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A Burmeister

Publications and source records attributed to A Burmeister.

4 recordsLinked to original sources
PubMed2004

Prognostic significance of the signal averaged electrocardiogram in patients with chronic stable coronary artery disease. Analysis in the time domain and by spectral temporal mapping.

BACKGROUND: Ventricular late potentials detected by the signal averaged electrocardiogram (SAECG) have been used to predict cardiac death in patients after recent myocardial infarction. The goal of this study was to investigate the prognostic significance of the SAECG in a population of chronic coronary artery disease, with and without previous myocardial infarction. METHODS: SAECG was recorded in 698 patients with angiographically proven coronary artery disease and analyzed by time domain analysis (TDA) and by spectral temporal mapping (STM). Cardiac death or ventricular fibrillation (= cardiac event) were used as the primary endpoint for follow-up (25 to 33 months). RESULTS: A cardiac event occurred in 46 out of 698 patients (6.6%). An abnormal SAECG using TDA was found in 43% of patients with a cardiac event, as compared to 21.7% in those without (p<0.0005). The probability of a cardiac event during follow-up was 4.4% when TDA and STM were both normal, 9.5% and 10.2% when either STM or TDA were abnormal and 28.5% when both were abnormal. A duration of the averaged QRS complex of more than 120 ms and a left ventricular ejection fraction of less than 45% were the only independent predictors of a cardiac event. Logistic regression analysis could predict a cardiac event with a sensitivity of 54% and a specificity of 88%. CONCLUSIONS: In patients with chronic coronary artery disease the duration of the signal averaged QRS complex and left ventricular ejection fraction are independent predictors of cardiac death or ventricular fibrillation.

Adult↗
PubMed2003

Pyrazole derivatives as partial agonists for the nicotinic acid receptor.

Nicotinic acid as a hypolipidemic agent appears unique due to its potential to increase HDL cholesterol levels to a greater extent than other drugs. However, it has some side effects, among which severe skin flushing is the most frequent and often limits patients' compliance. In a search for novel agonists for the recently identified and cloned G protein-coupled nicotinic acid receptor, we synthesized a series of substituted pyrazole-3-carboxylic acids that proved to have substantial affinity for this receptor. The affinities were measured by inhibition of [(3)H]nicotinic acid binding to rat spleen membranes. Potencies and intrinsic activities relative to nicotinic acid were determined by their effects on [(35)S]GTPgammaS binding to rat adipocyte and spleen membranes. Interestingly, most compounds were partial agonists. In particular, 2-diazabicyclo[3,3,0(4,8)]octa-3,8-diene-3-carboxylic acid (4c) and 5-propylpyrazole-3-carboxylic acid (4f) proved active with K(i) values of approximately 0.15 microM and EC(50) values of approximately 6 microM, while their intrinsic activity was only approximately 50% when compared to nicotinic acid. Even slightly more active was 5-butylpyrazole-3-carboxylic acid (4g) with a K(i) value of 0.072 microM, an EC(50) value of 4.12 microM, and a relative intrinsic activity of 75%. Of the aralkyl derivatives, 4q (5-(3-chlorobenzyl)pyrazole-3-carboxylic acid) was the most active with a relatively low intrinsic activity of 39%. Partial agonism of the pyrazole derivatives was confirmed by inhibition of G protein activation in response to nicotinic acid by these compounds. The pyrazoles both inhibited the maximum effect elicited by 100 microM nicotinic acid and concentration dependently shifted nicotinic acid concentration-response curves to the right, pointing to a competitive mechanism of action.

Adipocytes↗