LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 28

Search options

  1. Article: Acute coronary syndrome associated cardiogenic shock in the catheterization laboratory: peripheral veno-arterial extracorporeal membrane oxygenator management and recommendations.

    Ehrenberger, Réka / Németh, Balázs T / Kulyassa, Péter / Fülöp, Gábor A / Becker, Dávid / Kiss, Boldizsár / Zima, Endre / Merkely, Béla / Édes, István F

    Frontiers in medicine

    2023  Volume 10, Page(s) 1277504

    Abstract: Cardiogenic shock (CS) in acute coronary syndrome (ACS) is a critical disease with high mortality rates requiring complex treatment to maximize patient survival chances. Emergent coronary revascularization along with circulatory support are keys to ... ...

    Abstract Cardiogenic shock (CS) in acute coronary syndrome (ACS) is a critical disease with high mortality rates requiring complex treatment to maximize patient survival chances. Emergent coronary revascularization along with circulatory support are keys to saving lives. Mechanical circulatory support may be instigated in severe, yet still reversible instances. Of these, the peripheral veno-arterial extracorporeal membrane oxygenator (pVA-ECMO) is the most widely used system for both circulatory and respiratory support. The aim of our work is to provide a review of our current understanding of the pVA-ECMO when used in the catheterization laboratory in a CS ACS setting. We detail the workings of a Shock Team: pVA-ECMO specifics, circumstances, and timing of implantations and discuss possible complications. We place emphasis on how to select the appropriate patients for potential pVA-ECMO support and what characteristics and parameters need to be assessed. A detailed, stepwise implantation algorithm indicating crucial steps is also featured for practitioners in the catheter laboratory. To provide an overall aspect of pVA-ECMO use in CS ACS we further gave pointers including relevant human resource, infrastructure, and consumables management to build an effective Shock Team to treat CS ACS via the pVA-ECMO method.
    Language English
    Publishing date 2023-11-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1277504
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Cyp2c44-mediated decrease of 15-HETE exacerbates pulmonary hypertension.

    Fülöp, Gábor Á / Yabluchanskiy, Andriy

    American journal of physiology. Heart and circulatory physiology

    2017  Volume 313, Issue 2, Page(s) H251–H255

    MeSH term(s) Hematopoietic Stem Cells ; Humans ; Hydroxyeicosatetraenoic Acids ; Hypertension, Pulmonary ; Hypoxia
    Chemical Substances Hydroxyeicosatetraenoic Acids ; 15-hydroxy-5,8,11,13-eicosatetraenoic acid (73945-47-8)
    Language English
    Publishing date 2017-06-16
    Publishing country United States
    Document type Editorial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 603838-4
    ISSN 1522-1539 ; 0363-6135
    ISSN (online) 1522-1539
    ISSN 0363-6135
    DOI 10.1152/ajpheart.00320.2017
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Sex-specific cardiovascular remodeling leads to a divergent sex-dependent development of heart failure in aged hypertensive rats.

    Kovács, Árpád / Zhazykbayeva, Saltanat / Herwig, Melissa / Fülöp, Gábor Á / Csípő, Tamás / Oláh, Nikolett / Hassoun, Roua / Budde, Heidi / Osman, Hersh / Kaçmaz, Mustafa / Jaquet, Kornelia / Priksz, Dániel / Juhász, Béla / Akin, Ibrahim / Papp, Zoltán / Schmidt, Wolfgang E / Mügge, Andreas / El-Battrawy, Ibrahim / Tóth, Attila /
    Hamdani, Nazha

    GeroScience

    2024  

    Abstract: Introduction: The prevalence of heart failure with preserved ejection fraction (HFpEF) is continuously rising and predominantly affects older women often hypertensive and/or obese or diabetic. Indeed, there is evidence on sex differences in the ... ...

