Review of intensive coronary care.

With a greater demand for cost consciousness in the health-care delivery system, it is time to review what we expect to accomplish with intensive coronary care. This paper reviews the literature on the subject, attempts to determine the nature and function of the "system," and tries to provide reasons for maintaining its existence or eliminating it altogether. The approach in this paper is objective, but not financially so.

Increased sensitivity of UV-repair-deficient human cells to DNA bound platinum products which unlike thymine dimers are not recognized by an endonuclease extracted from Micrococcus luteus.

We have studied the response of human cells in culture to cis platinum[II] diammine dichloride (cis Pt[II]) induced DNA damage. The survival data, measured as a function of cis Pt[II] dose were similar in a normal cell line (Human foetal lung) compared to a UV-sensitive, thymine dimer excision repair-deficient cell line (Xeroderma pigmentosum). However, there was a marked difference between the two cell lines when binding to DNA was plotted against dose of cis Pt[II] given for 1 h.

Esophageal deviation in four English Bulldogs.

Regurgitation, vomiting, and aspiration pneumonia in 4 young male English Bulldogs were attributed to esophageal deviation that was demonstrated by esophageal radiography. A genetic relationship among these dogs was not determined. Exploratory thoractomy, performed in 2 dogs, demonstrated an apparent compression of the esophagus by the left subclavian artery and brachiocephalic artery at the level of the 2nd and 3rd intercostal spaces.

Right ventricular enlargement in heartworm disease.

The size of the right ventricle of 15 dogs with spontaneous Dirofilaris immitis microfilaria was evaluated by thoracic radiography, electrocardiography, and right ventricular free wall weights. Based on electrocardiography and right ventricular weights, none of the 15 dogs had evidence of right ventricular hypertrophy. Based on radiography, only 2 of the 15 dogs had right ventricles of normal size.

Susceptibility of dogs with heartworm disease to hypoxia.

Dogs with Dirofilaria immitis microfilariae and early radiographic pulmonary artery changes, but without pulmonary hypertension or clinical signs of heartworm disease, were studied. An exaggerated pulmonary hypertensive response was found in these dogs if subjected to 10% inspired oxygen. The mean pulmonary artery pressure of control dogs was increased from base line (prehypoxia control) of 15.

Long term comparison of fresh arterial allografts and autografts for coronary artery bypass in dogs.

Femoral artery grafts were anastomosed end-to-end to the left internal mammary artery proximally and end-to-side to the circumflex coronary artery distally in 21 adult mongrel dogs. Fourteen dogs received allografts and seven received autografts. All autografts studied from one to 11 months were patent.

Coronary arterial anatomy of the small pony.

Ventricular weights and coronary arterial distribution and diameters were determined in 10 small adult ponies (139 +/- 32 kg). Combined ventricular weights averaged 0.52% of the body weight, with an average of 77% of the total ventricular weight being the left ventricle.

Hypoventilation in ponies after carotid body denervation.

Seven ponies were subjected to carotid body denervation (CD) and two ponies were sham operated (S). Measurement of arterial blood gases and arterial blood and cerebrospinal fluid (CSF) acid-base balance were made prior to and 1,2,4,9, and 17 wks after surgery in unanesthetized animals. Resting ventilation and ventilatory responsiveness to hypoxia and NaCN infusion were assessed prior to and 2,9, and 17 wks after surgery.

Cardiopulmonary measurements in nonanesthetized, resting normal ponies.

Cardiopulmonary measurements were determined in 19 nonanesthetized, normal ponies. Mean values for arterial pressure, pulmonary arterial pressure, cardiac output, heart rate, packed cell volume, and hemoglobin are reported, as well as acid-base determinations of arterial blood and cerebrospinal fluid. Respiratory function test data include total ventilation, respiratory rate, alveolar ventilation, oxygen uptake, and carbon dioxide output.

Activated coagulation test in normal and heparinized ponies and horses.

Activated coagulation test (ACT) was performed in 37 adult ponies and 31 adult horses. The mean ACT time of all ponies and horses was 2 minutes 38 seconds, with a standard deviation (SD) of 29 seconds. The ACT was compared with the Lee-White clotting test in heparinized ponies.

Uteroplacental blood flow during alkalosis in the sheep.

Uteroplacental blood flow was measured by the radioactive-microsphere technique in eight near-term pregnant ewes during a normal control period and during maternal metabolic alkalosis. All measurements were made on awake, unanesthetized animals. Alkalosis, defined for this study as an arterial pH of 7.

Static pulmonary compliance in ponies.

Static pulmonary and total compliance during expiration was measured in fifteen healthy anesthetized ponies. Mean body weight of the ponies was 140.6 kg and ranged from 83.

Prolonged perfusion with a membrane oxygenator in awake ponies.

Prolonged extracorporeal membrane oxygenation (PEMO) was performed in 6 adult ponies with the membrane oxygenator in vein-to-artery bypass circuit. A flow rate equal to 46 per cent of control cardiac output was diverted through the PEMO circuit of 10 to 24 hours. Three of the 6 ponies were perfused for at least 20 hours and developed no complications.

Renal clearance and excretion of endogenous substances in the small pony.

Renal clearance and excretion of endogenous substances were studied in 13 small adult ponies (152 plus or minus 93 (standard deviation (SD)) kg). Normal data of serum and urinary concentrations, clearance, and excretion of creatinine, osmolality, free water, sodium, potassium, and chloride during a 12-hour period are presented. Significant linear regressions on body weight (BW) were obtained for creatinine clearance (Ccr (ml/hr) = 127.