[Enzymatic myocardial infarct].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to W Schweizer.
Explore the source record for details and available documents.
The repeated administration of the hypolipidemic agent Su-13 437 (nafenopin) to neonatal rats roughly doubled the number of peroxisomes in the liver tissue and caused a sixfold volumetric expansion of the peroxisomal compartment. During the proliferative response, the size-distribution of the peroxisomes was reversibly altered, enlarged particles appearing in numbers varying according to the dose given. By means of a new method for quantitative autoradiography, it was shown that (a) the concentration of silver grains over peroxisomes was comparable to that found over the endoplasmic reticulum; (b) the peak incorporation of [3H]arginine into the peroxisomes was dealyed in comparison with that into the endoplasmic reticulum; (c) the label, once incorporated into the expanding peroxisomal compartment, displayed the same shift to large particles as did the whole population. These results are compatible with the biosynthetic pathway for peroxisomal catalase proposed earlier (cf. reference 12), and with the notion that the drug-induced size-shift might have resulted from progressive growth of a particular class of peroxisomes formed in the presence of the agent. Evidence is presented to show that during the recovery period the larger peroxisomes are removed preferentially.
Explore the source record for details and available documents.
Early mobilisation after acute myocardial infarction is said to increase the risk of ventricular aneurysm and -rupture, reinfarction, sudden death, and heart failure. In order to evaluate these possible negative effects, we run a prospective and controlled study: 2 X 100 consecutive patients with acute myocardial infarction were mobilized conventionally (A) and according to an early mobilisation programme (B) respectively-the two groups were comparable according to age, sex, CHD-history, infarction transmural/non transmural and coronary prognostic index (Norris). There was a significant reduction in the average hospital stay from 31.4 days in group A to 25.8 in group B. The patients were followed up for 32 (A) and 46 days (B) respectively. In the early mobilized group we found no increased risk for heart failure, reinfarction, or sudden death. On the other side, early mobilisation has many psychological, oeconomic and social advantages for patients and hospital.
A comparative study has been conducted in two groups of patients with fresh myocardial infarction: 168 brought to the hospital by mobile coronary care unit and 200 hospitalized by the conventional patient transport system. Pre-hospital mortality differed markedly (8.6% in the former group and 26.5% in the latter) but there was no difference in hospital mortality (17.7 vs. 19.8%). The possible implications of these findings are discussed.
The effect of the new beta-receptor-blocking drug metoprolol on hemodynamics and plasma renin activity was studied at rest and during exercise. 5 patients with essential hypertension were investigated before, 4 weeks after and 8 weeks after oral treatment (3 X 50 mg day). The results were compared to data of 5 patients under propranolol matched according to age, arterial blood pressure, and renin concentration. Metoprolol leads to a significant fall in renin and heart rate, whereas cardiac index is depressed only during exercise. Peripheral resistance remains unchanged and left ventricular filling pressure rises slightly. This results in a slight fall in arterial blood pressure. In comparison with propranolol the hemodynamic and renin patterns under metoprolol are similar, the only difference being the slighter fall in blood pressure due to a less depressed cardiac index.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Blood pressure measurements (Phyiometrics SR1) were performed on 21 589 persons visiting the Swiss Trade Fair in Basel in 1974. Diastolic pressures were found to be greater than or equal 110 mm Hg in 3%, greater than or equal 100 mm Hg in 7% and greater than or equal 95 mm Hg in 12% of the screened population. Including those under antihypertensive treatment, the prevalence of high blood pressure (diastolic pressure greater than or equal 95 mm Hg) amounted to 19% of the adult population. In 68% of the hypertensive screenees the condition was already known, 49% were under treatment and 35% were controlled (i.e. diastolic pressure less than 95 mm Hg). In other words - and here lies the unsolved problem - 32% of hypertensives are as yet undetected, 19% of the known cases are not treated, and 14% are inadequately treated. Of the hypertensive population 35% are adequately treated and 30% have mild hypertension. The remaining 35%, with diastolic pressure greater than or equal 100 mm Hg, require urgent attention and action. In Switzerland this problem can be tackled and solved by the general practitioner, who already play the major role in detection and treatment.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.