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Contractile effects of 16-methyl analogues of PGE2 on the circular and longitudinal muscles of the guinea-pig isolated colon.

The mechanical effects of 16-methyl analogues of PGE2, mainly 16,16-dimethyl PGE2, on circular and longitudinal muscles of the guinea-pig isolated proximal colon were investigated. In circular muscle strips, PGE2 100 nM produced an initial contraction followed by relaxation, while 16(R)-methyl PGE2 and 16,16-dimethyl PGE2 (1 nM - 1 microM) produced sustained contractions. In longitudinal muscle strips, PGE2 and 16-methyl analogues of PGE2 produced only contractions. The contractile responses of both muscle strips to 16,16-dimethyl PGE2 were not influenced by atropine or tetrodotoxin, indicating that these analogues act directly on the muscles, but were eliminated by the omission of extracellular Ca ions or in the presence of 1 mM lanthanum ions. However, verapamil, a Ca channel blocker, did not block the contractile response to the methyl analogues in circular muscle strips, although it completely inhibited the contractile response of longitudinal muscle strips. These results suggest that the contractile effect of 16-methyl analogues of PGE2 on the circular muscle may be due to an increased influx of Ca ions mainly via receptor-sensitive and partly voltage-sensitive Ca channels, while the contractile effect of the analogues on the longitudinal muscle may be due to an increase in influx of Ca ions via voltage-sensitive Ca channels.

16,16-Dimethylprostaglandin E2↗

Effects of (MET-5) enkephalin on the electrically-evoked mechanical responses in longitudinal and circular strips of the cat terminal ileum.

In longitudinal and circular strips from cat terminal ileum field electrical stimulation at a frequency of 2 Hz evoked contractile responses. Stimulation at frequencies of 10 or 30 Hz elicited contractions of the longitudinal muscle and relaxations of the circular strips. (Met-5) enkephalin (1 nM) naloxone-dependently reduced the contractile and increased the inhibitory responses. Atropine (3 microM) converted the contractile responses to slight relaxations and potentiated the inhibitory responses. After atropine (3 microM) and guanethidine (50 microM) both longitudinal and circular strips responded to electrical stimulation with relaxations. In atropine-pretreated strips (Met-5) enkephalin was effective only in the circular strips, increasing the inhibitory responses. In contrast, after atropine and guanethidine (Met-5) enkephalin decreased these inhibitory responses. In unstimulated strips (Met-5) enkephalin failed to change the responses to acetylcholine and noradrenaline. It is concluded that (Met-5) enkephalin reduces the excitatory cholinergic components of the electrically-evoked responses in both longitudinal and circular strips as well as the excitatory adrenergic and the inhibitory non-adrenergic, non-cholinergic components of the responses in the circular strips by acting presynaptically. Demonstration of (Met-5) enkephalin-like immunoreactivity showed immunostaining in nerves of the myenteric plexus and in nerve fibers between the smooth muscle cells suggesting that (Met-5) enkephalin effects could be also of physiological significance.

Acetylcholine↗

Contractile responses of longitudinal and circular smooth muscle of the canine stomach to prostaglandins E and F2alpha.

Muscle strips were excised from the circular and longitudinal layers of the fundus, corpus and antrum, and from the inner portion of the pyloric ring. In general prostaglandin (PG)F2 alpha as well a PGE1 and PGE2 stimulated the longitudinal muscle. However, there were remarkable regional differences. The sensitivity to PGs was greatest in the fundus and corpus (threshold near 10(-10) mol/l) and only weak in antrum (threshold 5.10(-8) to 10(-7) mol/l). In longitudinal antrum strips acetylcholine induced a combined phasic-tonic response, whereas PGs produced purely phasic response. The effects of PGF2alpha and PGE on the circular layer were complex. PGF2 alpha produced excitatory responses in circular fundus and corpus similar to those in the longitudinal layer of the same regions. PGE produced dual responses in circular fundus (excitation at low concentration and strong inhibition at concentration of 10(-7) mol/l). In circular corpus PGE induced pure inhibition (threshold near 10(-9) mol/l for inner pylorus). These effects of PGs appeared in the presence of adrenergic and cholinergic blocking agent as well as of tetrodotoxin and were, therefore, direct effects on smooth muscle. Indomethacin (10(-7)-10(-6) mol/l) suppressed spontaneous tone of the fundus and corpus and increased phasic activity of inner pylorus. This indicates that endogenous PG synthesis may be involved in the control of spontaneous activity in gastric muscle.

