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1.
Field Crops Res ; 243: 107627, 2019 Nov 01.
Article in English | MEDLINE | ID: mdl-31853164

ABSTRACT

A wheat association mapping population consisting of 287 diverse spring wheat lines were evaluated for three years in one location (Varanasi) and out of these for one year across three locations (Karnal, Dharwad and Varanasi) in India. Straw fodder quality traits analyzed were nitrogen (N) content, neutral (NDF) and acid (ADF) detergent fiber, acid detergent lignin (ADL), ash (ASH), in vitro organic matter digestibility (IVOMD) and metabolizable energy (ME) content. Grain yield (GY) and straw yield (SY) were also recorded. Highly significant (P < 0.0001) differences among lines were observed for all traits except for ADF and ADL in the three years trials conducted at Varanasi. However, year and location had strong (P < 0.0001) effects on all traits. Compared to line-dependent variations in GY and SY variation in straw fodder quality traits were small. Proportionally greatest variations between lines were observed for straw N where lowest and highest N varied by about 30%. Difference for NDF and ADF between lines were at most 4% units and below 3% units for IVOMD. Grain yield and straw yield were positively correlated (P < 0.0001) with GY accounting for 26% of the variation in SY. Straw N, IVOMD and ME were weakly but significantly (P < 0.05) negatively associated with GY and SY. Straw NDF and ADF were significantly (P < 0.05) positively correlated with GY but the association was again weak. Straw NDF, ADF and ADL were also weakly but significantly positively correlated with SY. Genome-wide association studies (GWAS) were applied to detect significant marker- straw fodder quality trait associations. Five genomic regions contributed for six traits (ADF, ADL, ASH, IVOMD, ME and NDF). ADF and ADL mapped in the common QTL region on chromosome 2B. Similarly, for the IVOMD and ME QTLs on chromosome 5B were associated with SNP marker, wsnp_Ku_c35090_44349517. While some associations were detected for ADF, ALD, ASH, IVOMD, ME and NDF on chromosomes 1A, 2B, 3A, 5A and 5B, the phenotypic variation explained was low to medium by individual QTL. A likely contributing factor was the comparatively small difference in straw fodder quality traits among the lines. It is interesting to note that line dependent variations in GY and SY were about two-fold. In other words, strong genotypic variations of GY and SY do exist. The lack of any similar variations in straw fodder quality traits is intriguing and requires further research.

2.
Funct Plant Biol ; 43(2): 173-188, 2016 Mar.
Article in English | MEDLINE | ID: mdl-32480451

ABSTRACT

Many rainfed wheat production systems are reliant on stored soil water for some or all of their water inputs. Selection and breeding for root traits could result in a yield benefit; however, breeding for root traits has traditionally been avoided due to the difficulty of phenotyping mature root systems, limited understanding of root system development and function, and the strong influence of environmental conditions on the phenotype of the mature root system. This paper outlines an international field selection program for beneficial root traits at maturity using soil coring in India and Australia. In the rainfed areas of India, wheat is sown at the end of the monsoon into hot soils with a quickly receding soil water profile; in season water inputs are minimal. We hypothesised that wheat selected and bred for high yield under these conditions would have deep, vigorous root systems, allowing them to access and utilise the stored soil water at depth around anthesis and grain-filling when surface layers were dry. The Indian trials resulted in 49 lines being sent to Australia for phenotyping. These lines were ranked against 41 high yielding Australian lines. Variation was observed for deep root traits e.g. in eastern Australia in 2012, maximum depth ranged from 118.8 to 146.3cm. There was significant variation for root traits between sites and years, however, several Indian genotypes were identified that consistently ranked highly across sites and years for deep rooting traits.

