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1.
Rev Fish Biol Fish ; : 1-17, 2023 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-37360579

RESUMEN

The global COVID-19 pandemic resulted in many jurisdictions implementing orders restricting the movements of people to inhibit virus transmission, with recreational angling often either not permitted or access to fisheries and/or related infrastructure being prevented. Following the lifting of restrictions, initial angler surveys and licence sales suggested increased participation and effort, and altered angler demographics, but with evidence remaining limited. Here, we overcome this evidence gap by identifying temporal changes in angling interest, licence sales, and angling effort in world regions by comparing data in the 'pre-pandemic' (up to and including 2019); 'acute pandemic' (2020) and 'COVID-acclimated' (2021) periods. We then identified how changes can inform the development of more resilient and sustainable recreational fisheries. Interest in angling (measured here as angling-related internet search term volumes) increased substantially in all regions during 2020. Patterns in licence sales revealed marked increases in some countries during 2020 but not in others. Where licence sales increased, this was rarely sustained in 2021; where there were declines, these related to fewer tourist anglers due to movement restrictions. Data from most countries indicated a younger demographic of people who participated in angling in 2020, including in urban areas, but this was not sustained in 2021. These short-lived changes in recreational angling indicate efforts to retain younger anglers could increase overall participation levels, where efforts can target education in appropriate angling practices and create more urban angling opportunities. These efforts would then provide recreational fisheries with greater resilience to cope with future global crises, including facilitating the ability of people to access angling opportunities during periods of high societal stress. Supplementary Information: The online version contains supplementary material available at 10.1007/s11160-023-09784-5.

2.
J Neurosurg ; 139(3): 741-747, 2023 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-36789990

RESUMEN

OBJECTIVE: Subdural hemorrhage (SDH) has been reported to be the most frequent intracranial hemorrhagic complication following open heart surgery; however, its clinical features and pathophysiology remain unclear. The aim of this retrospective study was to elucidate the incidence, clinical course, and factors associated with the development of symptomatic SDH following heart valve surgery. METHODS: A retrospective review of medical records on the development of symptomatic SDH after heart valve surgery involving cardiopulmonary bypass (CPB) from April 2011 to March 2016 was performed. Patients who had undergone preoperative cranial computed tomography (CT) or brain magnetic resonance imaging (MRI) were included in this study, and factors associated with SDH following heart valve surgery were analyzed. When neurological symptoms developed after heart valve surgery, cranial CT or brain MRI was performed. RESULTS: A total of 556 patients who had undergone heart valve surgery were analyzed. Among these patients, symptomatic SDH occurred in 11 (2.0%). The mean duration of symptomatic onset was 10.1 days (range 2-37 days). Ten of 11 patients (90.9%) developed SDH in the posterior fossa or occipital convexity. Logistic regression analysis revealed longer aortic clamp time (95% CI 1.00-1.10, p = 0.04), higher dose of heparin after surgery (95% CI 1.00-1.02, p = 0.001), and higher pulmonary artery pressure (PAP) just before disconnection of the CPB (95% CI 1.01-1.37, p = 0.04) as significantly associated with the development of SDH. CONCLUSIONS: The incidence of symptomatic SDH following heart valve surgery was 2.0%. Symptoms due to SDH usually developed a few days to 1 month after surgery. Surprisingly, most SDHs developed in the posterior fossa or occipital convexity following heart valve surgery. A longer aortic clamp time, higher dose of heparin after surgery, and higher PAP just before disconnection of the CPB were related to the development of symptomatic SDH following heart valve surgery.


Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Hematoma Subdural , Humanos , Estudios Retrospectivos , Hematoma Subdural/diagnóstico por imagen , Hematoma Subdural/epidemiología , Hematoma Subdural/etiología , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Heparina , Válvulas Cardíacas
3.
Zoolog Sci ; 39(3): 242-252, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35699927

RESUMEN

Stream-dwelling white-spotted charr, Salvelinus leucomaenis, populations tend to have unique color and spot patterns in different regions and may even display stream-specific patterns. An extreme edge of such diversity, found in individuals with atypical body color patterns (so-called nagaremon-type charr, a rare morphotype of Salvelinus leucomaenis [hereafter termed nagaremon-charr]), sympatrically occurring with normal-charr, has been reported from only six small isolated populations in Japan. Based on morphological and ecological perspectives, nagaremon-charr has been considered as an intraspecific color variant of white-spotted charr, although the genetic status of nagaremon-charr has not been determined. In this study, genetic diversity and population structure of the nagaremon-charr in a tributary of the Ane River (Lake Biwa system) were investigated through microsatellite and mtDNA analyses. Nagaremon-charr and sympatric normal-charr in the tributary shared the mtDNA haplotypes and were assigned to the same cluster in the STRUCTURE analysis and discriminant analysis of principal components (DAPC). These results suggested that nagaremon-charr in the Ane River is an intra-populational specific color variant of white-spotted charr. Above a waterfall, nagaremon-charr specimens exhibited extremely reduced genetic diversity, indicating that genetic drift may account for the fixation of the nagaremon-morphotype. Normal-charr below the waterfall clustered separately from hatchery-reared charr, indicative of native status of the former. Thus, both nagaremon-charr and normal-charr in the entire Ane River tributary should be conserved.


Asunto(s)
Lagos , Trucha , Animales , ADN Mitocondrial/genética , Japón , Ríos , Trucha/genética
4.
Ann Vasc Surg ; 75: 534.e11-534.e14, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33945862

RESUMEN

Proximal aortic clamping under normothermia is generally adequate for operative repair of abdominal aortic rupture; however, the hypothermic circulatory arrest (HCA) technique is not as common. Proximal exposure and clamping are sometimes difficult due to the risk of bleeding, rerupture, and ischemia. We present a successful case of a ruptured abdominal aortic aneurysm (AAA) that was repaired using cardiopulmonary bypass with HCA. A 75-year-old man presented with sudden back pain and was diagnosed with a ruptured AAA using computed tomography. The aneurysm had a maximal diameter of 100 mm and protruded anteriorly just below the renal arteries. The rupture site was close to the renal arteries, and thus, there was a high risk of bleeding and shock during proximal exposure. Cardiopulmonary bypass was established by cannulation of the right axillary artery and right femoral vein, following which open laparotomy was performed. Proximal exposure and anastomosis could be safely performed using HCA. This cardiopulmonary bypass with HCA technique may be useful as a surgical strategy for ruptured juxta-renal AAAs.


Asunto(s)
Aneurisma de la Aorta Abdominal/cirugía , Rotura de la Aorta/cirugía , Implantación de Prótesis Vascular , Paro Circulatorio Inducido por Hipotermia Profunda , Anciano , Anastomosis Quirúrgica , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Rotura de la Aorta/diagnóstico por imagen , Puente Cardiopulmonar , Humanos , Ligadura , Masculino , Resultado del Tratamiento
5.
Kyobu Geka ; 74(3): 221-223, 2021 Mar.
Artículo en Japonés | MEDLINE | ID: mdl-33831878

RESUMEN

The patient was a 67-year-old man. At 22 years of age, he underwent aortic valve replacement with Starr-Edwards ball valve. At 67 years of age, he complained of fatigue of the New York Heart Association (NYHA) class Ⅲ condition. He was diagnosed with mitral regurgitation, tricuspid regurgitation, ascending aortic aneurysm and chronic atrial fibrillation. Transthoracic and transesophageal echocardiograms showed a mobile, elongated echogenic mass attached to the valve cage and floating downstream. We performed Bentall procedure, ascending aortic replacement, mitral valve replacement, tricuspid annuloplasty and left atrial appendage closure. Explanted ball valve showed extensive cloth destruction and partial cloth tear. Mild pannus formation was observed beneath the valve. Despite 45 years after initial operation, significant valve dysfunction was not observed.


