OBJECTIVES We hypothesized that progressive impairment in diastolic function during cardiopulmonary resuscitation (CPR) precedes evolution of the "stone heart" after failure of CPR. We therefore measured sequential changes in left ventricular (LV) volumes and free-wall thickness of the heart during CPR in an experimental model. DESIGN Prospective, observational animal study. SETTING Medical...

To cite: Carboni GP, Sedati P. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009005 DESCRIPTION In July 2012, a 63-year-old man presented with effort angina occurring in a predictable fashion. He worked as a porter and when carrying heavy loads, angina with palpitations and feeling loss of consciousness, suggested prodromal symptoms of syncope owing to arrhy...

DESCRIPTION In February 2012, a 60-year-old man presented to us with a positive exercise test for ST-depression, which was performed before beginning sports activity. Rest/stress thallium-201 single-photon emission cardiac tomography (SPECT) revealed inferior and lateral wall reversible defects (ischaemia) and a painless ST-depression at peak during a bicycle maximal exercise test. Cardiac tomo...

The physiological basis of a characteristically low blood flow to the fetal lungs is incompletely understood. To determine the potential role of pulmonary vascular interaction in this phenomenon, simultaneous wave intensity analysis (WIA) was performed in the pulmonary trunk (PT) and left pulmonary artery (LPA) of 10 anesthetized late-gestation fetal sheep instrumented with PT and LPA micromano...

Compression of the septal perforator branches of the left anterior descending artery (systolic obliteration and diastolic reopacification during arteriography) has been proposed as a marker of idiopathic hypertrophic subaortic stenosis (IHSS). Among 568 unselected coronary arteriograms this angiographic finding was pronounced in 11 of 17 patients with IHSS; in 12 of 44 with aortic stenosis (AS)...

BACKGROUND The phase difference of coronary arterial and venous flows indicates the importance of intramyocardial capacitance vessels in storing diastolic flow and in discharging volume in systole. However, the anatomic and functional characteristics of the capacitance vessels are unclear. We aimed to clarify those characteristics with their transmural difference by 3D visualization of transmur...

prior animal models have shown that rats sustaining 3-second immediate spinal cord compression had significantly better functional recovery and smaller lesion volumes than rats subjected to compression times of 1 hour, 6 hours, 3 weeks, and 10 weeks after spinal cord injury. we compare locomotor rating scales and spinal cord histopathology after 3 seconds and 10 minute compression times. . ten ...

OBJECTIVES We sought to evaluate if echocardiographic strain measurements could detect acute myocardial ischemia, and to compare this new method with myocardial velocity measurements and wall motion score index. BACKGROUND Tissue Doppler echocardiography (TDE) is a promising method for assessing regional myocardial function. However, myocardial velocities measured by tissue Doppler echocardio...

A49-year-old woman with a history of idiopathic hypertrophic subaortic stenosis diagnosed in 1982 presented with progressive dyspnea on exertion, paroxysmal nocturnal dyspnea, and palpitations. A physical examination revealed a heart rate of 74 bpm, blood pressure of 106/65 mm Hg, room air saturation of 87%, mild jugular venous distension, and a III/VI systolic ejection murmur at the left lower...