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highlight the increasing prevalence of pregnancies among patients with Fontan circulation, a population characterized by significant obstetric risk. The physiological demands of pregnancy exacerbate the unique hemodynamic challenges inherent to Fontan physiology. The findings of a 2023 analysis by Sobhani et al.
Welcome to the Physiology Friday newsletter. Physiologically Speaking is a reader-supported publication. After just one week, circulating levels of R-βHB, the primary ketone, entered the nutritional ketosis range (0.5 ± 0.3 You can find more products I’m affiliated with on my website.
Welcome to the Physiology Friday newsletter. Physiologically Speaking is a reader-supported publication. When we eat and digest protein, the amino acids circulate throughout the body and incorporate into tissues or are broken down in a process known as oxidation. ” Details can be found at the end of the post!
Welcome to the Physiology Friday newsletter. Physiologically Speaking is a reader-supported publication. During exercise, our body mounts an acute inflammatory response, releasing all sorts of cytokines, macrophages, and other molecules throughout the circulation. “Inflammation.”
Welcome to the Physiology Friday newsletter. Physiologically Speaking is a reader-supported publication. A new study in the Journal of Physiology investigated a simple and quick “prehabilitation” strategy for older adults, 1 though the applications can apply to all of us, ragardless of age. The Journal of Physiology.
Cardiovascular physiology has long held that the heart is a mechanical pump and that the heart’s propulsive power is the main driver of blood flow throughout the body. However, the cardiocentric view of circulation fails to explain blood flow regulation during exercise and other unique scenarios.
BackgroundFontan circulation (FC) in complex congenital heart disease is characterized by altered hemodynamics and associated with Fontanassociated liver disease. Journal of the American Heart Association, Ahead of Print. Patients with FC may exhibit abnormalities in cholate clearance due to abnormal perfusion.
Blood vessels are continually exposed to circulating lipids, and elevation of ApoB-containing lipoproteins causes atherosclerosis. Together, these data demonstrate that the dynamics of FA flux through LD affects endothelial cell homeostasis and consequently large vessel function during normal physiology and in a chronic disease state.
Pulmonary arterial hypertension is a disease of the pulmonary vasculature, resulting in elevated pressure in the pulmonary arteries and disrupting the physiological coordination between the right heart and the pulmonary circulation.
Welcome to the Physiology Friday newsletter. Physiologically Speaking is a reader-supported publication. Prolonged sitting also leads to a bending of major arteries in our legs, leading to a blood flow pattern known as turbulent flow, blood pooling, impaired circulation, and endothelial dysfunction.
Circulation: Cardiovascular Interventions, Volume 18, Issue 4 , Page e014919, April 1, 2025. BACKGROUND:Previous studies have shown weak agreement between coronary physiology indices derived from continuous and bolus thermodilution, and suggested greater variability with bolus thermodilution measurements. versus 0.70 versus 0.20
BACKGROUND:Circulating proteins in blood are involved in various physiological processes, but their contributions to blood pressure regulation remain partially understood. Colocalization analyses were then used to investigate whether the circulating proteins and blood pressure traits shared causal genetic variants.
Welcome to the Physiology Friday newsletter. Physiologically Speaking is a reader-supported publication. There’s a long-running debate in exercise physiology about what limits VO2 max. Physiology is integrative, not isolated. To receive new posts and support my work, consider becoming a free or paid subscriber.
Circulation: Heart Failure, Ahead of Print. The integrative physiology of the left ventricle and systemic circulation is fundamental to our understanding of advanced heart failure and cardiogenic shock. In simplest terms, any increase in aortic stiffness increases the vascular afterload presented to the failing left ventricle.
This approach allowed us to evaluate the effect of childhood body size on 11 measures of right heart and pulmonary circulation independent of other anthropometric traits at various stages in the lifecourse. 0.33];P=3×10−7) independent of adulthood body size.
Circulation, Ahead of Print. Resistance training not only can improve or maintain muscle mass and strength, but also has favorable physiological and clinical effects on cardiovascular disease and risk factors.
Circulation, Ahead of Print. Because of the immature myocardium, the hemodynamic consequences of either bradyarrhythmias or tachyarrhythmias may be far more significant than in mature physiological states. Disorders of the cardiac rhythm may occur in both the fetus and neonate.
Circulation, Volume 150, Issue Suppl_1 , Page A4141415-A4141415, November 12, 2024. After significant workup and diagnostic testing, it was believed that he had late complications often seen in Fontan physiology, notably hepatic fibrosis, lymphatic leakage, and protein losing enteropathy.
The unique underlying anatomic and physiological background further adds to the difficulty in eliminating the AF burden in these patients. The increasing prevalence of atrial fibrillation (AF) in adults with congenital heart disease raises significant questions regarding its management.
Exercise testing can serve as a powerful physiologic probe to unmask subclinical cardiovascular abnormalities well before disease onset. At present, there is no reliable circulating biomarker—a protein or other molecule present in the blood stream—indicative of hypertension risk.
Post-Fontan circulation may impact function in multiple organ systems, but its long term effects on the brain microvasculature are not well characterized. Exposure to Fontan circulation may be associated with early onset of cerebral SVD, suggesting increased long term risk of stroke and dementia.
