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Biomedical subjects

R Lombardini

Publications and source records attributed to R Lombardini.

At least 55 records · Page 3Linked to original sources
PubMed1989

[Whole blood filterability in chronic cerebrovascular disorders: effects of the use of buflomedil hydrochloride].

Buflomedil chlorhydrate is a newly synthesized molecule with a notable effect of vasodilatation even on cerebral blood vessels. It is effective in the treatment of Chronic Cerebrovascular Disorders (CCVD) as it reduces membrane rigidity in red blood cells. Since, however, new techniques for the evaluation of this haemorheological parameter suggest it may no longer be considered the sole expression of whole blood filterability we decided to monitor the haemorheological effect of Buflomedil once again. The aim of this random blind vs. Placebo study was to monitor whole blood filterability (Reid and coll., 1976) and its main determinants (hematocrit, leucocyte count, fibrinogen levels, plasma viscosity and red blood cell deformability) in 20 (10 male and 10 female) CCVD patients (Ad Hoc Committee, Paris, 1980), aged between 66 and 75 years of age before and after intravenous injection in bolus of 150 mg Buflomedil chlorhydrate. Our results showed a significant increase in whole blood filterability, confirming those of recent studies on other molecules with a known effect on the haemorheological pattern but not only on the plasticity of red blood cells. Further studies are therefore necessary to define the rheological activity of this drug more precisely.

Aged↗
PubMed1989

Effects of 3-glucosaminoglycan sulfate on hemorheologic parameters in hyperlipidemic peripheral vascular disease (PVD) patients: a preliminary double-blind crossover study.

The effects of 3-glucosaminoglycan sulfate on lipids and the hemorheologic parameters were observed in a preliminary double-blind crossover study in 30 hyperlipidemic peripheral vascular disease (PVD) patients. Parenteral administration of the test drug was associated with a reduction in serum lipids, especially in triglyceride levels, and a lowering of fibrinogen, plasma viscosity, and whole blood viscosity levels. These effects justify the drug's use in the treatment of PVD, especially when associated with hypertriglyceridemia and hemorheologic disturbances.

Adult↗
PubMed1989

Peripheral vascular disease: role of leucocyte rheology and activation during controlled ischemia.

Leucocytes have been implicated in the development of tissue ischaemia. No studies on leucocyte rheology and activation in the earliest stages of controlled ischaemia in Peripheral Vascular Disease (PVD) exist. Blood samples were taken from 15 PVD patients and 15 matched controls before and after treadmill exercise (5 mins/2 km/hr/12% slope). Leucocytes were separated by density and adherence into their granulocyte, lymphocyte and monocyte sub-populations and their filterability rates through 5 micron diameter pore filters were measured. Leucocyte activation as observed under a light microscopy was monitored. Compared to controls, calf pain in the PVD patients was associated with a significant (p less than 0.001) increase (+22%) in monocyte filterability but not in leucocyte activation.

Arterial Occlusive Diseases↗
PubMedDate not supplied

Free radical production in peripheral vascular disease. A risk for critical ischaemia?

Malondialdehyde (MDA) plasma concentrations (marker of lipid free radical peroxidation) and the unfractionated leucocyte and erythrocyte filterability rates (through 5 micron Nuclepore filters in a positive pressure filtration system) were determined during a partial ischaemia induced by two consecutive treadmill tests in 64 stage II peripheral vascular disease (PVD) patients and in 32 matched controls. Transcutaneous oxygen pressure (tcPO2) was monitored constantly throughout the walking tests and recovery periods. In the PVD patients impairments in the flow properties of leucocytes and erythrocytes were associated with increases in MDA plasma concentrations which correlated significantly with a lengthening of the tcPO2 half recovery times--index of the worsening of ischaemia. Patients could be divided into two sub-groups on the basis of these impairments and their half recovery times, suggesting this experimental model may provide a means to identify those stage II PVD patients most likely to develop critical limb ischaemia.

Aged↗
PubMedDate not supplied

[Rheologic effects of salmon calcitonin on post-menopausal osteoporosis. Results of a preliminary study].

