{"title":"Correlation between fluorescein flowmetry, 133Xenon clearance and electromagnetic flow measurement: a study in the intestine of the pig.","authors":"L Perbeck, D H Lewis, L Thulin, G Tydén","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of the present study was to compare fluorescein flowmetry as a technique for measuring changes in intestine blood flow with electromagnetic blood flowmetry and the 133Xenon clearance technique. In eight anaesthetized pigs the blood flow in the superior mesenteric artery was reduced to 20-75% of basal flow as defined by electromagnetic flowmetry. The change in blood flow as calculated by fluorescein flowmetry correlated well with that obtained by electromagnetic blood flowmetry (correlation coefficient 0.86) and 133Xenon clearance technique (correlation coefficient 0.94). These findings indicate that fluorescein flowmetry can be considered a quantitative method for measurements of a relative blood flow.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"293-9"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14289056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Skeletal muscle function in man: force, relaxation rate, endurance and contraction time-dependence on sex and age.","authors":"C Lennmarken, T Bergman, J Larsson, L E Larsson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two different methods for estimating muscle function were compared; hand grip strength (HGS) and adductor pollicis muscle function after electrical stimulation of the ulnar nerve. Fifty-two 'normal' subjects, who were divided into four groups, according to sex and age, were investigated. Technical modifications of the latter method are presented for the measurement of human skeletal muscle function, independent of the motivation of the subject. Maximal voluntary force, as measured with a hand dynamometer, was higher in males than in females. Young males were stronger than males over 50 years old, and young females were stronger than old women. The statistical analysis of the muscle function variables after electrical stimulation showed that young females developed relatively more force at low stimulating frequencies than females over 50 years old. Females had a significantly longer contraction time to tetany compared to males. The relaxation rate after tetanic stimulation was independent of sex and age. Endurance was reduced in old males compared to females in the same age-group and to young males.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"243-55"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15119085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regulation of muscle blood flow.","authors":"O Hudlická","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nervous control of muscle blood flow, exerted mainly by the sympathetic adrenergic fibres, is important under resting conditions and also mainly during haemorrhage (when both alpha and beta receptors are involved), during fight and flight and in flow redistribution to muscles during exercise. The role of other fibres (cholinergic, histaminergic and peptidergic) is discussed. Myogenic control is responsible for the high basal tone and, consequently, the relatively low resting blood flow. The main regulatory mechanism is, however, the adaptation of blood flow to metabolic demands. Thus at rest, flow is higher in muscles with a high proportion of oxidative fibres. The regulation of flow in contracting muscles is exerted by metabolites, and various metabolites seem to play different roles to different extents in different types of contractions, with several factors probably involved at any one time. Potassium seems to be more important in mixed, predominantly glycolytic, muscles during tetanic or long-lasting isometric contractions; inorganic phosphate plays a role in short-lasting contractions and is probably more involved in highly oxidative muscles. Adenosine may play a role in long-lasting contractions in muscles with a high proportion of oxidative fibres. Dilatation of arterioles enables so-called capillary recruitment during muscle contractions, which seems to be mainly the result of changes in the velocity of red blood cells and a variable percentage of capillaries with intermittent flow (with very few cells with zero velocity and a more homogeneous flow in contracting muscles) rather than opening of unperfused capillaries.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"201-29"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15038403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prospective evaluation of the accuracy of duplex scanning with spectral analysis in carotid artery disease.","authors":"V Zbornikova, C Lassvik, I Johansson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prospective evaluation of duplex scanning of the carotid vessels was performed over a 2-year period in 125 consecutive patients (249 vessels) with transient ischaemic attacks or minor stroke. Defining disease as a stenosis of greater than 15% reduction of the vessel diameter, with subgroups of 16-49% stenosis, 50-99% stenosis and occlusion, the sensitivity obtained was 96%, specificity 93% and accuracy 94%. With the use of linear multiregression analyses further subgrouping into 50-75% and 76-99% stenosis was performed. The best predictive variables were, in decreasing order, peak systolic velocity, late diastolic velocity and the difference between peak systolic and late diastolic velocity in the internal carotid artery. The additional periorbital Doppler examination caused a slight improvement in determination coefficient and diagnostic accuracy.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"257-69"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15007285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Haemodynamic and metabolic responses to prolonged exercise after chronic beta 1-adrenoceptor blockade in hypertensive man.","authors":"M Frisk-Holmberg, A Juhlin-Dannfelt, H Aström","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The influence of chronic beta 1-adrenoceptor blockade on haemodynamic and metabolic responses was examined in eight young hypertensive subjects during a 40 min submaximal bicycle test at 50% of maximal capacity. The patients were randomly allocated to one placebo and one treatment period of 6 weeks. During treatment atenolol (Tenormin, 100 mg) was given twice daily. Arterial pressure, cardiac output, leg blood flow, oxygen uptake and different metabolites in the blood were determined. The heart rate was reduced by beta 1-adrenoceptor blockade by 30% during exercise, and the decrease was related to plasma concentration of the drug. Cardiac output was decreased by approximately 10%, but