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1.
Appl Biochem Biotechnol ; 152(1): 135-55, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18654744

RESUMEN

We proposed and developed a series of fluorescent methods for analysis and investigation of biological systems with a view of future biotechnological and biomedical applications. The methods we describe have been built upon several photochemical and photophysical phenomena including fluorescent quenching, photochrome photoisomerization, and energy transfer. Three new types of molecular probes have been developed and employed for such studies: (1) dual fluorophore-nitroxide compounds, (2) fluorescence-photochrome molecules, and (3) super molecules containing both fluorescence and fluorescent quenching segments. The fluorescent properties of the new probes were intensively exploited for several practical applications including a real-time analysis of antioxidants, nitric oxide, superoxide, reactive radicals, trinitrotoluene, and metal ions, investigation of molecular dynamics of biomembranes in a wide range characteristic times, detection of protein conformational transition, and characterization of surface system. Owning high sensitivity, simplicity, and availability of fluorescent techniques, these methods can be widely employed and are adaptable to fibrooptic sensoring. A general survey of the physical principles and application of the new fluorescent methods has been provided.


Asunto(s)
Antioxidantes/análisis , Técnicas Biosensibles/métodos , Fluorescencia , Radicales Libres/análisis , Inmunoensayo/métodos , Fluidez de la Membrana , Animales , Humanos
2.
J Biochem Biophys Methods ; 70(6): 1073-9, 2008 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-17826843

RESUMEN

A rapid, sensitive, and quantitative novel immunoassay [FluoroChrome ImmunoAssay, FCIA] technique was developed which auspiciously combines both the high sensitivity of fluorescence measurements with the high specificity of an antibody. As opposed to existing immunoassays, FCIA is performed without separation of antibody-bound haptens from those that are free, and utilizes fluorescence measurements from widely available standard commercial fluorimeters. FCIA is based on the hypothesis that an appropriately designed stilbene-antigen analogue probe will suffer considerable steric hindrance to trans-cis photoisomerization when bound within the combined constraints of both an antibody binding site and a second globular protein. Specifically, an appropriately designed 2,4-dinitrophenyl-hapten derivative of fluorescent trans-4,4'-diaminostilbene (DAS), was squeezed between two large globular proteins: lysozyme (Lys) from one side, and anti-2,4,6-trinitrophenyl antibody (antiTNP) from the other side, in order to provide the desired constricted environment to restrict trans/cis-stibene isomerization within the antiTNP-DNP-DAS-Lys adduct. As was theoretically predicted and then experimentally verified, the trans-cis photoisomerization rate for the bound probe was found to be markedly inhibited, compared to that expected for the free probe in solution. The fluorescence-photochrome labeled probe was competitively displaced from the antiTNP binding site in the presence of the picric acid hapten, and photoisomerization then commenced to produce the fluorescence-silent cis-stilbene diastereomer. The process of association and dissociation of a hapten-antibody complex was readily monitored by the fluorescence technique in the presence of both antibody-bound and free haptens.


Asunto(s)
Compuestos de Cloro/análisis , Inmunoensayo/métodos , Muramidasa/metabolismo , Fármacos Fotosensibilizantes/análisis , Pliegue de Proteína , Espectrometría de Fluorescencia/métodos , Reactivos de Enlaces Cruzados/química , Estructura Molecular , Picratos , Estilbenos
3.
Arch Gynecol Obstet ; 277(3): 233-7, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17713779

RESUMEN

Neonate erythrocytes are more susceptible to oxidizing drugs than adults; however, there are controversial reports in the literature regarding the total antioxidant capacity of neonate blood. Stable nitroxide radicals (NRs) are reduced by blood and some other biological materials to the corresponding hydroxylamines. The kinetics of the nitroxide's disappearance using electron paramagnetic resonance (EPR) spectroscopy, provides useful biochemical and biophysical information about the antioxidant properties of biological systems. In order to investigate the antioxidant properties in the newborn's blood, we applied this novel method on 38 umbilical vein blood samples and 40 healthy adults. The NR, 5-Dimethylaminonaphthalene-1-sulfonyl-4-amino-2,2,6,6,-tetramethyl-piperidine-oxyl (R), was used for this purpose. Ascorbate is the only known natural antioxidant that reduces R. We found that the reduction rates of R in neonate's whole blood are significantly higher (P < 0.001) than the reduction rates of R in adult's whole blood. However, there were no significant differences in the antioxidant capacity between the two groups. Newborn's blood has significantly higher ability to deal with oxidative stress, caused by R, in comparison with adult blood. We suggest that the system that responds to the recycling of ascorbate is more efficient in neonate blood than in adult's blood.


