Unclassified connective tissue disease presenting as cardiac tamponade: a case report.

This report describes a case of cardiac tamponade as the initial manifestation of unclassified connective tissue disease (UCTD). A 68-year-old Japanese woman was admitted to hospital because of dyspnea and edema. She had undergone a radical left mastectomy for the treatment of breast cancer 18 years before.

Increases in intracellular calcium of arterial smooth muscle cells in transgenic mice overexpressing Na+/H+ exchanger.

We produced transgenic mice overexpressing Na+/ H+ exchanger as a model of salt-sensitive hypertension and reported that dietary salt loading elevates blood pressure in these transgenic mice. We speculate that this blood pressure elevation may be attributed to the elevation of intraarterial smooth muscle Ca2+ concentration through Na+/Ca2+ exchange. To test this hypothesis, we measured the isometric tension of aortic rings and intracellular free calcium ([Ca2+]i) of cultured smooth muscle cells.

Dietary salt loading increases nitric oxide synthesis in transgenic mice overexpressing sodium-proton exchanger.

We studied the role of nitric oxide (NO) synthesis in amelioration of blood pressure elevation during dietary salt loading in transgenic mice overexpressing sodium proton exchanger. Systolic blood pressure rose after starting salt loading only in the high-salt group of transgenic mice. However, this elevation of blood pressure was not continued.

[Transient mitral regurgitation induced by vagal stimulation in rabbits: a Doppler echocardiographic study].

Cervical vagal stimulation in rabbits frequently causes systolic murmur with bigeminy due to premature ventricular contractions. The bigeminy disappears in a few minutes, but the systolic murmur persists for a few days. The present study used Doppler echocardiography to examine whether or not this systolic murmur is due to mitral regurgitation.

Remission of hypertension: retrospective observations over a period of 20 years.

To clarify the background and outcome of hypertensive patients who have remission of their elevated blood pressure (BP) after a course of antihypertensive drug therapy, we designed a retrospective observational study. The clinical records of 106 hypertensive men and women (BP, 164.3/104.

[Trends in the prescriptions for antihypertensive drugs in elderly patients].

We compared trends in the prescription of antihypertensive drugs in elderly patients with those in middle-aged patients. We analyzed prescriptions given to 141 patients with hypertension who were 65 years old or older (mean age, 73 years) and to 511 patients with hypertension who were 64 years old or younger (mean age, 59 years). The numbers of drugs prescribed did not differ between the elderly and the non-elderly patients.

[QRS axis shift in deep breathing].

We examined changes in mean QRS axis of electrocardiogram during the deep breathing test in outpatients with hypertension, ischemic heart disease, and/or diabetes mellitus. The mean age of all patients (n = 596; male 327, female 269) was 63.0 years (male 62.

Increase in erythrocyte volume in patients with chronic atrial fibrillation.

Non-anemic macrocytosis is occasionally observed in patients with a history of alcoholism or chronic liver disease. Recently we reported that patients with atrial fibrillation (AF) had larger erythrocytes than normal subjects. In the present study, we examined the temporal changes in hematologic measurements during the development of AF in 88 male patients (chronic AF: 49, paroxysmal AF: 39), and compared alcohol intake among the groups.

[Experimental study on the pathogenesis of mitral annular calcification: calcium deposits in mitral complex lesions induced by vagal stimulation in rabbits].

Cervical vagal stimulation in rabbits frequently causes peculiar mitral complex lesions which are detected by deposition of colloidal carbon. The present study examined the effects of vagal stimulation on the calcium (Ca) contents in the mitral complex lesions. Anesthetized rabbits were forced into the supine position with electrocardiographic monitoring.

[Experimental production of tricuspid valve and papillary muscle lesions by premature ventricular contractions due to ventricular stimulation in rabbits].

Ventricular bigeminy or trigeminy can spontaneously occur in anesthetized rabbits forced into the supine position. Premature ventricular contractions (PVCs) of this type are characterized by a long coupling time and superimposition of the following P waves. Rabbits with PVCs of this type frequently develop peculiar mitral complex lesions which are detected by deposition of colloidal carbon.