Can Leukocyte Telomere Length Predict Survival Time in Heart Transplant Recipients over a Minimal Follow-Up of 20 years?

In humans, leukocyte telomere length (LTL) reduces with age and is reported to be inversely associated with ageing-related diseases. We measured LTL in leukocyte DNA using a quantitative PCR-based method from 127 blood samples of heart recipients (107 males, 20 females, age 44.1 ± 10.5), followed for up to 30 years. Patients with coronary artery disease survived for a shorter time and also had shorter LTL (both P < 0.05 after adjustment for age and sex) than subjects with dilated cardiomyopathy. Patients with non-cardiac causes of death had shorter LTL than patients with cardiac causes (P < 0.05 after adjustment for age). An inverse correlation between LTL and age (P < 0.03) was observed in patients with non-cardiac causes of death only. Most importantly, LTL was not associated with general survival time in patients after heart transplantation. However, shorter LTL was a marker of non-cardiac causes of death. Different LTLs and survival times were determined in association with aetiology of heart failure (HF).

Biventricular pacing in the early postoperative period after cardiac surgery.

Cardiac resynchronization therapy is not commonly used in the early postoperative period in patients undergoing cardiac surgery who have left ventricular (LV) dysfunction and a history of heart failure. We performed a prospective randomized clinical trial to compare atrial synchronous right ventricular (DDD RV) and biventricular (DDD BIV) pacing within 72 hours after cardiac surgery in patients with an EF ≤35 %, a QRS interval longer than 120 msec and who had LV dyssynchrony detected by real-time three-dimensional echocardiography (RT3DE). Epicardial pacing was provided by a modified Medtronic INSYNC III pacemaker. An LV epicardial pacing lead was implanted on the latest activated segment of the LV based on RT3DE. The study included 18 patients with ischemic heart disease, with or without valvular heart disease (14 men, 4 women, average age 71 years). Patients undergoing DDD BIV pacing had a statistically significant greater CO and CI (CO 6.7±1.8 l/min, CI 3.4±0.7 l/min/m(2)) than patients undergoing DDD RV pacing (CO 5.5±1.4 l/min, CI 2.8±0.7 l/min/m(2)), p<0.001. DDD BIV pacing in the early postoperative period after cardiac surgery corrects LV dyssynchrony and has better hemodynamic results than DDD RV pacing.

A new approach to automated assessment of fractionation of endocardial electrograms during atrial fibrillation.

Complex fractionated atrial electrograms (CFAEs) may represent the electrophysiological substrate for atrial fibrillation (AF). Progress in signal processing algorithms to identify sites of CFAEs is crucial for the development of AF ablation strategies. A novel algorithm for automated description of fractionation of atrial electrograms (A-EGMs) based on the wavelet transform has been proposed. The algorithm was developed and validated using a representative set of 1.5 s A-EGM (n = 113) ranked by three experts into four categories: 1-organized atrial activity; 2-mild; 3-intermediate; 4-high degree of fractionation. A tight relationship between a fractionation index and expert classification of A-EGMs (Spearman correlation rho = 0.87) was documented with a sensitivity of 82% and specificity of 90% for the identification of highly fractionated A-EGMs. This operator-independent description of A-EGM complexity may be easily incorporated into mapping systems to facilitate CFAE identification and to guide AF substrate ablation.

Coincidence of idiopathic ventricular outflow tract tachycardia and atrioventricular nodal reentrant tachycardia.