Asunto(s)
Compuestos de Dansilo/farmacocinética , Sangre Fetal/metabolismo , Indicadores y Reactivos/farmacocinética , Estrés Oxidativo , Adulto , Espectroscopía de Resonancia por Spin del Electrón , Eritrocitos/metabolismo , Hematócrito , Humanos , Recién Nacido , Persona de Mediana Edad , Venas Umbilicales
4.
J Biochem Biophys Methods ; 70(6): 1006-13, 2008 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-17988747

RESUMEN

A novel assay was developed for the measurement of nitric oxide. The proposed method is based on fluorescence, using a fluorophore-heme dual functionality probe (FHP). The heme group can serve as an effective NO-trap, due to its very fast reaction with NO and the high stability of the resulting complex. Since the heme is connected with a fluorophore as a part of the FHP dual-functionality probe, the heme can quench the fluorophore fluorescence, under certain conditions, by a singlet-singlet energy transfer mechanism. The proposed method was tested using myoglobin covalently modified by a stilbene label. The change in emission intensity of the stilbene fragment, versus an increasing concentration of NO precursors, clearly demonstrated the spectral sensitivity required to monitor the formation of a heme-NO complex in a concentration range of 10 nM-2 microM. Furthermore, the new methodology for NO measurement was also found to be an effective assay using tissues from rabbit and porcine trachea epithelium. The measured NO flux (in an initial time interval) in tissue sample from rabbit trachea epithelia and porcine trachea epithelia is approximately 7.9x10(-12) mol/sxg and approximately 3.0x10(-12) mol/sxg respectively.


Asunto(s)
Óxido Nítrico/análisis , Espectrometría de Fluorescencia/métodos , Animales , Calibración , Epitelio/metabolismo , Hemo/metabolismo , Cinética , Mioglobina/metabolismo , Óxido Nítrico/metabolismo , Conejos , Termodinámica , Factores de Tiempo , Volumetría , Tráquea/metabolismo
5.
Photochem Photobiol ; 83(4): 871-81, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17645658

RESUMEN

Over the last decades scientists have faced growing requirements in novel methods of fast and sensitive analysis of antioxidant status of biological systems, spin redox probing and spin trapping, investigation of molecular dynamics, and of convenient models for studies of photophysical and photochemical processes. In approaching this problem, methods based upon the use of dual chromophore-nitroxide (CN) compounds have been suggested and developed. A CN consists of two molecular sub-functionality (a chromophore and a stable nitroxide radical) tethered together by spacers. In the dual compound the nitroxide is a strong intramolecular quencher of the fluorescence from the chromophore fragment. Reduction to hydroxylamine, oxidation of the nitroxide fragment or addition of an active radical yield the fluorescence increase and the parallel decay of the fragment electron spin resonance (ESR) signal. At certain conditions the dual molecules undergo photomagnetic switching and form excited state multi-spin systems. These unique properties of CN were intensively exploited as the basis for several methodologies, which include molecular probing, modeling intramolecular photochemical and photophysical processes, and construction of new magnetic materials.

