitro vitrified systems, composed of one of three protective disaccharides (trehalose, sucrose, or maltose) and varying amounts of glycerol, quantifying their enzyme-protective capacity and their material properties in a dry state. We find that protection conferred by mixtures containing maltose correlates strongly with increased water content, increased glass-transition temperature, and reduced glass former fragility, while the protection of glasses formed with sucrose correlates with increased glass transition temperature and the protection conferred by trehalose glasses correlates with reduced glass former fragility. Thus, in vitro different vitrified sugars confer protection through distinct material properties. Extending on this, we have examined the material properties of a dry desiccation tolerant and intolerant life stage from three different organisms. In all cases, the dried desiccation tolerant life stage of an organism had an increased glass transition temperature relative to its dried desiccation intolerant life stage, and this trend is also seen in all three organisms when considering reduced glass former fragility. These results suggest that while drying of different protective sugars in vitro results in vitrified systems with distinct material properties that correlate with their enzyme-protective capacity, in nature organismal desiccation tolerance relies on a combination of these properties. This study advances our understanding of how protective and non-protective glasses differ in terms of material properties that promote anhydrobiosis. This knowledge presents avenues to develop novel stabilization technologies for pharmaceuticals that currently rely on the cold-chain.

16.
Sci Rep ; 13(1): 10449, 2023 06 27.
Artículo en Inglés | MEDLINE | ID: mdl-37369754

RESUMEN

Tardigrades are a group of microscopic animals renowned for their ability to survive near complete desiccation. A family of proteins, unique to tardigrades, called Cytoplasmic Abundant Heat Soluble (CAHS) proteins are necessary to mediate robust desiccation tolerance in these animals. However, the mechanism(s) by which CAHS proteins help to protect tardigrades during water-loss have not been fully elucidated. Here we use thermogravimetric analysis to empirically test the proposed hypothesis that tardigrade CAHS proteins, due to their propensity to form hydrogels, help to retain water during desiccation. We find that regardless of its gelled state, both in vitro and in vivo, a model CAHS protein (CAHS D) retains no more water than common proteins and control cells in the dry state. However, we find that while CAHS D proteins do not increase the total amount of water retained in a dry system, they interact with the small amount of water that does remain. Our study indicates that desiccation tolerance mediated by CAHS D cannot be simply ascribed to water retention and instead implicates its ability to interact more tightly with residual water as a possible mechanism underlying its protective capacity. These results advance our fundamental understanding of tardigrade desiccation tolerance which could provide potential avenues for new technologies to aid in the storage of dry shelf-stable pharmaceuticals and the generation of stress tolerant crops to ensure food security in the face of global climate change.


Asunto(s)
Tardigrada , Agua , Animales , Agua/metabolismo , Calor , Tardigrada/metabolismo , Proteínas/metabolismo , Desecación
17.
Sci Rep ; 13(1): 10651, 2023 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-37391489

RESUMEN

This study demonstrates a full-color near-eye holographic display capable of superimposing color virtual scenes with 2D, 3D, and multiple objects with extended depth upon a real scene, which also has the ability to present different 3D information depending on the focus of the user's eyes using a single computer-generated hologram per color channel. Our setup makes use of a hologram generation method based on two-step propagation and the singular value decomposition of the Fresnel transform impulse response function to efficiently generate the holograms of the target scene. Then, we test our proposal by implementing a holographic display that makes use of a phase-only spatial light modulator and time-division multiplexing for color reproduction. We demonstrate the superior quality and computation speed of this approach compared with other hologram generation techniques with both numerical and experimental results.


Asunto(s)
Realidad Aumentada , Holografía , Ojo , Excipientes , Color del Ojo
18.
Sci Rep ; 13(1): 4542, 2023 03 20.
Artículo en Inglés | MEDLINE | ID: mdl-36941331

RESUMEN

Biologics, pharmaceuticals containing or derived from living organisms, such as vaccines, antibodies, stem cells, blood, and blood products are a cornerstone of modern medicine. However, nearly all biologics have a major deficiency: they are inherently unstable, requiring storage under constant cold conditions. The so-called 'cold-chain', while effective, represents a serious economic and logistical hurdle for deploying biologics in remote, underdeveloped, or austere settings where access to cold-chain infrastructure ranging from refrigerators and freezers to stable electricity is limited. To address this issue, we explore the possibility of using anhydrobiosis, the ability of organisms such as tardigrades to enter a reversible state of suspended animation brought on by extreme drying, as a jumping off point in the development of dry storage technology that would allow biologics to be kept in a desiccated state under not only ambient but elevated temperatures. Here we examine the ability of different protein and sugar-based mediators of anhydrobiosis derived from tardigrades and other anhydrobiotic organisms to stabilize Human Blood Clotting Factor VIII under repeated dehydration/rehydration cycles, thermal stress, and long-term dry storage conditions. We find that while both protein and sugar-based protectants can stabilize the biologic pharmaceutical Human Blood Clotting Factor VIII under all these conditions, protein-based mediators offer more accessible avenues for engineering and thus tuning of protective function. Using classic protein engineering approaches, we fine tune the biophysical properties of a protein-based mediator of anhydrobiosis derived from a tardigrade, CAHS D. Modulating the ability of CAHS D to form hydrogels make the protein better or worse at providing protection to Human Blood Clotting Factor VIII under different conditions. This study demonstrates the effectiveness of tardigrade CAHS proteins and other mediators of desiccation tolerance at preserving the function of a biologic without the need for the cold-chain. In addition, our study demonstrates that engineering approaches can tune natural products to serve specific protective functions, such as coping with desiccation cycling versus thermal stress. Ultimately, these findings provide a proof of principle that our reliance on the cold-chain to stabilize life-saving pharmaceuticals can be broken using natural and engineered mediators of desiccation tolerance.


