0000000000065136

AUTHOR

Ryan Chaban

showing 4 related works from this author

Disturbed Lipid Metabolism in Diabetic Patients with Manifest Coronary Artery Disease Is Associated with Enhanced Inflammation

2021

Background: Diabetic vasculopathy plays an important role in the pathophysiology of coronary artery disease (CAD) with oxidative stress as a strong mediator. This study aims to elucidate the underlying pathomechanisms of diabetic cardiac vasculopathy leading to coronary disease with an emphasis on the role of oxidative stress. Therefore, novel insights into antioxidant pathways might contribute to new strategies in the treatment and prevention of diabetic CAD. Methods: In 20 patients with insulin-dependent or non-insulin dependent diabetes mellitus (IDDM/NIDDM) and 39 non-diabetic (CTR) patients, myocardial markers of oxidative stress, vasoactive proteins, endothelial nitric oxide synthase …

medicine.medical_specialtyHealth Toxicology and MutagenesisInflammationmedicine.disease_causeArticleCoronary artery diseaseEnosDiabetes mellitusInternal medicinemedicineHumansoxidative stressbiologybusiness.industrydyslipidemiaPublic Health Environmental and Occupational HealthRLipid metabolismLipid Metabolismmedicine.diseasebiology.organism_classificationHeme oxygenaseEndocrinologynutritionDiabetes Mellitus Type 2inflammationdiabetes mellitusMedicinemedicine.symptombusinesschronic diseaseDiabetic AngiopathiesOxidative stressDyslipidemiacoronary artery diseaseInternational Journal of Environmental Research and Public Health
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Training Cardiac Surgeons: Safety and Requirements.

2021

To analyze whether cardiac surgical residents can perform their first surgeries without compromising patients' safety or outcomes, by comparing their performance and results to those of senior surgeons. All documented CABGs conducted between 2002 and 2020 were included. Surgeries were divided according to the experience level of the main surgeon (defined by the number of CABG conducted by him/her) using the following thresholds: 1000; 150; 80 and 35. This resulted in 5 groups: senior surgeons (the reference group); attending surgeons; fellow surgeons; advanced residents and new residents. Primary endpoint was 30 day mortality. Secondary endpoints included a list of intra and post-operative …

Pulmonary and Respiratory MedicineMalemedicine.medical_specialtymedicine.medical_treatmentlaw.inventionlawmedicineClinical endpointHumansCardiopulmonary resuscitationExperience levelCoronary Artery BypassRetrospective StudiesSurgeonsbusiness.industryGeneral surgeryInternship and ResidencyGeneral MedicineOdds ratioSurgical trainingIntensive care unitCardiac surgerysurgical procedures operativeTreatment Outcome30 day mortalitySurgeryFemaleClinical CompetenceCardiology and Cardiovascular MedicinebusinessSeminars in thoracic and cardiovascular surgery
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In vitro effect of leptin on human cardiac contractility

2019

AbstractLeptin, a hormone produced by adipose tissue, has been linked to many regulatory pathways. Its role in the complex relationship between obesity and CVD is not yet clear. The aim of the present study was to evaluate whether leptin interferes directly with cardiac function regulation, altering its contractile force character, and hence contributing to different pathological processes. Muscle samples were obtained from human atrial myocardium. Each trial included two samples from the same patient. They were simultaneously electrically stimulated under sustained perfusion to perform isometric contractions. One sample was treated with a high concentration of human recombinant leptin (1 µ…

Cardiac function curveLeptinmedicine.medical_specialtyContraction (grammar)Endocrinology Diabetes and MetabolismAdipose tissue030209 endocrinology & metabolismIsometric exercise030204 cardiovascular system & hematologyContractility03 medical and health sciences0302 clinical medicineInternal medicinemedicineObesityContraction forceNutrition and Dieteticsbusiness.industryLeptinCD contraction durationEndocrinologyCardiac contractilityCF maximal isometric contraction forcebusinessPerfusionKH Krebs–HenseleitFood ScienceHormoneResearch ArticleJournal of Nutritional Science
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Septic cardiomyopathy: evidence for a reduced force-generating capacity of human atrial myocardium in acute infective endocarditis

2017

AbstractBackground:This study analyzes the myocardial force-generating capacity in infective endocarditis (IE) using an experimental model of isolated human atrial myocardium. In vivo, it is difficult to decide whether or not alterations in myocardial contractile behavior are due to secondary effects associated with infection such as an altered heart rate, alterations of preload and afterload resulting from valvular defects, and altered humoral processes. Our in vitro model using isolated human myocardium, in contrast, guarantees exactly defined experimental conditions with respect to preload, afterload, and contraction frequency, thus not only preventing confounding by in vivo determinants…

medicine.medical_specialtyRD1-811medicine.medical_treatmentHemodynamicsmyocardial contractilityIsometric exercise030204 cardiovascular system & hematologyContractility03 medical and health sciences0302 clinical medicineAfterloadInternal medicinemedicineEndocarditiscardiovascular diseasesacute infective endocarditisbusiness.industryMitral valve replacement030208 emergency & critical care medicineOriginal Articlesmedicine.diseasePreloadInfective endocarditisseptic cardiomyopathyCardiologycardiovascular systemSurgerybusinesshuman atrial myocardiumInnovative Surgical Science
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