Biomedical subjects
Publications and source records attributed to T O Cheng.
One member of a Chinese family with Holt-Oram syndrome also had high myopia, which is a hitherto unreported feature. The genetic background of this unusual association is discussed.
Mitral valve prolapse is a common mitral valve disorder manifested clinically as a midsystolic click and/or a late systolic murmur (the click-murmur syndrome) and pathologically as billowing or prolapsing mitral leaflets (the floppy valve syndrome). Not only is it one of the two most common congenital heart diseases and the most common valve disorder diagnosed in the United States, but it is also prevalent throughout the world. Mitral valve prolapse may be associated with a variety of other conditions or diseases. Diagnosis of mitral valve prolapse should be made on clinical grounds and, if necessary, supported by echocardiography. The majority of patients with mitral valve prolapse suffer no serious sequelae. However, major complications such as disabling angina-like chest pains, progressive mitral regurgitation, infective endocarditis, thromboembolism, serious arrhythmias, and sudden death may occur. Unless these serious complications occur, most of the patients with mitral valve prolapse need no treatment other than reassurance, including those with atypical chest pain or palpitation unconfirmed by objective data. Therapy with a beta-blocker for disabling chest pain and/or arrhythmias and antiplatelet therapy for cerebral embolic events may be indicated. In occasional patients with significant mitral regurgitation surgery may be necessary.
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The Holt-Oram syndrome is reported for the first time in a Puerto Rican family of one mother and two daughters. All had severe upper limb anomalies and secundum atrial septal defect. One daughter, the proband, had, in addition, a persistent left superior vena cava, a cardiac anomaly that has not been previously reported in association with the Holt-Oram syndrome.
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This is a collective review of all cases of HOS reported from China. Of the 24 total cases, 18 are living and are included in this report. The clinical features, including previously undescribed associated anomalies, mode of transmission in the family, genetic characteristics, and dermatoglyphics of this familial upper limb-cardiovascular syndrome, are presented. A practical classification of the syndrome is proposed based on the relative preponderance of either upper limb deformities or cardiovascular anomalies.
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Action potentials of isolated ventricular myocardial fibers of pigs and the electrophysiological actions of dl-demethylcoclaurine (DMC) or higenamine on the porcine myocardial cells were studied by glass microelectrodes. The action potentials of porcine ventricular myocardial fibers were similar to those of other mammalian hearts. Amplitude of the action potential was 115 +/- 9 mV, duration of action potential 242 +/- 30 ms, resting membrane potential -85 +/- 5 mV and the maximum rise of depolarization of action potential 151 +/- 27 V/s. After perfusion with normal Tyrode's solution containing DMC 5 micrograms/ml, the amplitude of action potential was increased and the duration of action potential was prolonged, the amplitude and duration of the plateau of action potential were increased and the slope of phase 2 of action potential was reduced (p less than 0.05). The resting potential, the slope of phase 3 and the maximum depolarization rate of phase 0 of action potential did not change. In Tyrode's solution containing Mn++ 3 mM, these electrophysiological actions of DMC disappeared. DMC may abolish the conduction block induced by K+-rich solution. In Tyrode's solution containing K+ 32 mM, the upstroke of action potential showed 2 phases under influence of DMC. The second phase disappeared when Mn++ was added. All findings indicate that DMC can be considered as an activator of the slow channel. The electrophysiological mechanism and clinical significance of DMC were discussed.
Action potentials of isolated Purkinje cells of dogs and the electrophysiological actions of higenamine on the dog's Purkinje cells were studied by glass microelectrodes. The actions of higenamine on the action potential of Purkinje cells were: (1) increase of amplitude of the plateau phase, (2) enhancement of repolarization of phase 3 and shortening of action potential duration (APD), (3) lower concentration of higenamine (10(-7) g/ml) causing shortening of APD without any significant change of the effective refractory period (ERP), and higher concentration (10(-6) g/ml) of it causing shortening of both APD and ERP, (4) higher concentration (10(-6) g/ml) of higenamine increasing the slope of phase 4, decreasing the threshold of depolarization, and increasing the automaticity of the Purkinje cells, (5) action of higenamine on the Purkinje cells only partially blocked by tetrodotoxin (TTX) and verapamil. The above facts suggest that: (1) higher concentration of higenamine may induce tachyarrhythmias, while lower concentration may prevent arrhythmias; (2) in low concentration of higenamine, there is a relative increase of ERP. Thus, higenamine seems to be safer than isoproterenol in the treatment of bradyarrhythmias.
Travel along the Silk Road where many of China's national minorities live gives a new insight into the population growth problem. As a whole China's "one-child-for-one-family" campaign seems to have succeeded in controlling its national population, although the government takes a more liberal attitude toward the national minorities.
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