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Biomedical subjects

F Ohsuzu

Publications and source records attributed to F Ohsuzu.

77 records · Page 5Linked to original sources

Coronary vascular reserve and regional myocardial contractile force with special reference to myocardial metabolism.

The relations among coronary vascular reserve, regional myocardial contractile force and myocardial metabolism were investigated in anesthetized dogs under open-chest condition. The reactive hyperemia response was examined during stepwise occlusion of circumflex artery. A change in percent repayment was used as an index of the coronary vascular reserve. Contractile force was measured with strain gauge arches sutured to ischemic and nonischemic areas of the left ventricle. The nonischemic muscle contractile force (NIMCF) increased or showed no significant change with the reduction of repayment by stepwise constriction of circumflex artery. The ischemic muscle contractile force (IMCF) began to decrease markedly following reduction of repayment below 50%. NIMCF was found to be slightly decreased by the severe reduction of coronary blood flow (CBF) in ischemic region. Thus there was a low (r = 0.39) correlation between NIMCF and CBF in ischemic region. However, the correlation between IMCF and CBF in ischemic region was relatively high (r = 0.68). The arterial and coronary sinus blood samples were obtained for the determination of oxygen content, lactate and potassium concentrations. In the range of constriction without reduction of CBF, IMCF decreased significantly following reduction of repayment below 50%, but O2, lactate and potassium extraction ratios were not significantly different. Application of further constriction revealed significant reductions of CBF, stroke volume, aortic pressure, IMCF and lactate extraction ratios, and it also revealed significant elevation of O2 extraction ratio. The above observation suggests that a reduction of coronary vascular reserve might affect regional contractile force without change in CBF, and reduction of CBF could decrease regional and global left ventricular performance with changes in myocardial metabolism.

Animals↗

Assessment of left ventricular volume by an ambulatory radionuclide monitoring system during head-up tilt in patients with unexplained syncope: relation to autonomic activity assessed by heart rate variability.

BACKGROUND: Decreased left ventricular volume during head-up tilt plays an important role in triggering syncope in patients with neurally mediated syncope. However, precise changes in left ventricular volume during head-up tilt have not been well investigated. This study was conducted to test the hypothesis that the decline in left ventricular volume during tilt could trigger ventricular mechanoreceptor activation. METHODS AND RESULTS: To investigate the mechanisms of tilt-induced syncope, we measured the temporal changes in left ventricular volume, ejection fraction, cardiac output, and heart rate variability indices during head-up tilt in 25 patients with syncope of undetermined etiology. Eleven patients had a cardioinhibitory response (CI group), 7 patients showed a vasodepressor response (VD group), and 7 patients demonstrated a negative response (NG group). Before syncope, ejection fraction increased most in the CI group, the left ventricular end-diastolic volume declined most in the VD group (VD group, -11.0% +/- 3.3%; CI group, -2.8% +/- 4.8%; NG group, -3.4% +/- 2.2%; P <.005), and the high-frequency spectra increased most in the CI group (CI group, 25.0% +/- 21.0%; VD group, -4.1% +/- 11.7%; NG group, -5.3% +/- 12.7%; P <.01). The vasodepressor response was dependent on left ventricular volume, whereas the cardioinhibitory response was related to the vagal activity reflected by high-frequency spectra. CONCLUSIONS: The precise evaluation of left ventricular volume by an ambulatory radionuclide monitoring system combined with a heart rate variability analysis is considered useful for clarifying the pathophysiology of neurally mediated syncope.

Adult↗

Salivary production rates fall with age in subjects having anti-centromere, anti-Ro, and/or anti-La antibodies.

OBJECTIVES: To clarify the relationship between a subject's sicca-associated autoantibodies type and changes in salivary production rate (SPR) with age in subjects having any of these antibodies. METHODS: One hundred and eighty-five subjects (female:male = 178:7), who had at least one of the three autoantibodies, anti-centromere (ACA), anti-Ro (SSA), and/or anti-La (SSB), and 65 healthy females were enrolled. The Saxon test was used to measure SPR. RESULTS: SPRs in the seven male subjects were significantly higher than those in the 178 females tested. Therefore, only female subjects were used for the following analyses. Subjects were classified into substantially four groups according to their seropositivities for ACA, anti-Ro, and/or anti-La: group A, subjects having ACA alone; group B, subjects having anti-Ro alone; group E, subjects having anti-Ro and anti-La; group DFG, subjects having ACA with anti-Ro and/or anti-La. The frequency of Sjögren's syndrome (SS) was 74.0-94.1% in these groups. SPR did not decrease with age in normal female controls. By contrast, SPR decreased significantly with age in the groups having sicca-associated antibodies. The degree of SPR decrease compared between groups was: group A group [symbol: see text] B > group E [symbol: see text] group DFG. In the analysis of the subgroup having any of the sicca-associated antibodies but not fulfilling the classification criteria of SS, SPR also decreased with age. CONCLUSION: SPR in subjects having any of the sicca-associated antibodies (ACA, anti-Ro, or anti-La) decreased with age.

Aging↗

Imaging techniques for measuring adipose-tissue distribution in the abdomen: a comparison between computed tomography and 1.5-tesla magnetic resonance spin-echo imaging.

Eight subjects were examined both by abdominal X-ray computed transverse axial tomography (CT) and magnetic resonance imaging (MRI) (SE) (TR/TE, 200 ms/15 ms); another eight volunteers were subjected to three MRI scans to test the reliability of repeated measures. Correlations between fat area measures obtained by CT and by MRI for subcutaneous fat, total fat, and visceral vs. subcutaneous-fat ratio were highly significant (r = 0.93, 0.91, and 0.94, respectively; p < 0.01), and the standard errors of estimation were 9.99, 23.87, and 0.0047. The average errors of the method for different fat areas were 2.20 cm2 (intra-examination variance) and 3.75 cm2 (inter-examination variance) for visceral and 0.82 cm2 (intra-examination variance) and 1.29 cm2 (inter-examination variance) for subcutaneous fat areas, respectively. These results suggest that SE MRI is a practical approach to evaluate body fat distribution without the exposure to radiation. The reproducibility of SE MRI for the determination of fat areas is high; variation is small and acceptable. However, it is difficult to determine which estimate of fat area should be accepted when there is a discrepancy between MRI and CT measures.

Adipose Tissue↗