51
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Han C, Yu G, Zhang Y, Xu K, Qu P, Dong E. Alterations of alpha1-adrenoceptor subtypes in the hearts of thyroxine-treated rats. Eur J Pharmacol 1995; 294:593-9. [PMID: 8750723 DOI: 10.1016/0014-2999(95)00607-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Alterations in the cardiac alpha1-adrenoceptor and its subtypes in thyroxine-treated rats were studied by means of radioligand binding assays, measurement of contractile response and reverse transcription-polymerase chain reaction (RT-PCR). The results showed that in thyroxine-treated rats the cardiac alpha1-adrenoceptor density (Bmax) was reduced from 51.6 +/- 6.0 fmol/mg in control to 40.9 +/- 3.7 fmol/mg (P<0.01); and the percentage of high affinity sites for 5-methyl-urapidil decreased from 23.3 +/- 2.0% in control to 10.8 +/- 2.0% in thyroxine-treated rats (P<0.05). The data indicated that the high-affinity sites for 5-methyl-urapidil (alpha1A-adrenoceptor) were reduced (from 12.0 to 4.4 fmol/mg), but the low-affinity sites for 5-methyl-urapidil (alpha1B- plus alpha1D-adrenoceptor) were not changed (from 39.6 to 36.5 fmol/mg). RT-PCR showed that steady-state levels of mRNA for alpha1A- and alpha1B-adrenoceptors were decreased, while that for alpha1D-adrenoceptor was raised in thyroxine-treated rats. In the isolated electrically driven left atria the phenylephrine-induced maximal contractions were reduced from 258 +/- 17 mg in control to 188 +/- 24 mg in thyroxine-treated rats (P<0.05). The pA2 values of 5-methyl-urapidil were reduced from 8.89 +/- 0.36 in control to the hyperthyroidism of 7.87 +/- 0.43 in thyroxine-treated rats (P<0.05). Chlorethylclonidine preincubation shifted concentration-response curves for phenylephrine to the right and reduced the maximal response to a lesser extent in thyroxine-treated rats than in control rats. Thus we concluded that the total number of cardiac alpha1-adrenoceptors is reduced in thyroxine-treated rats. The change is subtype selective, with alpha1A- and alpha1B-adrenoceptors being reduced in number and alpha1D-adrenoceptor being increased.
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52
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Yokozawa T, Chung HY, Dong E, Oura H. Confirmation that magnesium lithospermate B has a hydroxyl radical-scavenging action. EXPERIMENTAL AND TOXICOLOGIC PATHOLOGY : OFFICIAL JOURNAL OF THE GESELLSCHAFT FUR TOXIKOLOGISCHE PATHOLOGIE 1995; 47:341-4. [PMID: 8871065 DOI: 10.1016/s0940-2993(11)80344-1] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Male LWH: Wistar rats were given creatinine (Cr) intraperitoneally at a dose of 1.00 g/kg body weight, and the urine was collected for 3 h after administration. Magnesium lithospermate B, a compound newly isolated from Salviae Miltiorrhizae Radix, was administered intraperitoneally 30 min before and 30 min after Cr administration. The excretion of urinary creatol and methylguanidine induced by Cr decreased in a dose-dependent manner. Since we have already shown that the main contributor to the Cr-->creatol oxidation step is the hydroxyl radical, magnesium lithospermate B may act as a radical scavenger.
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53
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Dong E, Shi S. [Effects of the combination of aspirin and nifedipine on platelet aggregation and thrombogenesis]. ZHONGHUA XIN XUE GUAN BING ZA ZHI 1990; 18:301-3, 319. [PMID: 2086198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The effects of nifedipine (Nif), aspirin (ASA) and ASA + Nif on platelet aggregation and generation of thrombosis were studied. Both ASA and Nif inhibited rabbit platelet aggregation in vitro and rat platelet aggregation in vivo induced by ADP, also prolonged the occlusion time of thrombosis induced electrically in the carotid artery of the rat and reduced the death rate resulting from pulmonary thrombosis induced by i.v collagen and epinephrine in mice. The above effects were markedly increased when Nif and ASA were used in combination. All the above effects were dose-dependent.
