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J Vogt

Publications and source records attributed to J Vogt.

At least 145 records · Page 8Linked to original sources

Glucose effects on memory: behavioral and pharmacological characteristics.

Recent findings indicate that post-training glucose injections can modulate memory storage for inhibitory (passive) avoidance training. Experiment I extended these findings to determine whether glucose, like other memory modulating treatments, enhances memory storage when administered after training with low footshock and impairs memory storage after high footshock training. In Experiment I, male Sprague-Dawley rats were trained in a one-trial inhibitory avoidance task using either a brief footshock (0.5 mA, 0.7 s) or slightly more intense footshock kept on until escape (0.7 mA, mean escape latency = 3.4 s). Immediately after training, each rat received a subcutaneous injection of glucose (100 mg/kg). When tested for retention performance 24 h later, the glucose-injected animals exhibited enhanced retention performance for low footshock training and impaired retention for high footshock training. Experiment II determined whether pretreatment with adrenergic antagonists blocked the effects of glucose on memory. Pretreatment with the alpha- or beta-adrenergic receptor antagonists, phenoxybenzamine, or propranolol, respectively, had no effect on acquisition or retention in animals trained with the brief footshock and did not affect glucose facilitation of that memory. In animals trained to escape footshock, phenoxybenzamine did not attenuate the amnesia produced by glucose. Propranolol-pretreated animals had impaired retention whether or not they received post-training amnestic injections of glucose; glucose had no effect on retention in these amnestic animals. These findings add further support to the view that glucose release after training and treatment may represent a physiological response subsequent to epinephrine release in modulating memory storage processing.

Animals↗

Haemodynamic and echocardiographic findings after aortoventriculoplasty.

Aortoventriculoplasty (AVP) is an established operative procedure for the enlargement of different types of severe left ventricular outflow tract obstruction. Between 1974 and 1985 75 aortoventriculoplasties were carried out in 72 patients ranging from 5 to 34 years of age. Three patients had to be reoperated upon due to significant right ventricular outflow tract obstruction, outgrown prosthesis, and dissecting aortic aneurysm. There were 7 early deaths (mortality rate 9.3%) and one late death (1.3%) following AVP. Out of the last 55 patients only 2 died (3.6%). In contrast to the unsatisfactory haemodynamic results of previous conventional operations. AVP reduced the mean residual gradient at rest across the left ventricular outflow tract from 84 +/- 23 mmHg (range 50-160 mmHg) to 12 +/- 12 mmHg (range 0-65 mmHg). Except in 2 patients, no gradient increased more than 15 mmHg with isoproterenol. In the cross-sectional echocardiogram, the left ventricular outflow tract was enlarged from 1.9 +/- 0.42 to 3.1 +/- 0.39 cm after AVP, whereas the aortic annulus had been expanded from 2.4 +/- 0.36 to 3.2 +/- 0.35 cm (n = 17). The mean length of the inner patch covering the septal incision measured 2.1 cm +/- 0.4 cm (n = 37). Our recatheterization studies after AVP revealed equally good haemodynamic results in all types of left ventricular outflow tract obstruction which cannot be relieved by conventional surgery.

Adolescent↗

[Acute and long-term effects of captopril in resistance-induced pulmonary hypertension in childhood and adolescence].

7 children and adolescents with pulmonary hypertension were examined with regard to the effect of Captopril as well on the pressure in the pulmonary artery and in the right ventricle as on the resistance in the systemic and pulmonary circulation and on the cardiac output. After initial application of Captopril 0.2 mg/kg body weight distinct oscillations of the data were measured, but with the exception of a small decrease of the mean pulmonary artery pressure (-8.5%) no determinable change was noticed. A decrease of the pulmonary artery resistance (-17%), the mean pulmonary artery pressure (-10%) and the right ventricular pressure (-3%) was found under continuous application of Captopril 0.3 mg/kg body weight daily for a period of 7 months. The cardiac output increased (+16%) and the systemic resistance decreased (-16%). The changes of data were not statistically significant. Captopril did not have a reliable therapeutic effect on the pressure and resistance in the pulmonary circulation in children and adolescents with pulmonary hypertension.

Administration, Oral↗

The preoperative and postoperative findings in 627 patients with tetralogy of Fallot.