6.
Protein J ; 25(1): 1-15, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16721656

RESUMEN

Binding sites for hydrophobic molecules on bovine beta-lactoglobulin, and their susceptibility to temperature, were studied by using various spectroscopic probes. Binding of probes carrying a single fluorophore moiety, a single nitroxide moiety, or both moieties on the same molecule, was followed by EPR and fluorescence. The presence of a fatty acid side chain in the dual probes was found to be required for binding to beta-lactoglobulin. Binding occurred only after the protein was heated at temperatures below the threshold for its irreversible denaturation. Binding became extremely tight and stable upon cooling of the protein-probe mixture. Comparison among the various probes suggests that multiple binding sites for hydrophobes are present in the native protein, and in the partially-and reversibly-modified form of beta-lactoglobulin present in solution at neutral pH and subdenaturing temperatures. Thus, the specificity of hydrophobes binding to beta-lactoglobulin may be modulated by simple physical treatment of the protein.


Asunto(s)
Lactoglobulinas/química , Animales , Sitios de Unión , Bovinos , Espectroscopía de Resonancia por Spin del Electrón , Ácidos Grasos/metabolismo , Interacciones Hidrofóbicas e Hidrofílicas , Lactoglobulinas/metabolismo , Sondas Moleculares/metabolismo , Unión Proteica , Conformación Proteica , Espectrometría de Fluorescencia , Temperatura , Triptófano/metabolismo
7.
Phys Chem Chem Phys ; 7(18): 3368-74, 2005 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-16240052

RESUMEN

Measurements of active encounters between molecules in native membranes containing ingredients, including proteins, are of prime importance. To estimate rare encounters in a high range of rate constants (rate coefficients) and distances between interacting molecules in membranes, a cascade of photochemical reactions for molecules diffusing in multilamellar liposomes was investigated. The sensitised cascade triplet cis-trans photoisomerisation of the excited stilbene involves the use of a triplet sensitiser (Erythrosin B), a photochrome stilbene-derivative probe (4-dimethylamino-4'-aminostilbene) exhibiting the phenomenon of trans-cis photoisomerisation, and nitroxide radicals (5-doxyl stearic acid) to quench the excited triplet state of the sensitiser. Measurement of the phosphorescence lifetime of Erythrosin B and the fluorescence enhancement of the stilbene-derivative photochrome probe, at various concentrations of the nitroxide probe, made it possible to calculate the quenching rate constant k(q)= 1.1 x 10(15) cm2 M(-1) s(-1) and the rate constant of the triplet-triplet energy transfer between the sensitiser and stilbene probe k(T)= 1.0 x 10(12) cm2 M(-1) s(-1). These values, together with the data on diffusion rate constant, obtained by methods utilising various theoretical characteristic times of about seven orders of magnitude and the experimental rate constants of about five orders of magnitude, were found to be in good agreement with the advanced theory of diffusion-controlled reactions in two dimensions. Because the characteristic time of the proposed cascade method is relatively large (0.1 s), it is possible to follow rare collisions between molecules and free radicals in model and biological membranes with a very sensitive fluorescence spectroscopy technique, using a relatively low concentration of probes.


Asunto(s)
Antioxidantes/química , Membrana Celular/química , Colorantes Fluorescentes/química , Óxidos de Nitrógeno/química , Estilbenos/química , Difusión , Eritrosina/química , Estereoisomerismo , Propiedades de Superficie
8.
Anal Biochem ; 326(2): 139-45, 2004 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-15003554

RESUMEN

A nitronyl nitroxide radical covalently linked to an organic fluorophore, pyrene, was used to detect nitric oxide (NO) from freshly excited tissues. This approach is based on the phenomenon of the intramolecular fluorescence quenching of the fluorophore fragment by the nitroxide. The pyrene-nitronyl (PN) reacts with NO to yield a pyrene-imino nitroxide radical (PI) and NO(2). Conversion of PN to PI is accompanied by changes in the electron paramagnetic resonance (EPR) spectrum from a five-line pattern (two equivalent N nuclei) into a seven-line pattern (two nonequivalent N nuclei). The transformation of the EPR signal is accompanied by an increase in the fluorescence intensity since the imino nitroxide radical is a weaker quencher than the nitronyl one. The results indicate that the fluorescence measurements enable detection of nanomolar concentrations of NO compared to a sensitivity threshold of only several micromolar for the EPR technique. The method was applied to the determination of NO and S-nitroso compounds in tissue from pig trachea epithelia. The measured basal flux of S-nitroso compounds obtained from the tissues was about 1.2 nmol/g x min, and NO-synthase stimulated by extracellular adenosine 5'-triphosphate produced NO flux of 0.9 nmol/g x min.