Acetylcholine↗

In vitro method for quantifying the effectiveness of the longitudinal arch support mechanism of a foot orthosis.

The purpose of this investigation was to develop a technique to quantify the effectiveness of the longitudinal arch support mechanism of a foot orthosis. The experimental model was based on the following principle of foot biomechanics: as the foot is subjected to a load, a proportion of the load is experienced as tension by the plantar aponeurosis. A differential variable reluctance transducer was implanted into the plantar aponeuroses of cadaveric lower limb feet through which the strain was calculated in three conditions, specimen barefoot, specimen with shoe, and specimen with shoe and orthosis. Each donor limb was mounted in an electromechanical test machine that applied a load of 900 N to the tibia. Time, load, and strain data were collected and analysed at four load levels (225, 450, 675, 900 N). In addition the measurements and test design were evaluated for reliability. Strain in the plantar aponeurosis decreased significantly in the specimen with shoe and orthosis compared to the specimen with shoe only. There was a significant increase in the time to load data in the specimen with shoe and orthosis condition in contrast to the barefoot measurements. There were no significant differences in strain between the barefoot tests and those of the shoe, indicating that the shoe tested provided minimal support to the foot's longitudinal arch. RELEVANCE: One of the most common foot pathologies that patients seek medical attention for is plantar fasciitis. The primary cause of this condition is excessive tension in the plantar aponeurosis. A foot orthosis is often prescribed for treatment, relying on its longitudinal arch support mechanism to relieve the strain in the plantar aponeurosis. Quantifying the amount of strain experienced by the plantar aponeurosis is needed to identify how effective foot orthoses are in providing support to the foot's longitudinal arches. Such information is of importance to the medical practitioner who is involved with orthotic clinical recommendations. The described method will also be useful to bioengineers concerned with the arch support component of running shoes.

Journal Article↗

Direct measurement of longitudinal endolymph flow rate in the guinea pig cochlea.

The rate of longitudinal endolymph flow in the guinea pig cochlea has been measured with a novel tracer technique. The tracer we utilized was the tetramethylammonium (TMA) ion, the movement of which was monitored by ion-sensitive microelectrodes. Extremely small amounts of tracer were required as the electrodes could readily detect TMA concentrations in endolymph as low as 10 microM. TMA was introduced into scala media in the form of a small bolus, varying from 2-20 nl in volume. To examine whether longitudinal flow affects the dispersion of TMA in endolymph, we compared the characteristics of TMA spread to turn I following injection into turn II, with those of TMA spread to turn II following injection into turn I. The comparison of these data with an analytical model combining the processes of diffusion and volume flow demonstrates that the spread of tracer is dominated by passive diffusion processes with very little contribution from longitudinal endolymph flow. The rate of longitudinal endolymph flow between turn I and turn II was estimated to be less than 0.01 mm/min directed towards the basal turn. This value is considerably lower than recently published estimates using other techniques.

Cochlea↗

Lineage, migration, and morphogenesis of longitudinal glia in the Drosophila CNS as revealed by a molecular lineage marker.

