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- Cameli, Matteo, et al.
(författare)
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The analysis of left atrial function predicts the severity of functional impairment in chronic heart failure : The FLASH multicenter study
- 2019
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Ingår i: International Journal of Cardiology. - : ELSEVIER IRELAND LTD. - 0167-5273 .- 1874-1754. ; 286, s. 87-91
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Tidskriftsartikel (refereegranskat)abstract
- Background: Heart failure (HF) patients presentwith a variety of symptoms at different stages of the disease, but the underlying pathophysiology still is unclear. Left atrial (LA) function might be tightly related to changes in patients' symptoms, more than morphological and anatomic heart features, measurable by ultrasound imaging technique. This study sought to investigate the correlation between LA function, assessed by Speckle Tracking Echocardiography (STE) and Quality of Life (QoL), assessed by theMinnesota Livingwith Heart Failure Questionnaire (MLHFQ), in patients with chronic HF. Methods: Clinically stable HF outpatients (n = 369) were enrolled from 7 different international centres and underwent echocardiographic studies. Patients >75 years old and with atrial fibrillation were excluded. LA strain during reservoir phase (LASr) by STE was measured in all subjects by averaging the 6 atrial segments. LA size was assessed using biplane volume and 4-chamber area acquisition. Results: LASr strongly correlated with both MLHFQ total score (r = -0.87; p < 0.0001). Less significant correlations between MLHFQ and either LA volume or left ventricular global longitudinal strain (LV-GLS) were found (r = 0.28; p = 0.05 and r = 0.30; p = 0.01, respectively). No significant correlation was found between MLHFQ score, LVEF (r = -0.15; p = ns), E/E' ratio (r = 0.19; p = ns), and E/A ratio (r = 0.20; p = ns). Among all echocardiographic parameters analyzed, LASr presented the highest diagnostic accuracy (AUC = 0.74) in predicting a poor QoL (>45), when compared with LV-GLS (AUC = 0.61), LA volume (AUC = 0.54) and E/e' ratio (AUC = 0.51). Conclusions: In patients with HF, irrespective of etiology, LA function strongly correlates with patients' QoL. (C) 2019 Elsevier B.V. All rights reserved.
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| 2. |
- Liu, Gangjin, et al.
(författare)
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Impact of atmospheric pressure variations on aerobic biodegradation test
- 2023
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Ingår i: Waste Management and Research. - 0734-242X. ; 41:10, s. 1559-1569
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Tidskriftsartikel (refereegranskat)abstract
- Biodegradation rate is an important index to evaluate the environmental risk of chemicals, which is usually determined by measuring oxygen consumption through respirometer in a biodegradation test. However, atmospheric pressure variations affect reactor oxygen concentration and oxygen volume recorded by respirometer in biodegradation test, and the parameters of reactor volume and test material amount amplify its effect. Atmospheric pressure variation >1 kPa could introduce >20% underestimation in biodegradation rate when a small amount of test material (0.04–0.2 g per 100 g of inoculum) and high reactor volume (2–4 L) were used according to the international standards. A 5 kPa drop in atmospheric pressure leads to a 6% decrease in headspace oxygen concentration in the reactor, which could subsequently inhibit biodegradation microbials and decrease the biodegradation rate by 30%. Moreover, the biodegradation process (oxygen consumption rate) could be accelerated/delayed several times by atmospheric pressure variations compared to the process without variations when the oxygen consumption rate was <5 mL h−1 in a 0.5 or 1 L reactor and <10 mL h−1 in a 2-L reactor. Mitigating the effects of atmospheric pressure variations on biodegradation test includes lowering the reactor volume, increasing the test material amount and recording atmospheric pressure for further modification.
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