Distribution of active fiber stress at the beginning of ejection depends on left-ventricular shape.

Left-ventricular shape is an important determinant of regional wall mechanics during passive filling. To examine the influence of left-ventricular shape for the ejection phase, the distribution of active fiber stress at the beginning of ejection was calculated in a finite element study. Hereto, finite element models were constructed with varying left-ventricular shapes, ranging from an elongated ellipsoid to a sphere, but keeping the initial cavity and wall volume constant.

Non-invasive characterization of the area-at-risk using magnetic resonance imaging in chronic ischaemia.

Aims: we investigated the performance of quantitative stress perfusion magnetic resonance imaging (MRI) as a basis for identifying and characterizing the area-at-risk subtending a chronic coronary artery (CA) stenosis.

Methods And Results: pigs underwent a percutaneous copper-coated stent implantation in the circumflex CA (n = 11) or a sham operation (n = 5). After 6 weeks, angiography and MRI were performed including cine (rest, low- and high-dose dobutamine stress), dual-bolus first-pass perfusion (rest and adenosine stress), and contrast-enhanced imaging to quantify myocardial infarction (MI).

Geometric regularization for 2-D myocardial strain quantification in mice: an in-silico study.

Myocardial strain quantification in the mouse based on 2-D speckle tracking using real-time ultrasound datasets is feasible but remains challenging. The major difficulty lies in the fact that the frame rate-to-heart rate ratio is relatively low, causing significant decorrelation between subsequent frames. In this setting, regularization is therefore particularly important to discard motion estimates that are improbable.

Differential effects of progenitor cell populations on left ventricular remodeling and myocardial neovascularization after myocardial infarction.

Objectives: We compared biological repair after acute myocardial infarction (AMI) with selected porcine progenitor cell populations.

Background: Cell types and mechanisms responsible for myocardial repair after AMI remain uncertain.

Methods: In a blinded, randomized study, we infused autologous late-outgrowth endothelial progenitor cells (EPC) (n = 10, 34 +/- 22 x 10(6) CD29-31-positive, capable of tube formation), allogeneic green fluorescent peptide-labeled mesenchymal stem cells (MSC) (n = 11, 10 +/- 2 x 10(6) CD29-44-90-positive, capable of adipogenic and osteogenic differentiation), or vehicle (CON) (n = 12) in the circumflex artery 1 week after AMI.

Hyperbaric oxygen therapy for chronic refractory osteomyelitis of the sternum.

This report describes a 32-year-old woman with chronic refractory osteomyelitis of the sternum after multiple surgical procedures including a sternotomy with underlying colonic interposition that was successfully managed with hyperbaric oxygen therapy. The clinical course is reviewed, and the complexities of this diagnosis are then discussed, including a brief review of the mechanisms of management with hyperbaric oxygen therapy.

Influence of left-ventricular shape on passive filling properties and end-diastolic fiber stress and strain.

Passive filling is a major determinant for the pump performance of the left ventricle and is determined by the filling pressure and the ventricular compliance. In the quantification of the passive mechanical behaviour of the left ventricle and its compliance, focus has been mainly on fiber orientation and constitutive parameters. Although it has been shown that the left-ventricular shape plays an important role in cardiac (patho-)physiology, the dependency on left-ventricular shape has never been studied in detail.

Characterization and differentiation potential of rat ventral mesencephalic neuronal progenitor cells immortalized with SV40 large T antigen.

Neuronal progenitor cells (NPCs) possess high potential for use in regenerative medicine. To overcome their limited mitotic competence, various immortalization strategies have been applied that allow their prolonged maintenance and expansion in vitro. Such immortalized cells can be used for the design and discovery of new cell-based therapies for neurodegenerative diseases, such as Parkinson's disease.

The influence of pulmonary regurgitation on regional right ventricular function in children after surgical repair of tetralogy of Fallot.

Aims: Pulmonary regurgitation after repair of tetralogy of Fallot (TOF) results in right ventricular (RV) dysfunction with significant late morbidity and mortality. The aim was to assess the influence of pulmonary regurgitation on regional RV function.

Methods And Results: In 48 asymptomatic children (age 11.

Differential effects of lumbar and thoracic epidural anaesthesia on the haemodynamic response to acute right ventricular pressure overload.

Background: The safety of epidural anaesthesia in patients at risk for right ventricular pressure overload remains controversial. We compared the haemodynamic effects of vascular and cardiac autonomic nerve block, induced by selective lumbar (LEA) and high thoracic epidural anaesthesia (TEA), respectively, in an animal model subjected to controlled acute right ventricular pressure overload.