Circulation, Ahead of Print. To explore the physiological relevance of the model system studies, we isolated HDL from LCAT-deficient subjects, the small HDLs (eg, reconstituted HDLs) of which are discoidal and composed of apoA1, cholesterol, and phospholipid.
The Role of Wearable Technology in Heart Health Wearable tech is designed to monitor physiological data and provide actionable insights to users. Abnormal readings can signal issues with circulation or lung function, prompting further investigation. Sleep Monitoring Quality sleep is essential for heart health.
In contrast, macrophages derived from the recipient's circulation swiftly populated the heart shortly after transplantation. The research, led by esteemed physician-scientist at The Texas Heart Institute ( THI ), Dr. James F. Martin , Vivian L.
Circulation, Ahead of Print. Wearable biosensors (wearables) enable continual, noninvasive physiologic and behavioral monitoring at home for those with pediatric or congenital heart disease. Wearables allow patients to access their personal data and monitor their health.
Circulation: Arrhythmia and Electrophysiology, Ahead of Print. and 0.64, respectively) with similar phenotypes.CONCLUSIONS:Long-term and acute responses to AF ablation reflect distinct clinical and electrical physiology, respectively. The external validation cohort showed similar results (area under the curve=0.81
Circulation, Volume 150, Issue Suppl_1 , Page A4140803-A4140803, November 12, 2024. It was first described over 150 years ago, however the physiological mechanism and pathophysiological implications are not well understood. This study aimed to elucidate underlying mechanisms and physiological function of vasomotion in human arteries.
Circulation, Volume 150, Issue Suppl_1 , Page A4144226-A4144226, November 12, 2024. Background and Objectives:Neonatal cardiac surgery requires careful consideration of cardiopulmonary bypass (CPB) priming fluid composition due to small blood volume and immature physiology.
Circulation, Volume 150, Issue Suppl_1 , Page A4140767-A4140767, November 12, 2024. Physiological class (PC) was determined by clinicians according to the 2018 AHA/ACC guidelines. Feature-tracking of SSFP cine was retrospectively utilized to quantify radial, circumferential, and longitudinal strain in both 2 and 3 dimensions.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Injection of contrast media for rapid measurement of contrast fractional flow reserve (cFFR) obviates the side effects and time requirements of adenosine fractional flow reserve (aFFR) and improves diagnostic performance relative to nonhyperemic pressure ratios.
Circulation: Cardiovascular Interventions, Volume 17, Issue 1 , Page e013481, January 1, 2024. BACKGROUND:The underlying mechanisms responsible for the clinical benefits following coronary sinus narrowing and pressure elevation remain unclear. The primary outcome was the change in the values of the index of microcirculatory resistance.
An alternate hypothesis : Siphon effect in cranial circulation Some believe the heart is assisted by an alternate mechanism in the Giraffes. The hemodynamic of the Giraffe’s vascular system is a good physiologic model of circulation, that defy gravity. The carotid artery could act like a siphon from the heart.
Circulation: Heart Failure, Volume 17, Issue 12 , Page e011725, December 1, 2024. For most women, this physiological adaptation resolves at the end of pregnancy, but some women develop pathological dilatation and ultimately heart failure late in pregnancy or in the postpartum period, manifesting as peripartum cardiomyopathy (PPCM).
Circulation, Volume 151, Issue 1 , Page 59-75, January 7, 2025. In response to physiological changes, YAP moves in and out of the nucleus. BACKGROUND:The Hippo pathway effector YAP (Yes-associated protein) plays an essential role in cardiomyocyte proliferation and heart regeneration.
LDL is potrayed as villian de-chief of atheroscerlois and CAD.But, LDL of about 100 to 160 mg concentration is in constant circulation, in a smooth manner serving other physiological vascular functions.
Circulation, Volume 150, Issue Suppl_1 , Page A4147397-A4147397, November 12, 2024. Frailty is a syndrome of physiological decline, characterized by marked vulnerability to adverse health outcomes. Background:Ischemic heart disease (IHD) is a prevalent cardiovascular disease (CVD) associated with high morbidity and mortality.
Circulation, Volume 150, Issue Suppl_1 , Page A4140645-A4140645, November 12, 2024. BACKGROUND:Electrical and dynamic stimulation are commonly used to enhance the maturation of engineered cardiac tissue (ECT) derived from induced pluripotent stem cells (iPSCs), reflecting the physiological environment of the heart.
Circulation, Volume 150, Issue Suppl_1 , Page A4123391-A4123391, November 12, 2024. However, surgery was deferred because of decompensated HFpEF, as evidenced by significant leg edema on exam, and severely elevated left and right-side filling pressure, with restrictive physiology on right heart catheterization.
Circulation, Volume 150, Issue Suppl_1 , Page A4115027-A4115027, November 12, 2024. Background:The emerging field of cardiac optogenetics uses pulses of light to stimulate optically-sensitive proteins in the heart, influencing cellular physiology with unprecedented spatiotemporal resolution.
Circulation, Ahead of Print. BACKGROUND:Cardiac transverse tubules (T-tubules) are anchored to sarcomeric Z-discs by costameres to establish a regular spaced pattern. One of the major components of costameres is the dystrophin-glycoprotein complex (DGC).
The foods we eat, coupled with our physiology and exposures (eg, antibiotics, supplements), directly contribute to atherosclerotic disease in complex ways that are mediated by gastrointestinal flora and metabolic byproducts.
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