Asunto(s)
Implantación de Prótesis de Válvulas Cardíacas , Prótesis Valvulares Cardíacas , Anciano , Válvula Aórtica/diagnóstico por imagen , Válvula Aórtica/cirugía , Humanos , Masculino , Válvula Mitral/diagnóstico por imagen , Válvula Mitral/cirugía , Falla de Prótesis , Reoperación
6.
Gen Thorac Cardiovasc Surg ; 69(8): 1267-1270, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33770347

RESUMEN

A 79-year-old man with atrial fibrillation and heart failure due to grade 4 + mitral valve regurgitation after coronary artery bypass underwent the MitraClip procedure using two clips. Three days after the procedure, chest radiographs indicated migration of one of the two clips into the left ventricle. He suffered from 3 + recurrent mitral regurgitation, tricuspid valve regurgitation. The echocardiogram and computed tomography scans indicated migration of the clip into the left ventricular apex; he underwent mitral valve replacement, removal of the migrated clip to prevent embolism, left atrial appendage closure, and tricuspid valve ring-annuloplasty. In the postoperative acute phase, embolism by detached and lost MitraClip device is possible, which can be difficult to remove.


Asunto(s)
Implantación de Prótesis de Válvulas Cardíacas , Insuficiencia de la Válvula Mitral , Anciano , Ventrículos Cardíacos/diagnóstico por imagen , Ventrículos Cardíacos/cirugía , Humanos , Masculino , Válvula Mitral/diagnóstico por imagen , Válvula Mitral/cirugía , Insuficiencia de la Válvula Mitral/diagnóstico por imagen , Insuficiencia de la Válvula Mitral/etiología , Insuficiencia de la Válvula Mitral/cirugía , Resultado del Tratamiento
7.
J Fish Biol ; 93(4): 750-754, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30069884

RESUMEN

The degree of iteroparity in stream-resident forms of masu salmon Oncorhynchus masou was examined using mark-recapture studies in natural streams. In a partially migratory population, at least 10% of resident males survived after maturation and repeatedly matured for up to 5 years. In the landlocked amago salmon subspecies, the post-maturation survival rate was at least 7% and repeat maturation was observed for up to 3 years for both males and females.


Asunto(s)
Oncorhynchus/fisiología , Reproducción , Animales , Femenino , Japón , Masculino , Ríos , Maduración Sexual
8.
J Environ Radioact ; 141: 32-7, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25500064

RESUMEN

Ayu Plecoglossus altivelis, a herbivorous fish, is an important fishery resource and key component of the foodweb in many Japanese streams. Radionuclide contamination of this species is likely transferred to higher trophic levels, include humans, in the food chain. After the Fukushima accident in March 2011, ayu were exposed to highly contaminated silt while feeding on algae attached to the riverbed stones. To understand the route by which herbivorous fish are exposed to radionuclides, the activity concentrations of sum of (134)Cs and (137)Cs (radiocesium) were analyzed in riverbed samples (algae and silt) and in the internal organs and the muscle of ayu in five river systems in the Fukushima Prefecture between summer 2011 and autumn 2013. Although there was a positive correlation between the radiocesium activity concentrations in the muscle and the internal organs of ayu, the median activity concentration in the muscle was much lower than those in the internal organs. The activity concentrations of radiocesium in the riverbed samples and the internal organs and the muscle of ayu were correlated with contamination levels in soil samples taken from the watershed upstream of the sample sites. The results of the generalized linear mixed models suggest that the activity concentrations in both the internal organs and the muscle of ayu declined over time. Additionally, the activity concentrations in the internal organs were correlated with those in the riverbed samples that were collected around the same time as the ayu. The activity concentrations in the muscle were correlated with ayu body size. Our results suggest that ayu ingest (134)Cs and (137)Cs while grazing silt and algae from the riverbed, and a part of the (134)Cs and (137)Cs is assimilated into the muscle of the fish.


