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Subject = MYOCARDIAL INFARCTION;
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Displaying Results 1 - 25 of 44 on page 1 of 2
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A bioresorbable biomaterial carrier and passive stabilization device to improve heart function post-myocardial infarction
(2019)
Dolan, Eimear B.; Hofmann, Björn; de Vaal, M. Hamman; Bellavia, Gabriella; Straino, Ste...
A bioresorbable biomaterial carrier and passive stabilization device to improve heart function post-myocardial infarction
(2019)
Dolan, Eimear B.; Hofmann, Björn; de Vaal, M. Hamman; Bellavia, Gabriella; Straino, Stefania; Kovarova, Lenka; Pravda, Martin; Velebny, Vladimir; Daro, Dorothee; Braun, Nathalie; Monahan, David S.; Levey, Ruth E.; O'Neill, Hugh; Hinderer, Svenja; Greensmith, Robert; Monaghan, Michael G.; Schenke-Layland, Katja; Dockery, Peter; Murphy, Bruce P.; Kelly, Helena M.
Abstract:
The limited regenerative capacity of the heart after a myocardial infarct results in remodeling processes that can progress to congestive heart failure (CHF). Several strategies including mechanical stabilization of the weakened myocardium and regenerative approaches (specifically stem cell technologies) have evolved which aim to prevent CHF. However, their final performance remains limited motivating the need for an advanced strategy with enhanced efficacy and reduced deleterious effects. An epicardial carrier device enabling a targeted application of a biomaterial-based therapy to the infarcted ventricle wall could potentially overcome the therapy and application related issues. Such a device could play a synergistic role in heart regeneration, including the provision of mechanical support to the remodeling heart wall, as well as providing a suitable environment for in situ stem cell delivery potentially promoting heart regeneration. In this study, we have developed a novel, sing...
http://hdl.handle.net/10379/15192
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A comparison of the efficacy of transplantation of bone marrow-derived mesenchymal stem cells and unrestricted somatic stem cells on outcome after acute myocardial infarction
(2018)
Flynn, Aidan; Chen, Xizhe; O'Connell, Enda; O'Brien, Timothy
A comparison of the efficacy of transplantation of bone marrow-derived mesenchymal stem cells and unrestricted somatic stem cells on outcome after acute myocardial infarction
(2018)
Flynn, Aidan; Chen, Xizhe; O'Connell, Enda; O'Brien, Timothy
Abstract:
Introduction: A number of questions remain unanswered in the field of cell therapy for acute myocardial infarction, including what is the optimal cell type, and can therapeutic efficacy be enhanced by conditioning regimens. In this study, we sought to address these questions by directly comparing the effect of bone marrow-derived mesenchymal stem cells and unrestricted somatic stem cells delivered 24 hours post-myocardial infarction and by determining if the therapeutic efficacy of unrestricted somatic stem cells could be enhanced by exposing the cells to guiding factors before cell transplantation. Methods: Unrestricted somatic stem cells were guided by exposure to 50 ng/mL basic fibroblast growth factor, 20 ng/mL hepatocyte growth factor and 20 ng/mL bone morphogenetic protein-2 for 24 hours. Using a Sprague-Dawley rat model of acute myocardial infarction, we transplanted cells by intramyocardial injection 24 hours post-myocardial infarction. Cardiac function was serially measured...
http://hdl.handle.net/10379/11526
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A virtual reality toolkit for the diagnosis and monitoring of myocardial infarctions
(2005)
BELL, CHRISTOPHER; O'SULLIVAN, CAROL ANN
A virtual reality toolkit for the diagnosis and monitoring of myocardial infarctions
(2005)
BELL, CHRISTOPHER; O'SULLIVAN, CAROL ANN
Abstract:
peer-reviewed
We have developed a software system that takes standard electrocardiogram (ECG) input and interprets this input along with user-defined and automatically defined markers to diagnose myocardial infarctions (MI). These pathologies are then automatically represented within a volumetric model of the heart. Over a period of six months 30 patients were monitored using a digital ECG system and this information was used to test and develop our system. It was found that the STEMIs (ST segment Elevation MI) were successfully diagnosed, however NSTEMIs (Non-STEMI), although correctly interpreted, were more ambiguous due to the fact that T wave inversions are sometimes seen on normal ECGs. Control ECGs of normal hearts were also taken. The system correctly interpreted this data as being normal. A standard voxel-count metric was developed so that future work in MI monitoring will be possible. The toolkit was found to be beneficial for three possible uses, as a diagnostic tool f...
http://hdl.handle.net/2262/18359
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Adjusted prognostic association of post-myocardial infarction depression withmortality and cardiovascular events: an individual patient data meta-analysis
(2013)
Meijer, Anna; Conradi, Henk Jan; Bos, Elske H; Anselmino, Matteo; Carney, Robert M; Den...
