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111.
Tomas G Neilan Danita M Yoerger Pamela S Douglas Jane E Marshall Elkan F Halpern David Lawlor Michael H Picard Malissa J Wood 《European heart journal》2006,27(9):1079-1084
AIMS: Transient systolic and diastolic abnormalities in ventricular function have previously been documented during endurance sports. However, these described alterations may be limited by the techniques applied. We sought, using less load-dependent methods, to characterize both the extent and the chronology of the cardiac changes associated with endurance events. METHODS AND RESULTS: Transthoracic echocardiography (TTE) was performed prior to, immediately after, and approximately 1 month after completion of the 2003 Boston Marathon in 20 amateur athletes. TTE included two-dimensional, spectral and tissue Doppler (TD) and flow propagation velocity (V(p)). After completion of the marathon, global measures of left ventricular (LV) systolic function were unchanged (EF 59 +/- 6 vs. 61 +/- 4% post, P = 0.14), whereas TD-derived measures of LV systolic function [septal strain -23 +/- 5 vs. -17 +/- 4%, P = 0.007; septal strain rate (SR) -1.5 +/- 0.3 vs. -1.1+/- 0.2 s(-1), P = 0.007] and right ventricular (RV) systolic function (RV apical strain -33 +/- 4 vs. -27 +/- 5%, P = 0.001; RV apical SR -2.4 +/- 0.7 vs. -1.8 +/- 0.5, P = 0.002) were reduced. Significant changes in transmitral velocity (E/A ratio 2.0 +/- 0.5 vs.1.3 +/- 0.3, P = 0.005) and TD indices of LV and RV diastolic function (E(a) septal 9.5 +/- 1.8 vs. 8.1 +/- 1.2 cm/s post-marathon, P = 0.01) were also observed, indicating an inherent alteration in LV relaxation. Although all indices of LV and RV systolic function had returned to normal on follow-up, there were persistent diastolic abnormalities (RV E(a), 11.5 +/- 1.5 cm/s pre-marathon vs. 10.0 +/- 1.6 cm/s follow-up, P = 0.01). CONCLUSION: Marathon running leads to transient systolic and more persistent diastolic dysfunction of both the LV and the RV. 相似文献
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Calculation of cut‐off values based on the Autoimmune Bullous Skin Disorder Intensity Score (ABSIS) and Pemphigus Disease Area Index (PDAI) pemphigus scoring systems for defining moderate,significant and extensive types of pemphigus
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C. Boulard S. Duvert Lehembre C. Picard‐Dahan J.S. Kern G. Zambruno C. Feliciani B. Marinovic P. Vabres L. Borradori C. Prost‐Squarcioni B. Labeille M.A. Richard S. Ingen‐Housz‐Oro E. Houivet V.P. Werth D.F. Murrell M. Hertl J. Benichou P. Joly the International Pemphigus Study Group 《The British journal of dermatology》2016,175(1):142-149
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SP Walker M Permezel SF Berkovic 《BJOG : an international journal of obstetrics and gynaecology》2009,116(6):758-767
While most women with epilepsy can expect a normal pregnancy outcome, epilepsy remains a significant contributor to both maternal and perinatal morbidity. Pre-pregnancy planning must address reliable contraception and optimisation of antiepileptic drug (AED) regimens to minimise teratogenic risk while maintaining seizure control. The most recent data from the AED registries regarding malformations is presented in this review, as is the limited data on the newer AEDs and studies linking neurocognitive outcomes to AED exposure. During pregnancy, important considerations include; therapeutic drug monitoring, surveillance for obstetric complications and vigilance for seizures during the intrapartum and postpartum period. 相似文献
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Pierre Bouzat Gilles Francony Julien Brun Pierre Lavagne Julien Picard Christophe Broux Philippe Declety Claude Jacquot Pierre Albaladejo Jean-Francois Payen 《Intensive care medicine》2010,36(9):1514-1520
Purpose
The early diagnosis of traumatic internal carotid artery dissection (TICAD) is essential for initiating appropriate treatment and improving outcome. We searched for criteria from transcranial Doppler (TCD) measurements on admission that could be associated with subsequent TICAD diagnosis in patients with traumatic brain injury (TBI). 相似文献120.
Hand-held echocardiography (HHE) is being explored for use in the intensive care arena as an extension of the physical examination for real time and iterative information. HHE can help assess chamber size, ventricular function, and presence of fluid collections, and thus is useful in determining etiology of shock and measuring volume status. With additional outcomes and cost-effectiveness research, development of appropriate indications for HHE, and multisociety guidelines on competence assessment and quality control, HHE is expected to be increasingly integrated into intensive care medicine. 相似文献