3.
Evol Bioinform Online ; 9: 437-52, 2013.
Article in English | MEDLINE | ID: mdl-24250219

ABSTRACT

Major facilitators of water movement through plant cell membranes include aquaporin proteins. Wheat is among the largest and most important cereal crops worldwide; however, unlike other model plants such as rice, maize and Arabidopsis, little has been reported on wheat major intrinsic proteins (MIPs). This study presents a comprehensive computational identification of 349 new wheat expressed sequence tags (ESTs), encoding 13 wheat aquaporin genes. Identified aquaporins consist of 6 plasma membrane intrinsic proteins (PIP) and 1 TIP showing high sequence similarity with rice aquaporins. We also identified 4 NOD26-like intrinsic proteins (NIP) and 2 SIP members that showed more divergence. Further, expression analysis of the aquaporin genes using the available EST information in UniGene revealed their transcripts were differentially regulated in various stress- and tissue-specific libraries. Allele specific Polymerase chain reaction (PCR) primers based on single nucleotide polymorphism (SNP) were designed using PIP as the target gene and validated on a core set of Indian wheat genotypes. A 3D theoretical model of the wheat aquaporin protein was built by homology modeling and could prove to be useful in the further functional characterization of this protein. Collectively with expression and bioinformatics analysis, our results support the idea that the genes identified in this study signify an important genetic resource providing potential targets to modify the water use properties of wheat.

4.
Genet Mol Res ; 12(1): 537-51, 2013 Feb 27.
Article in English | MEDLINE | ID: mdl-23512671

ABSTRACT

The antioxidant system in plants is a very important defensive mechanism to overcome stress conditions. We examined the expression profile of antioxidant enzymes superoxide dismutase (SOD), catalase (CAT) and ascorbate peroxidase (APX) using a bioinformatics approach. We explored secondary structure prediction and made detailed studies of signature pattern of antioxidant proteins in four plant species (Triticum aestivum, Arabidopsis thaliana, Oryza sativa, and Brassica juncea). Fingerprinting analysis was done with ScanProsite, which includes a large collection of biologically meaningful signatures. Multiple sequence alignment of antioxidant proteins of the different plant species revealed a conserved secondary structure region, indicating homology at the sequence and structural levels. The secondary structure prediction showed that these proteins have maximum tendency for α helical structure. The sequence level similarities were also analyzed with a phylogenetic tree using neighbor-joining method. In the antioxidant enzymes SOD, CAT and APX, three major families of signature were predominant and common; these were PKC_PHOSPHO_SITE, CK2_PHOSPHO_SITE and N-myristoylation site, which are functionally related to various plant signaling pathways. This study provides new strategies for screening of biomodulators involved in plant stress metabolism that will be useful for designing degenerate primers or probes specific for antioxidant. These enzymes could be the first line of defence in the cellular antioxidant defence pathway, activated due to exposure to abiotic stresses.


Subject(s)
Gene Expression Profiling , Plant Proteins/genetics , Plants/enzymology , Plants/genetics , Amino Acid Sequence , Antioxidants/metabolism , Arabidopsis/enzymology , Arabidopsis/genetics , Ascorbate Peroxidases/classification , Ascorbate Peroxidases/genetics , Catalase/classification , Catalase/genetics , Computer Simulation , Gene Expression Regulation, Enzymologic , Gene Expression Regulation, Plant , Molecular Sequence Data , Mustard Plant/enzymology , Mustard Plant/genetics , Oryza/enzymology , Oryza/genetics , Peroxidases/classification , Peroxidases/genetics , Phylogeny , Plant Proteins/classification , Plants/classification , Sequence Homology, Amino Acid , Species Specificity , Superoxide Dismutase/classification , Superoxide Dismutase/genetics , Triticum/enzymology , Triticum/genetics
5.
J Exp Bot ; 63(9): 3485-98, 2012 May.
Article in English | MEDLINE | ID: mdl-22553286

