Intrathecal iodinated contrast-induced transient spinal shock

2020 ◽  
Vol 13 (12) ◽  
pp. e237610
Author(s):  
Abhi Chand Lohana ◽  
Sejal Neel ◽  
Vishal Deepak ◽  
Mark Schauer
Keyword(s):  
Blood Pressure ◽  
Clinical Manifestations ◽  
International Normalized Ratio ◽  
Water Soluble ◽  
Lytic Lesion ◽  
Contrast Injection ◽  
Spinal Shock ◽  
Iodinated Contrast ◽  
Ionic Contrast ◽  
Computed Topography

Transient spinal shock is a previously unreported complication of intrathecal contrast. A 63-year-old man presented with the chief complaint of worsening back pain. Computed topography of lumbar spine without contrast showed a lytic lesion. After international normalized ratio (INR) correction, patient was sent for CT myelogram. After intrathecal contrast injection, the patient dropped his blood pressure profoundly and developed clinical manifestations of spinal shock. Emergent intravenous bolus fluids were initiated resulting in improvement in blood pressure. Patient’s spinal shock resolved within hours. CT myelogram was normal except previously known lytic lesion. It was concluded that the transient shock was most likely due to contrast injection. We believe that this is the first reported case of transient spinal shock following CT myelogram using water-soluble iodinated non-ionic contrast agent administered intrathecally.

Abstract P190: Long-term Intake of Muscadine Grape Extract Markedly Improves Exercise Capacity in Older Female (mRen2)27 Hypertensive Rats

Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
A’ja V Duncan ◽  
Wayne Graham ◽  
Liliya Yamaleyeva ◽  
Patricia E Gallagher ◽  
E. Ann A Tallant ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Exercise Capacity ◽  
Exercise Tolerance ◽  
Cardiovascular Effects ◽  
Water Soluble ◽  
Vitis Rotundifolia ◽  
Grape Extract ◽  
Dependent Model ◽  
Muscadine Grape

Muscadine grapes ( Vitis rotundifolia ) contain significant levels of polyphenols and their antioxidant capacity may have cardiovascular benefit. We determined the cardiovascular effects of a water soluble muscadine grape extract (MGE) from Piedmont Research & Development Corporation (PRDC, Winston-Salem, NC) that we confirmed has a high content of epicatechin, gallic acid, ellagic acid and procyanidin B2. We hypothesize that this soluble MGE with a potentially high phenolic bioavailability exhibits cardioprotective actions. The effect of long-term MGE intake on blood pressure, cardiac function and exercise tolerance was established in female and male hemizygous (mRen2)27 [mRen2] transgenic rats, an Ang II-AT 1 R-dependent model of hypertension. The mRen2 were administered MGE (8 mg of total phenolics/mL) in the drinking water for 26 weeks (7 female; 7 male); control rats (9 female; 11 male) were given water only. At 40 weeks of age, exercise tolerance was assessed by treadmill (10.2 m x min -1 , 5% inclination). The MGE-treated female mRen2 exhibited a >300% improvement in workload ( W: g X m ) as compared to the untreated group [14551 ± 1313 vs. 4498 ± 481; p<0.01]. MGE intake also extended the time to fatigue (TTF) by 300% in females (4943 ± 443 vs.1615 ± 166 sec; p<0.01). In contrast, chronic intake of MGE had no effect on either exercise workload or TTF in the male mRen2. MGE intake did not alter systolic blood pressure in females (162 ± 3 vs. 166 ± 6 mm Hg, p>0.05) and males (165 ± 5 vs. 160 ± 3 mm Hg) nor alter body weight in either group [females: 334 ± 7 g vs. 339 ± 8 g; males: 613 ± 12 g vs. 590 ± 6 g). Echocardiographic analyses revealed that although the female mRen2 exhibited a higher ejection fraction [73.4±5.1 vs. 42.3±4.5%, n=4-5, p<0.05] and a higher fractional shortening [44.2±4.2 vs. 22.1±2.7%, n=4-5, p<0.05] as compared to males, MGE treatment did not improve these indices in either group. We conclude that the marked improvement in exercise capacity in older adult hypertensive females by chronic MGE intake is not accompanied by augmented cardiac performance, perhaps reflecting the lack of an effect on blood pressure. Thus, it is possible that MGE may directly impact the skeletal muscle to improve exercise in the hypertensive mRen2 females, but not the males.

