Use of cell cultures in vitro to assess the uptake of long dsRNA in plant cells

In Vitro Cellular & Developmental Biology - Plant - While RNAi approaches based on transgenic plants overexpressing double-stranded RNAs (dsRNAs) have yielded a number of genetically modified...     

Reclassification of aortic stenosis by fusion of echocardiography and computed tomography in low-gradient aortic stenosis

Netherlands Heart Journal - The integration of computed tomography (CT)-derived left ventricular outflow tract area into the echocardiography-derived continuity equation results in the...     

COVID-19-mediated patient delay caused increased total ischaemic time in ST-segment elevation myocardial infarction

Netherlands Heart Journal - The current study aimed to evaluate changes in treatment delay and outcome for ST-segment elevation myocardial infarction (STEMI) in the Netherlands during the first...     

Clinical consequences of consecutive self-expanding transcatheter heart valve iterations

Netherlands Heart Journal - To compare early clinical outcomes after transcatheter aortic valve implantation (TAVI) with three consecutive generations of self-expanding valves (SEVs). Clinical...     

Conservative initial postoperative anticoagulation strategy after HeartMate 3 left ventricular assist device implantation

Introduction

Although anticoagulation therapy is mandated after implantation of a left ventricular assist device (LVAD), postoperative bleedings and reoperations occur relatively frequently and are associated with worse outcomes. We evaluated the use of a conservative postoperative anticoagulation protocol in patients implanted with a HeartMate 3 (HM3) LVAD.

Methods

In a single-centre retrospective analysis of postoperative outcomes after HM3 LVAD implantation, a standard (old) anticoagulation protocol (i.e. early, full-dose anticoagulation with low-molecular weight heparin and overlapping vitamin K antagonist) was compared with a new conservative anticoagulation protocol (i.e. slow initiation of vitamin K antagonists without overlapping heparin). Main outcomes were changes in international normalised ratio (INR), lactate dehydrogenase (LDH), bleeding and/or tamponade events requiring reoperation, length of stay and adverse events.

Results

In total, 73 patients (48 in old vs 25 in new protocol group) were evaluated. Mean age was 56 years (standard deviation 13) and most patients (78%) were males. Changes in INR and LDH in the first 14 days were similar in both groups (p?=?0.50 and p?=?0.997 for interaction, respectively). Number of bleeding/tamponade events requiring reoperation was lower in the new than in the old protocol group (4% vs 33%, p?=?0.005). Postoperative 30-day mortality was similar, and we observed no thromboembolic events. Median (25th–75th percentiles) total length of postoperative hospital stay (27 (25–41) vs 21 (19–27) days, p?<?0.001) and length of intensive care unit stay (5 (2–9) vs 2 (2–5) days, p?=?0.022) were significantly shorter in the new protocol group.

Conclusion

These retrospective data suggest that conservative slow initiation of anticoagulation therapy after HM3 LVAD implantation is associated with less bleeding/tamponade events requiring reoperation, a similar safety profile and a shorter duration of stay than the currently advised standard anticoagulation protocol.

     

Comprehensive inventory of cannabinoids in Cannabis sativa L.: Can we connect genotype and chemotype?

Phytochemistry Reviews - Following decades of tight restrictions, recent legislative adjustments have decriminalized the use of products derived from cannabis (Cannabis sativa L.) in many countries...     

Phosphate-solubilising microorganisms mainly increase plant phosphate uptake by effects of pH on root physiology

Plant and Soil - Organisms intended to solubilise soil phosphate are chosen on their ability to produce a clear halo on a plate containing a sparingly soluble phosphate. This involves production of...     

Complex eco-evolutionary dynamics induced by the coevolution of predator–prey movement strategies

Evolutionary Ecology - The coevolution of predators and prey has been the subject of much empirical and theoretical research that produced intriguing insights into the interplay of ecology and...     

Mating system in a small pelagic spawner: field case study of the mandarinfish,Synchiropus splendidus

Environmental Biology of Fishes - Mating systems in fishes are extremely diverse, ranging from monogamy to multiple polygamous forms, some of which include alternative male mating tactics within...     

Failed protective effort of ex situ conservation of River Vistula trout (Salmo trutta) in Sweden

Environmental Biology of Fishes - Ex situ conservation comprises some of the oldest and best-known conservation methods and it has been applied for different fish stocks. This study describes...