A novel approach to telemetry blood pressure probe placement in mice using high frequency micro‐ultrasound guided surgery

2008 ◽  
Vol 22 (S2) ◽  
pp. 11-11
Author(s):  
Barry R Campbell ◽  
Michelle M Bunzel ◽  
Chunlian Zhang ◽  
Xiaolan Shen ◽  
Colette Ahn ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Frequency ◽  
Pressure Probe ◽  
Ultrasound Guided ◽  
Guided Surgery ◽  
Novel Approach ◽  
Probe Placement

High-Frequency Intra-operative Ultrasound-Guided Surgery of Superficial Intra-cerebral Lesions via a Single-Burr-Hole Approach

2014 ◽  
Vol 40 (7) ◽  
pp. 1469-1475 ◽  
Author(s):  
Jan-Karl Burkhardt ◽  
Carlo Serra ◽  
Marian C. Neidert ◽  
Christoph M. Woernle ◽  
Jorn Fierstra ◽  
...  
Keyword(s):  
High Frequency ◽  
Burr Hole ◽  
Ultrasound Guided ◽  
Cerebral Lesions ◽  
Guided Surgery ◽  
Operative Ultrasound

Ultrasound-Guided Proximal and Distal Tarsal Decompression: An Analysis of Pressures in the Tarsal, Medial Plantar, and Lateral Plantar Tunnels

2020 ◽  
pp. 193864002090542
Author(s):  
Alvaro Iborra Marcos ◽  
Manuel Villanueva Martinez ◽  
Pablo Sanz-Ruiz ◽  
Stephen L. Barrett ◽  
George Zislis
Keyword(s):  
Tibial Nerve ◽  
Tarsal Tunnel ◽  
Ultrasound Guided ◽  
Intracompartmental Pressure ◽  
Level Of Evidence ◽  
Mean Values ◽  
Guided Surgery ◽  
Novel Approach ◽  
Before And After ◽  
Tunnel Syndrome

Objectives. To analyze the reliability of measurements of tarsal tunnel and medial and lateral plantar tunnel pressures before and after ultrasound-guided release. Measurements taken were guided by ultrasound to improve reliability. This novel approach may help surgeons make surgical decisions. The second objective was to confirm that decompression using ultrasound-guided surgery as previously described by the authors is technically effective, reducing pressure to the tarsal and medial and lateral plantar tunnels. Methods. The study included 23 patients with symptoms compatible with idiopathic tarsal tunnel syndrome (TTS). The first step was to measure intracompartmental pressure of the tarsal tunnel, medial plantar tunnel, and lateral plantar tunnel preoperatively. The second step was ultrasound-guided decompression of the tibial nerve and its branches. Subsequently, pressure was measured again immediately after decompression in the 3 tunnels. Results. After surgery, the mean values significantly dropped to normal values. This represents a validation of effective decompression of the tibial nerve and its branches in TTS with ultra–minimally invasive surgery. Conclusions. The ultrasound-guided surgical technique to release the tibial nerve and its branches is effective, significantly reducing pressure in the tunnels and, thereby, decompressing the nerves. Level of evidence: Level IV

scholarly journals Novel approach to modeling high-frequency activity data to assess therapeutic effects of analgesics in chronic pain conditions

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zekun Xu ◽  
Eric Laber ◽  
Ana-Maria Staicu ◽  
B. Duncan X. Lascelles
Keyword(s):  
High Frequency ◽  
Activity Patterns ◽  
Treatment Strategies ◽  
Therapeutic Effects ◽  
Activity Levels ◽  
Activity Data ◽  
Novel Approach ◽  
High Frequency Activity ◽  
Using Data ◽  
Chronic Pain Conditions

AbstractOsteoarthritis (OA) is a chronic condition often associated with pain, affecting approximately fourteen percent of the population, and increasing in prevalence. A globally aging population have made treating OA-associated pain as well as maintaining mobility and activity a public health priority. OA affects all mammals, and the use of spontaneous animal models is one promising approach for improving translational pain research and the development of effective treatment strategies. Accelerometers are a common tool for collecting high-frequency activity data on animals to study the effects of treatment on pain related activity patterns. There has recently been increasing interest in their use to understand treatment effects in human pain conditions. However, activity patterns vary widely across subjects; furthermore, the effects of treatment may manifest in higher or lower activity counts or in subtler ways like changes in the frequency of certain types of activities. We use a zero inflated Poisson hidden semi-Markov model to characterize activity patterns and subsequently derive estimators of the treatment effect in terms of changes in activity levels or frequency of activity type. We demonstrate the application of our model, and its advance over traditional analysis methods, using data from a naturally occurring feline OA-associated pain model.