Abstract 064: 20-HETE Contributes to Vasoconstriction of Renal Microvessels and Sodium Retention in Cyp4a14-/- Mice, a Model of 20-HETE Dependent Hypertension

Hypertension ◽  
2015 ◽  
Vol 66 (suppl_1) ◽  
Author(s):  
Ankit Gilani ◽  
Varunkumar Pandey ◽  
Joseph Zullo ◽  
Priyanka Mishra ◽  
John R Falck ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Isotonic Saline ◽  
Urinary Sodium Excretion ◽  
Water Soluble ◽  
Arachidonic Acid Metabolite ◽  
Male Mice ◽  
Kidney Weight ◽  
Doppler Flowmetry ◽  
In The Wild

20-HETE (20-Hydroxyeicosatetraenoic acid), is a cytochrome P450 (CYP) 4A-derived arachidonic acid metabolite. 20-HETE has been linked to both pro-hypertensive (via increased vasoconstriction, vascular remodeling and vascular injury of renal microvessels) and anti-hypertensive (inhibiting ion transport in the distal nephron) functions. In this study we examined the effect of 20-SOLA (2,5,8,11,14,17-hexaoxanonadecan-19-yl-20-hydroxyeicosa-6(Z),15(Z)-dienoate), a water soluble antagonist of the actions of 20-HETE on renal hemodynamics and sodium (Na) excretion in Cyp4a14 knockout (CYP4a14-/-) male mice. The CYP4a14-/- male mice display hypertension accompanied by increased vascular 20-HETE levels. Administration of 20-SOLA (10mg/kg/day in drinking water) normalized blood pressure (BP) in male Cyp4a14-/- mice at day 10 of treatment (124±1 vs. 153±2 mmHg in untreated male Cyp4a14-/- mice; p<0.05). The normalization of blood pressure was accompanied by transient increase in the urinary sodium excretion in the Cyp4a14-/- male mice (8.3±0.7 vs. 5.8±0.5 μmol/g body weight/day; p<0.05). Importantly, 20-SOLA increased glomerular filtration rate (GFR) of Cyp4a14-/- mice (2.38±0.05 vs. 1.88±0.18 μL/min/mg kidney weight, p<0.05) as opposed to no changes observed in the wild type (WT: (2.26±0.18 vs. 2.33±0.20μL/min/mg kidney weight). Evaluation of the renal blood flow (RBF) by laser Doppler flowmetry showed that treatment with 20-SOLA increased the RBF in Cyp4a14-/- mice by 12.3±4%, which remained unaltered in the WT. Additionally, the pressure-induced myogenic tone of isolated preglomerular microvessels was significantly elevated in Cyp4a14-/- mice; 20-SOLA treatment prevented the increase in myogenic responses. The natriuretic response to an isotonic saline loading challenge (10% of body weight, IP) was significantly attenuated in the Cyp4a14-/- mice as compared to the WT (35.5±2.8 vs. 57.4±8.3 percentage of Na load, p<0.05); this was corrected by 20-SOLA (61.7±5.7 percentage of Na load, p<0.05). These results confirm that 20-SOLA normalizes blood pressure of Cyp4a14-/- male mice and demonstrates that this is associated with increases in GFR, RBF and natriuresis.

scholarly journals Organic Nanoplatforms for Iodinated Contrast Media in CT Imaging

