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Biomedical subjects

M Chatila

Publications and source records attributed to M Chatila.

8 recordsLinked to original sources
PubMed1998

[Late potentials in chronic alcoholics].

OBJECTIVE: Cardiac arrest is the most frequent cause of death in chronic alcoholics. Detection of late potentials in this population could be helpful in screening from early signs of myocardial disorders and identifying patients at risk of severe ventricular dysrythmia. PATIENTS AND METHODS: A prospective study of late potentials was conducted in 53 subjects (mean age 49 +/- 10 years) with a history of long-standing alcohol abuse (mean 13.6 +/- 8.5 years, mean daily alcohol intake 86 +/- 30 g). After a period of abstinence, the following explorations were performed: liver tests, liver biopsy, electrocardiogram, echocardiography, Holter recording. RESULTS: Among the 53 patients, 37% were positive for 2 of the 3 criteria for late potentials. There was a strong correlation between the duration of alcohol abuse and presence of late potentials (p = 0.006, r = 0.37). The percentage of hepatic steatosis was higher in alcoholic subjects with late potentials (34% versus 23%; p = 0.05) and was correlated with the number of positive criteria for late potentials (p = 0.05, r = 0.328). Finally, the presence of late potentials was also correlated with the following laboratory results: serum gamma glutamyltranspeptidase (p = 0.031), serum aspartate amino transferase (p = 0.033), serum alkaline phosphatases (p = 0.0025). CONCLUSION: Late potentials can be detected easily although their prognostic value remains to be determined. They could be an early marker of infraclinical myocardial lesions.

Adult↗
PubMed1998

[Signal averaging electrocardiography in chronic alcoholism].

Cardiovascular death is the main cause of mortality in chronic alcoholics, perhaps due to a pro-arrhythmogenic effect of alcohol associated with infraclinical myocardial lesions. The authors investigated prospectively 41 patients (average age: 49.7 years) who were chronic alcoholics but had no acute alcoholic episodes for cardiac disease (ECG, signal averaging for late ventricular potentials, echocardiography and Holter ECG monitoring) and hepatic disease (liver biopsy). The history of alcoholism was 14 +/- 9 years, the quantity of alcohol ingested before they stopped drinking being 89 +/- 31 grammes/day. Thirty per cent of patients displayed 2 or 3 criteria of late ventricular potentials (LP). The authors demonstrated a correlation between the daily quantity of alcohol consumed before stopping drinking and the duration of the filtered QRS complex (p = 0.02). Moreover, the frequency of fatty infiltration found on liver biopsy, greater in alcoholics with LP (35% versus 19%, p = 0.025) correlated with the amplitude of the last 40 ms of the average QRS (p = 0.0485), with the duration of potentials of less than 40 microvolts (p = 0.05) and, above all, with the number of criteria of LP (p = 0.02). Finally, the presence of LP was also related to the following biological abnormalities: GGT (p = 0.027), ASAT (p = 0.046), ALAT (p = 0.039). The ECG abnormalities may reflect early infra-clinical myocardial lesions secondary to cellular metabolic abnormalities perhaps analogous to the fatty hepatic changes. However, the prognostic value of these signal-averaging ECG abnormalities remains unknown.

Adult↗
PubMed1993

Alpha rhythm in the cat thalamus.

In cats, electrocortical rhythms at about 10 Hz displaying common characteristics with the human alpha rhythm [1] were recorded from the part of the visual cortex that includes the anterior half of areas 17 (on the cortical convexity), of area 18 and of their common limit, representing the projection of the lower contralateral visual quadrant and that of the lower vertical meridian. It is shown here that activities highly correlated with these rhythms and at the same frequency, were recorded from the anterior half of the laminar dorsal lateral geniculate body (mediodorsal part of layer A), and also from a limited area medial to this nucleus. The cat thalamocortical alpha system thus appears to concern only the projection of the lower quadrants, probably excluding the area centralis itself.

Alpha Rhythm↗
PubMed1992

A 10 Hz "alpha-like" rhythm in the visual cortex of the waking cat.

Rhythms at about 10 Hz were recorded from the primary visual cortex of the cat (anterior part of area 18), with characteristics close to those of the alpha rhythm in man: frequency band (7-14 Hz), localization and reactivity to visual stimulation. Coherence analysis of this activity with the "mu" rhythms on the somatosensory cortex showed that although both types develop in the same overall behavioural situations (quiet waking and/or expectancy of an event to occur), they are independent.

Alpha Rhythm↗
PubMed1990

[The role of isotope methods in evaluating the left ventricular function].

Cardiac angioscintigraphy is a non-invasive, reproducible and reliable technique used to obtain a number of cardiac function parameters, the most important of which is left ventricular ejection fraction. Methodologically, the examination is simple. Fourier's analysis (a mathematical decomposition of ventricular mechanics) provides additional information on some abnormalities and is particularly useful in segmental kinetics studies and in the topographical diagnosis of cardiac rhythm disorders. The technique is indicated mainly for prognostic evaluation and follow-up of patients with left ventricular dysfunction. Metaiodobenzylguanidine (MIBG) cardiac scintigraphy makes it possible to evaluate the reuptake of noradrenaline by neurons, which represents the inactivation pathway of adrenergic neurotransmission and is the principal factor of noradrenaline extraction. MIBG scintigraphy is an indirect way of evaluating left ventricular function in congestive heart failure, as suggested by the results of studies showing correlations between MIBG uptake, left ventricular function indices and disease severity as judged on the basis of evolutive parameters.

3-Iodobenzylguanidine↗
PubMed1990

[Hypertrophic and/or obstructive primary cardiomyopathies: genetic, etiologic, physiopathologic aspects].

The morphological features, mode of presentation and physiopathology of hypertrophic cardiomyopathy (HCM) are variable. Autosomal dominant seems to be the usual mode of transmission but with variable presentation. From the anatomical point of view, the hypertrophy is asymmetrical with septal predominance. The main histological features are myocytic architectural disorganisation, fibrosis and abnormal coronary arteries of small diameter. Ventricular hyperkinesis is usually present and sometimes associated with outflow obstruction, the physiological role and mechanisms of which are still not fully understood. On the other hand, abnormal diastolic function is frequently observed, and, quite independently of disease of the epicardial coronary arteries, ischaemic phenomena may occur. Although the biological substrate of HCM is unknown, abnormalities of the adrenergic system and transmembrane calcium flux probably play a part in the expression of the disease.

Cardiomyopathy, Hypertrophic↗
PubMed1988

Restriction fragment length polymorphisms and an HLA-DRw52-associated split.

The restriction fragment length polymorphism technique, employing seven restriction endonucleases, and a DR-specific repeated element probe were used to study a large panel of homozygous typing cells in order to delineate haplotypic differences within the HLA-DRw52 supertype. Most of the restriction endonucleases revealed the presence of two allelic restriction fragment length polymorphisms correlating with and splitting the HLA-DRw52 supertypic specificity. One designated A, correlated with the HLA-DRw52 typing in HLA-DR5, HLA-DR3, (non-A1, B8), and some HLA-DRw6 haplotypes. The other, designated a, correlated with the HLA-DRw52 typing in HLA-DR5, HLA-DRw8, HLA-DR3 (A1, B8), and the remaining HLA-DRw6 haplotypes. The general applicability of these findings was validated in 47 HLA-typed laboratory controls.

Alleles↗