Asunto(s)
Radioisótopos de Cesio/metabolismo , Osmeriformes/metabolismo , Contaminantes Radiactivos del Agua/metabolismo , Animales , Radioisótopos de Cesio/análisis , Accidente Nuclear de Fukushima , Sedimentos Geológicos/análisis , Japón , Monitoreo de Radiación , Ríos/química , Distribución Tisular , Contaminantes Radiactivos del Agua/análisis
9.
Int Heart J ; 53(1): 5-10, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22398669

RESUMEN

Atrial cycle length during atrial fibrillation and flutter waves may be correlated with atrial refractoriness and organization. The nature of the frequency by spectral analysis may reflect a profile of atrial cycle length. In this study, we developed a novel body surface 2-dimensional spectral map during fibrillation using vector-projected 187 channel ECG (187ch VP-ECG).The study consisted of 28 patients (24 with atrial fibrillation (AFIB) and 4 atrial flutter (AFL) with valvular heart disease). We performed spectral analysis by maximum entropy modeling (MEM) in 4 second nonaveraged 187ch electrical current waves by 187ch VP-ECG. Body surface spectral features were displayed according to the frequency and power magnitude components. We verified the accuracy of the spectral features by a 64ch magnetocardiography (MCG). The average dominant frequency in AFL by 187ch VP-ECG was lower than those in AFIB (4.6 ± 0.9 Hz in AFL, 7.2 ± 0.9 Hz in AFIB, P < 0.01). Comparison of average dominant frequency between 187ch VP-ECG and 64 ch MCG demonstrated good agreement (y = 0.86x+0.84, r(2) = 0.89, P < 0.0001). Body surface 2-dimensional spectral features demonstrated homogenous spectrum patterns in AFL, and in-homogenous spectrum patterns in AFIB.In conclusion, novel body surface spectral mapping using 187ch VP-ECG may represent a 2-dimensional spectral feature that may be related to atrial refractoriness and organization.


Asunto(s)
Fibrilación Atrial/diagnóstico , Aleteo Atrial/diagnóstico , Mapeo del Potencial de Superficie Corporal , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Magnetocardiografía , Masculino , Persona de Mediana Edad , Adulto Joven
11.
J Thorac Cardiovasc Surg ; 141(3): 716-24, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20541224

RESUMEN

OBJECTIVE: We performed echocardiographic tissue tracking to investigate whether mitral valve repair preserves left ventricular function. METHODS: We studied 16 subjects without heart disease (11 male; mean age, 54.6 ± 15.1 years) and 18 patients in normal sinus rhythm undergoing solitary mitral valve repair (12 male; mean age, 53.6 ± 16.6 years). Transthoracic echocardiography was performed before and after surgery, and left ventricular apical and basal short-axis images were recorded. Left ventricular rotation angle was measured with off-line Vector Velocity Imaging (Siemens Medical Solutions USA Inc, Mountain View, Calif) at each slice level. RESULTS: Left ventricular ejection fraction was significantly higher in the control (68.4% ± 3.6%) and preoperative groups (70.9% ± 6.5%) than the postoperative group (59.4% ± 11.4%, P < .05). Left ventricular end-diastolic and end-systolic volumes were significantly greater in the preoperative group than the control group (130.0 ± 41.5 mL and 41.6 ± 16.6 mL vs 80.0 ± 16.7 mL and 26.6 ± 9.2 mL, respectively, P < .05). Left ventricular end-diastolic volume normalized postoperatively. Left ventricular twist was significantly greater in the preoperative group than the other groups (11.7° ± 4.1° versus 7.1° ± 3.8° and 8.2° ± 5.7°, P < .05). Left ventricular twist did not differ significantly between control and postoperative groups. New York Heart Association functional class improved from 1.6 ± 0.5 to 1.0 ± 0.0 after surgery (P < .05). CONCLUSIONS: Although preoperative left ventricular ejection fraction seemed normal, left ventricular twist was greater. Left ventricular twist normalized after surgery, suggesting that it preserves left ventricular function.