ABSTRACT

Wheat yields globally will depend increasingly on good management to conserve rainfall and new varieties that use water efficiently for grain production. Here we propose an approach for developing new varieties to make better use of deep stored water. We focus on water-limited wheat production in the summer-dominant rainfall regions of India and Australia, but the approach is generally applicable to other environments and root-based constraints. Use of stored deep water is valuable because it is more predictable than variable in-season rainfall and can be measured prior to sowing. Further, this moisture is converted into grain with twice the efficiently of in-season rainfall since it is taken up later in crop growth during the grain-filling period when the roots reach deeper layers. We propose that wheat varieties with a deeper root system, a redistribution of branch root density from the surface to depth, and with greater radial hydraulic conductivity at depth would have higher yields in rainfed systems where crops rely on deep water for grain fill. Developing selection systems for mature root system traits is challenging as there are limited high-throughput phenotyping methods for roots in the field, and there is a risk that traits selected in the lab on young plants will not translate into mature root system traits in the field. We give an example of a breeding programme that combines laboratory and field phenotyping with proof of concept evaluation of the trait at the beginning of the selection programme. This would greatly enhance confidence in a high-throughput laboratory or field screen, and avoid investment in screens without yield value. This approach requires careful selection of field sites and years that allow expression of deep roots and increased yield. It also requires careful selection and crossing of germplasm to allow comparison of root expression among genotypes that are similar for other traits, especially flowering time and disease and toxicity resistances. Such a programme with field and laboratory evaluation at the outset will speed up delivery of varieties with improved root systems for higher yield.


Subject(s)
Breeding , Crops, Agricultural/growth & development , Plant Roots/growth & development , Quantitative Trait, Heritable , Triticum/growth & development , Triticum/metabolism , Water/metabolism , Crops, Agricultural/metabolism , Plant Roots/genetics
6.
Pediatr Cardiol ; 25(5): 459-65, 2004.
Article in English | MEDLINE | ID: mdl-15534720

ABSTRACT

Beta-blocker therapy is one of the principal therapies for congenital long-QT syndrome (LQTS). However, breakthrough cardiac events occur while being treated with beta-blockers. We sought to determine the frequency of and clinical correlates underlying beta-blocker therapy failures in genotyped, symptomatic LQTS probands. The medical records were analyzed only for genotyped LQTS probands who presented with a LQTS-attributable clinical event and were receiving beta-blocker therapy. The study cohort comprised 28 such patients: 18 KCNQ1/KVLQT1(LQT1), 7 KCNH2/HERG (LQT2), and 3 SCN5A (LQT3). The prescribed beta-blocker was atenolol (12), propranolol (10), metoprolol (4), and nadolol (2). Beta-blocker therapy failure was defined as breakthrough cardiac events including syncope, aborted cardiac arrest (ACA), appropriate implantable cardioverter-defibrillator (ICD) therapy, or sudden death occurring while on beta-blocker therapy. During a median follow-up of 46 months, 7/28 (25%) LQTS probands experienced a total of 15 breakthrough cardiac events. Their initial presentation was ACA (3), bradycardia during infancy (2), and syncope (2). The underlying genotype was KVLQT1 (6) and HERG (1). Two breakthroughs were attributed to noncompliance. Of the 13 breakthroughs occurring while compliant, 10 occurred with atenolol and 3 with propranolol (p = 0.03). In this study cohort, one-fourth of genotyped LQTS probands failed beta-blocker therapy. Treatment with atenolol, young age at diagnosis, initial presentation with ACA, KVLQT1 genotype, and noncompliance may be important factors underlying beta-blocker therapy failures.


Subject(s)
Adrenergic beta-Antagonists/therapeutic use , Long QT Syndrome/drug therapy , Atenolol/therapeutic use , ERG1 Potassium Channel , Ether-A-Go-Go Potassium Channels , Genotype , Humans , KCNQ Potassium Channels , KCNQ1 Potassium Channel , Long QT Syndrome/genetics , NAV1.5 Voltage-Gated Sodium Channel , Patient Compliance , Potassium Channels, Voltage-Gated , Propranolol/therapeutic use , Retrospective Studies , Sodium Channels , Treatment Failure
7.
Pediatr Cardiol ; 23(6): 608-12, 2002.
Article in English | MEDLINE | ID: mdl-12530493