    Abstract Introduction: The prevalence of heart failure with preserved ejection fraction (HFpEF) is continuously rising and predominantly affects older women often hypertensive and/or obese or diabetic. Indeed, there is evidence on sex differences in the development of HF. Hence, we studied cardiovascular performance dependent on sex and age as well as pathomechanisms on a cellular and molecular level.
    Methods: We studied 15-week- and 1-year-old female and male hypertensive transgenic rats carrying the mouse Ren-2 renin gene (TG) and compared them to wild-type (WT) controls at the same age. We tracked blood pressure and cardiac function via echocardiography. After sacrificing the 1-year survivors we studied vascular smooth muscle and endothelial function. Isolated single skinned cardiomyocytes were used to determine passive stiffness and Ca
    Results: TG male rats showed significantly higher mortality at 1 year than females or WT male rats. Left ventricular (LV) ejection fraction was specifically reduced in male, but not in female TG rats, while LV diastolic dysfunction was evident in both TG sexes, but LV hypertrophy, increased LV ACE activity, and reduced AMPK activity as evident from AMPK hypophosphorylation were specific to male rats. Sex differences were also observed in vascular and cardiomyocyte function showing different response to acetylcholine and Ca
    Conclusion: Here we demonstrated divergent sex-specific cardiovascular adaptation to the over-activation of the renin-angiotensin system in the rat. Higher mortality of male TG rats in contrast to female TG rats was observed as well as reduced LV systolic function, whereas females mainly developed HFpEF. Though both sexes developed increased myocardial stiffness to which an impaired titin function contributes to a sex-specific molecular mechanism. The functional derangements of titin are due to a sex-specific divergent regulation of PKG and CaMKII systems.
    Language English
    Publishing date 2024-04-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2886586-8
    ISSN 2509-2723 ; 2509-2715
    ISSN (online) 2509-2723
    ISSN 2509-2715
    DOI 10.1007/s11357-024-01160-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article: Swimming competitions in the era of COVID-19: Lessons from successfully hosting the International Swimming League.

    Fülöp, Gábor A / Gógl, Álmos / Lakatos, Bálint / Sydó, Nóra / Csulak, Emese / Mester, Bianka / Tóth, Szabolcs / Petrov, Árpád / Nagy, Vivien Klaudia / Merkely, Gergo / Merkely, Béla

    Physiology international

    2022  

    Abstract: Background: Organization of mass sport events in the COVID-19 era is utterly complicated. Containments measures, required to avoid a virus outbreak, force athletes to compete under circumstances they never experienced before, most likely having a ... ...

    Abstract Background: Organization of mass sport events in the COVID-19 era is utterly complicated. Containments measures, required to avoid a virus outbreak, force athletes to compete under circumstances they never experienced before, most likely having a deleterious effect on their performance.
    Purpose: We aimed to design a so-called athlete-friendly bubble system for the International Swimming League 2020 event, which is strict enough to avoid a COVID-19 outbreak, but still provides a supportive environment for the athletes.
    Methods: To avoid the feeling of imprisonment, athletes were permitted to spend a certain amount of time in the parks surrounding the hotels. Such alleviations were possible to apply with strict adherence to the hygienic and social distancing protocols and regular COVID-19 testing. Evaluation of every COVID-19 positive case was key, and if prolonged PCR positivity or false positive PCR result was identified, the unnecessary quarantine was planned to be lifted. Return to play protocol (RTP) was planned, in case of a COVID-19 infection of an athlete inside the bubble. To test, if the athlete-friendly system provided a supportive environment, we evaluated athlete performance.
    Results: 11,480 PCR tests were performed for 1,421 individuals. 63 COVID-19 positive cases were detected, of which 5 turned out to be clinically insignificant, either because of prolonged PCR positivity or because of a false positive result. 93.1% of the positive cases were detected in the local crew, while no athlete got infected inside the bubble, as the two infected athletes were tested positive upon arrival. RTP was provided for two athletes. 85% of the athletes showed improvement during the bubble and 8 world records were broken.
    Conclusion: The applied protocol proved to be effective, as no athlete got infected inside the bubble, moreover, the athlete-friendly system supported the athletes to improve their performance.
    Language English
    Publishing date 2022-12-08
    Publishing country Hungary
    Document type Journal Article
    ZDB-ID 2896288-6
    ISSN 2498-602X
    ISSN 2498-602X
    DOI 10.1556/2060.2022.00153
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: A Central Role for TRPM4 in Ca

    Csípő, Tamás / Czikora, Ágnes / Fülöp, Gábor Á / Gulyás, Hajnalka / Rutkai, Ibolya / Tóth, Enikő Pásztorné / Pórszász, Róbert / Szalai, Andrea / Bölcskei, Kata / Helyes, Zsuzsanna / Pintér, Erika / Papp, Zoltán / Ungvári, Zoltán / Tóth, Attila

    International journal of molecular sciences

    2022  Volume 23, Issue 3

    Abstract: Transient receptor potential melastatin-4 (TRPM4) is activated by an increase in intracellular ... ...

