PubMed Health⌕ Search

Biomedical subjects

W Jauch

Publications and source records attributed to W Jauch.

7 recordsLinked to original sources
PubMed1997

Expected hemoglobin decrease following percutaneous transluminal coronary angioplasty.

To establish expected changes in hemoglobin during and after percutaneous transluminal coronary angioplasty (PTCA), we measured hemoglobin before, at the end of, and on the 2 mornings after PTCA in 177 consecutive patients without obvious out-of-laboratory blood loss. From these data, we calculated confidence intervals that can be used to compare group data, possibly to identify excessive blood loss with new devices or antithrombotic agents, and prediction intervals to identify unexpected blood loss in an individual patient.

Aged↗
PubMed1994

Effects of contraction-excitation feedback on electrophysiology and arrhythmogenesis in rabbits with experimental left ventricular hypertrophy.

OBJECTIVE: The aim was to investigate the influence of contraction-excitation feedback on myocardial electrophysiology and arrhythmia susceptibility in the setting of experimental left ventricular hypertrophy. METHODS: New Zealand White rabbits with perinephritis hypertension were used. With the hearts perfused in vitro, left ventricular monophasic action potential duration and local effective refractory periods were determined at three sites, namely the anterior, apical, and posterior wall, together with ventricular tachycardia inducibility and ventricular fibrillation threshold under different loading conditions. RESULTS: The left ventricular dry weight to body weight ratio was increased by 31% in the hypertrophied group (3.863 x 10(-4), v 2.955 x 10(-4) in the controls). Left ventricular hypertrophy was associated with prolongation of action potential duration when the left ventricle was not loaded and under normal loading conditions. Changing from unloaded Langendorff to baseline working heart perfusion resulted in a consistent decrease in action potential duration and effective refractory period at all left ventricular sites in both hypertrophied and control hearts. Subsequent manipulations of myocardial loading resulted in decreases in action potential duration and effective refractory period in both groups of hearts. Ventricular tachycardia could not be induced in any heart in Langendorff mode. Under different increased loading conditions, a total of four hypertrophied hearts (44%) became inducible, while control hearts remained non-inducible. The ventricular fibrillation threshold under conditions of increased load tended to be lower in the hypertrophied hearts than the control hearts; in the setting of increased preload the hypertrophied group showed significantly increased vulnerability to ventricular fibrillation (median threshold currents 35 mA v > 100 mA, p < 0.05). CONCLUSIONS: Left ventricular hypertrophy is associated with a prolongation of action potential duration and effective refractory period and an increased arrhythmia susceptibility in the setting of increased myocardial loading. There were no marked differences between the groups in the magnitude of the changes in action potential duration, effective refractory period, or dispersion of repolarisation and refractoriness resulting from manipulations of myocardial loading that could have been implicated in the increased arrhythmia susceptibility of the hypertrophied hearts during changes in load.

Action Potentials↗
PubMed1994

Lipoprotein(a) in restenosis after percutaneous transluminal coronary angioplasty and coronary artery disease.

BACKGROUND: The purpose of the study was to investigate the relation of lipoprotein(a) and serum lipid parameters to restenosis after percutaneous transluminal coronary angioplasty (PTCA) and to assess the association of these same biochemical markers to coronary artery disease (CAD) in individuals with angiographically defined normal and diseased coronary arteries. METHODS AND RESULTS: Sixty-two patients with successful PTCA had follow-up angiography at 35 +/- 10 weeks. Restenosis occurred in 21 male patients (46%) and 6 female patients (38%). Elevated apolipoprotein B (P < .01) and decreased high-density lipoprotein-2 cholesterol (P < .02) were found to be independently associated with restenosis after angioplasty, whereas lipoprotein(a) was not. Eighty-five patients undergoing PTCA were compared with 46 subjects who had no evidence of CAD on angiography. Elevated lipoprotein(a) (P < .001) and reduced apolipoprotein A1 to B ratio (P < .001) were found to be strong independent risk factors for the presence of CAD when adjustment was made for age (P < .005), male sex (P < .01), smoking (P < .005), and hypertension (P = .06). CONCLUSIONS: Serum lipoprotein(a) levels are not associated with restenosis after PTCA, but elevated levels are strongly associated with CAD. Low-serum, high-density lipoprotein-2 cholesterol concentration and elevated apolipoprotein B concentration were found to be associated with restenosis after PTCA.

Angioplasty, Balloon, Coronary↗
PubMed1983

Staphylococcal nasal carriage in medical students with varying clinical exposure.

Nasal carriage and antibiotic sensitivities of coagulase-positive and coagulase-negative staphylococci were assessed among medical students of three different years. Although carriage rates did not change, there was a trend towards multiple resistance with increasing hospital exposure. Gentamicin resistance in Staphylococcus albus showed a similar trend. The relevance of these findings to current views on the origin of gentamicin resistance is discussed.

Anti-Bacterial Agents↗
PubMedDate not supplied

Lateral and anterior reciprocal electrocardiographic changes: relationship to ST segment elevation and underlying coronary artery disease in inferior myocardial infarction.

The electrocardiogram in patients with acute inferior myocardial infarction frequently displays ST depression in non-infarct leads. The significance of this finding is uncertain. The relationship between ST depression, ST elevation and arteriographic severity of coronary artery disease was explored. 22 patients with acute inferior myocardial infarction, receiving thrombolysis and undergoing acute (within seven hours of the onset of chest pain) coronary angiography were studied prospectively. The electrocardiographic ST segment elevation in the inferior leads and ST segment depression in the lateral and in the anterior precordial leads were measured. In each group of leads, the maximum value of ST deviation in any lead as well as the sum of the values for ST deviation in the individual leads was determined. Gensini scores of total coronary artery disease and component scores for the major coronary arteries were determined from the coronary arteriogram. There was a strong correlation of maximum inferior ST elevation with both maximum lateral ST depression (r = 0.96, p < 0.001) and with maximum anterior precordial ST depression (r = 0.78, p < 0.001). The corresponding correlations for sum of ST deviations were r = 0.91, p < 0.001 and r = 0.79, p < 0.001 respectively. There was no relationship between Gensini scores of coronary artery disease and measures of electrocardiographic ST segment depression or elevation. Electrocardiographic ST depression in non-infarct leads in patients with inferior myocardial infarction, does not provide information regarding the degree of coronary artery disease. The ST depression in both lateral and anterior precordial leads correlates with and is a reflection of inferior ST elevation.

Adult↗