Methods: Eighteen pigs were instrumented with epidural catheters at the thoracic (T) and lumbar (L) level and received separate injections at T2 (1 ml) and L3 (4 ml) with saline (s) or bupivacaine 0.

Binary Au/MWCNT and ternary Au/ZnO/MWCNT nanocomposites: synthesis, characterisation and catalytic performance.

Gold nanoparticles of 10-24 and 5-8 nm in size were obtained by chemical citrate reduction and UV photoreduction, respectively, on acid-treated multiwalled carbon nanotubes (MWCNTs) and on ZnO/MWCNT composites. The shape and size of the deposited Au nanoparticles were found to be dependent upon the synthetic method used. Single-crystalline, hexagonal gold particles were produced in the case of UV photoreduction on ZnO/MWCNT, whereas spherical Au particles were deposited on MWCNT when the chemical citrate reduction method was used.

Closed-chest animal model of chronic coronary artery stenosis. Assessment with magnetic resonance imaging.

To evaluate the consequences of chronic non-occlusive coronary artery (CA) stenosis on myocardial function, perfusion and viability, we developed a closed-chest, closed-pericardium pig model, using magnetic resonance imaging (MRI) as quantitative imaging tool. Pigs underwent a percutaneous copper-coated stent implantation in the left circumflex CA (n = 19) or sham operation (n = 5). To evaluate the occurrence of myocardial infarction, cardiac troponin I (cTnI) levels were repetitively measured.

The influence of left-ventricular shape on end-diastolic fiber stress and strain.

Passive filling is a major determinant for the pump performance of the left ventricle and is determined by the filling pressure and the ventricular compliance. We quantified the influence of left-ventricular shape on the overall compliance and the distribution of passive fiber stress and strain during the filling period in normal myocardium. Hereto, fiber stress and strain were calculated in a finite element analysis during the inflation of left ventricles of different shape, ranging from an elongated ellipsoid to a sphere, but keeping the initial cavity and wall volume constant.

In vitro, in vivo and numerical assessment of the working principle of the truCCOMS continuous cardiac output catheter system.

The truCCOMS cardiac output monitor system provides a continuous and instantaneous measurement of cardiac output, derived from the amount of energy required for heating a filament to maintain a fixed 2 degrees C blood temperature difference between two thermistors located distally on a pulmonary artery catheter. Clinical studies, however, reported relatively poor accuracy of the cardiac output estimation, possibly due to linearly assumed power-cardiac output relationship used for calibration of the catheters. We experimentally studied the shape of the truCCOMS calibration relationship (i) in a hydraulic bench model of the right heart and (ii) in vivo intact animal model.

Deformation imaging describes right ventricular function better than longitudinal displacement of the tricuspid ring.

Aims: To quantify right ventricular (RV) function in patients with chronic thromboembolic pulmonary hypertension (CTEPH) before and after pulmonary endarterectomy (PEA).

Methods: Out of 33 patients, 16 were evaluated clinically and with echocardiography (conventional and myocardial deformation parameters) before PEA (preop) and at 1 week, 1 month, 3 months and 6 months after PEA. RV fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE) as well as mid-apical and basal peak ejection strain (S) and strain rate (SR) of the RV free wall were measured.

Fibroblast growth factor-2 regulates the stability of nuclear bodies.

Nuclear bodies are distinct subnuclear structures. The survival of motoneuron (SMN) gene is mutated or deleted in patients with the neurodegenerative disease spinal muscular atrophy (SMA). The gene product SMN is a marker protein for one class of nuclear bodies denoted as nuclear gems.

Mice lacking basic fibroblast growth factor showed faster sensory recovery.

Neurotrophic factors have been shown to stimulate and support peripheral nerve repair. One of these factors is basic fibroblast growth factor (FGF-2), which is up-regulated after peripheral nerve injury and influences early sciatic nerve regeneration by regulating Schwann cell proliferation. Our previous study on FGF-2 deficient mice indicated that FGF-2 is important for axonal maturation and remyelination one week after sciatic nerve crush (Jungnickel, J.

Echocardiographic assessment of left ventricular untwist rate: comparison of tissue Doppler and speckle tracking methodologies.

Aims: The study was designed to test the influence of the temporal resolution, at which tissue Doppler imaging (TDI) and speckle tracking imaging (STI) operate, on the accurate assessment of left ventricular (LV) untwist rate (UR).