    Abstract Transient receptor potential melastatin-4 (TRPM4) is activated by an increase in intracellular Ca
    MeSH term(s) Administration, Intravenous ; Animals ; Arteries/drug effects ; Blood Pressure/drug effects ; Calcimycin/pharmacology ; Calcium/metabolism ; Calcium Signaling/drug effects ; Endothelium, Vascular/drug effects ; Endothelium, Vascular/physiology ; Heart Rate/drug effects ; Ionophores/pharmacology ; Male ; Muscle Development/drug effects ; Muscle, Skeletal/blood supply ; Muscle, Smooth, Vascular/pathology ; Myocytes, Smooth Muscle/drug effects ; Myocytes, Smooth Muscle/metabolism ; Norepinephrine/pharmacology ; Phenanthrenes/administration & dosage ; Phenanthrenes/pharmacology ; Potassium Chloride/pharmacology ; Rats, Wistar ; TRPM Cation Channels/agonists ; TRPM Cation Channels/metabolism ; Vasoconstriction/drug effects ; Rats
    Chemical Substances Ionophores ; Phenanthrenes ; TRPM Cation Channels ; TRPM4 protein, rat ; Calcimycin (37H9VM9WZL) ; Potassium Chloride (660YQ98I10) ; 9-phenanthrol (9FYU45OV9H) ; Calcium (SY7Q814VUP) ; Norepinephrine (X4W3ENH1CV)
    Language English
    Publishing date 2022-01-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23031465
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Cerebral venous congestion exacerbates cerebral microhemorrhages in mice.

    Nyul-Toth, Adam / Fulop, Gabor A / Tarantini, Stefano / Kiss, Tamas / Ahire, Chetan / Faakye, Janet A / Ungvari, Anna / Toth, Peter / Toth, Attila / Csiszar, Anna / Ungvari, Zoltan

    GeroScience

    2022  Volume 44, Issue 2, Page(s) 805–816

    Abstract: Cerebral microhemorrhages (CMHs; microbleeds), which are small focal intracerebral hemorrhages, importantly contribute to the pathogenesis of cognitive decline and dementia in older adults. Although recently it has been increasingly recognized that the ... ...

    Abstract Cerebral microhemorrhages (CMHs; microbleeds), which are small focal intracerebral hemorrhages, importantly contribute to the pathogenesis of cognitive decline and dementia in older adults. Although recently it has been increasingly recognized that the venous side of the cerebral circulation likely plays a fundamental role in the pathogenesis of a wide spectrum of cerebrovascular and brain disorders, its role in the pathogenesis of CMHs has never been studied. The present study was designed to experimentally test the hypothesis that venous congestion can exacerbate the genesis of CMHs. Increased cerebral venous pressure was induced by internal and external jugular vein ligation (JVL) in C57BL/6 mice in which systemic hypertension was induced by treatment with angiotensin II plus L-NAME. Histological analysis (diaminobenzidine staining) showed that mice with JVL developed multiple CMHs. CMHs in mice with JVL were often localized adjacent to veins and venules and their morphology was consistent with venous origin of the bleeds. In brains of mice with JVL, a higher total count of CMHs was observed compared to control mice. CMHs were distributed widely in the brain of mice with JVL, including the cortical gray matter, brain stem, the basal ganglia, subcortical white matter, cerebellum, and the hippocampi. In mice with JVL, there were more CMHs predominantly in cerebral cortex, brain stem, and cerebellum than in control mice. CMH burden, defined as total CMH volume, also significantly increased in mice with JVL. Thus, cerebral venous congestion can exacerbate CMHs. These observations have relevance to the pathogenesis of cognitive impairment associated with right heart failure as well as elevated cerebral venous pressure due to jugular venous reflux in older adults.
    MeSH term(s) Animals ; Cerebral Hemorrhage/etiology ; Cerebrovascular Circulation ; Cognitive Dysfunction/etiology ; Hyperemia ; Mice ; Mice, Inbred C57BL
    Language English
    Publishing date 2022-01-06
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2886586-8
    ISSN 2509-2723 ; 2509-2715
    ISSN (online) 2509-2723
    ISSN 2509-2715
    DOI 10.1007/s11357-021-00504-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Nrf2 deficiency in aged mice exacerbates cellular senescence promoting cerebrovascular inflammation.

    Fulop, Gabor A / Kiss, Tamas / Tarantini, Stefano / Balasubramanian, Priya / Yabluchanskiy, Andriy / Farkas, Eszter / Bari, Ferenc / Ungvari, Zoltan / Csiszar, Anna

    GeroScience

    2018  Volume 40, Issue 5-6, Page(s) 513–521

    Abstract: Aging-induced pro-inflammatory phenotypic alterations of the cerebral vasculature critically contribute to the pathogenesis of vascular cognitive impairment. Cellular senescence is a fundamental aging process that promotes inflammation; however, its role ...

