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- Engel, Friederike G., et al.
(author)
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Mussel beds are biological power stations on intertidal flats
- 2017
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In: Estuarine, Coastal and Shelf Science. - : Elsevier BV. - 0272-7714 .- 1096-0015. ; 191, s. 21-27
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Journal article (peer-reviewed)abstract
- Intertidal flats are highly productive areas that support large numbers of invertebrates, fish, and birds. Benthic diatoms are essential for the function of tidal flats. They fuel the benthic food web by forming a thin photosynthesizing compartment in the top-layer of the sediment that stretches over the vast sediment flats during low tide. However, the abundance and function of the diatom film is not homogenously distributed. Recently, we have realized the importance of bivalve reefs for structuring intertidal ecosystems; by creating structures on the intertidal flats they provide habitat, reduce hydrodynamic stress and modify the surrounding sediment conditions, which promote the abundance of associated organisms. Accordingly, field studies show that high chlorophyll a concentration in the sediment co-vary with the presence of mussel beds. Here we present conclusive evidence by a manipulative experiment that mussels increase the local biomass of benthic microalgae; and relate this to increasing biomass of microalgae as well as productivity of the biofilm across a nearby mussel bed. Our results show that the ecosystem engineering properties of mussel beds transform them into hot spots for primary production on tidal flats, highlighting the importance of biological control of sedimentary systems.
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| 2. |
- Escaned, Javier, et al.
(author)
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Safety of the Deferral of Coronary Revascularization on the Basis of Instantaneous Wave-Free Ratio and Fractional Flow Reserve Measurements in Stable Coronary Artery Disease and Acute Coronary Syndromes
- 2018
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In: JACC. - : Elsevier. - 1936-8798 .- 1876-7605. ; 11:15, s. 1437-1449
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Journal article (peer-reviewed)abstract
- OBJECTIVES The aim of this study was to investigate the clinical outcomes of patients deferred from coronary revascularization on the basis of instantaneous wave-free ratio (iFR) or fractional flow reserve (FFR) measurements in stable angina pectoris (SAP) and acute coronary syndromes (ACS). BACKGROUND Assessment of coronary stenosis severity with pressure guidewires is recommended to determine the need for myocardial revascularization. METHODS The safety of deferral of coronary revascularization in the pooled per-protocol population (n = 4,486) of the DEFINE-FLAIR (Functional Lesion Assessment of Intermediate Stenosis to Guide Revascularisation) and iFR-SWEDEHEART (Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve in Patients With Stable Angina Pectoris or Acute Coronary Syndrome) randomized clinical trials was investigated. Patients were stratified according to revascularization decision making on the basis of iFR or FFR and to clinical presentation (SAP or ACS). The primary endpoint was major adverse cardiac events (MACE), defined as the composite of all-cause death, nonfatal myocardial infarction, or unplanned revascularization at 1 year. RESULTS Coronary revascularization was deferred in 2,130 patients. Deferral was performed in 1,117 patients (50%) in the iFR group and 1,013 patients (45%) in the FFR group (p < 0.01). At 1 year, the MACE rate in the deferred population was similar between the iFR and FFR groups (4.12% vs. 4.05%; fully adjusted hazard ratio: 1.13; 95% confidence interval: 0.72 to 1.79; p = 0.60). A clinical presentation with ACS was associated with a higher MACE rate compared with SAP in deferred patients (5.91% vs. 3.64% in ACS and SAP, respectively; fully adjusted hazard ratio: 0.61 in favor of SAP; 95% confidence interval: 0.38 to 0.99; p = 0.04). CONCLUSIONS Overall, deferral of revascularization is equally safe with both iFR and FFR, with a low MACE rate of about 4%. Lesions were more frequently deferred when iFR was used to assess physiological significance. In deferred patients presenting with ACS, the event rate was significantly increased compared with SAP at 1 year. (C) 2018 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.
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