BACKGROUND: Tachycardia-induced tachycardia appears to be a relatively rare condition. In such cases an important question arises whether catheter ablation of one arrhythmia may prevent the occurrence of another. This paper reviews single-centre experience with coincident idiopathic outflow tract ventricular tachycardia (VT) and atrioventricular (AV) nodal reentry tachycardia (AVNRT), and strategy of treatment. METHODS AND RESULTS: Seven of 46 patients (15%) with clinically documented idiopathic outflow tract VT were found to have reproducibly inducible AVNRT at the time of an electrophysiological study. There were two men and five women (mean age 35+/-9 years, range 20-44) without structural heart disease. During the study, AVNRT spontaneously triggered VT in three cases. Radiofrequency catheter ablation of the slow pathway did not suppress subsequent inducibility of VT in any of them. Successful catheter ablation of VT did not prevent clinical recurrence of AVNRT in one patient, and led to transition of VT into typical AVNRT in another. CONCLUSION: Coincidence of idiopathic outflow tract VT and AVNRT was found in 15% of cases of clinically documented idiopathic VT. Catheter ablation of one arrhythmia substrate did not prevent inducibility or clinical recurrence of the other. These data support the strategy of performing catheter ablation of both arrhythmia substrates during one session.

Radiofrequency catheter ablation of postinfarction ventricular tachycardia from the proximal coronary sinus.

Optimum strategy for radiofrequency (RF) catheter ablation of ventricular tachycardia (VT) after inferior wall myocardial infarction (MI) that originates from the posteroseptal process of the left ventricle is not known. We describe a case report of a 57-year-old man who developed recurrent post-MI VT with ECG morphology consistent with this type of VT (i.e., left bundle branch block pattern with predominant R waves from V2 to V6 and left-axis deviation). Endocardial mapping and entrainment during VT demonstrated a critical isthmus of the reentrant circuit in the proximal coronary sinus. RF application terminated VT and rendered it noninducible.

Does angiotensin-converting enzyme polymorphism influence the clinical manifestation and progression of heart failure in patients with dilated cardiomyopathy?

To evaluate the role of angiotensin-converting enzyme (ACE) polymorphism on the development of end-stage dilated cardiomyopathy, the ACE gene polymorphism of 90 patients after heart transplantation because of this disease was compared with the population sample. No difference in gene frequencies was found, but when compared with the population sample there were fewer ID heterozygotes detected; no significant influence of ACE polymorphism on the course of the disease before transplantation was found.

[Myocarditis and endomyocardial biopsy]. / Myokarditida a endomyokardiální biopsie.

In a group of endomyocardial biopsies (EMB), performed in 45 patients with the clinical diagnosis of suspect myocarditis or dilated cardiomyopathy, positive findings (including histologically suspect lesions) were made in 53.3% of first EMB. Myocarditis, particularly its focal or multifocal forms, is bound to pose a major challenge not only in clinical diagnosis but, often, also in histological diagnosis. Of paramount importance in this situation are 1) early specimen removal after the onset of clinical manifestations and before initiation of the appropriate therapy, 2) removal of a major number of specimens in a single EMB because of the potential of focal lesions.

The effect of magnesium ions on the vesicular-arbuscular mycorrhizal infection of maize roots.

The effect of magnesium sulphate on the colonization of maize roots by a vesicular-arbuscular mycorrhizal fungus was studied in hydroponic culture. Increased concentration of MgSO4 in the nutrient solution caused an increase in the percentage of root length infected. The highest infection levels were found when nutrient solutions contained 5 84-11.68 mmol 1-1 of MgSO4 . Root colonization was stimulated by the increased concentration of magnesium but not calcium or potassium ions in the nutrient solution. No significant difference occurred in the percentage of root length infected when magnesium chloride was replaced by magnesium sulphate. A broad range of magnesium sulphate concentrations did not cause significant differences in plant biomass. The stimulation of root colonization by magnesium cannot be explained by changes in pH or osmotic pressure of the nutrient solution.

[Pseudoaneurysm of the heart. Report on 4 patients]. / Pseudoaneurysma srdecní. Popis 4 nemocných.

A cardiac pseudoaneurysm (PA) is a rare complication of myocardial infarction. It may occur isolated, after cardiosurgery or after an accident. Echocardiography is of fundamental importance in its diagnosis. Coronarography provides important data on the state of the coronary arteries which is essential for planning further, in particular surgical treatment of the condition. The authors describe from four patients with PA.

