Incessant tachycardia in a patient with Wolff-Parkinson-White syndrome.
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Biomedical subjects
Publications and source records attributed to T S Hsu.
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Aqueous solutions of bovine A1 protein, the major component of the basic protein fraction of myelin, were studied by small angle X-ray diffraction. The experimentally determined molecular weight, 17,800, is within 3% of that corresponding to the amino acid sequence, 18, 395, and the radius of gyration was found to be 46.3 A. No equivalent scattering particle of uniform electron density could be found which was compatible with all parameters evaluated from the diffraction measurements. The possibility of a coiled shape was therefore investigated using a worm-like chain model. This yielded a contour length of 439 A and a persistence length of 15.7 A. The radius of gyration of this model chain, 47.1 A, is in quite reasonable accord with the experimental value. The latter, after correction for excluded volume effects and finite chain length, yields for the characteristic ratio, ro2/nplp-2, 5.4. This may be compared with the value, 6.1, obtained after applying a correction for finite chain length to the viscosity data given by Tanford et al. for 12 proteins in 6 M guanidine hydrochloride and 0.1 M beta-mercaptoethanol. These two experimental values fall in the expected order, since the 15% glycine content of the A1 protein is considerably higher than the average for other proteins, which is about 8%. The corresponding values predicted from conformational calculations by Miller et al. for random copolymers of the L-alanine-glycine type are 5.9 (18% glycine) and 7.0 (8% glycine). We conclude that the A1 protein exists predominately, if not exclusively, as a random coil in aqueous solution.
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Aortic valve replacement was performed in 31 patients with symptomatic chronic aortic regurgitation. The patients ranged in age from 13 to 66 (mean = 39) years and included 29 men and 2 women. They were followed up for a mean of 47 months. Perioperatively, 2 patients (6.5%) died, and 2 (6.5%) received a permanent pacemaker for complete heart block. Thirty patients received an M-mode echocardiographic examination both before, and 6 to 11 days after, the operation. In this early postoperative period, the end-diastolic dimension (EDD) and left ventricular end-diastolic radius/posterior wall thickness ratio (R/Th) decreased in all patients. This decrease in EDD could be predicted by preoperative ejection fraction (EF), but not by end-systolic dimension (ESD) or R/Th ratio. The ESD regressed only in patients with preoperative EF greater than 50%, or ESD less than 55mm, or R/Th less than 3.8. During the long-term follow-up, one each had mild tissue valve degeneration, stroke, infective endocarditis, and severe myocardial failure, but none died. Eighteen patients had repeated M-mode echocardiographic studies. There was no further regression of EDD and R/Th, while ESD showed significant decrease. The EF and fractional shortening (FS) did not change. Clinically, the patients who survived the operation improved or remained unchanged postoperatively in a functional status. However, those who had preoperative EF greater than 50% or ESD less than 55mm had a better postoperative functional class (1.2 +/- 0.4 vs 1.9 +/- 1.0, p less than 0.05, 1.2 +/- 0.4 vs 2.0 +/- 1.1, p less than 0.05, respectively). Thus, patients with symptomatic chronic aortic regurgitation can often benefit from valve replacement.(ABSTRACT TRUNCATED AT 250 WORDS)