Asunto(s)
Anuloplastia de la Válvula Mitral , Insuficiencia de la Válvula Mitral/cirugía , Válvula Mitral/cirugía , Función Ventricular Izquierda , Adulto , Anciano , Estudios de Casos y Controles , Enfermedad Crónica , Femenino , Humanos , Japón , Masculino , Persona de Mediana Edad , Válvula Mitral/diagnóstico por imagen , Válvula Mitral/fisiopatología , Insuficiencia de la Válvula Mitral/diagnóstico por imagen , Insuficiencia de la Válvula Mitral/fisiopatología , Índice de Severidad de la Enfermedad , Volumen Sistólico , Torsión Mecánica , Resultado del Tratamiento , Ultrasonografía
12.
J Neurosurg ; 113(4): 885-9, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20486890

RESUMEN

OBJECT: Scar formation in the carotid sheath is often identified during carotid endarterectomy (CEA) in patients with previous cardiac surgery, and dissection of the carotid sheath and exposure of the carotid arteries in such patients are difficult. The purpose of the present study was to investigate factors related to scar formation identified during CEA in patients with previous cardiac surgery. METHODS: Twenty-three patients with internal carotid artery stenosis (≥ 70%) and previous cardiac surgery underwent CEA. A patient was prospectively defined as having scar formation during CEA when scissors were required throughout dissection of the carotid sheath and exposure of the carotid arteries. RESULTS: Scar formation was identified during dissection of the carotid sheath in 7 patients (30.4%). In all 7 patients, the side of CEA was identical to the side on which the Swan-Ganz catheter was inserted during cardiac surgery, and the incidence of previous ipsilateral Swan-Ganz catheter insertion was significantly higher in patients with the scar formation (100%) than in those without (31.3%). Seven (58.3%) of 12 patients with a history of ipsilateral Swan-Ganz catheter insertion had scar formation. Two of the 7 patients with scar formation experienced complications after CEA, including one patient with hemiparesis due to artery-to-artery embolism during surgery, and another patient with transient vocal cord paralysis. CONCLUSIONS: A history of Swan-Ganz catheter insertion during previous cardiac surgery is associated with the presence of scar tissue in the ipsilateral carotid sheath and a higher risk of complications during CEA.


Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Arterias Carótidas/patología , Cateterismo de Swan-Ganz/efectos adversos , Cicatriz/patología , Endarterectomía Carotidea , Complicaciones Posoperatorias/patología , Anciano , Estenosis Carotídea/cirugía , Angiografía Cerebral , Cicatriz/cirugía , Recolección de Datos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Paresia/etiología , Complicaciones Posoperatorias/cirugía , Resultado del Tratamiento , Parálisis de los Pliegues Vocales/etiología
13.
Biol Lett ; 5(5): 628-31, 2009 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-19493875

RESUMEN

The relationship between body size and the probability of maturing, often referred to as the probabilistic maturation reaction norm (PMRN), has been increasingly used to infer genetic variation in maturation schedule. Despite this trend, few studies have directly evaluated plasticity in the PMRN. A transplant experiment using white-spotted charr demonstrated that the PMRN for precocious males exhibited plasticity. A smaller threshold size at maturity occurred in charr inhabiting narrow streams where more refuges are probably available for small charr, which in turn might enhance the reproductive success of sneaker precocious males. Our findings suggested that plastic effects should clearly be included in investigations of variation in PMRNs.


Asunto(s)
Trucha/crecimiento & desarrollo , Migración Animal , Animales , Tamaño Corporal , Femenino , Masculino , Ríos , Temperatura , Factores de Tiempo , Trucha/anatomía & histología , Trucha/fisiología
14.
J Heart Valve Dis ; 17(4): 366-70, 2008 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-18751464