Asunto(s)
Óxido Nítrico/análisis , Tráquea/química , Animales , Colorantes Fluorescentes/química , Radicales Libres/química , Técnicas In Vitro , Pirenos/química , Sensibilidad y Especificidad , Espectrometría de Fluorescencia/métodos , Porcinos
9.
Biophys Chem ; 103(2): 139-56, 2003 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-12568937

RESUMEN

A combined fluorescence-photochrome approach was used for investigation of the molecular dynamics antiDNP antibody binding site and its cavity. A 4-(N-2,4-dinitrophenylamino)-4'-(N,N'-dimethylamino)stilbene (StDNP) fluorescence DNP analog was incorporated into the antibody binding site. This was followed by measurements of fluorescence and photochrome parameters such as the StDNP excitation and emission spectra, fluorescence lifetime, steady-state and time-resolved fluorescence polarization, kinetics of trans-cis and cis-trans photoisomerization, and fluorescence quenching by nitroxide radicals freely diffused in solution. In parallel, computational modeling studies on the location and dynamics of DNP/TEMPO spin-label (NslDNP) and StDNP guests within a model of the binding site were performed. When all the experimental evidence is considered (including data from the antibody X-ray study), one can conclude that wobbling of the Trp 91 L/Trp 96 H binding-site.bound-hapten moiety (StDNP), can be responsible for the label's nanosecond dynamics monitored by fluorescence polarization techniques. A similar conclusion may be reached as a result of data analysis on NslDNP mobility within the antibody binding site. The mobility of Trp 91 L and Trp 96 H moieties provides the induced fit needed for effective stacking and release of the DNP epitope. Analysis of the above-mentioned data allows one to explore the mechanism of the probe's movement within the binding site and enables one to discuss the local dynamics of the binding site region. The combined fluorescence-photochrome approach can be used for investigation of local medium molecular dynamics in the immediate vicinity of specific sites of proteins and nucleic acids, as well as for other biologically important structures and synthetic analogues.


Asunto(s)
Anticuerpos/química , Sitios de Unión de Anticuerpos , Modelos Moleculares , Dinitrobencenos/inmunología , Fluorescencia , Polarización de Fluorescencia , Movimiento (Física) , Fotoquímica , Marcadores de Spin , Estereoisomerismo
10.
Protein Sci ; 11(11): 2535-44, 2002 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-12381837

RESUMEN

The local and global dynamics of the Sulfolobus solfataricus beta-glycosidase were studied by electron spin resonance and time-resolved fluorescence techniques. For electron paramagnetic resonance (EPR) investigations, the protein was covalently modified by the maleimido nitroxide spin label, which is specific for cysteine -SH groups, at position 344 and at position 101, where Ser-101 was changed into a cysteine by site-directed mutagenesis. The greater reactivity of exposed Cys-101 suggested the exclusive modification of this amino acid compared with Cys-344. The labeled proteins underwent temperature perturbation in the range 290-335 K and the values of the spin-label rotation correlation frequencies (nu(c)) ranged from 6 x 10(7) to 2 x 10(8) sec(-1) for the protein labeled at position C344 and from 5.62 x 10(7) to 1.10 x 10(8) sec(-1) for the protein labeled at C101. These rotation correlation values are related to the local dynamic characteristics of the protein matrix. The temperature dependence of rotation correlation frequencies expressed in terms of Arrhenius coordinates (log (nu(c)) vs. 1/T) for the protein labeled at C344 exhibited a linear dependence but with a change in the slope at 311 K. For the protein labeled at C101, no change in the slope was observed at the same temperature. General dynamic information was deduced from the analysis of the fluorescence emission decay of the tryptophanyl residues that are present in each region of the protein structure. Fluorescence data analysis highlighted a bimodal distribution of fluorescence lifetimes arising from the contribution of two emitting groups: one consisting of closely clustered tryptophans responsible for the long-lived emission component (7.1 nsec) and the other composed of tryptophans nearer to the protein surface, which can be associated to the short-lived component (2.5 nsec). The temperature dependence of lifetime distribution parameters linked to the long-lived and short-lived components, expressed in Arrhenius coordinates, showed two different points in which the change in the slope occurred (i.e., 328 K and 338 K, respectively). The Arrhenius analysis of data provided the activation energy relative to the conformational changes characterizing the local and global movements running through the protein matrix.