Control of microorganisms in the rhizosphere of wheat by inoculation of seeds with Pseudomonas putida and by foliar application of urea.

After inoculation of wheat seeds with various bacterial strains germination of plants was usually inhibited at first but growth was stimulated later. After inoculation with Pseudomonas putida K 11 producing physiologically active compounds the total number of bacteria increased together with the bacteria: fungi ratio in the rhizosphere. These characteristic were further increased after foliar application of urea due to increased root exudation. Dry mass of upper wheat parts was about 14--80% higher in green-house experiments, in which the plants were treated in the two above ways. More reliable results were usually obtained by bacterization of P. putida and foliar application of urea as compared with the situation when the seeds were inoculated without the foliar application or, on the contrary, after foliar application without inoculation of the seeds. Only when urea was applied early and ain a soil contaminated with the fungus Gaeumannomyces graminis var. tritici (causing "take-all" of the wheat) no favourable results could be detected. In these cases the foliar application without inoculation of the seeds was more successful. Symptoms of the disease of wheat roots caused by G. graminis were less frequently observed after the inoculation of the seeds with the strain P. putida K 11 and after the foliar application of urea.

Volatile and gaseous metabolites released by germinating seeds of lentil and maize cultivars with different susceptibilities to fusariosis and smut.

The effect of volatile and gaseous metabolites released by germinating seeds of lentil cultivars more and less susceptible to fusariosis on the germination of spores of Mucor racemosus, Trichoderma viride, Verticillium dahliae and Botrytis cinerea was found to depend rather on the fungal genus than on the lentil cultivar. However, spores of Fusarium oxysporum reacted more sensitively during germination to the presence of exudates of both cultivars, when the more susceptible lentil displayed a stimulation, the less susceptible one an inhibition of spore germination. The greatest difference in the effect of exudates was observed in the more and less susceptible maize cultivars with respect to the germination of chlamydospores of Ustilago maydis, especially during the first hours of seed germination. Analysis of the exudates of germinating seeds showed the release of a greater amount of ethanol and methanol with acetaldehyde by the more susceptible cultivars of lentil and particularly maize.

Rhizosphere microflora and colonization of wheat roots by Gaeumannomyces graminis var. tritici after foliar application of urea and benomyl.

The effect of foliar application of 2% urea and 0.6% benomyl on changes in colonization of the rhizosphere by microorganisms and of roots by the fungus Gaeumannomyces graminis (Sacc.) Arx et Olivier var. tritici Walker was followed in vegetation glass-house experiments. Treatment with a urea solution resulted in increased counts of bacteria (82%), Pseudomonas fluorescens (46%), Agrobacterium sp. (31%) and antagonistic bacteria with respect to the used fungus isolate and in a decreased occurrence of micromycetes (63%). Treatment of wheat with a benomyl solution resulted in an increased count of bacteria (43%) and a decreased occurrence of P. fluorescens (16%), Agrobacterium sp. (50%) and fungi (67%). After treatment with both compounds the infection of roots by G. graminis considerably decreased as compared with untreated plants. The results are discussed from the point of view of the effect of application of the studied compounds to upper parts of wheat on the microflora colonizing its roots.

Fluorescent pseudomonads in the rhizosphere of plants and their relation to root exudates.

Fluorescent pseudomonads were present in chernozem soil not influenced by plant roots (10(3)-10(4) per g dry soil) in the rhizosphere soil of various plants (10(4)-10(5) per g soil) and on roots (10(3) to 10(7) per g fresh roots), depending on the species and age of the plant. Relative species representation of fluorescent pseudomonads changed on the roots and in the plant rhizosphere as compared with free soil. Pseudomonas fluorescens, representing 60-93% of the population of fluorescent pseudomonads predominated on the roots of all plants investigated. Somewhat different results were obtained in rhizosphere soil. Relatively higher numbers of P. fluorescens were detected in the rhizosphere soil of cucumber and maize, numbers in the rhizosphere soil of wheat were practically the same as in free soil and higher numbers of P. putida were found in the rhizosphere soil of barley. Almost all components contained in the root exudates of the plants studied, including beta-pyrazolylalanine from the root exudates of cucumbers were utilized as carbon and energy sources. Root exudates of wheat and maize were utilized by the strain P. putida K2 with an efficiency of 73-91%, depending on species and age of the plant.