Methods And Results: Echo imaging and invasive LV pressure measurements were performed during right atrial (RA) pacing and dobutamine challenge in eight pigs. LV torsion and torsional rate profiles were analysed from grey scale and tissue Doppler data (apical and basal short axis) at frame rates of 82 +/- 17 and 183 +/- 14 Hz, respectively.

Pathophysiology of renal hemodynamics and renal cortical microcirculation in a porcine model of elevated intra-abdominal pressure.

Background: Elevated intra-abdominal pressure (IAP) has been shown to impair renal perfusion and renal function. This study was designed to further investigate the effects of elevated IAP on renal venous hemodynamics and renal perfusion pressure (RPP). Another aim was to evaluate the renal cortical microcirculation by sidestream dark field (SDF) imaging in a porcine model of elevated IAP.

Fibroblast growth factor receptor-1 (FGFR1) nuclear dynamics reveal a novel mechanism in transcription control.

Nuclear FGFR1 acts as a developmental gene regulator in cooperation with FGF-2, RSK1, and CREB-binding protein (CBP). FRAP analysis revealed three nuclear FGFR1 populations: i) a fast mobile, ii) a slower mobile population reflecting chromatin-bound FGFR1, and iii) an immobile FGFR1 population associated with the nuclear matrix. Factors (cAMP, CBP) that induce FGFR1-mediated gene activation shifted FGFR1 from the nuclear matrix (immobile) to chromatin (slow) and reduced the movement rate of the chromatin-bound population.

A fast convolution-based methodology to simulate 2-D/3-D cardiac ultrasound images.

This paper describes a fast convolution-based methodology for simulating ultrasound images in a 2-D/3-D sector format as typically used in cardiac ultrasound. The conventional convolution model is based on the assumption of a space-invariant point spread function (PSF) and typically results in linear images. These characteristics are not representative for cardiac data sets.

On the calculation of principle curvatures of the left-ventricular surfaces.

A local description of the shape of the left ventricle is relevant in assessing the process of adverse ventricular remodeling, associated with most cardiac pathologies, and in monitoring reverse remodeling by therapy. To quantify local shape of the left ventricle, one can calculate the curvature of its epicardial or endocardial surface. The 3D geometry of the heart and especially the ventricles, can typically be described using finite element meshes.

Improved regional function after autologous bone marrow-derived stem cell transfer in patients with acute myocardial infarction: a randomized, double-blind strain rate imaging study.

Aims: To investigate whether intracoronary transfer of bone marrow progenitor cells (BMPCs) early after reperfusion of an acute myocardial infarction improves regional myocardial function in a randomized double-blind, placebo-controlled strain rate imaging study.

Methods And Results: Regional myocardial deformation was measured using velocity-derived strain rate imaging in 67 STEMI patients randomized 1:1 to intracoronary infusion of BMPC (n = 33) or placebo (n = 34). Myocardial segments were grouped into infarct (n = 232), border (n = 250), and remote (n = 526) based on MRI-delayed enhancement and the perfusion territory of the infarct-related vessel.

Velocity and deformation imaging for the assessment of myocardial dysfunction.

Recent developments in echocardiographic imaging technology and processing enabled the quantification of myocardial motion and deformation in a clinical setting. Echocardiographic strain (-rate) imaging provides a relatively easy way to study myocardial deformation. However, although (local) deformation is clearly linked to cardiac (dys-) function, it is important to understand how this information can be used in clinical practice and how specific deformation patterns should be interpreted.

Fibroblast growth factor 2 (FGF-2) is a novel substrate for arginine methylation by PRMT5.

Fibroblast growth factor 2 (FGF-2) is expressed in isoforms of different molecular masses from one mRNA species by alternative start of translation. The higher molecular mass isoforms (FGF-2(21) and (23)) contain an arginine-rich N-terminus organized in RG-motifs followed by the 18 kDa FGF-2 (FGF-2(18)) core which is common to all isoforms. Both isoforms localize differentially to the nucleus.

Toward understanding response to cardiac resynchronization therapy: left ventricular dyssynchrony is only one of multiple mechanisms.

Aim: To date, most published echocardiographic methods have assessed left ventricular (LV) dyssynchrony (DYS) alone as a predictor for response to cardiac resynchronization therapy (CRT). We hypothesized that the response is instead dictated by multiple correctable factors.

Methods And Results: A total of 161 patients (66 +/- 10 years, EF 24 +/- 6%, QRS > 120 ms) were investigated pre- and post-CRT (median of 6 months).