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Biomedical subjects

Z Rotenberg

Publications and source records attributed to Z Rotenberg.

56 records · Page 4Linked to original sources

Paroxysmal atrial fibrillation and stroke (cerebrovascular accidents) in males and females above and below age 65 on days of different geomagnetic activity levels.

UNLABELLED: The goal of this study was to determine whether differences exist in the frequency of paroxysmal atrial fibrillation and stroke (cerebrovascular accident) on days of different geomagnetic activity levels. Geomagnetic activity was divided into four levels: quiet (I degree), unsettled (II degree), active (III degree), and stormy (IV degree). Measurements were made according to the six highest hourly geomagnetic parameters, in nanotesla units, over 24 hours. The study period covered 1185 consecutive days, from January 1990 to March 1993. All patients treated in the Admissions Department of a major multiprofile university hospital for stroke (cerebrovascular accident) (977 patients) or paroxysmal atrial fibrillation (653 patients) were included. Groups were also divided by sex and age (< or = 65 years vs. > 65 years) for comparison. RESULTS: (1) There was a significant negative correlation between daily paroxysmal atrial fibrillation and geomagnetic activity level (r = 0.976, p = 0.02); (2) The absolute number of daily admission for paroxysmal atrial fibrillation was higher on geomagnetic activity I degree days than on IV degree days (p < 0.004); (3) Stroke showed the same negative correlation with geomagnetic activity as paroxysmal atrial fibrillation, but only in males 65 years of age or less (r = 0.976, p = 0.027) suggesting a predominantly arrhythmic origin of stroke (cerebrovascular accident) in this group; (4) The male/female ratio for stroke was also adversely correlated with geomagnetic activity (r = 0.99, p = 0.0008), with the highest absolute number occurring on geomagnetic activity I degree days (X2 = 4.538, p = 0.03). These data are in accordance with previous studies showing increased heart electrical instability during periods of lowest geomagnetic activity.

Adult↗

Alterations in total lactate dehydrogenase and its isoenzyme-5 in hepatic disorders.

Values for total lactate dehydrogenase (LD, EC 1.1.1.27) and LD isoenzyme-5 were determined in serum of 106 patients with benign hepatic disorders, 54 of whom had acute liver disorders, either acute hepatitis (39 patients) or acute circulatory disturbances (15 patients). Fifty-two had chronic hepatic disorders, either cirrhosis (25 patients) or chronic right heart failure (27 patients). Overall, values for LD were above normal for 86 percent of the 106 patients with benign hepatic disorders. In 83 percent of 30 patients with non-fulminant viral hepatitis, LD values were below 350 U per L, while in all nine patients with either fulminant viral or toxic hepatitis, and in all 15 patients with acute circulatory disturbances, LD values were above 500 U per L. In all 52 patients with chronic hepatic disorders, LD values were below 350 U per L. In patients with acute liver disorders, both the total LD and LD-5 proportions were sensitive for liver injury (87 percent and 91 percent, respectively). On the other hand, LD-5 proportion was much less sensitive than total LD in patients with chronic liver disorders (40 percent versus 85 percent). In conclusion, a difference was found in LD values and LD-5 ratios between patients with non-fulminant viral hepatitis and patients with other causes for acute liver injury. The LD-5 proportions are more sensitive for hepatic injury in patients with acute liver disorders than in those with chronic liver disorders.

Acute Disease↗