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Biomedical subjects

Y Katahira

Publications and source records attributed to Y Katahira.

51 records · Page 3Linked to original sources

Development and clinical evaluation of the long time digital Holter ECG system using non-tracking technology.

Newly developed long time digital Holter ECG system utilizing a stamp-size non-tracking (NT) tape which can be used for 192 hours as 2ch recording, was evaluated in the clinical cases. The system has employed newly developed VLSIs and NT technology which enables to obtain reliable long time recording with smaller and lighter Holter system of ECG and variety of biological signals. The results indicated that good data reproduction was shown in this system.

Adult↗

Systemic circulation with high frequency blood flow--analysis from neurophysiological point of view.

The vibrating electromagnetically driven univalved artificial heart, which provided more than 10 1/min at 10 Hz/sec. vibration, was developed in our team. This vibrating electromagnetic pump (VEMP) produced the original flow pattern compared with the flow pattern of the natural heart, so that circulatory regulatory system during maintain the circulation with VEMP must be investigated before the clinical application. In order to assess the effect of high frequency blood flow produced by the VEMP from the neurophysiological point of view, power spectral analysis of the hemodynamics was performed. VEMP was implanted as the total left heart bypass in adult goats and right heart circulation was maintained by natural hearts. In arterial blood pressure during maintain circulation by the high frequency blood flow, Mayer waves (0.01-0.15 Hz) were significantly decreased, though respiratory waves (0.25-0.40 Hz) were not significantly changed. These results suggest that circulatory regulatory system was influenced by the high frequency blood flow produced by the VEMP.

Animals↗

[A case of giant cell myocarditis associated with a progressive disturbance in the conduction system].

A 73 year old male patient with a history of pulmonary tuberculosis was admitted to our department because of dyspnea and abdominal pain. The chest X-ray film on admission showed bilateral lung congestion. The ECG showed atrial fibrillation, left axis deviation and incomplete right bundle branch block. Five days after admission, the ECG changed into sinus rhythm and complete right bundle branch block. Eight days after admission, the patient complained of chest pain and the ECG showed ST elevation in II, III, aVF, reciprocal ST depression in V, and complete A-V block with junctional rhythm. Emergency coronary angiography revealed no significant stenosis. Echocardiography showed reduced contraction of the inferior wall and diffuse granular echoes in the myocardium. Light microscopic study revealed fibrosis, infiltration of eosinophils and histiocytes, degenerated myocardium and multinucleated giant cells. Some of the giant cells were morphologically similar to myocardium, so the myocardium might be a place of immunological reaction.

Aged↗

Effect of left ventricular assistance on sympathetic tone.

To determine the effect of left ventricular assist device (LVAD) pumping on sympathetic tone, renal sympathetic nerve activity (RSNA) was detected in acute animal experiments. Our TH-7B pneumatically driven, sac-type ventricular assist device was used in 7 adult mongrel dogs. RSNA was detected by the use of bipolar electrodes attached to the left renal sympathetic nerve. RSNA was amplified and integrated by use of an R-C integrator circuit. The area of the integrated nerve discharge per unit time was calculated in the computer system and expressed as RSNA per unit time. During LVAD pumping, RSNA decreased with increase in blood pressure, with an increase in pulmonary artery flow, and with a decrease in left atrial pressure. These data suggest that LVAD has an effect on the sympathetic nervous system which is mediated by the aortic and cardiopulmonary baroreflex system.

Animals↗

Micro-pressure sensor for continuous monitoring of a ventricular assist device.

We have been involved in the development of a clinical ventricular assist device (VAD) system. Here, we report our investigation of in vitro and in vivo stability and sensibility of pressure microsensors. The sensors were mounted in the in-flow and out-flow cannulae wall to measure the left atrial and aortic pressures during VAD pumping. The pressure sensitive surface of the piezoresistive effect absolute pressure sensor was coated with a thrombo-resistant polymer, as was the inner surface of the cannulae of the VAD. In the in vitro and chronic animal experiments which were of more than a month duration, reliable stability and sensitivity, without any thrombus formation on the blood contacting surface of the sensors, and high sensitivity were observed. After chronic experiments, the sensitivity of sensors was reevaluated in the mock circulatory system as compared to reference values. The relationship between the output of the micro-sensors and the reference value was linear and correlated well.