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54
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Nevins A, Dong E. The Attendant. THE GERONTOLOGIST 1989. [DOI: 10.1093/geront/29.6.846a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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55
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Morris RE, Dong E, Struthers CM, Griepp RB, Stinson EB. Immunologic monitoring of cardiac transplant recipients by a modified reactive leukocyte blastogenesis assay (MRLB). Transplant Proc 1978; 10:585-8. [PMID: 362638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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56
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Coulson AS, Zeitman VH, Cohn RB, Dong E, Griepp RB, Stinson EB, Shumway NE. Adenosine triphosphatase located on unstimulated human small lymphocyte cell membranes. QUARTERLY JOURNAL OF EXPERIMENTAL PHYSIOLOGY AND COGNATE MEDICAL SCIENCES 1977; 62:181-6. [PMID: 140412 DOI: 10.1113/expphysiol.1977.sp002388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
This study was undertaken to localize the enzyme sodium-potassium dependent adenosine triphosphatase in unstimulated human small lymphocytes using the histochemical technique of McClurkin [1964]. The substrate adenosine 5' triphosphate is hydrolyzed by the ATPase resulting in a lead phosphate precipitate at the site of enzyme action, subsequently visualized as lead sulphide. The enzyme was demonstrated in three different patterns, and for each donor the pattern was constant both on all four of the test slides, and on different occasions. The patterns observed were: clusters of granules related to the cell membrane; positive staining localized to portions of the cell membrane, and, less commonly, the whole cell circumference. The significance of this distribution may relate to areas with large numbers of antigen recognition sites on the lymphocyte membrane.
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57
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Coulson AS, Zeitman VH, Struthers C, Dong E, Stinson EB, Griepp RB, Cohn RB, Shumway NE. Lymphocyte tissue culture studies on human heart transplant recipients. III. Prediction of outcome of transplantation based on immunologic studies. Clin Exp Immunol 1976; 26:623-31. [PMID: 137791 PMCID: PMC1540977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Using in vitro lymphocyte tissue culture screening tests human heart transplant recipients during the academic year 1973/1974 were evaluated and an attempt made to predict their post-operative rejection course. The tests involved screening for serum depressive factors and screening for the recipient's lymphocyte reactivity. A scoring system was devised whereby the laboratory results could be converted to a predicted rejection score. Of the nine patients studied, eight are still doing well. Three recipient's who had a high postoperative rejection score as determined by an independent clinical team, were correctly identified pre-operatively and one of them had to be retransplanted. These screening tests may be helpful in the future in the selection of recipients.
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59
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Morris RE, Dong E. Letter: Clarification of certain characteristics of chicken antilymphocyte globulin. Transplantation 1976; 21:511-3. [PMID: 1084607 DOI: 10.1097/00007890-197606000-00011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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60
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Coulson AS, Zeitman VH, Stinson EB, Griepp RB, Bieber CP, Dong E, Shumway NE. Immunodepressive serum treatment of acute heart transplant rejection. BRITISH MEDICAL JOURNAL 1976; 1:749-50. [PMID: 769897 PMCID: PMC1639181 DOI: 10.1136/bmj.1.6012.749] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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61
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Rider AK, Copeland JG, Hunt SA, Mason J, Specter MJ, Winkle RA, Bieber CP, Billingham ME, Dong E, Griepp RB, Schroeder JS, Stinson EB, Harrison DC, Shumway NE. The status of cardiac transplantation, 1975. Circulation 1975; 52:531-9. [PMID: 1098809 DOI: 10.1161/01.cir.52.4.531] [Citation(s) in RCA: 38] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Since December 1967, 263 human cardiac transplant operations have been performed throughout the world. Eighty-two of these were performed at Stanford University Medical Center, In 1974, 27 such operations were performed, 15 at Stanford Survival rates for the entire Standford series are 48% at one year and 25% at three years; survival rates at one and three years for patients surviving the first three critical months after transplantation are 77% and 42%, respectively. Recipients under the age of 55 years, with New York Heart Association Class IV cardiac disability, are selected for transplant procedures according to criteria dictated by experience over the past seven years. A routine immunsuppressive regimen for organ transplantation, incorporating prednisone, azathioprine, and antithymocyte globulin is employed early postoperatively, and prednisone and azathioprine are used for indefinite maintenance therapy. Acute cardiac graft rejection in nearly all recipients is diagnosed by clinical signs, electrocardiographic changes, and percutaneous transvenous endomyocardial biopsy. Ninety-five percent of acute rejection episodes are reversible with appropriate immunosuppressive treatment, but infectious complications are common and have accounted for 56% of all postoperative deaths. The Stanford experience in cardiac transplantation has demonstrated the potential therapeutic value of this procedure. Maximum survival now extends beyond five years. Satisfactory graft function has been documented in long-term surviving patients, the majority of whom have enjoyed a high degree of social and physical rehabilitation.