RESUMEN

BACKGROUND AND AIM OF THE STUDY: The study aim was to determine the three-dimensional motion of the semilunar attachment of leaflets (annulus) and the aortic root in annuloaortic ectasia with aortic insufficiency (AI). METHODS: Five patients (four males, one female) underwent preoperative and postoperative 64-row, multidetector computed tomography (MDCT) and aortic root remodeling with aortic annuloplasty. The control group comprised 25 subjects who underwent MDCT scanning for reasons other than cardiac evaluation. The aortic annulus was measured at systole and diastole, and then divided into the right coronary cusp (RCC), left coronary cusp (LCC) and non-coronary cusp (NCC). The lengths of the aortic annulus, sinus of Valsalva and sinotubular junction (STJ) were also measured at systole and diastole on longitudinal views. RESULTS: The preoperative and postoperative systolic and diastolic lengths of the RCC, LCC and NCC did not differ significantly, but all were significantly larger than those in control subjects. The preoperative diameters of the aortic annulus and STJ were significantly larger at systole than at diastole. However, the control findings indicated that only the STJ diameter was larger at systole than at diastole. CONCLUSION: The aortic annulus length did not change perioperatively at systole and diastole. Aortic root remodeling with aortic annuloplasty corrects the preoperative motion of the aortic annulus and STJ, which might be the cause of AI, although STJ distensibility was restricted.


Asunto(s)
Aorta/cirugía , Insuficiencia de la Válvula Aórtica/cirugía , Diástole , Sístole , Adulto , Anciano , Aorta/fisiología , Insuficiencia de la Válvula Aórtica/fisiopatología , Aortografía , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos X
15.
Int Heart J ; 49(2): 153-64, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-18475015

RESUMEN

The purpose of this study was to verify the spatial distribution of myocardial repolarization heterogeneity using a newly developed 187-channel signal-averaged vector-projected ECG (187-ch SAVP-ECG). We constructed corrected recovery time (RTc) and Tpeak-end (corrected Tp-e) dispersion maps using a 187-ch SAVP-ECG based on vector-projection theory using a Mason-Likar lead system. We compared the spatial distribution and quantitative values of dispersion maps by 187-ch SAVP-ECG with those by 64-ch magnetocardiography (MCG) in 27 normal controls (control) and 16 patients (12 myocardial infarction (MI), and 4 dilated cardiomyopathy (DCM)). The wave pattern of the 187-ch SAVP-ECG in the representative cases was similar to those in 64-ch MCG. Spatial distribution increased RTc and corrected Tp-e dispersion maps defined by 187-ch SAVP-ECG were in agreement with those by 64-ch MCG. The value of RTc dispersion in MI was higher than that in control (41 +/- 21 ms in MI versus 30 +/- 12 ms in control, P < 0.05). The value of corrected Tp-e dispersion in DCM was higher than that in control (58 +/- 12 ms in DCM versus 30 +/- 13 ms in control, P < 0.001). There was a good correlation between RTc and corrected Tp-e dispersion values determined by 187-ch SAVP-ECG and 64-ch MCG modalities (y = 0.46x + 18, r = 0.62, P = 0.02 for RTc dispersion; y = 0.52x + 15, r = 0.63, P = 0.01 for corrected Tp-e dispersion). RTc and corrected Tp-e dispersion maps by 187-ch SAVP-ECG based on vector-projection theory can evaluate the spatial distribution of myocardial repolarization heterogeneity.


Asunto(s)
Mapeo del Potencial de Superficie Corporal/métodos , Cardiomiopatía Dilatada/fisiopatología , Corazón/fisiopatología , Infarto del Miocardio/fisiopatología , Miocardio , Anciano , Femenino , Humanos , Masculino , Potenciales de la Membrana , Persona de Mediana Edad
16.
Circ J ; 72(4): 588-91, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18362430