    Abstract Aging-induced pro-inflammatory phenotypic alterations of the cerebral vasculature critically contribute to the pathogenesis of vascular cognitive impairment. Cellular senescence is a fundamental aging process that promotes inflammation; however, its role in cerebrovascular aging remains unexplored. The present study was undertaken to test the hypothesis that advanced aging promotes cellular senescence in the cerebral vasculature. We found that in cerebral arteries of 24-month-old mice, expression of molecular markers of senescence (p16
    MeSH term(s) Aging/physiology ; Animals ; Cellular Senescence/physiology ; Cerebrovascular Disorders/etiology ; Cognitive Dysfunction/etiology ; Disease Models, Animal ; Male ; Mice ; Mice, Inbred C57BL ; Mice, Knockout ; NF-E2-Related Factor 2/deficiency
    Chemical Substances NF-E2-Related Factor 2
    Language English
    Publishing date 2018-11-23
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2886586-8
    ISSN 2509-2723 ; 2509-2715
    ISSN (online) 2509-2723
    ISSN 2509-2715
    DOI 10.1007/s11357-018-0047-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Short-term weight loss reverses obesity-induced microvascular endothelial dysfunction.

    Csipo, Tamas / Fulop, Gabor A / Lipecz, Agnes / Tarantini, Stefano / Kiss, Tamas / Balasubramanian, Priya / Csiszar, Anna / Ungvari, Zoltan / Yabluchanskiy, Andriy

    GeroScience

    2018  

    Abstract: Obesity is one of the major risk factors for cardiovascular diseases and its prevalence is increasing in all age groups, with the biggest impact observed in middle-aged and older adults. A critical mechanism by which obesity promotes vascular pathologies ...

    Abstract Obesity is one of the major risk factors for cardiovascular diseases and its prevalence is increasing in all age groups, with the biggest impact observed in middle-aged and older adults. A critical mechanism by which obesity promotes vascular pathologies in these patients involves impairment of endothelial function. While endothelial dysfunction in large vessels promotes atherogenesis, obesity-induced microvascular endothelial dysfunction impairs organ perfusion and thereby is causally related to the pathogenesis of ischemic heart disease, chronic kidney disease, intermittent claudication, exercise intolerance, and exacerbates cognitive decline in aging. Reduction of weight via calorie-based diet and exercise in animal models of obesity results in significant improvement of endothelial function both in large vessels and in the microcirculation, primarily due to attenuation of oxidative stress and inflammation. Clinical data on the protective effects of weight loss on endothelial function is limited to studies of flow-mediated dilation assessed in brachial arteries. Currently, there is no guideline on testing the effects of different weight management strategies on microvascular endothelial function in obese patients. Here, we provide proof-of-concept that weight loss-induced improvement of microvascular endothelial function can be reliably assessed in the setting of a geriatric outpatient clinic using a fast, reproducible, non-invasive method: laser speckle contrast imaging-based measurement of endothelium-dependent microvascular responses during post-occlusive reactive hyperemia tests. Our study also provides initial evidence that short-term weight loss induced by consumption of a low-carbohydrate low-calorie diet can reverse microvascular endothelial dysfunction associated with obesity.
    Language English
    Publishing date 2018-06-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2886586-8
    ISSN 2509-2723 ; 2509-2715
    ISSN (online) 2509-2723
    ISSN 2509-2715
    DOI 10.1007/s11357-018-0028-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Effects of Low-Level Tragus Stimulation on Endothelial Function in Heart Failure With Reduced Ejection Fraction.

    Dasari, Tarun W / Csipo, Tamas / Amil, Faris / Lipecz, Agnes / Fulop, Gabor A / Jiang, Yunqiu / Samannan, Rajesh / Johnston, Sarah / Zhao, Yan D / Silva-Palacios, Federico / Stavrakis, Stavros / Yabluchanskiy, Andriy / Po, Sunny S

    Journal of cardiac failure

    2020  Volume 27, Issue 5, Page(s) 568–576

    Abstract: Background: Autonomic dysregulation in heart failure with reduced ejection fraction plays a major role in endothelial dysfunction. Low-level tragus stimulation (LLTS) is a novel, noninvasive method of autonomic modulation.: Methods and results: We ... ...