ABSTRACT

The Bruce treadmill protocol was used to evaluate the exercise endurance in a pediatric urban population. The sample population consisted of 525 healthy children 4 to 18 years of age (303 males and 222 females). Endurance time increased with age in males and increased up to 10 to 12 years of age in females, thereafter leveling off. Results were compared with those of a widely used standard reference of normal for treadmill exercise testing in children. Mean endurance times were significantly shorter compared to those of the reference study (p < 0.03). When the subjects were grouped in percentiles based on the reference study, 61% of males and 81% of females performed below the 25th percentile. There was a strong negative correlation between body mass index and endurance time (p < 0.0001), suggesting that obesity is a major contributor to decreased physical fitness. Compared to subjects in the reference study, children from a large U.S. metropolitan area have markedly diminished exercise endurance times, suggesting poor physical fitness. Inactivity with consequent lack of fitness, if unchecked, are likely to lead to cardiovascular disorders in adulthood. Efforts should be made to encourage physical fitness in children.


Subject(s)
Physical Fitness/physiology , Adolescent , Body Mass Index , Child , Child Welfare , Child, Preschool , Exercise Test , Female , Heart Rate/physiology , Humans , Male , Obesity/physiopathology , Physical Endurance/physiology , Reference Values , United States/epidemiology , Urban Health
8.
Tex Heart Inst J ; 28(4): 301-3, 2001.
Article in English | MEDLINE | ID: mdl-11777156

ABSTRACT

A 5-year-old asymptomatic boy was found incidentally, on a chest radiograph, to have gross cardiomegaly; further evaluation by echocardiography showed a giant right atrial aneurysm. The patient underwent successful surgical reduction of the right atrium, closure of an atrial septal defect, and tricuspid valve repair These measures were taken to prevent thrombus formation in the right atrium, prevent paradoxical embolism, and lower the risk of atrial arrhythmias. The morphologic features of the resected atrial tissue showed paper-thin wall with a central aneurysm and focal endocardial fibrosis consistent with a diagnosis of idiopathic dilatation of the right atrium.


Subject(s)
Cardiomegaly/pathology , Heart Aneurysm/pathology , Cardiomegaly/surgery , Child, Preschool , Diagnosis, Differential , Ebstein Anomaly/pathology , Heart Aneurysm/surgery , Heart Atria/pathology , Heart Atria/surgery , Humans , Male
9.
Heart ; 77(3): 225-8, 1997 Mar.
Article in English | MEDLINE | ID: mdl-9093038

ABSTRACT

OBJECTIVE: To assess immediate and medium term results of transcatheter laser valvotomy with balloon valvoplasty in selected infants with pulmonary atresia and intact ventricular septum. DESIGN: Prospective study. SETTING: Tertiary cardiac unit. PATIENTS: All infants with pulmonary atresia and intact septum with no more than minor tricuspid valve hypoplasia referred between November 1990 and June 1995. Laser valvotomy was attempted in nine infants of median age 4-5 days and median weight 3.6 kg. INTERVENTION: The pulmonary valve was perforated using a 0.018 inch fibreoptic guidewire attached to a NdYag laser and introduced through a catheter positioned beneath the valve. After perforation the valve was dilated with progressively larger balloons. MAIN OUTCOME MEASURES: Successful laser valvotomy and balloon dilatation, complications, pulse oximetry, right ventricular outflow velocities, and need for surgical treatment. RESULTS: Valvotomy was successful in all but one case, the failure being due to laser breakdown. After perforation the valve was dilated to 6-8 mm diameter. Prostaglandin E was withdrawn immediately in six of the eight duct dependent infants, and 28 and 49 days later in two. No patient required an aortopulmonary shunt. Two patients had repeat valvoplasty at 20 days and three months of age, respectively; one required infundibular resection and closure of the atrial septum at age four and one is awaiting similar treatment. CONCLUSIONS: Laser valvotomy with balloon valvoplasty is safe and effective treatment for selected patients with pulmonary atresia and intact ventricular septum and should be considered as first line treatment in place of surgical valvotomy.


