• Title/Summary/Keyword: cardiac muscles

검색결과 71건 처리시간 0.018초

Late Gadolinium Enhancement of Left Ventricular Papillary Muscles in Patients with Mitral Regurgitation

  • Su Jin Lim;Hyun Jung Koo;Min Soo Cho;Gi-Byoung Nam;Joon-Won Kang;Dong Hyun Yang
    • Korean Journal of Radiology
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    • 제22권10호
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    • pp.1609-1618
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    • 2021
  • Objective: Arrhythmogenic mitral valve prolapse (MVP) is an important cause of sudden cardiac death characterized by fibrosis of the papillary muscles or left ventricle (LV) wall, and an association between late gadolinium enhancement (LGE) of the LV papillary muscles and ventricular arrhythmia in MVP has been reported. However, LGE of the papillary muscles may be observed in other causes of mitral regurgitation, and it is not limited to patients with MVP. This study was to evaluate the association of LGE of the LV papillary muscles or ventricular wall on cardiac magnetic resonance imaging (CMR) and ventricular arrhythmia in patients with mitral regurgitation. Materials and Methods: This study included 88 patients (mean age ± standard deviation, 58.3 ± 12.0 years; male, 42%) with mitral regurgitation who underwent CMR. They were allocated to the MVP (n = 43) and non-MVP (n = 45) groups, and their LGE images on CMR, clinical characteristics, echocardiographic findings, and presence of arrhythmia were compared. Results: LV myocardial wall enhancement was more frequent in the MVP group than in the non-MVP group (28% vs. 11%, p = 0.046). Papillary muscle enhancement was observed in 7 (7.9%) patients. Of the 43 patients with MVP, 15 (34.8%) showed LGE in the papillary muscles or LV myocardium, including 12 (27.9%) with LV myocardial wall enhancement and 4 (9.3%) with papillary muscle enhancement. One patient with bilateral diffuse papillary muscle enhancement experienced sudden cardiac arrest due to ventricular fibrillation. Univariable logistic regression analysis showed that high systolic blood pressure (BP; odds ratio [OR], 1.05; 95% confidence interval [CI], 1.01-1.09; p = 0.027) and ventricular arrhythmia (OR, 6.84; 95% CI, 1.29-36.19; p = 0.024) were significantly associated with LGE of the papillary muscles. Conclusion: LGE of the papillary muscles was present not only in patients with MVP, but also in patients with other etiologies of mitral regurgitation, and it was associated with high systolic BP and ventricular arrhythmia. Papillary muscle enhancement on CMR should not be overlooked.

인삼과 맥문동이 흰쥐 뇌와 심장의 field potential에 미치는 영향 (Effects of Ginseng Radix and Ophiopogonis Tuber on Field Potentials in Rat Hippocampal and Cardiac Muscle Slices)

  • 이충열
    • 동의생리병리학회지
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    • 제17권6호
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    • pp.1463-1467
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    • 2003
  • In the present study, the effects of Ginseng radix and Ophiopogonis tuber on field potentials in rat hippocampal slices and cardiac muscle slices were investigated by multi-channel extracellular recording using MED64 system. The field potentials in the brain slices represent synaptic transmission and nerve excitability, and the field potentials in heart muscles represent muscle contractility. The present results show that the aqueous extract of Ginseng radix enhanced field potentials in the both hippocampal slices and cardiac muscle slices. In contrast, the aqueous extract Ophiopogonis tuber exerted no significant effect on the field potentials in the hippocampal slices and cardiac muscle slices. These results suggest the possibility that Yin-Yang theory could be studied in relation with excitability in neurons and muscles.

심장 MRI 영상에서 혈류 윤곽선의 자동 추출 (An Automatic Extraction of Blood Flow Contour from Cardiac MRI)

  • 이형직;조상현;최흥문
    • 전자공학회논문지SC
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    • 제37권5호
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    • pp.56-62
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    • 2000
  • 본 논문에서는 심장 MRI 영상에서 혈류 윤곽선을 자동으로 추출하는 방법을 제안하였다. 제안한 방법에서는 기존 snake 보다 포획 범위가 넓은 GVF(gradient vector flow) snake를 사용하고, 심장 MRI의 에지 영상에서 GVF 계(field)가 영인 영역의 외곽을 따라 초기점들을 자동 발생시킴으로써, 전문가의 수작업 초기화에 의존하던 기존 방법과는 달리, 유두근으로 인한 요면을 갖는 혈류 윤곽선까지도 자동으로 추출할 수 있도록 하였다. 유두근 돌출로 인한 요면을 가지거나 잡영이 섞여있는 실제 심장 MRI들에 대해 실험하여 혈류 윤곽선을 효과적으로 자동 추출할 수 있음을 확인하였다.