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62
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Gersch W, Lilly P, Dong E. PVC detection by the heart-beat interval data -- Markov chain approach. COMPUTERS AND BIOMEDICAL RESEARCH, AN INTERNATIONAL JOURNAL 1975; 8:370-8. [PMID: 1157474 DOI: 10.1016/0010-4809(75)90013-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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63
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Dekker DL, Piziali RL, Dong E. A system for ultrasonically imaging the human heart in three dimensions. COMPUTERS AND BIOMEDICAL RESEARCH, AN INTERNATIONAL JOURNAL 1974; 7:544-53. [PMID: 4457270 DOI: 10.1016/0010-4809(74)90031-7] [Citation(s) in RCA: 114] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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64
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Coulson AS, MacMillan F, Griepp RB, Stinson EB, Dong E, Shumway NE. Lymphocyte tissue culture studies on human heart transplant recipients. II. Screening the lymphocyte reactivity of the recipients in vitro. Transplantation 1974; 18:409-16. [PMID: 4279476 DOI: 10.1097/00007890-197411000-00004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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65
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Caves PK, Stinson EB, Dong E, Griepp R, Shumway NE, Julian DG. Proceedings: Recent experience with human cardiac transplantation. BRITISH HEART JOURNAL 1974; 36:1036-7. [PMID: 4611458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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66
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Griepp RB, Stinson EB, Angell WW, Dong E, Shumway NE. Hypothermic preservation of the canine heart. Transplant Proc 1974; 6:315-8. [PMID: 4606634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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67
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Shumway NE, Dong E, Stinson EB, Griepp RB, Caves PK. [The Standord University experience with clinical heart transplantion (author's transl)]. [ZASSHI] [JOURNAL]. NIHON KYOBU GEKA GAKKAI 1974; 22:787-95. [PMID: 4613765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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68
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Morris RE, Souther SG, Dong E, Vistnes LM, Shumway NE. Prolongation of rat cardiac allograft survival by a new immunosuppressant: chicken anti-rat lymphocyte globulin. Surgery 1974; 76:150-9. [PMID: 4601599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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69
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Coulson AS, MacMillan F, Griepp RB, Stinson EB, Dong E, Shumway NE. Lymphocyte tissue culture studies on human heart transplant recipients. I. Screening recipients for serum factors which inhibit the mixed lymphocyte reaction. Ann Surg 1974; 179:930-6. [PMID: 4275598 PMCID: PMC1355928 DOI: 10.1097/00000658-197406000-00020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
The sera of 20 random human heart transplant recipients, drawn before the administration of immunosuppressive medications, were screened for the presence of factors that might inhibit the mixed lymphocyte reaction. The donors for the lymphocyte cultures were unrelated both to one another and to the heart donor and recipient. Inhibition was defined as a reduction of the number of transformed cells produced in vitro to less than one-third of that produced in autologous serum. It appears that patients who have had previous heart surgery on bypass fare better with heart transplants than those who have not had surgery. This may indicate some change in the overall physiology of the former class of patients resulting in better acceptance of the transplant. In turn, this could be due to the development of a serum factor or an impairment in the patients' cellular immune systems. In the series of recipients studied, the majority possessed serum inhibitory factors possibly non-specific by-products of their heart failure. The precise nature of these factors has yet to be determined. Future research is planned to determine whether bypass surgery is responsible for the stimulation of new immuno-depressive factors or if in some way it boosts the titer of pre-existing factors.