Animals↗

[Synthesis and evaluation of the adaptive control system for the ventricular assist device by using the circulatory system simulator].

An on-line digital simulator using microcomputer system was developed to mimic the hemodynamic behavior of the human circulatory system under ventricular assist device (VAD) pumping. This simulator could calculate the response to the variation of the cardiac function or the driving mode of VAD in the real-time fashion. This simulator was used as the mock controlled object to evaluate and improve the algorithm of an adaptive controller of the drive unit for VAD. The adaptive one-step ahead controller was introduced as the precompensator for the PI-controller, which decides the outflow volume from VAD in order to follow up the reference flow value by changing the systolic duration. It was confirmed that the proposed adaptive control system improved the response speed of the VAD driving system automatically according to the variation of the controlled object.

Algorithms↗

[An adaptive control system of the ventricular assist device with the functions of measurement and analysis].

A personal computer based digital control system for driving the ventricular assist device (VAD) has been developed. Adaptive control, monitoring and analyzing functions are integrated into a software of the personal computer in this system. These functions can operate in parallel with one another because of the multi-interrupt processing used in the software. The system enables the operator to analyze the hemodynamic behavior of the circulatory system simultaneously with VAD pumping and to make on-line use of the result of the analysis in order to improve the driving condition of VAD.

Heart-Assist Devices↗

Reinvestigation of fractionation and some properties of the proteolytically active components of stem and fruit bromelains.

To check whether crude stem and fruit bromelains can be fractionated further or not, systematic separation procedures were applied to both enzymes. Six proteolytically active components, which were designated as SBB 1-5 and SBA, were fractionated from crude stem bromelain by successive use of gel filtration on Sephadex G-75, and chromatographies on CM-Sephadex and DEAE-Sephacel. One main and one minor active components, designated as FBA and FBB, respectively, were also separated from crude fruit bromelain by chromatographies on DEAE-Sephacel and then CM-Sephadex. Some of the physico-chemical and enzymatic properties of these eight components were compared. Each component migrated as a single band on SDS-polyacrylamide gel electrophoresis. Molecular weights determined by the same electrophoresis were about 27,000 for SBB 1-3 and FBB, and about 23,000 for the other four components. In terms of amino acid composition, FBB resembled SBB 1-3, which were remarkably similar to each other. FBA was also similar to SBA in amino acid composition, and contained much less basic amino acids than SBB 1 through 5. The principal amino-terminal residues determined by the cyanate method were valine in SBB 1-5 and SBA, and alanine in FBA and FBB. The principal carboxyl-terminal residues determined by the hydrazinolysis method were glycine in SBB 1-3, SBA and FBA, and serine in SBB 4-5 and FBB. However, fractional amounts of a few other amino- and carboxyl-terminal residues were also detected. As regards enzymatic activities, FBA and SBB 4 and 5 were much more active than the other five components against casein and some synthetic substrates [Bz-Arg-amide (at pH 6.1), Z-Gly-X, and Z-Ala-X (at pH 3.5)] with the notable exception that FBA was much less active than SBB 4 and 5 toward tripeptides (X-Gly-Gly).

Amino Acids↗

Non-invasive estimation by cross sectional echocardiography of myocardial damage in cardiomyopathy.

Retrospective and prospective studies of high resolution cross sectional echocardiograms were undertaken in order to establish an ultrasonic method for the non-invasive estimation of degeneration and fibrosis of the endomyocardium in cases of cardiomyopathy. When the echocardiograms of the ventricular wall were compared with the histological specimens intense abnormal echoes were seen at the sites of myocardial degeneration and fibrosis of the ventricular wall. The abnormal echoes classified into five types: types I, II, III-1, III-2, and III-3. Type I and type III-1 echoes were the strongest followed by those of types II and III-2, and then those of type III-3. The intensity of the abnormal echoes was 5-20 decibels stronger than that from intact tissue and was closely related to the consistency and density of the diseased tissue. These findings strongly suggest that the boundary between degeneration or fibrosis and the intact normal myocardium was the source of the abnormal myocardial echoes and that the extent and the pattern of the distribution of the sites of degeneration and fibrosis in the myocardium were reflected in the echo patterns. Thus the tissue characteristics of the sites of degeneration or fibrosis of the myocardium may be determined non-invasively by measuring the echo intensity.

