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Biomedical subjects

G Bianchi

Publications and source records attributed to G Bianchi.

At least 523 records · Page 29Linked to original sources

[Aortic sinus aneurysm. The angiographic diagnosis (author's transl)].

Three cases of aortic sinus aneurysm and three cases of prolapse and regurgitation of the aortic valve associated with ventricular septal defect are discussed from an angiographic point of view. It is pointed out that aortic regurgitation into the left ventricle might be helpful for a correct diagnosis. Aortic regurgitation, in fact, is the result of an anatomically unsupported aortic valve that becomes gradually distorted by haemodynamic influences. This pathogenetic mechanism is often found in subpulmonar and infracrestal ventricular septal defect.

Adult↗

Changes in renin, water balance, and sodium balance during development of high blood pressure in genetically hypertensive rats.

In genetically hypertensive rats of the Milan hypertensive strain (MHS) and normotensive rats (NR) developed from the same Wistar stock colony, blood pressure (BP), plasma renin activity (PRA), sodium balance, and water balance were measured from the time of weaning to the seventh week postweaning in three separate but essentially identical experiments. In a fourth experiment, total and extracellular water, total sodium, and exchangeable sodium were measured in MHS and NR at 24 and 130 days of age. Although the time course of changes varied slightly between experiments, BP of both NR and MHS rose until the second and third weeks postweaning, at which time BP in MHS was 40 to 50 mm Hg higher than in NR. PRA in MHS was one-half that of NR at weaning. Increasing BP was accompanied by falling PRA in both, and PRA was not significantly different when stable, adult blood pressure was reached. Urinary volume in MHS was 50% to 100% greater (P less than 0.001) than in NR at weaning and for a few days after. Sodium was retained to a greater extent by MHS during the period when the blood pressure difference develops, from weaning to the fourth week postweaning. This sodium retention (MHS = 97.0 plus or minus 10.3, NR = 65.2 plus or minus 6.8 SE mu-Eq Na retained/g body weight gain; P less than 0.005) is the result of significantly lower urinary excretion of dietary sodium by MHS. A causative role for the kidney is suggested in the established of high blood pressure in MHS.

Aging↗

Urinary kallikrein excretion in a spontaneously hypertensive strain of rats.

Concentration and 24-hr excretion of urinary kallikrein in spontaneous hypertensive Wistar strain rats of both sexes obtained by selected inbreeding (25th generation) are significantly decreased as compared with the excretion in normotensive inbred rats (24th generation) descending from common ancestors. Apparently in these hypertensive rats there is an abnormal capacity of the kidneys to produce or release kallikrein, but more studies will be necessary to correlate this findings with blood pressure increase.

Animals↗

[Isolated tricuspid insufficiency of traumatic type. Report of a case and revision of the literature (author's transl)].

A case of isolated tricuspid insufficiency is reported. The lesion, that at surgery resulted to be an anterior valve leaflet detachment, was well tolerated for a long time. After 23 years from the trauma the patient was successfully treated by surgical correction. The clinical features, compared to the 33 cases reported in the literature, demonstrated that the clinical course was more dramatic in patients with papillary muscle rupture than in those where the lesion was located on the chordae tendineae and/or the valves. The physical findings are characteristic but not specific of the traumatic type of tricuspidal insufficiency. However, when these symptoms are found in a patient where a trauma has previously occurred, the correct diagnosis should consider this possibility. The ECG usually shows incomplete bundle branch block, and the chest roentgenogram reveals cardiomegaly. Furthermore, the blood pressure levels in the right chambers are nearly normal. Surgery is often indicated and seems to give very good results. Our patient markedly improved after surgical treatment. Electrocardiographic and vectorcardiographic evidence of right atrial and ventricular hypertrophy was reduced as well as the roentgenographic pattern.

Adult↗