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- Platonov, Pyotr, et al.
(författare)
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Morphology of inter-atrial conduction routes in patients with atrial fibrillation.
- 2002
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Ingår i: Europace. - : Oxford University Press (OUP). - 1532-2092 .- 1099-5129. ; 4:2, s. 183-192
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Inter-atrial conduction disturbance is associated with the presence of atrial fibrillation (AF), although little is known about the anatomy of the inter-atrial connections. METHODS AND RESULTS: Twenty-seven hearts from in-hospital deaths were examined and stratified in two groups with regard to their history of AF. Measurements of atrial weight were performed after excising the atria at the level of the atrioventricular valve plane and separation from the inter-atrial septum (IAS). In addition, in 15 of 27 hearts (seven AF, eight non-AF) the IAS was sliced into 10 microm thick parallel histological sections at intervals of 1 mm starting at the valve plane and ending at the atrial roof. The sections were stained with van Gieson's stain. The variable morphology of the anterior and posterior inter-atrial connective muscle bundles is described. The total number of inter-atrial connections varied from 1 to 5. The anterior route (Bachmann's bundle) was not found in seven of 15 specimens. CONCLUSION: Inter-atrial connections are characterized by substantial variability in morphology and in the distribution of bundles. This may account for part of the variable susceptibility to AF.
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- Kovalchuk, T, et al.
(författare)
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Case Reports: Emery-Dreifuss Muscular Dystrophy Presenting as a Heart Rhythm Disorders in Children
- 2021
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Ingår i: Frontiers in cardiovascular medicine. - : Frontiers Media SA. - 2297-055X. ; 8, s. 668231-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Emery-Dreifuss muscular dystrophy (EDMD) is inherited muscle dystrophy often accompanied by cardiac abnormalities in the form of supraventricular arrhythmias, conduction defects and sinus node dysfunction. Cardiac phenotype typically arises years after skeletal muscle presentation, though, could be severe and life-threatening. The defined clinical manifestation with joint contractures, progressive muscle weakness and atrophy, as well as cardiac symptoms are observed by the third decade of life. Still, clinical course and sequence of muscle and cardiac signs may be variable and depends on the genotype. Cardiac abnormalities in patients with EDMD in pediatric age are not commonly seen. Here we describe five patients with different forms of EDMD (X-linked and autosomal-dominant) caused by the mutations in EMD and LMNA genes, presented with early onset of cardiac abnormalities and no prominent skeletal muscle phenotype. The predominant forms of cardiac pathology were atrial arrhythmias and conduction disturbances that progress over time. The presented cases discussed in the light of therapeutic strategy, including radiofrequency ablation and antiarrhythmic devices implantation, and the importance of thorough neurological and genetic screening in pediatric patients presenting with complex heart rhythm disorders.
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- Mitrofanova, A, et al.
(författare)
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SMPDL3b modulates insulin receptor signaling in diabetic kidney disease
- 2019
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Ingår i: Nature communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 10:1, s. 2692-
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Tidskriftsartikel (refereegranskat)abstract
- Sphingomyelin phosphodiesterase acid-like 3b (SMPDL3b) is a lipid raft enzyme that regulates plasma membrane (PM) fluidity. Here we report that SMPDL3b excess, as observed in podocytes in diabetic kidney disease (DKD), impairs insulin receptor isoform B-dependent pro-survival insulin signaling by interfering with insulin receptor isoforms binding to caveolin-1 in the PM. SMPDL3b excess affects the production of active sphingolipids resulting in decreased ceramide-1-phosphate (C1P) content as observed in human podocytes in vitro and in kidney cortexes of diabetic db/db mice in vivo. Podocyte-specific Smpdl3b deficiency in db/db mice is sufficient to restore kidney cortex C1P content and to protect from DKD. Exogenous administration of C1P restores IR signaling in vitro and prevents established DKD progression in vivo. Taken together, we identify SMPDL3b as a modulator of insulin signaling and demonstrate that supplementation with exogenous C1P may represent a lipid therapeutic strategy to treat diabetic complications such as DKD.
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| 8. |
- Mitrofanova, L, et al.
(författare)
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Anatomy of the inferior interatrial route in humans
- 2005
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Ingår i: Europace. - : Oxford University Press (OUP). - 1532-2092. ; 7, s. 49-55
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Tidskriftsartikel (refereegranskat)abstract
- Aims To explore the morphology of the proximal coronary sinus (CS) and the surrounding tissues in order to identify possible routes for interatrial conduction. Method Specimens containing interatrial septum and proximal CS were taken from 21 necropsied hearts and sliced into 10-mu m thick parallel histological sections in 1-mm steps starting from the valve plane, up to the atrial. roof (40-80 sections per heart). The sections were stained with van Gieson's stain. Results Media in the proximal CS consists of smooth muscle cells that do not form a continuous layer. CS was not surrounded by striated atrial myocardium in 10 specimens in which posterior CS wall was covered by epicardial fat only. In seven specimens, striated muscle bundles of up to 2-mm width connected the myocardium surrounding the CS with the left atrium. Regardless of their presence, variable posterior and/or anterior interatrial muscular connections were identified in all specimens. Conclusion Variability of the striated atrial. myocardium surrounding proximal CS may affect interatrial conduction. Striated muscular fascicles connecting the proximal CS with the left atrium are not obligatory cardiac structures and may be considered as supplementary to the larger interatrial connections outside the CS. (c) 2005 The European Society of Cardiology.
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