Microorganisms in the rhizosphere of wheat colonized by the fungus Gaeumannomyces graminis var. tritici.

The population of microorganisms in wheat rhizosphere changed in the presence of the fungus Gaeumannomyces graminis var. tritici causing the take-all of wheat. In the majority of cases when the soil was artificially contaminated by the fungus, both the number of bacteria in the rhizosphere and the bacteria/fungi ratio temporarily increased. At the beginning bacteria growing in the presence of NH4+ predominated, later bacteria utilizing organic N-substances prevailed. Pseudomonas fluorescens and the related species colonized the rhizosphere and the soil to a greater extent in the presence of G. graminis. The wheat rhizosphere with G. graminis was found to contain a higher level of the slime-producing bacterium Agrobacterium spp.; this microorganism occurred on hyphal surfaces (in hyphosphere) of both G. graminis growing in soil and Mucor spp. Changes in microbial populations in the wheat rhizosphere during the first stage of colonization by G. graminis can be partly explained by a simultaneous rhizosphere colonization by microorganisms which accompany this fungus in soil. In the period of increase in the number of bacteria in rhizosphere a temporary stimulation of wheat growth was observed.

Effect of bacterial polysaccharides on the growth of Gaeumannomyces graminis var. tritici and wheat roots.

Agrobacterium sp. and related species which in the soil and in the rhizosphere of wheat accompany the fungus Gaemannomyces graminis var. tritici and cause take-all of the wheat roots produced polysaccharides in pure cultures (glucans, mannoglucans and galactomannoglucans). These polysaccharides were utilized better by the mycelium of G. graminis than glucose and polysaccharides of plant origin that occurred on the surface of wheat roots (the so-called mucigel). At lower concentrations these bacterial polysaccharides stimulated growth of wheat roots, higher concentrations (more than 0.1%) were inhibitory. Bacteria inoculated on the surface of wheat first inhibited and then stimulated the development of the plants and their growth. Changes in the growth rate of wheat, the rhizosphere of which was colonized by bacteria simultaneously with the fungus G. graminis and also some changes in the course of the disease of wheat roots caused by the fungus can be explained by the inhibitory or stimulatory effect of polysaccharides of accompanying bacteria.

The effect of volatile and gaseous metabolites of swelling seeds on germination of fungal spores.

Effects of volatile and gaseous metabolites of swelling seeds of pea, bean, wheat, corn cucumber, tomato, lentil, carrot, red papper and lettuce on germination of spores of five genera of fungi were found to depend rather on the fungal than on the plant genus. Germination of spores of Botrytis cinerea, Mucor racemosus and Trichoderma viride was most severely inhibited. Spores of Verticillium dahliae were less sensitive and germination of spores of Fusarium oxysporum was inhibited only in two cases. On the other hand, exudates of pea and bean stimulated germination of spores of Fusarium oxysporum. Also spores of Trichoderma viride germinated better in an atmosphere enriched with exuded metabolites of swelling lettuce seeds. When carbon dioxide produced by the swelling seeds was absorbed in potassium hydroxide, spores of Trichoderma viride and Verticillium dahliae did not germinate at all, the inhibitory effects of volatile and gaseous exudates on germination of spores of Mucor racemosus were accentuated, and also the percentage of germinated spores of Fusarium oxysporum decreased. Germination of spores of Botrytis cinerea was not influenced. Absorption of volatile and gaseous metabolites in a solution of potassium permanganate decreased in most cases their inhibitory effects, particularly in Botrytis cinerea.