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Biomedical subjects

R S Pennock

Publications and source records attributed to R S Pennock.

8 recordsLinked to original sources
PubMed1990

Effect of depressed left ventricular function on hemodynamics of normal St. Jude Medical prosthesis in the aortic valve position.

To evaluate the effect of left ventricular (LV) dysfunction on Doppler-derived transprosthetic hemodynamic indexes in patients with normally functioning St. Jude aortic valve prostheses, 74 consecutive patients were studied. LV ejection fraction was assessed by using Simpson's biplane rule. The 34 patients with normal ejection fraction (greater than or equal to 0.51) (group A) generally had the highest values of peak (31 +/- 13 mm Hg) and mean (16 +/- 6 mm Hg) gradients, whereas 19 patients with moderate to severe reduction of ejection fraction (less than or equal to 0.31) (group C) had the lowest values (17 +/- 6 and 9 +/- 3 mm Hg, respectively) (p less than 0.05). Significant decreases (p less than 0.05) for acceleration and corrected (for heart rate) velocity time integral in group C were noted compared to group A, and group B (21 patients with mild to moderately reduced ejection fraction [0.50 to 0.32]). A significant inverse correlation for Doppler-derived peak and mean gradients and corrected velocity time integral was demonstrated with increasing aortic valve prosthetic sizes from 19 to 29 mm in group A patients (r = -0.41 to -0.71) but less so in group B or C. Thus, in addition to valve size, LV function should be considered an important factor in detecting prosthetic valvular flow characteristics and dysfunction. A normal derived velocity and gradient in patients with moderately to severely depressed LV function may not rule out significant valvular stenosis.

Aortic Valve↗
PubMed1977

Serum glycoproteins in coronary artery disease.

Serum glycoprotein levels were compared in two groups of age- and sex-matched patients, 15 with coronary artery disease and 14 normal controls. While total glycoprotein levels were increased in the coronary group, significantly higher levels were found in only five of 16 glycoproteins--C3c haptoglobin, GC-globulin, alpha1-acid glycoprotein, and C3 activator--with no change in 10 other glycoproteins and significant decrease in transferrin. This study demonstrates what appears to be a glycoprotein profile in coronary artery disease and reviews possible interactions of glycoproteins with known risk factors in atherogenesis.

Arteriosclerosis↗
PubMed1977

Cardiac dysrhythmias during outpatient general anesthesia--a comparison study.

Seventy-seven ASA Class I patients were studied to compare the cardiac dysrhythmias occurring during outpatient office general anesthesia for oral surgery to dysrhythmias occurring during outpatient medical and surgical office procedures without general anesthesia and to dysrhythmias occurring in inpatients having minor operating room procedures under general anesthesia. Eighty-eight percent of the operating room group, 81% of the oral surgery group, and 45% of the non-general-anesthetic group had some form of dysrhythmia. There was a statistically significant difference between the numbers of dysrhythmias that occurred in the general anesthetic groups and the non-general-anesthetic group. None of the dysrhythmias documented was of the potentially fatal or extremely serious category.

Adolescent↗