Adjusted prognostic association of post-myocardial infarction depression withmortality and cardiovascular events: an individual patient data meta-analysis
(2013)
Meijer, Anna; Conradi, Henk Jan; Bos, Elske H; Anselmino, Matteo; Carney, Robert M; Denollet, Johan; Doyle, Frank; Freedland, Kenneth E; Grace, Sherry L; Hosseini, Seyed Hamzeh; Lane, Deirdre A; Pilote, Louise; Parakh, Kapil; Rafanelli, Chiara; Sato, Hiroshi; Steeds, Richard P; Welin, Catharina; de Jonge, Peter
Abstract:
<p>This article is also available at <a href="http://bjp.rcpsych.org/content/203/2/90.abstract?related-urls=yes&legid=bjprcpsych;203/2/90">http://bjp.rcpsych.org/content/203/2/90.abstract?relatedurls=yes&legid=bjprcpsych;203/2/90</a> or <a href="http://www.maneypublishing.com/">http://www.maneypublishing.com/</a></p>
<p><strong>Background:</strong> The association between depression after myocardial infarction (post-MI) and increased risk of mortality and cardiac morbidity may be due to cardiac disease severity.</p> <p><strong>Aims:</strong> To combine original data from studies on the association between post-MI depression and prognosis into one database. To investigate to what extent post-MI depression predicts prognosis independently of disease severity.</p> <p><strong>Method: </strong>Individual patient data meta-analysis of studies, using multile...
https://epubs.rcsi.ie/psycholart/59
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Advanced Material Catheter (AMCath), a minimally invasive endocardial catheter for the delivery of fast-gelling covalently cross-linked hyaluronic acid hydrogels
(2019)
Dolan, Eimear B.; Kovarova, Lenka; O'Neill, Hugh; Pravda, Martin; Sulakova, Romana...
Advanced Material Catheter (AMCath), a minimally invasive endocardial catheter for the delivery of fast-gelling covalently cross-linked hyaluronic acid hydrogels
(2019)
Dolan, Eimear B.; Kovarova, Lenka; O'Neill, Hugh; Pravda, Martin; Sulakova, Romana; Scigalkova, Ivana; Velebny, Vladimir; Daro, Dorothee; Braun, Nathalie; Cooney, Gerard M .; Bellavia, Gabriella; Straino, Stefania; Cavanagh, Brenton L.; Flanagan, Aiden; Kelly, Helena M.; Duffy, Garry P.; Murphy, Bruce P.
Abstract:
Injectable hydrogels that aim to mechanically stabilise the weakened left ventricle wall to restore cardiac function or to deliver stem cells in cardiac regenerative therapy have shown promising data. However, the clinical translation of hydrogel-based therapies has been limited due to difficulties injecting them through catheters. We have engineered a novel catheter, Advanced Materials Catheter (AMCath), that overcomes translational hurdles associated with delivering fast-gelling covalently cross-linked hyaluronic acid hydrogels to the myocardium. We developed an experimental technique to measure the force required to inject such hydrogels and determined the mechanical/viscoelastic properties of the resulting hydrogels. The preliminary in vivo feasibility of delivering fast-gelling hydrogels through AMCath was demonstrated by accessing the porcine left ventricle and showing that the hydrogel was retained in the myocardium post-injection (three 200 μL injections delivered, 192, 204 ...
http://hdl.handle.net/10379/15190
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Age, job characteristics and coronary health
(2012)
McCarthy, Vera J. C.; Perry, Ivan J.; Greiner, Birgit A.
Age, job characteristics and coronary health
(2012)
McCarthy, Vera J. C.; Perry, Ivan J.; Greiner, Birgit A.
