Publications by authors named "Rahel Kluttig"

Dynamic parameters of preload have been widely recommended to guide fluid therapy based on the principle of fluid responsiveness and with regard to cardiac output. An equally important aspect is however to also avoid volume-overload. This accounts particularly when capillary leakage is present and volume-overload will promote impairment of microcirculatory blood flow.

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One of the leading causes of morbidity and mortality in patients with heart failure is right ventricular (RV) dysfunction, especially if it is due to pulmonary hypertension. For a better understanding and treatment of this disease, precise hemodynamic monitoring of left and right ventricular parameters is important. For this reason, it is essential to establish experimental pig models of cardiac hemodynamics and measurements for research purpose.

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Age has been identified as an independent risk factor for cardiovascular diseases. A shift of the cardiac autonomic nervous system towards an increase in sympathetic tone has been reported in the elderly. Nerve growth factor (NGF) is the main neurotrophic factor that increases the sympathetic activity of the heart.

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Article Synopsis
  • Acetylcholine (ACh) in the heart reduces pacemaker activity, contractility, and conduction speed in the atrioventricular node, while also showing anti-inflammatory and anti-apoptotic properties.
  • A study using rat models of different ages revealed that only adult cardiomyocytes (heart muscle cells) produce the enzyme choline acetyltransferase (ChAT), essential for ACh synthesis, and that this expression decreases in older cells.
  • The research also found that ACh levels are lower in older cardiomyocytes and highlighted the importance of ChAT as the primary enzyme involved in ACh production, suggesting implications for cell communication in heart tissue.
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