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70
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71
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72
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Priola DV, Spurgeon HA, Blauw AS, Cannon WB, Dong E. Mechanism of the inotropic action of bretylium tosylate on the heart. J Pharmacol Exp Ther 1973; 187:121-32. [PMID: 4746321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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73
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Caves PK, Dong E, Morris RE. Hyperacute rejection of orthotopic cardiac allografts in dogs following solubilized antigen pretreatment. Transplantation 1973; 16:252-6. [PMID: 4580725 DOI: 10.1097/00007890-197309000-00013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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74
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Mattila S, Ingels NB, Daughters GT, Adler SC, Wexler L, Dong E. The effects of atrial pacing on the synergy and hemodynamics of the orthotopically transplanted canine heart. Circulation 1973; 48:386-91. [PMID: 4580036 DOI: 10.1161/01.cir.48.2.386] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Instantaneous left ventricular dynamics were measured from cineradiographs utilizing implanted tantalum coils as myocardial site markers in the orthotopically transplanted canine heart. Four parameters of myocardial synergy were obtained: mean shortening, anisotropy of contraction, mean time to half shortening, and asynchrony of contraction. Estimates of end diastolic volume, end systolic volume, stroke volume, ejection fraction, and cardiac output were obtained. Heart rate was altered by pacing the left atrium of the donor heart. Of the nine parameters, only cardiac output was significantly changed by alterations in heart rate. The invariance of stroke volume with rate resulted in a proportional increase in cardiac output with cardioacceleration.
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75
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76
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Caves PK, Stinson EB, Griepp RB, Rider AK, Dong E, Shumway NE. Results of 54 cardiac transplants. Surgery 1973; 74:307-14. [PMID: 4577808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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77
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Clark DA, Schroeder JS, Griepp RB, Stinson EB, Dong E, Shumway NE, Harrison DC. Cardiac transplantation in man. Review of first three years' experience. Am J Med 1973; 54:563-76. [PMID: 4573819 DOI: 10.1016/0002-9343(73)90114-9] [Citation(s) in RCA: 55] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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78
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Caves PK, Billingham ME, Schulz WP, Dong E, Shumway NE. Transvenous biopsy from canine orthotopic heart allografts. Am Heart J 1973; 85:525-30. [PMID: 4570072 DOI: 10.1016/0002-8703(73)90498-5] [Citation(s) in RCA: 33] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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79
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80
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Morris RE, Enomoto K, Kay GL, Dong E, Shumway NE. Prolongation of rat renal allograft survival by chicken antirat lymphocyte globulin. Transplant Proc 1973; 5:535-40. [PMID: 4121178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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81
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Griepp RB, Dong E, Stinson EB, Shumway NE. Advances in human heart transplantation. Transplant Proc 1973; 5:835-9. [PMID: 4572146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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82
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Billingham ME, Caves PK, Dong E, Shumway NE. The diagnosis of canine orthotopic cardiac allograft rejection by transvenous endomyocardial biopsy. Transplant Proc 1973; 5:741-3. [PMID: 4572135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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83
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Caves PK, Dong E, Shumway NE. Immunosuppression with cyclophosphamide in dogs following cardiac transplantation. Transplant Proc 1973; 5:517-21. [PMID: 4121177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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84
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Caves PK, Dong E, Morris RE, Shumway NE. The immunologic diagnosis of orthotopic cardiac allograft rejection in dogs. Transplant Proc 1973; 5:745-8. [PMID: 4572136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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85
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Portner PM, Dong E, Jassawalla JS, LaForge DH. Performance of an implantable controlled solenoid circulatory assist system. TRANSACTIONS - AMERICAN SOCIETY FOR ARTIFICIAL INTERNAL ORGANS 1973; 19:235-42. [PMID: 4722738 DOI: 10.1097/00002480-197301900-00040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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86
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Dong E, Griepp RB, Stinson EB, Shumway NE. Review of four years experience with clinical heart transplantation at Stanford University Medical Center. Transplant Proc 1972; 4:787-92. [PMID: 4566827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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87