Abstract:
Background: Workplace demographics are changing in many European countries with a higher proportion of older workers in employment. Research has shown that there is an association between job strain and cardiovascular disease, but this relationship is unclear for the older worker. Aims: To investigate the association between job strain and a coronary event comparing younger and older male workers. Methods: Cases with a first-time coronary event were recruited from four coronary/intensive care units (1999-2001). Matched controls were recruited from the case's general practitioner surgery. Physical measurements were taken and self-administered questionnaires completed with questions on job characteristics, job demands and control. Unconditional logistic regression was carried out adjusting for classical cardiovascular risk factors. Results: There were 227 cases and 277 matched controls. Age stratified analyses showed a clear difference between younger (= 50 years) workers with re...
http://hdl.handle.net/10468/2672
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An injectable collagen scaffold delivering exogenous microRNA as a therapy to modulate extracellular matrix remodelling
(2014)
Monaghan, Michael
An injectable collagen scaffold delivering exogenous microRNA as a therapy to modulate extracellular matrix remodelling
(2014)
Monaghan, Michael
Abstract:
Cardiovascular disease is the leading cause of death in the developed world and is responsible for approximately 36% of Irish mortality. Myocardial infarction (MI), which is literally the death of cardiac tissue due to lack of oxygenation, accounts for the majority of deaths associated with cardiovascular disease. This death of cardiac tissue leads to a loss of cardiac function as the damaged area becomes a non-contractile scar. Amelioration of this process is a main aim of regenerative cardiac strategies such as anti-fibrotic therapies. Thus, anti-fibrotic interfering RNA (RNAi) therapy with exogenous microRNA (miR)-29B was proposed as a method to modulate extracellular matrix (ECM) remodelling following MI. It was hypothesized that miR-29B scaffold delivery will efficiently modulate the ECM remodelling response and reduce maladaptive remodelling, such as aggressive deposition of collagen type I, after injury. The primary objective of this doctoral project was to develop a scaffold...
http://hdl.handle.net/10379/4685
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Bone marrow-derived mesenchymal stem cells have innate procoagulant activity and cause microvascular obstruction following intracoronary delivery: amelioration by antithrombin therapy
(2018)
Gleeson, Birgitta M.; Martin, Kenneth; Ali, Mohammed T.; Kumar, Arun H. S.; Pillai, M. ...
Bone marrow-derived mesenchymal stem cells have innate procoagulant activity and cause microvascular obstruction following intracoronary delivery: amelioration by antithrombin therapy
(2018)
Gleeson, Birgitta M.; Martin, Kenneth; Ali, Mohammed T.; Kumar, Arun H. S.; Pillai, M. Gopala-Krishnan; Kumar, Sujith P. G.; O'Sullivan, John F.; Whelan, Derek; Stocca, Alessia; Khider, Wisam; Barry, Frank P.; O'Brien, Timothy; Caplice, Noel M.
Abstract:
Mesenchymal stem cells (MSCs) are currently under investigation as tools to preserve cardiac structure and function following acute myocardial infarction (AMI). However, concerns have emerged regarding safety of acute intracoronary (IC) MSC delivery. This study aimed to characterize innate prothrombotic activity of MSC and identify means of its mitigation toward safe and efficacious therapeutic IC MSC delivery post-AMI. Expression of the initiator of the coagulation cascade tissue factor (TF) on MSC was detected and quantified by immunofluorescence, FACS, and immunoblotting. MSC-derived TF antigen was catalytically active and capable of supporting thrombin generation in vitro. Addition of MSCs to whole citrated blood enhanced platelet thrombus deposition on collagen at arterial shear, an effect abolished by heparin coadministration. In a porcine AMI model, IC infusion of 25 x 10(6) MSC during reperfusion was associated with a decrease in coronary flow reserve but not when coadminist...
http://hdl.handle.net/10379/11660
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CCU 2003: National Survey of the Presentation and Management of Acute Myocardial infarction (AMI) & Other Acute Coronary Syndromes (ACS) in Irish Hospital
(2004)
Doyle, Frank; De La Harpe, Davida; McGee, Hannah; Shelly, Emer; Walsh, Michael; Daly, K...