Molecules ◽  
2021 ◽  
Vol 26 (23) ◽  
pp. 7063
Author(s):  
Peng Zhang ◽  
Xinyu Ma ◽  
Ruiwei Guo ◽  
Zhanpeng Ye ◽  
Han Fu ◽  
...  
Keyword(s):  
Contrast Media ◽  
New Technologies ◽  
Drug Loading ◽  
Three Dimensional ◽  
Disease Diagnosis ◽  
Ct Imaging ◽  
Water Soluble ◽  
Iodinated Contrast Media ◽  
Iodinated Contrast ◽  
Anatomical Images

X-ray computed tomography (CT) imaging can produce three-dimensional and high-resolution anatomical images without invasion, which is extremely useful for disease diagnosis in the clinic. However, its applications are still severely limited by the intrinsic drawbacks of contrast media (mainly iodinated water-soluble molecules), such as rapid clearance, serious toxicity, inefficient targetability and poor sensitivity. Due to their high biocompatibility, flexibility in preparation and modification and simplicity for drug loading, organic nanoparticles (NPs), including liposomes, nanoemulsions, micelles, polymersomes, dendrimers, polymer conjugates and polymeric particles, have demonstrated tremendous potential for use in the efficient delivery of iodinated contrast media (ICMs). Herein, we comprehensively summarized the strategies and applications of organic NPs, especially polymer-based NPs, for the delivery of ICMs in CT imaging. We mainly focused on the use of polymeric nanoplatforms to prolong circulation time, reduce toxicity and enhance the targetability of ICMs. The emergence of some new technologies, such as theragnostic NPs and multimodal imaging and their clinical translations, are also discussed.

Tubular Nephrotoxicity of Water-soluble Iodinated Contrast Media

1980 ◽  
Vol 15 ◽  
pp. S54-S60 ◽  
Author(s):  
JEAN-FRANÇOIS MOREAU ◽  
DOMINIQUE DROZ ◽  
LAURE-HÉLÈNE NOEL ◽  
JACQUES LEIBOWITCH ◽  
PAUL JUNGERS ◽  
...  
Keyword(s):  
Contrast Media ◽  
Water Soluble ◽  
Iodinated Contrast Media ◽  
Iodinated Contrast

Interactions between ANP and ANG II in regulating blood pressure and sympathetic outflow

1991 ◽  
Vol 260 (6) ◽  
pp. R1145-R1151 ◽  
Author(s):  
M. K. Steele ◽  
D. G. Gardner ◽  
P. L. Xie ◽  
H. D. Schultz
Keyword(s):  
Blood Pressure ◽  
Sympathetic Nerve Activity ◽  
Ang Ii ◽  
Contrast Injection ◽  
Synthesis Inhibitor ◽  
Nerve Activity ◽  
Renal Sympathetic Nerve Activity ◽  
Arterial Blood ◽  
Pressor Responses ◽  
Renal Sympathetic

In anesthetized rats with sinoaortic denervation, intracerebroventricular (icv) injection of atrial natriuretic peptide (ANP) resulted in decreased mean arterial blood pressure (MAP), heart rate (HR), and renal sympathetic nerve activity (RSNA) (depressor effects), whereas icv angiotensin II (ANG II) produced increases in these variables (pressor effects). The depressor effects of ANP were slower in onset and longer in duration than the pressor effects of ANG II. Intracerebroventricular injection of the ANG II-receptor blocker sarthran or the ANG II-synthesis inhibitor captopril resulted in a significant reduction in MAP; HR and RSNA were not affected. Both sarthran and captopril abolished the depressor responses to icv ANP. In contrast, injection of an anti-rat ANP antibody, which blocked the depressor effects of icv ANP, did not by itself modify MAP, HR, or RSNA, nor did the antibody affect the pressor responses to icv ANG II. These data suggest that, in this animal model, the depressor effects of icv ANP are mediated by the inhibition of brain ANG II-dependent neural activity. These results also demonstrate that, in this preparation, the endogenous ANG II system actively contributes to the maintenance of basal MAP, whereas the central ANP system, at least in regions accessible to the antirat ANP antibody, plays little role in this maintenance.

scholarly journals The first case report of Kyphoscoliotic Ehlers-Danlos syndrome of chinese origin with a novel PLOD1 gene mutation