Effects of high-frequency prefrontal rTMS on heart frequency rates and blood pressure in schizophrenia

2021 ◽  
Author(s):  
Mattia Campana ◽  
Elias Wagner ◽  
Thomas Wobrock ◽  
Berthold Langguth ◽  
Michael Landgrebe ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Frequency ◽  
Heart Frequency

Do we really need high frequency of physical activity to keep blood pressure at good levels? Results of the Brazilian national survey

2021 ◽  
Author(s):  
Wesley S. Vale ◽  
Inácio Crochemore-Silva ◽  
A. L. B. Silveira ◽  
M. V. F. Rodrigues ◽  
C. S. Lopes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
National Survey ◽  
High Frequency

Arterial blood pressure responses to graded transient arousal from sleep in normal humans

1993 ◽  
Vol 74 (3) ◽  
pp. 1123-1130 ◽  
Author(s):  
R. J. Davies ◽  
P. J. Belt ◽  
S. J. Roberts ◽  
N. J. Ali ◽  
J. R. Stradling
Keyword(s):  
Blood Pressure ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Confidence Interval ◽  
Rem Sleep ◽  
High Frequency ◽  
Pressure Rise ◽  
Nrem Sleep ◽  
Blood Pressure Rise ◽  
Obstructive Sleep

During obstructive sleep apnea, transient arousal at the resumption of breathing is coincident with a substantial rise in blood pressure. To assess the hemodynamic effect of arousal alone, 149 transient stimuli were administered to five normal subjects. Two electroencephalograms (EEG), an electrooculogram, a submental electromyogram (EMG), and beat-to-beat blood pressure (Finapres, Ohmeda) were recorded in all subjects. Stimulus length was varied to produce a range of cortical EEG arousals that were graded as follows: 0, no increase in high-frequency EEG or EMG; 1, increased high-frequency EEG and/or EMG for < 10 s; 2, increased high-frequency EEG and/or EMG for > 10 s. Overall, compared with control values, average systolic pressure rose [nonrapid-eye-movement (NREM) sleep 10.0 +/- 7.69 (SD) mmHg; rapid-eye-movement (REM) sleep 6.0 +/- 6.73 mmHg] and average diastolic pressure rose (NREM sleep 6.1 +/- 4.43 mmHg; REM sleep 3.7 +/- 3.02 mmHg) over the 10 s following the stimulus (NREM sleep, P < 0.0001; REM sleep, P < 0.002). During NREM sleep, there was a trend toward larger blood pressure rises at larger grades of arousal (systolic: r = 0.22, 95% confidence interval 0.02–0.40; diastolic: r = 0.48, 95% confidence interval 0.31–0.62). The average blood pressure rise in response to the grade 2 arousals was approximately 75% of that during obstructive sleep apnea. Arousal stimuli that did not cause EEG arousal still produced a blood pressure rise (mean systolic rise 8.6 +/- 7.0 mmHg, P < 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)

Abstract P501: Editing of Myosin Phosphatase Gene as a Novel Approach for Vasodilator Sensitization and Lowering of Blood Pressure

Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
Mariam Meddeb ◽  
Jeanine Ursitti ◽  
John Reho ◽  
Steven A Fisher
Keyword(s):  
Blood Pressure ◽  
Smooth Muscle ◽  
Leucine Zipper ◽  
Splice Variants ◽  
Species Conservation ◽  
Mesenteric Arteries ◽  
Hek293 Cells ◽  
Myosin Phosphatase ◽  
Novel Approach

Myosin Phosphatase (MP) is the primary effector of vascular smooth muscle (VSM) relaxation and a key end target of signaling pathways that regulate vessel tone. Regulated splicing of alternative Exon24 (E24) of Myosin Phosphatase Regulatory/ Targeting subunit (MYPT1) sets vasodilator sensitivity. Skipping E24 codes for a Mypt1 isoform that contains a C-terminal leucine zipper (LZ) motif required for cGK1α binding and NO/cGMP activation of MP resulting in vasodilation. Inclusion of 31 nt E24 shifts the reading frame coding for a Mypt1 isoform with a distinct C-terminus (LZ-) that is unresponsive to NO/cGMP. We are using two editing approaches to test the function of Mypt1 E24 splice variants in the control of BP in vivo. First, LoxP sites were inserted in introns flanking E24, crossed with smMHCCre ER , and treated with Tamoxifen to achieve smooth muscle-specific cKO of E24 (SMcKO E24), thereby converting Mypt1 to the LZ+ isoform. E24 cKO mice had mean BP that was 15 + 3 mmHg lower than control (n=3-5; p<0.05). Mesenteric arteries from these mice were significantly more sensitive to DEA/NO mediated relaxation (EC 50 : 2.1+0.5 nM vs 18.2+5.6 μM; n=5-6, p<0.05). We now are developing CRISPR/CAS9 editing of Mypt1 for translation into humans with hypertension. Guide(g)RNAs targeting E24 were designed using Benchling.com and selected for further study based on predicted efficacy, specificity (>10%,>60%) and cross-species conservation. Plasmids were generated by sub-cloning of oligonucleotides into the parent pX601 plasmid for the purpose of co-expression of gRNA and saCas9. These plasmids were transfected into HEK293 cells singly and in combinations and Mypt1 gene editing assayed by PCR, Surveyor nuclease assays and sequencing of genomic DNA. Single gRNAs yielded deletions of 1-3 nt. Combinations yielded deletions of 104-334 nt that removed >80% of E24 with an efficiency of editing that varied from 10% (gRNAs 6+9 and 5+9) to 40% (gRNAs 6+11 and 5+11). We have now generated AAVgE24 and are testing their efficiency of editing of VSM in vivo. These studies support that AAV mediated CRISPR/Cas9 editing of Mypt1 E24 could be a novel strategy for vasodilator sensitization and effective lowering of blood pressure in humans.

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