CCU 2003: National Survey of the Presentation and Management of Acute Myocardial infarction (AMI) & Other Acute Coronary Syndromes (ACS) in Irish Hospital
(2004)
Doyle, Frank; De La Harpe, Davida; McGee, Hannah; Shelly, Emer; Walsh, Michael; Daly, Kieran
http://hdl.handle.net/10147/622822
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Clinical experience with regenerative therapy in heart failure
(2018)
Bartunek, Jozef; Terzic, Andre; Behfar, Atta; Wijns, William
Clinical experience with regenerative therapy in heart failure
(2018)
Bartunek, Jozef; Terzic, Andre; Behfar, Atta; Wijns, William
Abstract:
Adoption of regenerative strategies for heart failure is challenged by mixed outcomes in clinical trials. Ongoing development plans strive to improve biotherapeutic potency, optimize delivery, standardize dosing, and target responsive patient populations. The CHART (Congestive Heart Failure Cardiopoietic Regenerative Therapy) program offers advanced experience in clinical development of next-generation regenerative therapies.
http://hdl.handle.net/10379/10369
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Considerable differences exist between prevalent and incident myocardial infarction cohorts derived from the same population
(2018)
Buckley, Brian S.; Simpson, Colin R.; McLernon, David J.; Hannaford, Philip C.; Murphy,...
Considerable differences exist between prevalent and incident myocardial infarction cohorts derived from the same population
(2018)
Buckley, Brian S.; Simpson, Colin R.; McLernon, David J.; Hannaford, Philip C.; Murphy, Andrew W.
http://hdl.handle.net/10379/10576
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Delay in seeking medical help following transient ischemic attack (TIA) or "Mini-Stroke": a qualitative study
(2016)
Mc Sharry, Jennifer; Baxter, Alison; Wallace, Louise M.; Kenton, Anthony; Turner, Andre...
Delay in seeking medical help following transient ischemic attack (TIA) or "Mini-Stroke": a qualitative study
(2016)
Mc Sharry, Jennifer; Baxter, Alison; Wallace, Louise M.; Kenton, Anthony; Turner, Andrew; French, David P.
Abstract:
Background: Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical services including how decisions to contact services were made and the factors discussed in relation to delay.Methods: Twenty interviews were conducted with TIA patients in England. Using a previous systematic review as an initial framework, interview data were organised into categories of symptom recognition, presence of others and type of care sought. A thematic analysis was then conducted to explore descriptions of care-seeking relevant to each category.Results: Delay in contacting medical services varied from less than an hour to eight days. Awareness of typical stroke symptoms could lead to urgent action when more severe TIA symptoms were present but could lead to delay when ...
http://hdl.handle.net/10379/5850
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Depressive symptoms in persons with acute coronary syndrome: specific symptom scales and prognosis
(2010)
Doyle, Frank; Conroy, Ronán; McGee, Hannah; Delaney, Mary
Depressive symptoms in persons with acute coronary syndrome: specific symptom scales and prognosis
(2010)
Doyle, Frank; Conroy, Ronán; McGee, Hannah; Delaney, Mary
Abstract:
<p>This article is also available at http://www.jpsychores.com/ or http://www.sciencedirect.com/science/journal/00223999</p>
<p>Objective To determine which particular depressive symptom scales, derived from three scales, predicted poorer prognosis in persons with acute coronary syndrome (ACS). Methods Hospitalised ACS patients (n=408) completed questionnaires (depression, vital exhaustion). Mokken scaling derived unidimensional scales. Major cardiac events (cardiac mortality, ACS, unplanned revascularisation) were assessed at median 67 weeks post-event. Results Only depressive symptoms of fatigue-sadness predicted prognosis in univariate (hazard ratio [HR]=1.8, 95% CI 1.1–3.0, p=0.025) and multivariate analysis (HR=1.8, 95% CI 1.1–2.9, p=0.025). Symptoms of anhedonia (HR=1.6, 95% CI 0.9–2.8, p=0.102) and depressive cognitions (HR=1.3, 95% CI 0.7–2.2, p=0.402) did not. Conclusion Symptoms of fatigue-sadness, but not other symptoms, were associated with increase...
https://epubs.rcsi.ie/psycholart/9
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Elastin-like recombinamers-based hydrogel modulates the post-ischemic remodelling in a clinically-relevant model of myocardial infarction
(2019)
Contessotto, Paolo
Elastin-like recombinamers-based hydrogel modulates the post-ischemic remodelling in a clinically-relevant model of myocardial infarction
(2019)
Contessotto, Paolo
Abstract:
Myocardial infarction (MI) belongs to the family of cardiovascular diseases and represents the primary cause of worldwide mortality. Despite the promising results achieved in both small and large animal studies, recent meta-analyses highlighted the marginal effect of therapeutic strategies like bone-marrow derived stem cells once they are tested in the clinical trials. Mammalian adult cardiomyocytes are able to re-enter the cell-cycle only during the first week after birth, thus avoiding the maladaptive remodelling which characterises post-ischemic phases in the adult. In this thesis a study included the identification of significant differences in the cellular membrane glycosylation from tissue samples harvested from neonatal and adult rats. Increasing evidence has shown the crucial role that components of the extracellular matrix (ECM) can play to modulate the post-ischemic remodelling. Elastin is a natural component of the cardiac ECM and can be mimicked by genetic engineering th...
http://hdl.handle.net/10379/15130
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Elevated white cell count in acute coronary syndromes: relationship to variants in inflammatory and thrombotic genes.
