8 results match your criteria: "Rochester University School of Medicine[Affiliation]"

Mobitz type II second-degree atrioventricular block: a commonly overdiagnosed and misinterpreted arrhythmia.

Front Cardiovasc Med

August 2024

Department of Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.

Article Synopsis
  • - Mobitz type II second-degree AV block is characterized by an all-or-none conduction with no changes in the PR interval, making the PR interval unchanged after the block essential for diagnosis.
  • - Diagnosis requires a steady sinus rate, as factors like vagal surges can create false readings by slowing sinus rate and achieving AV nodal block simultaneously.
  • - Correct identification is crucial, as Mobitz type II AVB originates at the His-Purkinje system and often indicates the need for a pacemaker, distinguishing it from other AV block types that can appear similar.
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Problems with the definition of type II second degree AV block are best understood by reviewing the historical aspects that include Mobitz's original description, the contributions of the Chicago Arrhythmia School and the growing importance of excluding slowing of the sinus rhythm.

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Background: Though outcome models have been proposed previously, it is unknown whether cutoffs in clinical pregnancy and live birth rates at all ages are able to classify in vitro fertilization (IVF) patients into good-, intermediate- and poor prognosis.

Methods: We here in 3 infertile patient cohorts, involving 1247, 1514 and 632 women, built logistic regression models based on 3 functional ovarian reserve (FOR) parameters, including (1) number of good quality embryos, (2) follicle stimulating hormone (FSH, mIU/mL) and (3) anti-Müllerian hormone (AMH, ng/mL), determining whether clinical pregnancy and live birth rates can discriminate between good, intermediate and poor prognosis patients.

Results: All models, indeed, allowed at all ages for separation by prognosis, though cut offs changed with age.

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Article Synopsis
  • Glucocorticoid hormones influence gene expression by binding to two types of high-affinity receptors in the brain: mineralocorticoid receptors and glucocorticoid receptors (GR), present in various neurons and potentially in glial cells.
  • An immunocytochemical study examined the expression of type II GR in different classes of glial cells from rat cerebrum and cerebellum, revealing that all types of astrocytes, oligodendrocytes, and certain glial tumor cells express GR at varying levels.
  • The study found that glial cells showed diffuse GR staining without glucocorticoids, but strong nuclear staining when exposed to dexamethasone, indicating that glial cells can effectively respond to
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