Subject(s)
Catheterization , Laser Therapy , Pulmonary Atresia/surgery , Pulmonary Valve/surgery , Combined Modality Therapy , Follow-Up Studies , Humans , Infant , Infant, Newborn , Prospective Studies , Pulmonary Atresia/therapy , Treatment Outcome
10.
Ann Thorac Surg ; 63(1): 68-73, 1997 Jan.
Article in English | MEDLINE | ID: mdl-8993243

ABSTRACT

BACKGROUND: Cytokines are implicated in the pathogenesis of the "whole-body inflammatory response" that may complicate the period after cardiopulmonary bypass (CPB). Low-Dose aprotinin in the pump during CPB has been shown to improve postoperative hemostasis and platelet preservation. We tested the hypothesis that low-dose aprotinin influences the inflammatory reaction (in terms of cytokine release) after CPB. METHODS: In a prospective, randomized study, 36 patients undergoing elective coronary artery bypass grafting were investigated. Nineteen patients received low-dose aprotinin (2 x 10(6) KIU (280 mg] in the pump), and a control group of 19 did not. Complement activation, cytokine production, leukocyte elastase release. D-dimer level, full blood count, postoperative blood loss, and transfusion requirements were analyzed before, during, and after after CPB. RESULTS: Interleukin-1 beta was not detected in either group, whereas traces of tumor necrosis factor-alpha were infrequently observed. Plasma elastase, interleukin-6, interleukin-8, and neutrophil count increased (p < 0.001) during and after CPB compared with the baseline levels, reaching a peak at 2 hours after protamine administration in both groups before returning toward baseline at 24 hours. Proinflammatory cytokine markers did not differ significantly (p > 0.1) between the groups throughout the study period. The C5b-9 level increased (p < 0.001) in both groups perioperatively, reaching its peak 15 minutes after protamine. Twenty-four-hour postoperative blood loss was significantly (p < 0.001) reduced in the aprotinin group in association with markedly reduced D-dimer levels (p < 0.001). Patients in the aprotinin group also received significantly less banked blood postoperatively than the control group (p < 0.01). CONCLUSIONS: Low-dose aprotinin fails to modify proinflammatory cytokine release, yet confers hemostatic improvement through reduced fibrinolysis in patients undergoing routine coronary artery bypass grafting.


Subject(s)
Aprotinin/administration & dosage , Cardiopulmonary Bypass , Cytokines/metabolism , Hemostasis/drug effects , Hemostatics/administration & dosage , Aged , Aprotinin/therapeutic use , Blood Loss, Surgical/prevention & control , Coronary Artery Bypass , Female , Fibrinolysis/drug effects , Hemostatics/therapeutic use , Humans , Male , Middle Aged , Prospective Studies
11.
J Trop Pediatr ; 43(6): 345-8, 1997 12.
Article in English | MEDLINE | ID: mdl-9476456

ABSTRACT

The immune status of 25 full-term small-for-gestational age neonates was studied and compared with another 25 term appropriate-for-gestational age neonates, who served as controls. It was observed that the term SGA's had an altered immunological profile. The lymphocyte percentage was low. Cellular immunity as assessed by CD4 and CD8 subset of T-cells, and their ratio was deranged. IgG levels were lower in SGA neonates and showed a linear relation with birth weight. IgM and IgA levels were not affected in SGAs. Complement C3 levels were significantly lower in the SGA neonates. The SGAs are allegedly more prone to infections and this deranged immune status could be the underlying explanation for the predisposition.