(2004)
Byrne, Connie E; Fitzgerald, Anthony; Cannon, Christopher P; Fitzgerald, Desmond J; Shi...
Elevated white cell count in acute coronary syndromes: relationship to variants in inflammatory and thrombotic genes.
(2004)
Byrne, Connie E; Fitzgerald, Anthony; Cannon, Christopher P; Fitzgerald, Desmond J; Shields, Denis C
Abstract:
<p>This article is also available from <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Elevated white blood cell counts (WBC) in acute coronary syndromes (ACS) increase the risk of recurrent events, but it is not known if this is exacerbated by pro-inflammatory factors. We sought to identify whether pro-inflammatory genetic variants contributed to alterations in WBC and C-reactive protein (CRP) in an ACS population.</p> <p>METHODS: WBC and genotype of interleukin 6 (IL-6 G-174C) and of interleukin-1 receptor antagonist (IL1RN intronic repeat polymorphism) were investigated in 732 Caucasian patients with ACS in the OPUS-TIMI-16 trial. Samples for measurement of WBC and inflammatory factors were taken at baseline, i.e. Within 72 hours of an acute myocardial infarction or an unstable angina event.</p> <p>RESULTS: An increased white blood cell count (WBC) was associated with an increa...
https://epubs.rcsi.ie/mctart/57
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Five year prognosis in patients with angina identified in primary care: incident cohort study
(2009)
British Medical Journal
Five year prognosis in patients with angina identified in primary care: incident cohort study
(2009)
British Medical Journal
Abstract:
The objective of this study was to ascertain the risk of acute myocardial infarction, invasive cardiac procedures, and mortality among patients with newly diagnosed angina over five years. This is an Incident cohort study of patients with primary care data linked to secondary care and mortality data. 40 primary care practices in Scotland participated. Participants 1785 patients with a diagnosis of angina as their first manifestation of ischaemic heart disease were monitored between1 January 1998 to 31 December 2001.
http://dx.doi.org/10.14655/415-9420
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Five year prognosis in patients with angina identified in primary care: incident cohort study
(2009)
British Medical Journal
Five year prognosis in patients with angina identified in primary care: incident cohort study
(2009)
British Medical Journal
Abstract:
The objective of this study was to ascertain the risk of acute myocardial infarction, invasive cardiac procedures, and mortality among patients with newly diagnosed angina over five years. This is an Incident cohort study of patients with primary care data linked to secondary care and mortality data. 40 primary care practices in Scotland participated. Participants 1785 patients with a diagnosis of angina as their first manifestation of ischaemic heart disease were monitored between1 January 1998 to 31 December 2001.
http://dx.doi.org/10.14655/415-9420
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HeartBeat--improving heart attack care
(2011)
Jennings, S; Bennett, K; Cavanagh, B
HeartBeat--improving heart attack care
(2011)
Jennings, S; Bennett, K; Cavanagh, B
Abstract:
We aimed to save lives by assuring best practice in ST elevation myocardial infarction (STEMI) through initiating the Institute for Healthcare Improvement (IHI) methodology nationally. Following collection of a minimum dataset, annual change in indicators in the five initiating hospitals for the period Oct 2006 and Sept 2009 was assessed by analysing the percentage of patients receiving the eight components of evidenced based care on admission and discharge and in-hospital mortality rate. For 635 patients, performance on seven of the eight indicators of care exceeded 90% annually. Timely reperfusion therapy (thrombolysis, primary percutaneous coronary intervention (PPCI)) improved non-significantly from 68.2% (107 patients) in year 1 to 77.1% (118 patients) in year 3. In-hospital mortality declined significantly from 12.4% (24 deaths) in year 1 to 5% (9 deaths) in year 3. Evidence based STEMI care is followed to a high degree but timely reperfusion and PPCI provision remain a challe...
http://hdl.handle.net/10147/128274
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High-sensitivity cardiac troponin concentration and risk of first-ever cardiovascular outcomes in 154,052 participants
(2017)
Willeit, Peter; Welsh, Paul; Evans, Jonathan D. W.; Tschiderer, Lena; Boachie, Charles;...