Previous studies described three different classes of glial cells in the developing CNS of the early Drosophila embryo that prefigure and ensheath the major CNS axon tracts. Among these are 6 longitudinal glial cells on each side of each segment that overlie the longitudinal axon tracts. Here we use transformant lines carrying a P element containing a 130 bp sequence from the fushi tarazu gene in front of the lacZ reporter gene to direct beta-galactosidase expression in the longitudinal glia. Using this molecular lineage marker, we show that 1 of the "neuroblasts" in each hemisegment is actually a glioblast, which divides once symmetrically, in contrast to the typical asymmetric neuroblast divisions, producing 2 glial cells, which migrate medially and divide to generate the 6 longitudinal glial cells. As with neuroblasts, mutations in Notch and other neurogenic genes lead to supernumerary glioblasts. The results indicate that the glioblast is similar to other neuroblasts; however, the positionally specified fate of this blast cell is to generate a specific lineage of glia rather than a specific family of neurons.

Animals↗

Complete septate uterus with longitudinal vaginal septum.

OBJECTIVE: To review clinical implications, reproductive outcome, and long-term consequences in women with complete septate uterus and longitudinal vaginal septum. DESIGN: A retrospective study. SETTING: A university hospital. PATIENT(S): Sixty-seven patients who had a complete septate uterus including the cervix and a longitudinal vaginal septum. INTERVENTION(S): The longitudinal vaginal septum was incised in 36 cases and metroplasty for uterine septum was undertaken in 4 patients. MAIN OUTCOME MEASURE(S): Fertility, outcome of pregnancies, possible late consequences, and presence of other anomalies. RESULT(S): Eight (15.7%) of 51 women attempting pregnancy had primary infertility of nonuterine causes. Forty-nine women not undergoing metroplasty produced 115 pregnancies, abortion rate 27%, preterm delivery 12%, and live birth rate 72%. Only five women with no metroplasty had only miscarriages and 44 women at least one delivery. One of four women undergoing metroplasty delivered preoperatively and three after metroplasty. During the follow-up period endometriosis was observed in two (3%) of 61 cases and two patients had borderline ovarian tumors. Kidney abnormalities were found in 11 (20%) of 55 patients studied, double ureter being the most common. CONCLUSION(S): Complete septate uterus with longitudinal vaginal septum is not associated with primary infertility, and pregnancy may progress successfully without surgical treatment. The results do not support elective hysteroscopic incision of the septum in asymptomatic patients or before first pregnancy.

Abnormalities, Multiple↗

Nitrergic mechanisms mediating inhibitory control of longitudinal smooth muscle contraction in mouse small intestine.

Studies using genetic manipulation to investigate mechanisms of control of physiologic function often necessitate mouse models. However, baseline functional analysis of murine small intestinal motility has not been well defined. Our aim was to define nitrergic mechanisms regulating mouse small intestinal longitudinal muscle. Endogenous nitric oxide (NO) is an important neuroregulatory substance mediating inhibition of contractile activity in murine small bowel. Full-thickness muscle strips of jejunum and ileum from C57BL/6 mice (n > or =6 mice) cut in the direction of longitudinal muscle were studied. Numerous conditions of electrical field stimulation (EFS) and effects of exogenous NO and NO donors were studied in the absence or presence of inhibitors of nitric oxide synthase (NOS) and 1H-[1,2,4]-oxadiazaolo-[4,3-a]-quinoxalin-1-one (ODQ), a downstream inhibitor of guanylyl cyclase. EFS induced a frequency-dependent inhibition of contractile activity in both jejunum and ileum (P < 0.05). As the voltage of EFS was increased, inhibition turned to excitation in the jejunum; in contrast, the ileum demonstrated a voltage-dependent increasing inhibition (P < 0.05 each). EFS-induced inhibition was blocked by NOS inhibitors and ODQ. NO donors inhibited spontaneous contractile activity abolished by ODQ. NO appears to be an endogenous inhibitory neurotransmitter in murine longitudinal small bowel muscle. Nitrergic mechanisms mediate inhibitory control of murine longitudinal small intestinal muscle. Differences exist in neuroregulatory control between jejunum and ileum that may be related to their known difference in motor patterns.