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실험적 납중독 랫드의 조직병리학적 관찰 (Histopathological Studies on the Experimental Lead Poisoning in Rats)

  • 권오덕;신태균
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.70-75
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    • 2000
  • This study was undertaken to find out the effect of lead on histopathological changes in rat. Thirty female Wistar rats, 7 weeks old, were divided into a control and two experimental groups. The control was received normal diet. The two experimental groups were received diets contaminated artificially with 10 or 5,000 ug/g of lead administration group, histopathological changes were observed in the kidney, liver, heat, brain and lung from the 4th week of experiment. Desquamation of renal epithelia and inclusion bodies in the epithelia of renal tubules were demonstrated in the kidneys. But the liver did not show acid-fast inclusion body. Degeneration of cardiac muscles were seen. The number of mast cells were increased in the cardiac muscles. Darkly stained neurons in the cerebral cortex, some inflammatory cells around meningeal vessels and distended Virchow-Robin spaces were observed.

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심근 수축력 저하를 유발하는 Ryanodine의 작용 기전 (Mechanism of Inhibition of Cardiac Muscle Contractility by Ryanodine)

  • 안덕선;서창국;강두희
    • The Korean Journal of Physiology
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    • 제21권2호
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    • pp.179-189
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    • 1987
  • Since it has been known that ryanodine has a potent negative inotropic effect on the cardiac muscle contractility (Jenden and Fairhurst, 1968), ryanodine has been a subject of intensive research (Frank and Sleator, 1975; Jones et al, 1978; Sutko et al, 1985). However, the underlying mechanism for the ryanodine dependent negative inotropic effect is still uncertain. In this study, the effects of ryanodine on the generation and relaxation of contracture due to Na-withdrawal and on the force-frequency relationship of heart muscles isolated from rats and guinea pigs were measured in an effort to understand the underlying mechanism of the ryanodine-induced negative inotropy. Results are summerized as follows: 1 ) Ryanodine significantly reduced the contractility of heart muscles produced at low frequency of stimulation, but showed a little effect on the contractility at high frequency stimulation. 2) Ryanodine, at the concentrations ranging from $10^{-6}\;M$ to $10^{-8}\;M$, had no significant effect on the Na-dependent relaxation of Na-withdrawl contracture. 3) Ryandoine significantly reduced the amplitude of the Na-withdrawl contracture, and this inhibitory effect was reinforced by procaine, antiagonized by caffeine and high potassium. From these results, it may be concluded that the negative inotropic effect of ryanodine is mainly due to an inhibition of calcium release from sarcoplasmic reticulum.

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Fine structure of the cardiac muscle cells in the orb-web spider Nephila clavata

  • Yan Sun;Hyo-Jeong Kim;Myung-Jin Moon
    • Applied Microscopy
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    • 제50권
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    • pp.9.1-9.8
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    • 2020
  • The fine structural characteristics of cardiac muscle cells and its myofibril organization in the orb web spider N. clavata were examined by transmission electron microscopy. Although myofibril striations are not remarkable as those of skeletal muscles, muscle fibers contain multiple myofibrils, abundant mitochondria, extensive sarcoplasmic reticulum and transverse tubules (T-tubules). Myofibrils are divided into distinct sarcomeres defined by Z-lines with average length of 2.0 ㎛, but the distinction between the A-band and the I-bands is not clear due to uniform striations over the length of the sarcomeres. Dyadic junction which consisted of a single T-tubule paired with a terminal cisterna of the sarcoplasmic reticulum is found mainly at the A-I level of sarcomere. Each cell is arranged to form multiple connections with neighboring cells through the intercalated discs. These specialized junctions include three types of intercellular junctions: gap junctions, fascia adherens and desmosomes for heart function. Our transmission electron microscopy (TEM) observations clearly show that spider's cardiac muscle contraction is controlled by neurogenic rather than myogenic mechanism since each cardiac muscle fiber is innervated by a branch of motor neuron through neuromuscular junctions.

적출심근 및 관상동맥에 대한 Nitroglycerin 의 작용 (Effect of nitroglycerin on isolated rabbit cardiac muscle and coronary strip)

  • 홍장수;서경필;김기환
    • Journal of Chest Surgery
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    • 제16권3호
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    • pp.272-280
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    • 1983
  • With respect to controversial opinions concerning the nitroglycerin effects on cardiac muscle the direct nitroglycerin actions were thoroughly studied in isolated papillary muscles, atrial preparations and coronary strips of rabbits. Isometric active tension of papillary muscles developed at $35^{\circ}C$ upon electric stimulation at a rate of 60/min, was not affected by nitroglycerin up to a concentration of 10mg/L Higher concentrations of nitroglycerin, however, reduced action tension progressively. This depression of mechanical activity is accompanied by a decrease in oxygen consumption as measured by means of a flow respirometer. Resting oxygen uptake, on the other hand, remained unchanged. Similarly active tension of spontaneously beating atrial preparations also declined at a nitroglycerin concentration of more than 10 mg/L, whereas the sinus frequency did not change up to 40 mg/L. In contrast, rabbit coronary strips are much more sensitive to nitroglycerin and relax in a range of 10-100 ug/L of nitroglycerin concentration. The results indicate that the pharmacologic effects of nitroglycerin in coronary disease are due to vascular actions, because the plasma levels of nitroglycerin attainable in human therapy are not sufficiently high to directly influence the myocardium.

