Detection of ischemical dyssynchrony in patients with normal duration of QRS at rest and during exercise echocardiography (Dyssynchrony in coronary artery disease patients during exercise).

AIM: Ischemic segments cannot develop a sufficient amount of strength during systole, so theoretically they begin to contract later in comparison with non-ischemic zones. There is a lack of information about methods that can detect dyssynchrony during exercise in patients with QRS not longer 100 ms. The aim of the study was to compare different methods of detection regarding left ventricular moving dyssynchrony in patients with significant coronary stenosis artery lesions: pulsed-wave of PW-TDI, strain (S) and strain rate (SR). METHODS: The study included 133 subjects: 106 consecutive patients who were scheduled for coronary angiography with previous stress-echocardiography and 27 healthy persons. All the patients underwent a supine bicycle exercise test. RESULTS: Seventy-six patients had stenoses and 30 subjects had no significant lesions by coronary angiography. There was a detectable difference between time parameters of left ventricle contraction for the two groups and controls before and during exercise using all Doppler methods. Subgroups of patients without previous myocardial infarction and without hypertrophy of left ventricle had the same results. Maximal difference was observed using strain method. There was a moderate correlation between time parameters and the existence of significant lesions of coronary arteries. CONCLUSION: Patients without prolongations of QRS with significant lesions of coronary arteries have detectable left ventricular dyssynchrony before and during exercise.

Solubility of protein fibers obtained from casein solutions and liquid two-phase water-casein-sodium alginate systems.

The solubility of protein and protein-polysaccharide matrix fibers obtained from casein solutions and two-phase water-casein-sodium alginate (W-C-A) systems in water and in 1 M NaCl solutions at different pH at 20 and 100 degrees C has been studied. The matrix fibers obtained from the two-phase W-C-A system are shown to be considerably less soluble than those from the casein solutions. This difference is seen particularly clearly when pH amounts to 5-7. However, it disappears with the spinning two-phase system at temperature above 80 degrees C. An assumption has been made about the matrix fibers being either mixed gels of the thermo-reversible, soluble calcium caseinate and thermo-irreversible insoluble calcium alginate, or complex protein-polysaccharide gels formed with the participation of the calcium ions. This latter assumption is in conformity with the negligible solubility of the protein fibers obtained as a result of the lyotropic gelation of the skimmed milk proteins.