the negative chronotropic effect was partly compensated for by a higher stroke volume. Blockade leg blood flow was reduced by 10%, but more oxygen was extracted, giving an unchanged oxygen uptake. Blood concentration and leg uptake of glucose were not influenced by the treatment, but plasma free fatty acids were reduced by 30-40%. Leg lactate release was decreased to half the value in the unblocked situation. Plasma renin activity did not increase at the beginning of exercise, but after 40 min an increase was seen, though only to half of the pretreatment value. It is concluded that beta 1-adrenoceptor blockade during submaximal exercise reduces blood flow to the working muscles and that this reduction is the result of a lower cardiac output. Aerobic metabolism is unchanged as a result of increased oxygen extraction, but less fat is used as lipolysis is inhibited. Glucose uptake by the working muscles is unchanged by beta 1-blockade, but there is evidence for an increased carbohydrate metabolism. As for non-selective blockade, atenolol decreases lactate release but this could be the result of non-specific action on the beta 1-receptor and/or increased carbohydrate oxidation. Furthermore, the beta 1-adrenoceptors seem to have a major influence on the renin release during exercise.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"231-42"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13997600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Duplex scanning and periorbital pulsed Doppler in the diagnosis of external carotid artery disease: analysis of causes of error.","authors":"V Zbornikova, C Lassvik, I Johansson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The external carotid arteries (ECA) were examined by duplex scanning in 123 consecutive patients with transient ischaemic attacks (TIA) and minor stroke. Two occlusions and five out of six high grade stenosis were correctly classified, yielding a sensitivity of 88% defining disease as stenosis greater than 50. Specificity was 94% and accuracy was 93%. Nine low grade stenosis (less than 50%) and six normal vessels were judged as high grade stenosis. A possible cause of this overestimation was a compensatory flow increase in the ECA caused by an occlusion or high grade stenosis in the internal carotid arteries (ICA), either on the same side or bilaterally. This was supported by the finding of a significantly (P less than 0.05) higher retrograde flow velocity in the ipsilateral supratrochlear arteries (STA) in patients with high ECA flow velocity, as compared to those with normal ECA flow. Thus in the evaluation of a possible ECA stenosis, the condition of the ICA should be considered in order to avoid overestimation of ECA lesions. The additional examination of flow direction and velocity in STA gives an indication as to whether or not an ECA stenosis might be present.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"271-9"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15007951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fluorescein flowmetry: a method for measuring relative capillary blood flow in the intestine.","authors":"L Perbeck, F Lund, L Svensson, L Thulin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present work represents an attempt to develop a method for measuring relative blood flow in intestinal capillaries, by the use of sodium fluorescein (Na-F) as an indicator substance. The method is called fluorescein flowmetry (FF). A mathematical model was developed; blood flow was expressed as an index between the maximum fluorescence obtained during the first circulatory passage of Na-F and the rise time, defined as the time interval between 10 and 90% of the maximum fluorescence. The prerequisites for the mathematical model were tested in experiments in animals and man. The extraction of Na-F in the intestinal capillaries was found to be more than 99%. The ratio between the tissue clearance and uptake was found to be 0.0051, indicating no back flux. Experiments in man revealed that the rise time was proportional to the mean transit time and the mean transversal time of the bolus proper. The accuracy of FF was confirmed in man where the ratio between mucosal and serosal-muscular capillary blood flow was 2:1. From the results obtained, it appears that FF can be used as a method for measuring relative capillary blood flow in the intestine.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"281-92"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15119086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of the contrast medium meglumine amidotrizoate on renal extraction of para-amino hippurate after injection into the renal vein.","authors":"B Tidgren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of the contrast medium meglumine amidotrizoate (AngiografinR) on the renal extraction of para-amino hippurate (EPAH) was studied in 24 patients with suspected or previous renin-dependent hypertension. A single injection technique for administration of PAH was used and in eight additional patients the relationship between the arterial concentration of PAH and EPAH was studied over a period of 30 min after the injection. No change in EPAH with decreasing arterial concentration of PAH was found. After injection of 26 g of contrast medium (40 ml) into the renal veins of 18 of the 24 patients, a small (6%) but significant decrease in EPAH was observed. There was no significant difference in the decrease in EPAH between kidneys with increased and normal renal vein plasma renin activity. In the remaining six patients, the contrast medium (20 ml) was injected into one renal vein only, and blood samples were repeatedly drawn from both kidneys over a period of 30 min after injection. A decrease in EPAH was observed in both the injected and contralateral kidney; the decrease lasted for at least 20 min, with a maximum 1 min after injection. It is concluded that meglumine amidotrizoate injected into the renal vein causes a reduction of EPAH. Therefore, a contrast medium such as meglumine amidotrizoate should be avoided before determining the renal extraction of PAH.</p>","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 3","pages":"301-10"},"PeriodicalIF":0.0,"publicationDate":"1985-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15119087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Somatic neurophysiology in diabetes. Basic observations and the effect of treatment.","authors":"G Gregersen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77071,"journal":{"name":"Clinical physiology (Oxford, England)","volume":"5 Suppl 5 ","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15028307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}