Animals↗

Left ventricular morphology, global and longitudinal function in normal older individuals: a cardiac magnetic resonance study.

BACKGROUND: The heart transforms structurally and functionally with age but the nature and magnitude of reported changes appear inconsistent. This study was designed to assess left ventricular (LV) morphology, global and longitudinal function in healthy older men and women using cardiac magnetic resonance (CMR). METHODS: Ninety-five healthy subjects (age 62+/-16 years, range 22-91 years) underwent breath-hold cine CMR. LV end-diastolic volume (EDV), end-systolic volume (ESV), myocardial mass, ejection fraction (EF), mass-to-volume ratio, mean midventricular wall motion, thickness and thickening were calculated from short-axis data sets. Average mitral annular displacement was measured to assess longitudinal LV function. RESULTS: Subjects were divided according to age (< 65 and > or = 65 years) and sex. EDV and ESV indices (corrected for body surface area) decreased whilst EF increased with age. There was no difference in LV myocardial mass index between the age groups, but midventricular wall thickness was significantly higher in older people. Mass-to-volume ratio also increased with age. In contrast to EF, mitral annular displacement declined with age. Midventricular LV wall thickness, myocardial mass index and mass-to-volume ratio were higher in men than in women but there were no differences in measures of global and longitudinal LV systolic function. CONCLUSIONS: Due to smaller LV volumes but higher wall thickness, myocardial mass remains unchanged with age. We have found an age-related increase in EF and reduction in longitudinal LV function in apparently normal subjects. This must be borne in mind when assessing older patients with possible heart failure and normal LV systolic function. Men have higher myocardial mass than women.

Adult↗

Longitudinal structural determinants of atherosclerotic plaque vulnerability: a computational analysis of stress distribution using vessel models and three-dimensional intravascular ultrasound imaging.

OBJECTIVES: This study theoretically examined the longitudinal structural determinants of plaque vulnerability using a color-coded stress mapping technique for several hypothetical vessel models as well as three-dimensional intravascular ultrasound (IVUS) images with use of a finite element analysis. BACKGROUND: It has been shown that an excessive concentration of stress is related to atherosclerotic plaque rupture. However, the local determinants of in-plaque longitudinal stress distribution along the coronary arterial wall remain unclear. METHODS: Using a finite element analysis, we performed a color mapping of equivalent stress distribution within plaques for three-dimensional vessel models as well as longitudinal IVUS plaque images (n = 15). Then, the effects of plaque size, shape, expansive remodeling, calcification, and lipid core on the equivalent stress distribution were examined. RESULTS: The color mapping of vessel models revealed a concentration of equivalent stress at the top of the hills and the shoulders of homogeneous fibrous plaques. Expansive remodeling and the lipid core augmented the surface equivalent stress, whereas luminal stenosis and superficial calcification attenuated the equivalent stress. The location of excessive stress concentration was modified by the distribution of the lipid core and calcification. The thickness of the fibrous cap was inversely related to the equivalent stress within the fibrous cap. However, the color mapping of IVUS plaque images showed that the equivalent stress value at the fibrous cap varied with changes in plaque shape and superficial calcification, even when the thickness of the fibrous cap remained constant. CONCLUSIONS: A distribution analysis of longitudinal stress revealed specific effects of plaque shape, size, and remodeling, as well as effects of the interior distribution of tissue components, on the concentration of stress at the plaque surface. Moreover, fibrous caps of the same thickness did not consistently represent the same vulnerability to rupture.

Atherosclerosis↗

Compensation voltage (CV) peak shapes using a domed FAIMS with the inner electrode translated to various longitudinal positions.