Asunto(s)
Glucosidasas/química , Estructura Cuaternaria de Proteína , Sulfolobus/enzimología , Dicroismo Circular , Cisteína/química , Ácido Ditionitrobenzoico/química , Espectroscopía de Resonancia por Spin del Electrón , Fluorometría , Glucosidasas/genética , Modelos Moleculares , Mutagénesis Sitio-Dirigida , Marcadores de Spin , Reactivos de Sulfhidrilo/química , Temperatura
11.
Biochim Biophys Acta ; 1571(3): 239-44, 2002 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-12090938

RESUMEN

A fluorophore-nitroxide free radical dual-functional probe (FN) was utilized to study the kinetics of ascorbate (AH(-)) binding to Bovine Serum Albumin (BSA). Since the free radical fragment in the FN probe intramolecularly quenches fluorescence, ascorbate reduction of the nitroxide function is accompanied by a concomitant fluorescence intensity increase from the fluorophore. Thus, both fluorescence and the EPR techniques could be utilized to measure the reaction rate. In the presence of BSA protein, the observed rate of the overall process is the sum of that from at least two reactions: the reaction between free ascorbate and free probe, and the reaction between bound ascorbate and bound probe. Our findings show that the observed rate is strongly dependent on the ionic strength of the medium. A corollary of this observation is the indication of a purely electrostatic interaction between ascorbate and the BSA protein. This conclusion was further corroborated by 1H NMR measurement of the transverse relaxation time, T(2), of ascorbate protons in BSA solutions. Ascorbate ion was released from the ascorbate/BSA ensemble in the presence of increasing concentrations of NaCl. Binding constants of AH(-) to BSA were calculated at different ionic strengths at pH 7.4. Furthermore, an increase in ionic strength did not affect the ability of albumin to protect ascorbate against autoxidation. This suggests that the protein's protective antioxidant effect may be attributed to BSA binding of trace quantities of transition-metal cations (rather than ascorbate binding to BSA). This conclusion is supported by ascorbate UV-absorption measurements in the presence of albumin and Cu(2+) ions as a function of ionic strength.


Asunto(s)
Ácido Ascórbico/química , Albúmina Sérica Bovina/química , Ácido Ascórbico/metabolismo , Relación Dosis-Respuesta a Droga , Espectroscopía de Resonancia por Spin del Electrón , Colorantes Fluorescentes/química , Cinética , Espectroscopía de Resonancia Magnética , Concentración Osmolar , Oxidación-Reducción , Unión Proteica/efectos de los fármacos , Unión Proteica/fisiología , Albúmina Sérica Bovina/metabolismo , Cloruro de Sodio/química , Cloruro de Sodio/farmacología , Espectrometría de Fluorescencia , Espectrofotometría Ultravioleta
12.
Anal Biochem ; 305(2): 121-34, 2002 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-12054440

RESUMEN

A fluorescent-photochrome method of quantifying the orientation and surface density of solid phase antibodies is described. The method is based on measurements of quenching and rates of cis-trans photoisomerization and photodestruction of a stilbene-labeled hapten by a quencher in solution. These experimental parameters enable a quantitative description of the order of binding sites of antibodies immobilized on a surface and can be used to characterize the microviscosity and steric hindrance in the vicinity of the binding site. Furthermore, a theoretical method for the determination of the depth of immersion of the fluorescent label in a two-phase system was developed. The model exploits the concept of dynamic interactions and is based on the empirical dependence of parameters of static exchange interactions on distances between exchangeable centers. In the present work, anti-dinitrophenyl (DNP) antibodies and stilbene-labeled DNP were used to investigate three different protein immobilization methods: physical adsorption, covalent binding, and the Langmuir-Blodgett technique.