The aim of this random blind vs placebo study was to assess the effect of salmon calcitonin (sCT) (100 UI/day intermuscular for 4 weeks) on the haemorheological pattern of 20 women, all non-smokers, aged between 50 and 65 years of age and affected by post-menopausal osteoporosis. Hematocrit, whole blood viscosity at high and low shear rates, plasma viscosity, red blood cell aggregation, dynamic deformation and viscosity were monitored. Our results show sCT ex vivo seems to act upon mechanisms regulating the plastic properties of the red blood cell membrane.

Calcitonin↗
PubMedDate not supplied

Effect of physical training on leukocyte rheology throughout induced ischaemia.

Before and after a physical training programme a treadmill exercise was used to stress leg circulation and induce ischaemia in 20 patients affected by peripheral arterial occlusive disease (PAOD). Transcutaneous oxygen pressure (TcPO2) was monitored constantly and blood samples drawn at baseline, the onset of calf pain, the maximum walking time, the minimum TcPO2 value, and when the TcPO2 recovered half its basal value. The mononuclear and polymorphonuclear leucocyte subfractions were separated by density and their filterability rates (through 5 microns pore diameter Nuclepore filters) measured using a positive pressure filtration system. The mononuclear filterability rate was significantly impaired throughout the ischaemic event and inversely correlated with the TcPO2 values. Physical training while delaying the onset and progress of ischaemia did not modify this pattern, implying that regular exercise does not affect the rheological properties of leukocytes--impairments in which are markers of ischaemia.

Carbon Dioxide↗
PubMedDate not supplied

[Infection and blood filterability].

Some markers of inflammation were monitored, and whole blood filterability was measured using a low shear positive pressure nuclepore filtration system in 21 patients at the onset of an acute bacterial infection and again after full clinical recovery 4 weeks later and compared to the filterability of 40 matched healthy controls. Impairments in whole blood filterability persisted even after convalescence.

Aged↗
PubMedDate not supplied

[Peripheral arterial occlusive disease in old age: the role of leukocytes].

Transcutaneous oxygen pressure (tcPO2), the unfractionated leukocyte filterability rate (ULFR), and plasma oxydant activity (POA) were monitored during a standard treadmill exercise test (2 km/h, 12 degrees slope) in two groups of stage-II peripheral vascular disease patients: one middle-aged group with an average age of 55 +/- 3 s.d. years, the other group elderly (average age 68 +/- 4 s.d. years). The results were compared to a healthy control group of 20 volunteers (average age 52 +/- 4 s.d. years). At the maximum walking time, the ULFR was significantly (p less than 0.001) impaired in both groups of patients compared to controls, and the level of plasma oxidant activity increased significantly (p less than 0.001). When the tcPO2 recovered half its basal value, the level of plasma oxidant activity approached basal values but the ULFR remained significantly (p less than 0.001) impaired. Inter-group analysis showed the total walking time was significantly (p less than 0.05) shorter in the elderly patients, and at the tcPO2 half recovery time the ULFR was significantly (p less than 0.01) more impaired.

Aged↗
PubMedDate not supplied

[Infection and tissue ischemia: role of cellular rheology].

It is not clear how acute infection is associated with a subsequent ischaemic brain infarction. Infection may, indeed, cause changes in blood fluidity. Abnormalities in blood flow, particularly in white blood cell rheology, are known to be precipitating factors for ischaemic events. Therefore, the rheological behaviour of the erythrocytes and of the main leucocyte subpopulations (granulocytes = G; mononuclear cells = MNL) were studied in 29 patients 30 days after the onset of acute bacterial infections. A group of 49 controls (matched for sex, body mass index and cardiovascular risk factors) was also evaluated. A significant impairment in the flow properties of the mononuclear leucocyte subpopulation was found in the patients as compared to control. These results indicate that disturbances in leucocyte rheology might be considered an additional risk factor for ischaemic brain infarction when this occurs shortly after febrile infection.

Aged↗