The preoperative and postoperative findings in 627 patients operated for correction of tetralogy of Fallot (TOF) in the period 1960 to 1984 were analyzed in order to evaluate the clinical and hemodynamic late results. The average age was 7.2 years (range 9 months to 30 years). The patients were divided into 4 groups in order to determine the long-term prognosis in relation to the severity of the underlying anatomy; group I = without outflow tract patch; group II = with a patch up to the valve base; group III = with a transannular patch (TAP); group IV = TAP or valved conduit in patients with pulmonary atresia. Preceding shunt operations had been performed in 350 patients (55.8%); a primary correction was carried out in 277 cases (44.1%). Hospital mortality for all patients operated from 1960 to 1984 was 14.0%, late mortality, by contrast, was only 1.1%. In the last 4 years (1980 to 1983), the overall mortality considerably decreased to 3.4% (n = 29) for patients without TAP and to 8.0% for all operated patients including those with pulmonary atresia (n = 50). A comparison of the actuarial survival curves, moreover, demonstrates that the prognostic survival rate is unequivocally dependent on the severity of the anatomy of a TOF. The hemodynamic results obtained from 271 recatheterized patients from all 4 groups were designated excellent in 106 patients (39.1%), good in 100 (39.9%) and poor in 65 (23.9%). Proximal residual gradients across the right ventricular outflow tract (RVOT) were found in 30.2% of the corrected patients, and distal gradients in 24.3%. Fifty-two patients out of the 627 (8.2%) had to be reoperated for residual VSD, RVOT aneurysm, valvular pulmonary stenosis or peripheral stenosis. Intracardial electrophysiological tests carried out in 166 patients postoperatively showed an antegrade effective refractory period of the AV-node lasting over 400 ms in 47 patients (28.3%), as well as additional ventricular action potentials in 117 patients (70.4%), which could be correlated to extrasystoles or ventricular tachycardia in 37.9% of the cases. Additional AV-pathways were disclosed in 3 patients.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

Qualitative and quantitative evaluation of supravalvar aortic stenosis by cross-sectional echocardiography. A report of 80 patients.

Cross-sectional and concurrent M-mode echocardiograms of the left ventricular outflow tract and the ascending aorta were performed in 80 patients with supravalvar aortic stenosis (SVAS) selected from a total of 178 patients in whom the diagnosis had been established earlier by cardiac catheterization and angiocardiography. Visualization of the area of obstruction was possible in 77 patients using the cross-sectional system. In 34 cases recatheterization and angiocardiography of the left heart were carried out. To quantitate the severity of obstruction we used the pressure difference across the stenosis and the ratio of the cross-sectional areas at the level of the aortic annulus and of maximal supravalve stenosis. These cross-sectional areas were estimated from values for aortic diameter derived from scans in the long axis of the aorta, assuming the cross-sections to be circular. There was a good correlation between the ratios calculated from the echocardiogram and those calculated from the angiocardiogram (r = 0.894, n = 34, 0.747 less than p greater than 0.938). There was also a good correlation between the ratio of the surface areas calculated from the echocardiogram and the corresponding measured pressure differences (r = 0.932, n = .36, 0.878 less than p greater than 0.973). This study shows that cross-sectional echocardiography may be useful for estimating the severity of obstruction in SVAS.

Adolescent↗

[Not Available].

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Death↗

Surgical treatment of various types of left ventricular outflow tract stenosis by aortoventriculoplasty--clinical results.

Since 1974 the new concept of aortoventriculoplasty (AVP) has been applied clinically in Göttingen. Out of 1,112 patients with various types of congenital aortic stenosis 502 patients have undergone commissurotomy, resection of a subvalvular ring, myotomy and supravalvular patch plasty. Fifty-seven patients were treated by AVP, in only 11 patients was AVP the first procedure, 46 had had one or more previous operations. Total hospital mortality was 12.2%; in the last 37 cases there was only one death. Two patients suffered permanent AV block. The mean left ventricular-aorta gradient was reduced from 94 +/- 24 mmHg to 14 +/- 15 mmHg after AVP. In our clinical material the indications for AVP (n = 57) have been the following: valvular aortic stenosis with narrow annulus (8 patients), diffuse subaortic stenosis (20) (from collar-like to tunnel-like, out of these patients 6 with Shone-complex), multi-level stenosis (20), outgrown prosthesis (4), hypertrophic obstructive cardiomyopathy (5). In comparison to the apico-aortic conduit procedure and total replacement of the aortic root by homograft, the clinical results indicate AVP to be a simple and easy-to-apply operative technique.

Adolescent↗

Conduit repair for complex congenital heart disease with pulmonary atresia or right ventricular outflow tract obstruction. Part II: early and late hemodynamic and echocardiographic findings.

