Echocardiographic assessment of left ventricular dyssynchrony and correlation with QRS width in chronic heart failure.

Background: Echocardiographic parameters of mechanical dyssynchrony may improve patients selection for cardiac resynchronisation therapy in chronic heart failure.

Aim: This study aimed to define the prevalence of inter, intra and atrio-ventricular dyssynchrony in heart failure patients with different QRS duration and to evaluate inter and intra-observer variability in collecting different echocardiographic dyssynchony parameters.

Methods: Twenty patients with chronic heart failure of any origin, NYHA functional class II-III with LVEF < 40%, were evaluated by complete echocardiographic examination including tissue Doppler imaging (DTI) and Tissue Tracking.

[Determination of mitral valve area in patients with mitral stenosis by the flow-convergence method: clinical application].

Background: Classic echocardiographic methods to estimate mitral valve area (MVA) in the mitral stenosis (MS) has several limitations. Recently, the proximal isovelocity surface area (PISA) method has been shown to be accurate for calculating MVA.

Aims: This study sought to 1) compare the accuracy of the PISA method to planimetry and Doppler pressure half-time (PHT) methods for echocardiographic estimation of MVA and 2) to evaluate the effect of atrial fibrillation (AF) and significant mitral regurgitation (MR) on the accuracy of the PISA method.

Flexible synthesis and biological evaluation of novel 5-deoxyadenophorine analogues.

Adenophorine and its 5-deoxy analogue have been identified as natural iminosugars with efficient glycosidase inhibitory effects. The syntheses and biological evaluation of two new series of 5-deoxyadenophorine analogues in their racemic form are reported. The compounds 12e and 13d bearing a C11 and C7 alkyl chain, respectively, were found to be potent inhibitors of the beta-glucosidase from almond with Ki near to 60 microM.