High-sensitivity cardiac troponin concentration and risk of first-ever cardiovascular outcomes in 154,052 participants
(2017)
Willeit, Peter; Welsh, Paul; Evans, Jonathan D. W.; Tschiderer, Lena; Boachie, Charles; Jukema, J. Wouter; Ford, Ian; Trompet, Stella; Stott, David J.; Kearney, Patricia M.; Mooijaart, Simon P.; Kiechl, Stefan; Di Angelantonio, Emanuele; Sattar, Naveed
Abstract:
BACKGROUND High-sensitivity assays can quantify cardiac troponins I and T (hs-cTnI, hs-cTnT) in individuals with no clinically manifest myocardial injury. OBJECTIVES The goal of this study was to assess associations of cardiac troponin concentration with cardiovascular disease (CVD) outcomes in primary prevention studies. METHODS A search was conducted of PubMed, Web of Science, and EMBASE for prospective studies published up to September 2016, reporting on associations of cardiac troponin concentration with first-ever CVD outcomes (i.e., coronary heart disease [CHD], stroke, or the combination of both). Study-specific estimates, adjusted for conventional risk factors, were extracted by 2 independent reviewers, supplemented with de novo data from PROSPER (Pravastatin in Elderly Individuals at Risk of Vascular Disease Study), then pooled by using random effects meta-analysis. RESULTS A total of 28 relevant studies were identified involving 154,052 participants. Cardiac troponin was d...
http://hdl.handle.net/10468/4799
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Managing heart conditions in pregnancy
(2010)
Murphy, Margaret M.
Managing heart conditions in pregnancy
(2010)
Murphy, Margaret M.
Abstract:
Healthcare professionals are encountering more andmore women with cardiac conditions contemplating pregnancyor when pregnant than ever before. Advances insurgical treatment of congenital cardiac anomalies meanmany more women are now reaching childbearing age andcontemplating pregnancy than would hitherto have beenseen.Due to the fact that Irish figures have not been availablethus far on the effects of cardiac disease on pregnancy andvice versa, we have come to rely on statistics from our nearestneighbour the UK. The Centre for Maternal and ChildEnquiries (CMACE) is an independent charity. Its missionis to improve the health of mothers, babies and children bycarrying out confidential enquiries and other related workon a UK wide basis and widely disseminating the results. Itproduces a report every three years into maternal fatalitiesin the previous three-year period. The most recent reportwas published in 2007, reflecting the deaths that occurredin 2002-2005. In the most recent CMACE ...
http://hdl.handle.net/10468/2549
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Medical devices for the minimally invasive delivery of therapeutic cargo for the prevention of heart failure
(2021)
Monahan, David
Medical devices for the minimally invasive delivery of therapeutic cargo for the prevention of heart failure
(2021)
Monahan, David
Abstract:
Therapeutic advances are increasing the number of patients that survive cardiac disease such as a myocardial infarction, however, current treatments do not fully stop the development of heart failure. Advanced therapeutic strategies such as stem cell therapies have not proved effective in phase III trials likely due to poor retention and survival of transplanted cells in the infarcted myocardium. This has led to the use of biomaterials which can deliver cells to the myocardium increasing retention rates up to 80% while also mechanically supporting the weakened ventricle. Although biomaterials may be an option for clinical translation, they currently lack effective delivery strategies to the heart and are limited by the traumatic injection into the myocardium. In this thesis it is shown that delivering therapeutics to the epicardium using minimally invasive medical device approaches may be an effective alternative to this problem. Firstly, the SPREADs device is used as a novel biores...
http://hdl.handle.net/10379/16493
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Mesenchymal stem cell therapy for the treatment of myocardial infarction
(2014)
Gleeson, Birgitta
Mesenchymal stem cell therapy for the treatment of myocardial infarction
(2014)
Gleeson, Birgitta
Abstract:
Mesenchymal stem cells (MSCs) are currently under investigation as repair agents in the preservation of cardiac function following myocardial infarction (MI). However concerns have emerged regarding the safety of acute intracoronary (IC) MSC delivery specifically related to mortality, micro-infarction and microvascular flow restriction post cell therapy in animal models. This thesis aimed to firstly identify an optimal dose of MSC that could be tolerated when delivered via the coronary artery in a porcine model of acute MI (AMI). Initial dosing studies identified 25x106 MSC to be a safe MSC cell dose, however, angiographic observations from these studies recognised that on delivery of MSC there was a significant adverse decrease in distal blood flow within the artery. This observation along with additional supportive data in the literature (published during the course of this thesis) suggested MSC may be contributing to such adverse events through the propagation of thrombosis. Ther...