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Stinson EB, Schroeder JS, Griepp RB, Shumway NE, Dong E. Observations on the behavior of recipient atria after cardiac transplantation in man. Am J Cardiol 1972; 30:615-22. [PMID: 4563213 DOI: 10.1016/0002-9149(72)90598-x] [Citation(s) in RCA: 76] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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88
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89
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90
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91
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Griepp RB, Wexler L, Stinson EB, Dong E, Shumway NE. Coronary arteriography following cardiac transplantation. JAMA 1972; 221:147-50. [PMID: 4555289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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92
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Stinson EB, Griepp RB, Schroeder JS, Dong E, Shumway NE. Hemodynamic observations one and two years after cardiac transplantation in man. Circulation 1972; 45:1183-94. [PMID: 4555848 DOI: 10.1161/01.cir.45.6.1183] [Citation(s) in RCA: 152] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Cardiac catheterization studies were performed in eight patients 1 year after cardiac transplantation and in two of these again at 2 years. Intracardiac pressures at rest were normal in all patients, both 1 and 2 years postoperatively. Average cardiac index at rest at 1 year was 2.3 liters/min/m
2
and average heart rate was 90 beats/min. Responses to amyl nitrite, atropine, and tyramine failed to demonstrate efferent autonomic reinnervation of the donor hearts. Findings associated with a 10-min period of submaximal supine bicycle exercise 1 year after transplantation included: (1) a gradual rise in heart rate throughout most of the exercise period; (2) prompt elevation of left ventricular end-diastolic pressure by an average increment of 10 mm Hg, followed by a decrease during late exercise in some patients; (3) a progressive increase in LV systolic pressure throughout the first half of the exercise period; (4) a continuously positive change in LV rate of pressure change (dp/dt) throughout exercise; (5) an average 44% increase in stroke volume; and (6) an average 92% increase in cardiac output. The slope of the regression of cardiac output on oxygen uptake during exercise was within the range of normal. Cardiac output, however, was lower than normal both at rest and during exercise, and the arteriovenous oxygen diflerence was accordingly widened.
In one patient studied 1 and 2 years after transplantation, hemodynamic findings were comparable on both occasions. In the other, however, the cardiac output response to exercise was distinctly diminished at 2 years as compared to 1 year, due almost entirely to failure of the stroke volume to increase. Coronary arteriography in this recipient revealed evidence of occlusive coronary disease compatible with graft atherosclerosis.
These studies demonstrate the sustained capacity of the transplanted human heart to support normal physical activity late in the postoperative period. Although utilizing atypical adaptive mechanisms characteristic of the denervated heart, the transplanted heart responds in a directionally appropriate manner to the metabolic demands of exercise.
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93
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Griepp RB, Stinson EB, Dong E, Phillips RC, Morrell RM, Shumway NE. Use of antithymocyte globulin in human heart transplantation. Circulation 1972; 45:I147-53. [PMID: 4554349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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94
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Griepp RB, Stinson EB, Dong E, Phillips RC, Morrell RM, Shumway NE. [Use of antithymocyte globulin in human heart transplantation]. KLINICHESKAIA MEDITSINA 1972; 50:99-103. [PMID: 5024840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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95
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Chartrand C, Bryan B, Kosek JE, Dong E, Angell WW, Shumway NE. Hemodynamics of the orthotopic homotransplanted canine heart. Ann Thorac Surg 1972; 13:15-26. [PMID: 4550463 DOI: 10.1016/s0003-4975(10)64807-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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96
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Griepp RB, Stinson EB, Clark DA, Dong E, Shumway NE. The cardiac donor. SURGERY, GYNECOLOGY & OBSTETRICS 1971; 133:792-8. [PMID: 4939086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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97
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Stinson EB, Griepp RB, Payne R, Dong E. Correlation of histocompatibility matching with graft rejection and survival after cardiac transplantation in man. Lancet 1971; 2:459-61. [PMID: 4105329 DOI: 10.1016/s0140-6736(71)92629-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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98
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Griepp RB, Stinson EB, Dong E, Clark DA, Shumway NE. Determinants of operative risk in human heart transplantation. Am J Surg 1971; 122:192-7. [PMID: 4934806 DOI: 10.1016/0002-9610(71)90316-3] [Citation(s) in RCA: 95] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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99
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100
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Griepp RB, Stinson ED, Dong E, Clark DA, Shumway NE. Hemodynamic performance of the transplanted human heart. Surgery 1971; 70:88-96. [PMID: 4933443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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