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L-carnitine 투여가 흰쥐의 심근 Field Potential과 ATP-dependent K+ channel에 미치는 영향 (Effect of L-carnitine on Field Potential and ATP-dependent K+ Channel of Rat Cardiac Muscles)

  • 김지연;심영제;장현경;김창주
    • 운동영양학회지
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    • 제13권1호
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    • pp.15-21
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    • 2009
  • Ergogenic aids는 에너지를 많이 소비하는 운동선수들이나 혹은 일반 사람들일지라도 기대 수준 이상으로 운동수행능력을 개선시키거나 향상시키기 위하여 흔히 사용하는 여러 가지 물질이나 처치들을 말한다. L-carnitine은 장시간 운동을 하는 동안 근육세포의 지질산화 자극에 의해 운동수행능력 증진과 유산소능력을 증진시키며 운동 수행력 증진제로 잘 알려져 있다. 본 연구에서는, 흰쥐 심근에서 유발된 field potential에 대한 L-carnitine의 작용을 통해, 심장 세포들 사이의 네트워킹으로 유도되는 세포활성 작용 기전에 미치는 영향을 확인하였다. Field potential은 multi-channel extracellular recording system(MED64 system)으로 측정하였고, L-carnitine을 100 nM, 1 μM, 10 μM, 그리고 100 μM의 농도로 처리하여 대조군에서 측정된 전류의 크기와 비교하여 결과를 분석하였다. 본 실험의 결과 심근세포에 L-carnitine을 투여 시 field potential이 증가하였다. L-carnitine과 ATP-dependant K+ channel 길항제인 glibenclamide을 투여 시에는 field potential의 증가가 유지된 반면, L-carnitine과 ATP-dependent K+ channel 효현제인 diazoxide을 투여 시에는 증가된 field potential이 다시 감소되었다. 본 연구에서는 L-carnitine이 ATP-dependant K+ channel을 억제하여 field potential을 증가시키는 작용이 L-carnitine의 ergogenic aids로서의 새로운 기전으로 제시될 수 있다.

Nutritional Regulation of GLUT Expression, Glucose Metabolism, and Intramuscular Fat Content in Porcine Muscle

  • Katsumata, M.;Kaji, Y.;Takada, R.;Dauncey, M.J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제20권8호
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    • pp.1297-1304
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    • 2007
  • We conducted a series of investigations in order to elucidate role of nutritional status in regulating GLUT expression and energy metabolism in porcine muscle. Firstly, the role of mild undernutrition in regulating muscle GLUT gene expression and function was studied in growing pigs (3 wk of age) on a high (H) or low (L) food intake (H = 2L) at $35^{\circ}C$ or $26^{\circ}C$. Low food intake selectively upregulates GLUT1 and GLUT4 gene expression; mRNA levels were elevated in longissimus dorsi (L. dorsi) and rhomboideus muscles but not in diaphragm or cardiac muscles. Our next step was to determine whether dietary lysine, a major primary limiting amino acid in diets for pigs, affects muscle GLUT4 expression. Pigs of 6 wk of age were pair-fed a control or low lysine (LL) diet. The control diet contained optimal amounts of all essential amino acids, including 1.15% lysine. The LL diet was similar but contained only 0.70% lysine. GLUT4 mRNA expression was upregulated by the LL diet in L. dorsi and rhomboideus muscles, whereas that in cardiac muscle was unaffected. GLUT4 protein abundance was also higher in rhomboideus muscle of animals on the LL diet. We conducted another investigation in order to elucidate effects of the LL diet on post-GLUT4 glucose metabolism. Activity of hexokinase was unaffected by dietary lysine levels while that of citrate synthase was higher both in L. dorsi and rhomboideus muscles of pigs fed on the LL diet. Glucose 6-phosphate content was higher in L. dorsi msucle in the LL group. Glycogen content was higher both in L. dorsi and rhomboideus muscles in the LL group. Further, we determined the effects of dietary lysine levels on accumulation of intramuscular fat (IMF) in L. dorsi muscle of finishing pigs. A low lysine diet (lysine content was 0.40%) meeting approximately 70% of the requirement of lysine was given to finishing pigs for two months. IMF contents in L. dorsi of the pigs given the low lysine diet were twice higher than those of the pigs fed on a control diet (lysine content was 0.65%). Finally, we proved that a well known effect of breadcrumbs feeding to enhance IMF of finishing pigs could be attributed to shortage of amino acids in diets including breadcrumbs.