http://hdl.handle.net/10468/2003
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Mineralocorticoid Receptor Antagonists in the Treatment of Coronary Artery Disease, Myocardial Infarction and Heart Failure
(2019)
Zwadlo, Carolin; Bauersachs, Johann
Mineralocorticoid Receptor Antagonists in the Treatment of Coronary Artery Disease, Myocardial Infarction and Heart Failure
(2019)
Zwadlo, Carolin; Bauersachs, Johann
Abstract:
<p>The original book chapter is available at https://www.intechopen.com</p>
<p>Affecting sodium reabsorption and potassium excretion in the kidney, mineralocorticoid receptor antagonists (MRA) were originally developed as antihypertensive drugs. After several large clinical trials, the concept of MR blockade has nowadays become a main treatment paradigm in heart failure with reduced ejection fraction (HFrEF) and for patients after myocardial infarction (MI) with left ventricular (LV) dysfunction. Recent analyses also point to a beneficial effect of early MRA treatment in patients with acute MI without LV dysfunction, however, there is no clear evidence yet. Although promising data from preclinical settings suggest that MRAs mediate favorable anti-atherogenic effects, clinical studies in patients with stable coronary artery disease (CAD) have not been able to detect differences of hard clinical outcomes. The concept might still be pursued using the most recent M...
https://epubs.rcsi.ie/molmedart/43
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miRNA signature of unfolded protein response in H9c2 rat cardiomyoblasts
(2015)
Samali, Afshin
miRNA signature of unfolded protein response in H9c2 rat cardiomyoblasts
(2015)
Samali, Afshin
Abstract:
Background: Glucose and oxygen deprivation during ischemia is known to affect the homeostasis of the endoplasmic reticulum (ER) in ways predicted to activate the unfolded protein response (UPR). Activation of UPR signalling due to ER stress is associated with the development of myocardial infarction (MI). MicroRNAs (miRNAs) are key regulators of cardiovascular development and deregulation of miRNA expression is involved in the onset of many cardiovascular diseases. However, little is known about the mechanisms regulating the miRNA expression in the cardiovascular system during disease development and progression. Here we performed genome-wide miRNA expression profiling in rat cardiomyoblasts to identify the miRNAs deregulated during UPR, a crucial component of ischemia.Results: We found that expression of 86 microRNAs changed significantly during conditions of UPR in H9c2 cardiomyoblasts. We found that miRNAs with known function in cardiomyoblasts biology (miR-206, miR-24, miR-125b,...
http://hdl.handle.net/10379/4936
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Mirna signature of unfolded protein response in h9c2 rat cardiomyoblasts
(2018)
Read, Danielle E; Gupta, Ananya; Ladilov, Yury; Samali, Afshin; Gupta, Sanjeev
Mirna signature of unfolded protein response in h9c2 rat cardiomyoblasts
(2018)
Read, Danielle E; Gupta, Ananya; Ladilov, Yury; Samali, Afshin; Gupta, Sanjeev
Abstract:
Background: Glucose and oxygen deprivation during ischemia is known to affect the homeostasis of the endoplasmic reticulum (ER) in ways predicted to activate the unfolded protein response (UPR). Activation of UPR signalling due to ER stress is associated with the development of myocardial infarction (MI). MicroRNAs (miRNAs) are key regulators of cardiovascular development and deregulation of miRNA expression is involved in the onset of many cardiovascular diseases. However, little is known about the mechanisms regulating the miRNA expression in the cardiovascular system during disease development and progression. Here we performed genome-wide miRNA expression profiling in rat cardiomyoblasts to identify the miRNAs deregulated during UPR, a crucial component of ischemia. Results: We found that expression of 86 microRNAs changed significantly during conditions of UPR in H9c2 cardiomyoblasts. We found that miRNAs with known function in cardiomyoblasts biology (miR-206, miR-24, miR-125b...
http://hdl.handle.net/10379/13607
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