High-field asymmetric waveform ion mobility spectrometry (FAIMS) separates ions at atmospheric pressure based on the difference in the mobility of an ion in a strong electric field and in a weak electric field. This field-dependent mobility of an ion is reflected in the compensation voltage (CV) at which the ion is transmitted through FAIMS at an applied asymmetric waveform dispersion voltage (DV). In this report, we show that experimental CV peak shapes using dome tipped inner electrode FAIMS prototypes with inner/outer electrode radii of: (1) 0.2/0.4 cm and (2) 0.4/0.6 cm are a function of the longitudinal position of the inner electrode. Varying the longitudinal position of the inner electrode modifies the electric fields between the surfaces of the hemispherical shaped inner electrode and the outer electrode in the vicinity of the ion outlet. In this region the position-dependent electric field strength (E/N) effectively forms a second tandem FAIMS analyzer region having differing ion separation properties. The final tandem FAIMS separation is the intersection of the CV windows of these two differing FAIMS separations and, therefore, the peak width in the CV scan is dependent on the longitudinal tip displacement (LTD) of the inner electrode. CV scans are shown for a LTD range of 0.14 to 0.4 cm. These scans illustrate that it is possible to control the FAIMS resolution (CV/peak width) from about 1 for the 0.2/0.4 cm electrode set at intermediate longitudinal position to over 10 at the narrowest distance between the inner electrode and the ion outlet.

Journal Article↗

Analysis of longitudinal multispin orders in strongly coupled spin systems.

Longitudinal multispin orders provide an effective way for measurement of scalar couplings and also to probe molecular interactions and dynamics. Analysis of longitudinal orders has been made in strongly coupled AB and ABX spin systems to determine the dependence of strong coupling parameter on these orders. Experimental and simulated spectra of various longitudinal orders are illustrated for these spin systems. This general procedure can be extended to broad range of spin systems to understand the influence of strong coupling on longitudinal orders.

Journal Article↗

Associations in the longitudinal course of body dysmorphic disorder with major depression, obsessive-compulsive disorder, and social phobia.

Body dysmorphic disorder (BDD) is an impairing and relatively common disorder that has high comorbidity with certain Axis I disorders. However, the longitudinal associations between BDD and comorbid disorders have not previously been examined. Such information may shed light on the nature of BDD's relationship to putative "near-neighbor" disorders, such as major depression, obsessive-compulsive disorder (OCD), and social phobia. This study examined time-varying associations between BDD and these comorbid disorders in 161 participants over 1-3 years of follow-up in the first prospective longitudinal study of the course of BDD. We found that BDD had significant longitudinal associations with major depression--that is, change in the status of BDD and major depression was closely linked in time, with improvement in major depression predicting BDD remission, and, conversely, improvement in BDD predicting depression remission. We also found that improvement in OCD predicted BDD remission, but that BDD improvement did not predict OCD remission. No significant longitudinal associations were found for BDD and social phobia (although the results for analyses of OCD and social phobia were less numerically stable). These findings suggest (but do not prove) that BDD may be etiologically linked to major depression and OCD, i.e., that BDD may be a member of both the putative OCD spectrum and the affective spectrum. However, BDD does not appear to simply be a symptom of these comorbid disorders, as BDD symptoms persisted in a sizable proportion of subjects who remitted from these comorbid disorders. Additional studies are needed to elucidate the nature of BDD's relationship to commonly co-occurring disorders, as this issue has important theoretical and clinical implications.

Adult↗

Perception of longitudinal body axis in microgravity during parabolic flight.

It has been proposed that an internal representation of body vertical has a prominent role in spatial orientation. This investigation investigated the ability of human subjects to accurately locate their longitudinal body axis (an imaginary straight body midline running from head to toes) while free-floating in microgravity. Subjects were tested in-flight, as well as on ground in normal gravity in both the upright and supine orientations to provide baseline measurements. The subjects wore a goggle device and were in total darkness. They used knobs to rotate two luminous lines until they were parallel to the subjective direction of their longitudinal body axis, in the roll (right/left) and the pitch (forward/backward) planes. Results showed that the error between the perceived and the objective direction of the longitudinal body axis was significantly larger in microgravity than in normal gravity. This error in this egocentric frame of reference is presumably due to the absence of somatosensory cues when free-floating. Mechanical pressure on the chest using an airbag reduced the error in perception of the longitudinal body axis in microgravity, thus improving spatial orientation.