Adolescent↗

[Pulsed Doppler evaluation of left ventricular pressure and pressure difference in hypertrophic obstructive cardiomyopathy].

To assess the patho-physiological severity of hypertrophic obstructive cardiomyopathy (HOCM), the systolic pressure differences caused by the functional stenosis across the outflow tract of the left ventricle must be evaluated. The present study explored and proposed a non-invasive method predicting the pressure difference across the intraventricular obstruction and the pressure proximal to the obstruction by using pulsed Doppler technique, guided by simultaneous two-dimensional echocardiography. The ultrasonic equipment recently developed in our laboratory was used. It consisted of a 3.0 MHz pulsed ultrasonic transducer with a 4.4 KHz repetition rate and a mechanical sector scanner equipped with a single concave transducer 1.3 cm in diameter having a 70 mm radius of curvature. The sample volume was approximately 3 X 3 X 3 mm. Doppler signals obtained were subjected to a real-time analyzer with a fast Fourier transformer, and were simultaneously recorded on a thermal recorder as a spectral display together with an M-mode echocardiogram, lead II ECG, phonocardiogram and mechanocardiogram. Ten adults with HOCM were the subjects in the present study. For six of the 10, good pressure tracings were obtained. The pressure differences estimated by the maximum velocity as measured from the Doppler signals at the left ventricular (LV) outflow tract and the pressure gradients as obtained by cardiac catheterization were subjected to correlative analysis. Prior to investigating the pressure differences, the site and mechanism of the outflow obstruction in HOCM were studied in two cases using two-dimensional echocardiography in the longitudinal- and short-axis views. The obstruction was produced during systole by posteroinferior displacement of the hypertrophied interventricular septum and by abnormal anterosuperior movement of the hypertrophied, and elongated anterior or posterior papillary muscles. Thus, a concentric and centripetal narrowing was formed at the midportion of the outflow tract. In some cases, a bottle-shaped chamber was clearly observed in the apical area. Ultrasonic Doppler examinations were performed by the apical approach. Flow velocity patterns in the apical region or proximal to the obstruction had two peaks with a narrow spectrum in systole. At the distal portion or downstream the obstruction had a pattern with a narrow spectrum and a sharp single peak. To measure the maximum flow velocity, Doppler velocity patterns recorded immediately distal to the obstruction were used.(ABSTRACT TRUNCATED AT 400 WORDS)

Blood Flow Velocity↗

Fundamental rhythm of sympathetic nerve discharges in animals with total artificial hearts.

To evaluate the effect of total artificial heart replacement on the autonomic nervous system, sympathetic neurograms were analyzed by power spectrum and coherence function. Two pneumatically driven, sac type ventricular assist devices were implanted as biventricular bypasses (BVB) in adult, mongrel dogs. After initiation of BVB pumping, the natural heart was electrically fibrillated to form a BVB TAH model. Renal sympathetic nerve activity (RSNA) was recorded using a bipolar electrode attached to the left renal sympathetic nerve. RSNA was amplified and integrated by use of an R-C integrator. Power spectra of the RSNA and values of squared coherence between the arterial pressure wave form and the RSNA were calculated by computer. In animals with total artificial hearts (TAHs), coherence at the cardiac rhythm frequency was decreased, and coherence at the TAH pumping rhythm frequency was increased. These results indicate that the arterial pulse wave observed in TAH animals contributed to the sympathetic neurogram.

Animals↗

The newly designed univalved artificial heart.

A univalved artificial heart (AH) powered electromagnetically in the frequency range of 1-30 Hz was developed to obtain a totally implantable AH. This small sized AH consisted of a vibrating tube, coils, magnets, and a jellyfish valve as an outlet AH valve. The fluid mechanical, hemodynamic, and hematologic properties were evaluated in a mock circulation and 10 animal experiments using adult goats. This vibrating electromagnetic AH could generate more than 10 L/min as an output volume, with 10 Hz vibration using 20 volts supplied voltage. It could also provide two kinds of flow and pressure patterns, in constant-peak and periodic-peak patterns. The values of free hemoglobin remained within acceptable limits. The authors concluded that this new type of pump was useful as a totally implantable AH, ventricular assist, or organ assist system.

Blood Flow Velocity↗