    Abstract Background: Autonomic dysregulation in heart failure with reduced ejection fraction plays a major role in endothelial dysfunction. Low-level tragus stimulation (LLTS) is a novel, noninvasive method of autonomic modulation.
    Methods and results: We enrolled 50 patients with heart failure with reduced ejection fraction (left ventricular ejection fraction of ≤40%) in a randomized, double-blinded, crossover study. On day 1, patients underwent 60 minutes of LLTS with a transcutaneous stimulator (20 Hz, 200 μs pulse width) or sham (ear lobule) stimulation. Macrovascular function was assessed using flow-mediated dilatation in the brachial artery and cutaneous microcirculation with laser speckle contrast imaging in the hand and nail bed. On day 2, patients were crossed over to the other study arm and underwent sham or LLTS; vascular tests were repeated before and after stimulation. Compared with the sham, LLTS improved flow-mediated dilatation by increasing the percent change in the brachial artery diameter (from 5.0 to 7.5, LLTS on day 1, P = .02; and from 4.9 to 7.1, LLTS on day 2, P = .003), compared with no significant change in the sham group (from 4.6 to 4.7, P = .84 on day 1; and from 5.6 to 5.9 on day 2, P = .65). Cutaneous microcirculation in the hand showed no improvement and perfusion of the nail bed showed a trend toward improvement.
    Conclusions: Our study demonstrated the beneficial effects of acute neuromodulation on macrovascular function. Larger studies to validate these findings and understand mechanistic links are warranted.
    MeSH term(s) Cross-Over Studies ; Heart Failure/therapy ; Humans ; Stroke Volume ; Ventricular Dysfunction, Left ; Ventricular Function, Left
    Language English
    Publishing date 2020-12-31
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1281194-4
    ISSN 1532-8414 ; 1071-9164
    ISSN (online) 1532-8414
    ISSN 1071-9164
    DOI 10.1016/j.cardfail.2020.12.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Chitotriosidase gene polymorphisms and mutations limit the determination of chitotriosidase expression in sarcoidosis.

    Csongrádi, Alexandra / Altorjay, István T / Fülöp, Gábor Á / Enyedi, Attila / Enyedi, Enikő E / Hajnal, Péter / Takács, István / Tóth, Attila / Papp, Zoltán / Fagyas, Miklós

    Clinica chimica acta; international journal of clinical chemistry

    2020  Volume 513, Page(s) 50–56

    Abstract: Serum chitotriosidase (CTO) activity was proposed as a biomarker in sarcoidosis being potentially useful in diagnostics. Nevertheless, a common duplication polymorphism (c.1049_1072dup24, Dup24) of the CTO gene influences CTO activity and thereby ... ...

    Abstract Serum chitotriosidase (CTO) activity was proposed as a biomarker in sarcoidosis being potentially useful in diagnostics. Nevertheless, a common duplication polymorphism (c.1049_1072dup24, Dup24) of the CTO gene influences CTO activity and thereby compromises its use in sarcoidosis. Here we aimed to substitute CTO activity with CTO concentration to prevent the confounding effect of Dup24. CTO activity, concentration and genetic backgrounds were determined in 80 histopathology proven sarcoidosis patients and 133 healthy individuals. CTO activities were lower in healthy individuals and sarcoidosis patients heterozygous for Dup24 mutation (472 ± 367 mU/L, n = 49; 2300 ± 2105 mU/L, n = 29) than in homozygous wild types (838 ± 856 mU/L, n = 81; 5125 ± 4802 mU/L, n = 48; p < 0.001, respectively). Sera of Dup24 homozygous individuals had no CTO activity. CTO concentrations were also lower in healthy individuals and sarcoidosis patients heterozygous for Dup24 mutation (7.2 ± 1.9 µg/L, n = 11; 63.16 ± 56.5 µg/L, n = 29) than in homozygous wild types (18.9 ± 13.0 µg/L, n = 36; 157.1 ± 132.4 µg/L, n = 47, p < 0.001, respectively) suggestive for an interaction between Dup24 mutation and CTO concentration determinations. We also identified a healthy Hungarian male subject without CTO activity carrying a rare mutation (c.(965_993)del), which mutation has been considered unique for Cypriot population to date. Taken together, CTO concentration determination does not add to the CTO activity measurement when CTO is used as a biomarker in sarcoidosis. Therefore, genotyping of CTO gene should be involved in the interpretation of laboratory findings.
    MeSH term(s) Hexosaminidases/genetics ; Humans ; Male ; Mutation ; Polymorphism, Genetic ; Sarcoidosis/diagnosis ; Sarcoidosis/genetics
    Chemical Substances Hexosaminidases (EC 3.2.1.-) ; chitotriosidase (EC 3.2.1.-)
    Language English
    Publishing date 2020-12-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 80228-1
    ISSN 1873-3492 ; 0009-8981
    ISSN (online) 1873-3492
    ISSN 0009-8981
    DOI 10.1016/j.cca.2020.11.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top