RESUMEN

BACKGROUND: Arrhythmias following cardiovascular surgery lead to unstable hemodynamics, along with myocardial ischemia and decreased cardiac output. The purpose of the present case cohort study compared the control group with no carvedilol administered and the other group of patients given carvedilol and determined whether postoperative treatment with carvedilol, a beta-adrenergic blocker, prevents paroxysmal atrial fibrillation after coronary artery bypass grafting (CABG). METHODS AND RESULTS: Of 160 patients who underwent scheduled isolated CABG, 80 received postoperative carvedilol and 80 did not. Postoperative paroxysmal atrial fibrillation was defined as episodes of atrial fibrillation persisting for over 10 min and confirmed by 12-lead electrocardiography. The incidence of paroxysmal atrial fibrillation was significantly lower in patients given carvedilol (12/80:15%) than in those who were not (27/80:34%) (p=0.0094). Logistic regression analysis showed that only postoperative carvedilol was significantly associated with the development of postoperative atrial fibrillation (95% confidence interval, 0.169-0.832; p=0.0159). CONCLUSION: Postoperative treatment with carvedilol prevented paroxysmal atrial fibrillation after CABG.


Asunto(s)
Antagonistas Adrenérgicos beta/uso terapéutico , Fibrilación Atrial/prevención & control , Carbazoles/uso terapéutico , Puente de Arteria Coronaria , Complicaciones Posoperatorias/prevención & control , Propanolaminas/uso terapéutico , Anciano , Fibrilación Atrial/etiología , Fibrilación Atrial/fisiopatología , Carvedilol , Estudios de Casos y Controles , Estudios de Cohortes , Puente de Arteria Coronaria/efectos adversos , Estenosis Coronaria/patología , Estenosis Coronaria/cirugía , Femenino , Hemodinámica/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Factores de Tiempo
17.
J Electrocardiol ; 41(2): 123-30, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-17884079

RESUMEN

We verified the significance of 3-dimensional (3D) spectral mapping during atrial fibrillation (AFIB) using a 64-channel magnetocardiogram (MCG). The study consisted of 16 patients with valvular heart disease who had chronic AFIB. All 16 patients had surgical pulmonary vein (PV) isolation followed by valvular repair. We performed spectral mapping by fast Fourier transform analysis in nonaveraged 64-channel MCG data. The 3D spectral map was superimposed on a 3D heart polygon. At 1 year after surgical PV isolation for AFIB, followed by valve repair, 7 patients had restoration to sinus rhythm, and 9 patients remained in persistent AFIB. The preoperative mean 3D frequency of AFIB was 6.1 +/- 0.9 Hz in patients with restored sinus rhythm and 7.2 +/- 0.7 Hz in patients with sustained AFIB after PV isolation (P = .02). In addition, the preoperative 3D spectrum was distributed on the right side of the heart in patients with persistent AFIB. In conclusion, 3D spectral mapping using 64-channel MCG may represent a meaningful noninvasive strategy for patients with AFIB who receive an interventional procedure.


Asunto(s)
Fibrilación Atrial/diagnóstico , Mapeo del Potencial de Superficie Corporal/métodos , Diagnóstico por Computador/métodos , Imagenología Tridimensional/métodos , Magnetoencefalografía/métodos , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
18.
Int Heart J ; 48(6): 701-13, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18160762

RESUMEN

Noninvasive risk stratification is important for screening for lethal arrhythmia. We developed a 187-channel signal-averaged vector-projected high-resolution electrocardiograph (187-ch SAVP-ECG) for detecting abnormalities in the spatial location of ventricular high-frequency late potentials (HFLPs) and ventricular repolarization. The subjects consisted of 30 normal controls (CONTROL) and 13 patients with HFLPs (6 with myocardial infarction [MI], 6 with cardiomyopathy, and 1 with Brugada syndrome). The modified X, Y, Z-lead ECG and the synthesized signals from vector-projected 187-channel ECGs were amplified and passed through a digital filter. We calculated the integration of the HFLPs area between QRS(end) and 30 ms before QRS(end). The integrated HFLPs map was superimposed on the corrected recovery time (RTc) and Tpeak-end dispersion maps composed by 187-ch SAVP-ECG. All patients received an examination by 64-channel magnetocardiography (64-ch MCG) on the same day. The spatial distribution of HFLPs by the 187-ch SAVP-ECG map was in agreement with the location of increased RT dispersion in MI. The spatial distribution of HFLPs in DCM demonstrated a wide variety of patterns. Interestingly, the spatial distribution of HFLPs in cases with ARVC was located at around a right ventricular outflow region. The spatial distribution of HFLPs by 187-ch SAVP-ECG was in agreement with those determined by 64-ch MCG. The 187-ch SAVP-ECG might be useful for evaluating the spatial distribution of nonuniform conduction and ventricular repolarization heterogeneity.


