Objective: To determine whether a diurnal pattern exists in cardiovascular variables and motor activity, and whether pharmacologic agents that decrease (angiotensin converting enzyme inhibitor) or increase (N omega-nitro-L-arginine methyl ester [L-NAME]) blood pressure alter the pattern.
Animals: 6 clinically normal cats.
Procedure: Radiotelemetric implants were used to measure systemic arterial pressure, heart rate, and motor activity in conscious cats maintained in cages. Measurements were obtained during absence of treatment (control), treatment with dietary salt restriction plus an inhibitor of angiotensin converting enzyme (2.5 mg of lisinopril, PO, daily) and treatment with an inhibitor of nitric oxide production (0.1% L-NAME in the drinking water).
Results: A diurnal pattern in arterial pressure and motor activity was observed, with highest values obtained during presence of laboratory personnel. Mean values of arterial pressure obtained during light hours varied from those obtained during darkness (P < 0.05), but by < 3 mm of Hg. Dietary sodium restriction did not have an appreciable effect on arterial pressure, but the combined administration of a low sodium diet plus lisinopril decreased (P < 0.05) measured indices of arterial pressure. Administration of L-NAME increased arterial pressure (P < 0.05) and altered its diurnal pattern.
Conclusions: Although a diurnal pattern of arterial pressure was observed, variations were mostly associated with presence of human beings. Administration of L-NAME, but not lisinopril, altered this diurnal pattern.
Clinical Relevance: Factors that modify arterial pressure may alter the diurnal pattern of cardiovascular variables. In measuring arterial pressure in cats, the effects of human contact may artifactually increase such variables.
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Cardiol Young
January 2025
Department of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technische Universität München, Division of Congenital and Pediatric Heart Surgery, University Hospital of Munich, Ludwig-Maximilians-Universität München, Europäisches Kinderherzzentrum München, Munich, Germany.
Objective: This study aimed to evaluate veno-venous collaterals between bidirectional cavopulmonary shunt and total cavopulmonary connection.
Methods: Patients who underwent staged total cavopulmonary connection between 1995 and 2022 were reviewed. Veno-venous collaterals between bidirectional cavopulmonary shunt and total cavopulmonary connection were depicted using angiograms.
Front Neurol
January 2025
Department of Ultrasound, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, China.
Objective: Elevated intracranial pressure (ICP), a common complication in traumatic brain injuries (TBI), can lead to optic nerve sheath diameter (ONSD) enlargement and flow spectrum changes from the internal carotid artery (ICA) to middle cerebral artery (MCA). This study will investigate the use of Cervical-Cerebral Arterial Ultrasound (CCAU) for non-invasive ICP assessment and evaluating the related indices' clinical utility in TBI patients with decompressive craniotomy (DC).
Methods: ONSD and flow spectrum changes were measured within 24 h after DC in 106 patients via ultrasonic ONSD measurement and CCAU, simultaneously.
Turk J Emerg Med
January 2025
Department of Emergency Medicine, Ege University Faculty of Medicine, Izmir, Türkiye.
Objectives: The aim of this study was to evaluate the factors associated with non-invasive mechanical ventilation (NIMV) failure in acute cardiogenic pulmonary edema (ACPE) diagnosed in the emergency department.
Methods: This study was prospectively conducted at the Ege University Faculty of Medicine ED between February 19, 2021 and December 01, 2021. Patients who received NIMV with ACPE were included.
Indian J Crit Care Med
November 2024
Department of Anesthesiology Critical Care, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Background: To estimate a correlation between change in lung ultrasound aeration score (LUSS) and mortality in patients with ventilator-associated pneumonia.
Materials And Methods: We conducted a prospective observational study in which lung ultrasound, the partial pressure of arterial oxygen to fraction of inspired oxygen ratio (PaO/FiO ratio), and static lung compliance were performed for five consecutive days since the diagnosis of ventilator-associated pneumonia (day 1-5) in a 20-bed multidisciplinary intensive care unit in at a tertiary care academic institute in Northern India. A hundred and seventeen ventilated patients were studied for the first 5 days after ventilator-associated pneumonia (VAP) development.
Contemp Clin Trials Commun
April 2025
Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
Introduction: Patients with leukemia undergoing bone marrow aspiration (BMA) frequently experience considerable pain and anxiety, which may negatively impact physiological outcomes. Reflexology, a complementary therapeutic approach, has demonstrated effectiveness in reducing pain and anxiety across various medical procedures. This randomized clinical trial aimed to evaluate the impact of foot reflexology on pain, anxiety, and physiological indices in leukemia patients undergoing BMA.
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