Subject(s)
Immunoglobulins/blood , Infant, Small for Gestational Age/immunology , CD4-CD8 Ratio , Female , Humans , Immunity, Cellular/physiology , Immunoglobulin A/blood , Immunoglobulin G/blood , Immunoglobulin M/blood , India , Infant, Newborn , Lymphocyte Count , Male , Reference Values , Regression Analysis
12.
Anaesthesia ; 46(5): 407-9, 1991 May.
Article in English | MEDLINE | ID: mdl-2035795

ABSTRACT

A combination of midazolam and droperidol given intramuscularly was compared with papaveretum and hyoscine for premedication of patients about to undergo cardiac surgery. Midazolam and droperidol proved to be a very satisfactory combination, producing superior sedation and anxiolysis with good cardiovascular stability.


Subject(s)
Coronary Artery Bypass , Droperidol , Heart Valve Prosthesis , Midazolam , Preanesthetic Medication/methods , Adult , Aged , Anxiety/prevention & control , Conscious Sedation , Double-Blind Method , Humans , Middle Aged , Opium , Scopolamine
13.
Int J Artif Organs ; 13(5): 293-9, 1990 May.
Article in English | MEDLINE | ID: mdl-2365484

ABSTRACT

The differences in the pattern of the vasoactive hormone release in response to the stress of surgery and cardiopulmonary bypass (CPB) (pulsatile n = 15 and non pulsatile n = 23) were studied in the adult patients with mitral valve disease (MVD), aortic valve disease (AVD), and the coronary artery disease (CAD). A differential stimulation of the osmoreceptors, baroceptors, renin-angiotensin and the sympathetico-adrenal systems in these patients, resulted in the variations in the pattern of hormone release. Patients with MVD showed a greater stimulation of osmoreceptors, baroceptors and release of Arginine vasopressin (AVP). Renin-angiotensin system was more easily triggered in patients with AVD or CAD; and sympathetico-adrenal system in patients with CAD. The renin-angiotensin-aldosterone axis was better preserved in patients with CAD (r = 0.49, p less than 0.001) than in the patients with MVD (r = 0.38, p less than 0.02). Plasma renin release showed a significant correlation with noradrenaline release in the patients with MVD (r = 0.47, p less than 0.01); but this relationship was lost in the patients with the CAD, due to an excessive noradrenaline release. Pulsatile bypass reduced but did not abolish this response. Under unfavourable conditions, the stress response may persist in the early post-operative period.


Subject(s)
Arginine Vasopressin/blood , Cardiopulmonary Bypass , Norepinephrine/blood , Renin-Angiotensin System , Aortic Valve , Chi-Square Distribution , Coronary Artery Bypass , Coronary Disease/blood , Coronary Disease/surgery , Heart Valve Diseases/blood , Heart Valve Diseases/surgery , Heart Valve Prosthesis , Humans , Intraoperative Period , Mitral Valve , Postoperative Period , Pulsatile Flow , Regression Analysis
14.
Anaesthesia ; 43(5): 359-61, 1988 May.
Article in English | MEDLINE | ID: mdl-3400844

ABSTRACT

Two years' experience of anaesthesia for percutaneous balloon valvuloplasty in children is presented and the problems associated with this procedure are discussed.


Subject(s)
Anesthesia, General , Aortic Valve Stenosis/therapy , Catheterization , Pulmonary Valve Stenosis/therapy , Adolescent , Adult , Child , Child, Preschool , Humans , Infant , Intraoperative Complications/etiology , Postoperative Complications/etiology , Retrospective Studies
15.
Anaesthesia ; 38(4): 380-3, 1983 Apr.
Article in English | MEDLINE | ID: mdl-6846767

ABSTRACT

Internal jugular catheterisation, using a posterior approach, was attempted in 50 infants and children aged from 1 day to 12 years, weighing 1.25 to 30 kg. Thirty-five of the patients weighed less than 10 kg. Catheterisation was successful in 49 cases. Initial catheter position was satisfactory in 48 of the 49 cases and satisfactory pressure waveform and flow characteristics were achieved in all 49 cases. There were no complications attributable to the technique. The technique proved reliable and easily learnt and is recommended as a particularly suitable approach to central venous catheterisation in small children.