Asunto(s)
Arritmias Cardíacas/diagnóstico , Cardiomiopatía Dilatada/fisiopatología , Electrocardiografía/métodos , Ventrículos Cardíacos/fisiopatología , Infarto del Miocardio/fisiopatología , Adulto , Anciano , Mapeo del Potencial de Superficie Corporal , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Potenciales de la Membrana , Persona de Mediana Edad , Medición de Riesgo
19.
Brain Nerve ; 59(12): 1377-81, 2007 Dec.
Artículo en Japonés | MEDLINE | ID: mdl-18095489

RESUMEN

A 75-year-old man, who had undergone coronary artery bypass graft and repair for abdominal aortic aneurysm, suffered from angina pectoris due to severe aortic valve stenosis complicated with asymptomatic bilateral cervical internal carotid artery stenoses. Brain perfusion imaging revealed reduced cerebral blood flow and cerebrovascular reactivity to acetazolamide in the bilateral cerebral hemispheres. First, the patient underwent left carotid endarterectomy, and the postoperative course was uneventful. Postoperative brain perfusion imaging showed improvement of cerebrovascular reactivity to acetazolamide in the bilateral cerebral hemispheres. Seven weeks later, the patient underwent aortic valve replacement, and his postoperative course was uneventful. Carotid endarterectomy rather than carotid artery stenting should be preceded for cervical carotid stenosis complicated with severe aortic valve stenosis.


Asunto(s)
Estenosis de la Válvula Aórtica/complicaciones , Estenosis Carotídea/cirugía , Endarterectomía Carotidea , Acetazolamida , Anciano , Estenosis de la Válvula Aórtica/cirugía , Estenosis Carotídea/diagnóstico , Prótesis Valvulares Cardíacas , Humanos , Imagen por Resonancia Magnética , Masculino
20.
Circ J ; 71(2): 207-10, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17251668

RESUMEN

BACKGROUND: A retrospective study was performed to determine the appropriateness of aortic root remodeling with aortic annuloplasty (m-Yacoub operation). METHODS AND RESULTS: A group of 60 patients with aortic valve disease with concomitant dilated or dissected ascending aorta, who underwent surgery between 1997 and 2003, were evaluated. Nineteen patients whose aortic valves were well preserved (mean age: 57.8+/-13.2 years) underwent the m-Yacoub operation with or without aortic valve leaflet suspension. The average follow-up period was 34.5+/-19.0 months. There were no operative or hospital deaths. Preoperatively, 16 patients had grade 4 aortic regurgitation (AR), 2 had grade 3 AR, and 1 had grade 1 AR. At the latest follow-up, 1 patient had grade 2 AR, 11 had grade 1, and 7 had grade 0. At 5-year follow-up the survival rate was 100+/-0.0%, and the reoperation-free rate was 82.5+/-11.3%. CONCLUSION: Where it is possible to preserve the aortic valve, the m-Yacoub operation is an attractive option.


Asunto(s)
Aorta/cirugía , Válvula Aórtica/cirugía , Procedimientos Quirúrgicos Cardíacos/métodos , Enfermedades de las Válvulas Cardíacas/cirugía , Válvulas Cardíacas/cirugía , Adulto , Anciano , Válvula Aórtica/patología , Insuficiencia de la Válvula Aórtica/mortalidad , Insuficiencia de la Válvula Aórtica/cirugía , Femenino , Estudios de Seguimiento , Enfermedades de las Válvulas Cardíacas/mortalidad , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Tasa de Supervivencia , Resultado del Tratamiento
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