The results are presented of 44 systematic cardiac catheterizations in 35 patients after successful repair of various types of congenital cyanotic heart disease using a conduit. The operations were performed from 1972 to 1981. The patients were followed from 6 months to 9 years, the mean interval between operation and catheterization was 2.5 years (4 weeks to 8 years). Different types of conduits were used: a Hancock conduit in 27 cases (1 replaced), an aortic homograft in 3 cases (all 3 replaced by a Hancock conduit), a Dacron tube with Lillehei-Kaster valve in 2 cases (1 replaced), a lonescu-Shiley conduit in 5 cases, a composite graft of pericardium and a Hancock valve in one patient (replaced) and a valveless Dacron tube in one patient. The total conduit gradient was differentiated in 43/44 investigations. For the Hancock conduit the mean proximal gradient was 9 mmHg, the valvular 14 and the distal 13 mmHg. Severe valvular stenosis of the porcine valve occurred in 3 patients. For the lonescu-Shiley conduit only early, but promising, results are available. Three of the 35 patients died late (2.5 and 4 years postoperatively); the deaths were related to severe additional lesions. Cross-sectional echocardiography was performed in 32 of the 35 patients. The latter does not appear to be a reliable method for the detection of valvular lesions so far, but is helpful for the diagnosis of proximal and distal obstructions of the conduit.

Adolescent↗

Hemodynamic findings before and after aortoventriculoplasty (AVP).

Between June 1974 and July 1981, aortoventriculoplasty (AVP) has been applied in 57 patients with several types of left ventricular outflow tract obstruction ranging in age from 5 to 34 years. There were 7 early deaths (mortality 12%); 5 of these occurred in the first 10 patients operated upon. Eighteen patients developed complete right bundle branch block or left anterior hemiblock or both; in another patient a transient complete left bundle branch block occurred postoperatively. Two patients had a permanent AV-block. In contrast to the unsatisfactory hemodynamic results of previous conventional operations, AVP reduced the mean residual resting gradient across the left ventricular outflow tract from 85 +/- 17 mmHg (range 60 to 140 mmHg) to 12 +/- 12 mmHg (range 0 to 65 mmHg). Except in 2 patients, this gradient did not increase by more than 15 mmHg under Isoproterenol (range 0 to 35 mmHg). In 25% of the restudied patients the left ventricular enddiastolic pressure returned to normal after AVP. In 3 patients a small ventricular septal defect in the area of the patched septal incision was detected by oximetry and angiocardiography, whereas mild aortic regurgitation was present in another 6 patients. Residual gradients across the right ventricular outflow tract in 5 patients ranged from 17 to 40 mmHg. This study shows the hemodynamic results obtained by AVP to be superior to those of conventional surgery. The major advantage of AVP as compared to total homograft replacement of the aortic root and to the apico-aortic conduit operation, is its applicability in all types of left ventricular outflow tract obstruction.

Adolescent↗

[The "steal" syndrome and the development of pulmonary arterio-venous shunt after Glenn and/or Fontan operations (author's transl)].

18 patients with superior vena cava-right pulmonary artery (Glenn) anastomosis and 7 patients with right atrium-pulmonary artery (Fontan) conduit operation were investigated by selective angiography, oximetry and contrast echocardiography. 11 patients with Glenn anastomosis (61.1%) developed a "steal" syndrome in 4 11/12 to 9 7/12 years postoperatively. In 2 patients pulmonary arteriovenous shunt could be documented by selective angiocardiogram, oximetry and contrast echocardiography, and in 1 patient by contrast echocardiography only (16.6%). None of the patients with Fontan operation developed detectable pulmonary arteriovenous shunt in the follow-up period. The effect of the changed haemodynamics after Fontan operation on the "steal" syndrome in patients with prior performed Glen anastomosis is that to diminish or abolish collateral flow. There is no influence on the abnormal intrapulmonary arteriovenous communications.

Adolescent↗

[Constrictive pericarditis in early infancy (author's transl)].

The unusual course of illness involving an 8-week old infant is described, which, after a staphylococcic sepsis with subsequent purulent pericarditis, developed the typical clinical symptoms of a constrictive pericarditis within a 12-day-period. There is only one similar case reported on in medical literature, involving an 8-month old infant.--Despite an immediate operation (anterior pericardectomy) the infant died 3 days later.

Humans↗

[Cardiac tamponade and chambered pericardial effusion complicating hemophilus influenzae pericarditis (author's transl)].

An unusual case of a 9 year old girl with primary pericarditis and cardiac tamponade due to Hemophilus influenzae is reported. Meningitis or manifestations in other organs could be excluded. Despite pericardial drainage for three weeks beginning at the 11th day of illness, a chambered pericardial effusion developed, which could be localized more exactly by cross-sectional echocardiography than by axial computerized tomography.

Cardiac Tamponade↗