Adult↗

Viscoelastic properties of the human medial collateral ligament under longitudinal, transverse and shear loading.

Ligament viscoelasticity controls viscous dissipation of energy and thus the potential for injury or catastrophic failure. Viscoelasticity under different loading conditions is likely related to the organization and anisotropy of the tissue. The objective of this study was to quantify the strain- and frequency-dependent viscoelastic behavior of the human medial collateral ligament (MCL) in tension along its longitudinal and transverse directions, and under shear along the fiber direction. The overall hypothesis was that human MCL would exhibit direction-dependent viscoelastic behavior, reflecting the composite structural organization of the tissue. Incremental stress relaxation testing was performed, followed by the application of small sinusoidal strain oscillations at three different equilibrium strain levels. The peak and equilibrium stress-strain curves for the longitudinal, transverse and shear tests demonstrate that the instantaneous and long-time stress-strain response of the tissue differs significantly between loading conditions of along-fiber stretch, cross-fiber stretch and along-fiber shear. The reduced relaxation curves demonstrated at least two relaxation times for all three test modes. Relaxation resulted in stresses that were 60-80% of the initial stress after 1000 s. Incremental stress relaxation proceeded faster at the lowest strain level for all three test configurations. Dynamic stiffness varied greatly with test mode and equilibrium strain level, and showed a modest but significant increase with frequency of applied strain oscillations for longitudinal and shear tests. Phase angle was unaffected by strain level (with exception of lowest strain level for longitudinal samples) but showed a significant increase with increasing strain oscillation frequency. There was no effect of test type on the phase angle. The increase in phase and thus energy dissipation at higher frequencies may protect the tissue from injury at faster loading rates. Results suggest that the long-time relaxation behavior and the short-time dynamic energy dissipation of ligament may be governed by different viscoelastic mechanisms, yet these mechanisms may affect tissue viscoelasticity similarly under different loading configurations.

Adult↗

Changes in mechanism of PACAP-induced relaxation in longitudinal muscle of the distal colon of Wistar rats with age.

Mechanisms of relaxation of longitudinal muscle of the distal colon induced by exogenously added pituitary adenylate cyclase activating peptide (PACAP) were studied in 2- to 30-week-old Wistar rats. Exogenous PACAP induced very significant relaxation of the longitudinal muscle in 2-week-old rats, but this effect decreased significantly with age. The cyclic AMP-cyclic AMP-dependent protein kinase (PKA) pathway and the tyrosine kinase-small conductance Ca2+-activated K+ channel (SK channel) pathway were found to be involved in the mechanism of PACAP-induced relaxation. In 2-week-old rats, PACAP-induced relaxation was significantly inhibited by tetrodotoxin (TTX). Since relaxation was also significantly inhibited by NG-nitro-L-arginine (N5-nitro-amidino-L-2,5-diamino-pentanoic acid: L-NOARG), the neurogenic effect of PACAP seems to be mediated mainly through nitric oxide neurons. In 8-week-old rats, L-NOARG and TTX had little effect on PACAP-induced relaxation, suggesting that the relaxant effect in 8-week-old rats is a direct action on longitudinal smooth muscle cells. Changes in the mechanisms of PACAP-induced relaxation with age were examined in the distal colon in relation to changes in the neurogenic and the direct effects of PACAP. The neurogenic effect in the exogenous PACAP-induced relaxation of the longitudinal muscle of the Wistar rat distal colon is dominant in tissue isolated from 2-week-old and lost in tissue isolated from 8-week-old rats.