Subject(s)
Catheterization/methods , Jugular Veins , Child , Child, Preschool , Humans , Infant , Infant, Newborn
16.
Ann Thorac Surg ; 33(2): 174-8, 1982 Feb.
Article in English | MEDLINE | ID: mdl-7039534

ABSTRACT

Between March, 1978, and August, 1980, 7 neonates with a left posterolateral diaphragmatic hernia were seen in respiratory distress within 12 hours of birth. Each had severe acidosis and hypoxia. They were immediately intubated and ventilated. Arterial and central venous lines were inserted, the acidosis was partially corrected, and a dopamine infusion of 5 microgram/kg/min was begun immediately. Continuous monitoring of arterial and venous pressures, core, and skin temperatures, blood gases, and pH was instituted. Diaphragmatic defects were repaired by direct suture in 5 neonates and by Gore-Tex patches in the other 2. The left lung in all patients was hypoplastic. Ventilation and inotropic support were continued for 4 to 5 days post-operatively, and close control of acid-base balance was maintained. All the patients are doing well. We consider the key to survival to be management of the dangerous combination of acidosis (by enhancing peripheral and renal perfusion with dopamine) and hypoxia (by prolonged assisted ventilation).


Subject(s)
Hernias, Diaphragmatic, Congenital , Dopamine/therapeutic use , Hernia, Diaphragmatic/complications , Hernia, Diaphragmatic/drug therapy , Humans , Infant, Newborn , Intermittent Positive-Pressure Ventilation , Intubation , Respiratory Distress Syndrome, Newborn/complications , Respiratory Distress Syndrome, Newborn/drug therapy
17.
Can Anaesth Soc J ; 27(4): 381-8, 1980 Jul.
Article in English | MEDLINE | ID: mdl-6996794

ABSTRACT

The use of cardioplegia (pharmacologically induced electromechanical arrest) to achieve the ideal conditions for cardiac surgical operations was introduced over 20 years ago in clinical practice. Since then a number of ingredients have been added in various proportions to different cardioplegic solutions and their evaluation in experimental laboratories and clinical practice has continued. Any additive to a cardioplegic solution should be investigated in experimental laboratories and asanguinous cardioplegic solutions should be carefully formulated to avoid extremes of ionic concentrations, pH and osmolarity. Cold blood cardioplegia has not been found advantageous when compared with conventional asanguinous solutions. A combination of pharmacologically induced arrest with cold asanguinous cardioplegic solution and topical hypothermia protects the myocardium better than topical hypothermia alone or normothermic cardioplegia, and continuous infusion of cardioplegic solutions has proved no better than multidose administration. Multidose administration of cold cardioplegic solutions with moderate hypothermia and surface cooling has been found most satisfactory for prolonged aortic cross clamping (up to two hours). Use of cardioplegia in recent years has undoubtedly improved the prognosis of a number of patients undergoing surgical correction of complex cardiac lesions.


Subject(s)
Cardiac Surgical Procedures , Heart Arrest, Induced , Humans , Hydrogen-Ion Concentration , Hypothermia, Induced , Osmolar Concentration , Solutions
18.
Arch Dis Child ; 55(3): 194-8, 1980 Mar.
Article in English | MEDLINE | ID: mdl-7387162

ABSTRACT

Four infants with myocardial dysfunction associated with a persistent transitional circulation were given dopamine infusions in addition to standard treatment. The condition of each improved strikingly with rapid diminution in heart size as judged by chest x-ray. Dopamine has a place in the management of the sick infant with a persistent transitional circulation.


Subject(s)
Dopamine/therapeutic use , Persistent Fetal Circulation Syndrome/drug therapy , Electrocardiography , Female , Heart/physiopathology , Humans , Infant, Newborn , Male , Persistent Fetal Circulation Syndrome/physiopathology
19.
Can Anaesth Soc J ; 22(5): 622-4, 1975 Sep.
Article in English | MEDLINE | ID: mdl-1156943
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