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Biomedical subjects

G Heinz

Publications and source records attributed to G Heinz.

122 records · Page 7Linked to original sources

Effects of methylmercury on approach and avoidance behavior of mallard ducklings.

Mallard ducks were fed a control diet or a diet containing 0.5 or 3 ppm mercury (as methylmercury dicyandiamide) based on the dry feed. These mercury diets are approximately equivalent to 0.1 and 0.6 ppm mercury in a natural succulent diet. I measured for the ducklings the approach behavior in response to a tape-recorded maternal call and the avoidance of a frightening stimulus. There were no significant differences among controls and ducklings from mercury-treated parents in the percentage of ducklings that approached the tape-recorded call. Control ducklings, however, moved back and forth toward the call more than ducklings from mercury-treated parents and also spent more time in the end of the runway near the loudspeaker than ducklings whose parents were fed a diet containing 0.5 ppm mercury. Compared to control ducklings, ducklings from parents fed a diet containing 0.5 or 3 ppm mercruy were hyper-responsive in the test of avoidance of a frightening stimulus. Mallard eggs collected in the wild have been found to contain levels of mercury exceeding the 1 ppm (wet-weight) found in the eggs of hens fed a diet containing 0.5 ppm, but there are no reports of mallard eggs collected in the wild that were found to contain as much mercury (6 to 9 ppm) as eggs from hens fed a diet containing 3 ppm mercury. On a dry-weight basis, the concentration of mercury in the eggs was about 6 times as great as that in the feed for ducks fed the 0.5 ppm mercury diet and about 6 to 9 times as great for ducks fed the 3 ppm mercury diet.

Analysis of Variance↗

The electrophysiology of cardiac allograft rejection: independent effects of rejection and perioperative ischemia on the sinus node recovery phenomenon after cardiac transplantation.

We characterized the effect of cardiac allograft rejection on the sinus node (SN) recovery response from overdrive suppression. A total of 54 corresponding data sets (SN recovery time [SNRT]/endomyocardial biopsy [EMB]) was available in 24 transplant recipients with normal SNRT. Data were pooled in the rejection vs the no-rejection group (n = 16 vs n = 38, respectively). During cardiac rejection (defined as a 7-day period starting 3 days prior to and lasting until 3 days after the EMB) the SNRT curves were moderately, but significantly shifted towards higher values (F = 13.4, p = .0003). All changes occurred within accepted normal limits for the SNRT. Multivariate analysis indicated independent effects of donor heart ischemic time (p = .0005) on SNRT in addition to that of rejection. After accounting for that influence of ischemic time respective F values regarding the influence of rejection on the SNRT excursions were 10.8 (ischemic time < 100 min, p = .0014) and 4.36 (ischemic time > or = 100 min, p = .039). This study shows that cardiac allograft rejection significantly delays the SN recovery response from overdrive suppression. These changes, however, are subtle and, hence, are an unlikely explanation for the often grossly abnormal postoperative SN function.

Adolescent↗

[Intravenous urapidil versus sublingual nifedipine in the treatment of hypertensive emergencies].

In a 6-month prospective study, the efficacy and safety of urapidil and nifedipine in an out-patient population with hypertensive urgencies (systolic blood pressure > 200 mmHg; diastolic blood pressure > 110 mmHg) was investigated. Response to treatment was defined as a stable reduction of systolic blood pressure below 180 mmHg and diastolic blood pressure below 100 mmHg 15 minutes after application of a single dose of either 25 mg urapidil intravenously (N = 26) or 10 mg nifedipine sublingually (N = 27). If the blood pressure was still elevated, a second dose of 10 mg nifedipine or 12.5 mg urapidil was given, and blood pressure response was evaluated 15 minutes after application of the second dose according to the aforementioned criterias. After the first application of nifedipine, 19 (70%) responders have been observed. Eight patients needed an additional 10 mg of nifedipine. In four of these patients, no reduction of blood pressure was observed after a second dose of nifedipine. In contrast, 24 (92%) patients responded well to the first application of 25 mg of urapidil. Two patients required a second dose of 12.5 mg of urapidil, but no nonresponder to urapidil was observed. No severe side-effects were noted in both groups. Intravenous urapidil is a highly effective drug in the treatment of hypertensive urgencies and is more effective than sublingual nifedipine, because the number of patients treated successfully was significantly higher.

Administration, Sublingual↗

Inducible atrial flutter and fibrillation after orthotopic heart transplantation.

Inducible atrial flutter (two patients) and fibrillation (two patients) were observed in a series of 35 heart transplant patients who underwent evaluation of sinus node function including premature atrial stimulation. The sinus node function was entirely normal in both patients with inducible atrial flutter. In contrast it was profoundly abnormal in the patients with inducible atrial fibrillation. Atrial fibrillation was no longer inducible as the sinus node function became borderline normal. These observations suggest extensive electrical atrial abnormality, including the sinus node, in patients with atrial fibrillation, and temporary pacing should be available when considering cardioversion in patients with atrial fibrillation early after heart transplantation. Atrial flutter, in contrast, may be inducible in the absence of any sinus node abnormality and without any evidence of rejection.

Adult↗

Thromboembolism associated with junctional escape rhythm and atrial standstill after orthotopic heart transplantation.

We report on thromboembolism in a heart transplant recipient with mechanical atrial standstill and spontaneous echocardiographic contrast during intermittent periods of sinus arrest and junctional escape rhythm. The temporal relationship between the conversion of atrial flutter to junctional bradycardia and two episodes of thromboembolism strongly suggest a role of the lack of atrial contraction during junctional rhythm for the development of spontaneous echocardiographic contrast and thromboembolism.

Arrhythmias, Cardiac↗