Age Factors↗

The mechanisms of alpha(2)-adrenoceptor agonist-induced contraction in longitudinal muscle of the porcine uterus.

The aim of the present study was to clarify the cellular mechanisms underlying the alpha(2)-adrenoceptor-mediated contraction of porcine myometrium (nonvascular smooth muscle). Acetylcholine (3 nM-1 microM), clonidine (1 nM-10 microM) and 5-bromo-N-[2-imidazolin-2-yl]-6-quinoxalinamine (UK14304) (1 nM-10 microM) in Krebs solution caused a concentration-dependent contraction in the longitudinal muscles of the porcine uterus with similar EC(50) values and maximum responses. A lowered external Ca(2+) concentration and verapamil (10 nM-10 microM) decreased the contractile response to clonidine and UK14304 more markedly than the response to acetylcholine. However, in Kumagai solution, neither clonidine nor UK14304 caused contractile responses, but acetylcholine remained effective. The effects of alpha(2)-adrenoceptor agonists on intracellular Ca(2+) concentration ([Ca(2+)](i)) and smooth muscle force were measured simultaneously using fura-PE3-loaded muscle preparations. Clonidine and UK14304 caused increases in [Ca(2+)](i) and force of the longitudinal muscle. The increases in [Ca(2+)](i) and muscle force were markedly inhibited by verapamil and in Ca(2+)-free solution (EGTA, 1 mM). In the absence of external Ca(2+), clonidine caused only a small increase in [Ca(2+)](i) in Ca(2+)-loaded preparations compared with those increases caused by carbachol, histamine, and oxytocin. Ca(2+) (2.5 mM) caused increases in [Ca(2+)](i) and force of the longitudinal muscles in a Ca(2+)-free high K(+) solution. Clonidine concentration dependently potentiated the Ca(2+)-induced contraction without significantly changing the increase in [Ca(2+)](i), and this potentiation was inhibited by yohimbine. These results suggested that clonidine increases the Ca(2+) sensitivity of the contractile elements through activation of alpha(2)-adrenoceptors. During the development of the contractile response to clonidine (1 microM, 0-5 min), tissue cyclic AMP levels did not change significantly. In vitro treatment with pertussis toxin (1 microg/ml for 2 h) significantly decreased the contraction induced by clonidine without affecting the responses to carbachol and high K(+). The present results indicate that in porcine myometrium, alpha(2)-adrenoceptor stimulation caused contraction of the longitudinal muscles by mechanisms largely dependent on the influx of extracellular Ca(2+), probably through voltage-dependent Ca(2+) channels (VDCCs), and that the potentiation of the Ca(2+) sensitivity of the contractile elements is another mechanism of the contractile responses. These actions involve a pertussis-toxin-sensitive G protein (probably G(i) type) in the signal transduction pathway.

Adrenergic alpha-2 Receptor Agonists↗

Computer interpretation of Frank vectorcardiogram in normal infant: Longitudinal and cross-sectional observations from birth to 2 years of age.

The evolution of the Frank vectorcardiogram (VCG) was studied from longitudinal observations (60 normal infants) and from cross-sectional observations (231 normal infants) from birth to two years of age. Age specific normal values for the Cartesian coordinates of 14 vectors including maximal QRS-T and timed vectors in the horizontal and frontal plane were determined with both methods of analysis. In longitudinally followed infants the most significant involution of right ventricular forces occurred between the newborn period and 7-14 weeks of age. These changes included disappearance of clockwise horizontal loop rotation and a leftward shift of maximal and terminal forces as well as a rightward shift of initial vectors. Longitudinal observations were useful for prediction of the normal Frank VCG in the 7 to 14-week-old infant from values observed in the newborn period and for prediction of the horizontal loop rotation throughout infancy. Cross-sectional data showed a wider range of normal values than longitudinal data in the same 7 to 14-week-old infants, but age specific normal values were well reflected between 4 and 24 months of age from cross-sectional data.

Age Factors↗