Asunto(s)
Desecación , Tardigrada , Humanos , Animales , Factor VIII/genética , Factor VIII/metabolismo , Tardigrada/metabolismo , Proteínas/metabolismo , Preparaciones Farmacéuticas/metabolismo , Azúcares/metabolismo , Coagulación Sanguínea
19.
Pacing Clin Electrophysiol ; 35(4): e97-9, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21410727

RESUMEN

Atrial flutter (AFL) is a common arrhythmia that is associated with postpericardiotomy and pericarditis. The relationship of AFL with tamponade has rarely been reported. A case of AFL with acute pericarditis and cardiac tamponade is thus presented here.


Asunto(s)
Aleteo Atrial/diagnóstico , Taponamiento Cardíaco/diagnóstico , Pericarditis/diagnóstico , Enfermedad Aguda , Adulto , Antibacterianos/uso terapéutico , Aleteo Atrial/tratamiento farmacológico , Taponamiento Cardíaco/tratamiento farmacológico , Ceftriaxona/uso terapéutico , Dolor en el Pecho/diagnóstico , Dolor en el Pecho/tratamiento farmacológico , Femenino , Humanos , Pericarditis/tratamiento farmacológico , Resultado del Tratamiento , Vancomicina/uso terapéutico
20.
Arch Cardiol Mex ; 92(2): 209-221, 2022 04 04.
Artículo en Español | MEDLINE | ID: mdl-34428198

RESUMEN

BACKGROUND: High-altitude cardiovascular adaptations increase lung pressure. This effect on the right ventricle (RV) of transplanted hearts at altitudes above 2,500 meters above sea level (masl) has not been described. OBJECTIVE: The objective of the study was to describe echocardiography RV behavior in the immediate post-operative period (Days 1-7 post-Heart transplant [HTx]), 3, 6, 12, and 24 months after HTx in patients at 2640 masl. METHODS: Historical cohort of HTx patients in the period between 2005 and 2019, in a hospital located in Bogotá, Colombia. Socio-demographic, clinical, and echocardiographic evaluation data of the RV at 5 follow-up moments were analyzed. RESULTS: 91 patients underwent HTx, 64% remained at a height > 2500 masl in the post-operative period. Transthoracic echo was available in 37 patients (40.6%). Right ventricular dysfunction was found in 95% of patients, which was predominantly moderate (43%), with improvement 3 months after transplant. The immediate post-operative Tricuspid annular plane systolic excursion was 8.9 ± 4.9 mm, with recovery from the 3rd post-operative month (15.1 ± 3.6 mm) and without significant changes in month 24 (15.8 ± 4.9 mm). Immediate post-operative systolic pulmonary artery pressure (sPAP) was 39.2 ± 8.2 mmHg, showing a decrease at 24 post-operative months (31.0 ± 5.0 mmHg). The 5-year survival was 78% Confidence Interval 95% 60-85. CONCLUSION: After HTx, most patients present right ventricular dysfunction, improving at the 3rd month of transplant. There were no significant differences between patients living at more than 2500 masl and < 2500 masl.


ANTECEDENTES: Las adaptaciones cardiovasculares en la altitud aumentan la presión pulmonar; el efecto de estos cambios sobre el ventrículo derecho de corazones trasplantados a altitudes superiores a 2,500 msnm no ha sido descrito. OBJETIVO: Describir el comportamiento por ecocardiografía transtorácica del ventrículo derecho en el postoperatorio inmediato (días 1­7 post-HTx), 3, 6, 12 y 24 meses después del trasplante cardíaco en pacientes intervenidos a 2,640 ms nm. MÉTODOS: Cohorte histórica de pacientes trasplantados de corazón en un hospital de Bogotá, Colombia, entre 2005 y 2019. Los datos sociodemográficos, clínicos y ecocardiográficos del ventrículo derecho fueron analizados en 5 momentos del seguimiento postoperatorio. RESULTADOS: 91 pacientes fueron sometidos a trasplante cardíaco, el 64% residía a más de 2,500 msnm en el postoperatorio. El ecocardiograma transtorácico estuvo disponibles en 37 pacientes (40.6%). En el 95% de los pacientes se documentó disfunción del ventrículo derecho la cual fue predominantemente moderada (43%), con mejoría al 3 mes del trasplante. El TAPSE en el postoperatorio inmediato fue de 8.9±4.9 mm, con recuperación a partir del tercer mes postoperatorio (15.1±3.6 mm); la mejoría se mantuvo hasta el mes 24 (15.8±4.9 mm). La PsAP postoperatoria inmediata fue de 39.2±8.2 mmHg y disminuyó a los 24 meses (31.0±5.0 mmHg). La supervivencia a los 5 años fue del 78% IC95% 60-85. CONCLUSIONES: Posterior al trasplante cardíaco, la mayoría de los pacientes presentó disfunción ventricular derecha, mejorando al tercer mes del trasplante. No hubo diferencias significativas entre los pacientes que vivían a mas de 2,500 msnm y menos de 2,500 msnm.


Asunto(s)
Trasplante de Corazón , Disfunción Ventricular Derecha , Ecocardiografía , Corazón , Ventrículos Cardíacos/diagnóstico por imagen , Humanos , Disfunción Ventricular Derecha/cirugía
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