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaolin Ni ◽  
Chenxi Jin ◽  
Yan Jiang ◽  
Ou Wang ◽  
Mei Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Manifestations ◽  
Joint Hypermobility ◽  
Minor Trauma ◽  
X Rays ◽  
Ehlers Danlos Syndrome ◽  
Chinese Origin ◽  
First Case ◽  
Blue Sclerae ◽  
Danlos Syndrome

Abstract Background Kyphoscoliotic Ehlers-Danlos syndrome (kEDS) is a rare autosomal recessive connective tissue disorder characterized by progressive kyphoscoliosis, congenital muscular hypotonia, marked joint hypermobility, and severe skin hyperextensibility and fragility. Deficiency of lysyl hydroxylase 1 (LH1) due to mutations of PLOD1 (procollagen-lysine, 2-oxoglutarate 5-dioxygenase 1) gene has been identified as the pathogenic cause of kEDS (kEDS-PLOD1). Up to now, kEDS-PLOD1 has not been reported among Chinese population. Case presentation A 17-year-old Chinese male patient presenting with hypotonia, joint hypermobility and scoliosis was referred to our hospital. After birth, he was found to have severe hypotonia leading to delayed motor development. Subsequently, joint hypermobility, kyphoscoliosis and amblyopia were found. Inguinal hernia was found at age 5 years and closed by surgery. At the same time, he presented with hyperextensible and bruisable velvety skin with widened atrophic scarring after minor trauma. Dislocation of elbow joint was noted at age of 6 years. Orthopedic surgery for correction of kyphoscoliosis was performed at age 10 years. His family history was unremarkable. Physical examination revealed elevated blood pressure. Slight facial dysmorphologies including high palate, epicanthal folds, and down-slanting palpebral fissures were found. He also had blue sclerae with normal hearing. X-rays revealed severe degree of scoliosis and osteopenia. The Echocardiography findings were normal. Laboratory examination revealed a slightly elevated bone turnover. Based on the clinical manifestations presented by our patient, kEDS was suspected. Genetic analysis revealed a novel homozygous missense mutation of PLOD1 (c.1697 G > A, p.C566Y), confirming the diagnosis of kEDS-PLOD1. The patient was treated with alfacalcidol and nifedipine. Improved physical strength and normal blood pressure were reported after 12-month follow-up. Conclusions This is the first case of kEDS-PLOD1 of Chinese origin. We identified one novel mutation of PLOD1, extending the mutation spectrum of PLOD1. Diagnosis of kEDS-PLOD1 should be considered in patients with congenital hypotonia, progressive kyphoscoliosis, joint hypermobility, and skin hyperextensibility and confirmed by mutation analysis of PLOD1.

scholarly journals Study of Antihypertensive effects of Ocimum sanctum

2016 ◽  
Vol 15 (3) ◽  
pp. 357-361
Author(s):  
Md Borhanuddin
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Effect ◽  
Methanol Extract ◽  
Soluble Fraction ◽  
Medical Science ◽  
Water Extract ◽  
Water Soluble ◽  
Ocimum Sanctum ◽  
Albino Rats ◽  
Water Soluble Fraction

Background: Ocimum sanctum is a well reputed medicinal herb being used in the treatment of various ailments in this Indo Pak Subcontinents since ancient time.Methods: In this study the Antihypertensive effects of water extract of Ocimum sanctum and Water soluble fraction of methanol extract of Ocimum sanctum were tried for its antihypertensive effects on albino rats. Extracts were administered via vein and BP was recorded in the carotid artery by direct invasive method.Result: Normal blood pressure was 81/71 mm of Hg (mean blood pressure was 75 mm of Hg. Water extract of Ocimum sanctum has got significant antihypertensive effect (19-30 %). Water soluble fraction of methanol extract of Ocimum sanctum has also got significant antihypertensive effect (15-27 %).Bangladesh Journal of Medical Science Vol.15(3) 2016 p.357-361

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