Asunto(s)
Anticuerpos/análisis , Colorantes Fluorescentes/metabolismo , Fitocromo/metabolismo , Adsorción , Anticuerpos/química , Sitios de Unión de Anticuerpos , Biología Computacional , Dinitrobencenos/inmunología , Yoduros/metabolismo , Cinética , Modelos Moleculares , Silanos/metabolismo , Estilbenos/inmunología
17.
Scand J Respir Dis ; 60(1): 6-16, 1979 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-441698

RESUMEN

The blood volume and arterial blood gases of 18 patients with chronic obstructive lung disease were studied over a period of 1/2 to 5 years, including 35 acute exacerbations of the lung disease. Treatment during exacerbation was directed at infection, bronchial obstruction and hypervolemia. Long-term diuretic therapy was instituted during the follow-up period. On admission all patients suffered from severe dyspnoea, all but two had signs of peripheral oedema and/or liver congestion and one-third had increased jugular venous pressure. Blood volume was increased in all patients and eight of them had a hematocrit above 50%. PaCO2 was severely reduced and PaCO2 increased on admission. At discharge, these symptoms and signs had all diminished or disappeared. Blood volume had fallen an average of 11 and a further reduction of 0.41 was noticed during the follow-up period. Blood gases had improved by discharge and a further improvement accompanied the reduction of blood volume during the follow-up period. It is suggested that 1) hypervolemia is common in patients with advanced chronic obstructive lung disease; 2) hypervolemia may impair arterial oxygenation; 3) long-term diuretic therapy seems to be necessary for maintaining a normal blood volume.


Asunto(s)
Volumen Sanguíneo , Dióxido de Carbono/sangre , Enfermedades Pulmonares Obstructivas/fisiopatología , Oxígeno/sangre , Insuficiencia Respiratoria/fisiopatología , Adulto , Anciano , Broncodilatadores/uso terapéutico , Diuréticos/uso terapéutico , Disnea/fisiopatología , Femenino , Hematócrito , Humanos , Enfermedades Pulmonares Obstructivas/terapia , Masculino , Persona de Mediana Edad , Terapia por Inhalación de Oxígeno , Presión Parcial , Respiración Artificial , Traqueotomía
18.
Chest ; 75(2): 146-51, 1979 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-421550

RESUMEN

Central hemodynamics and gas exchange were studied in six patients with chronic obstructive pulmonary disease (mean age, 60 years). Patients were selected for the study if the volume of blood was 1 L larger than the predicted normal value, if there was no history of infection, and if no drug assumed to influence pulmonary circulation had been given during the last four weeks. Measurements were first performed in the hypervolemic state. This was followed by a venesection of 0.5 L, and the measurements were repeated 15 minutes later (immediate effects of dehydration). After two weeks to two months of intensive diuretic therapy, new measurements were performed (long-term effects of dehydration). With hypervolemia, there was pulmonary hypertension, increased pulmonary vascular resistance, and normal cardiac output. The arterial oxygen tension (PaO2) was markedly reduced. The arterial carbon dioxide tension (PaCO2) was increased in two patients, and dead-space ventilation (VD/VT) increased in all. The sole immediate effect of venesection was a small increase in heart rate and a reduction in PaCO2. The long-term effects were a maintained low blood volume (on the average, 0.7 L less than before bloodletting) and lowered hematocrit reading (8 percent less than before bloodletting), a reduced and in some patients normalized pulmonary arterial pressure, a reduced pulmonary vascular resistance, and an unchanged cardiac output. The PaO2 improved, while PaCO2 did not change; neither did VD/VT. The changes correlated partly with the diminution in blood volume and partly with the reduction in hematocrit reading.


Asunto(s)
Volumen Sanguíneo , Furosemida/uso terapéutico , Enfermedades Pulmonares Obstructivas/tratamiento farmacológico , Policitemia/etiología , Respiración/efectos de los fármacos , Anciano , Venodisección , Dióxido de Carbono/sangre , Evaluación de Medicamentos , Femenino , Furosemida/administración & dosificación , Hematócrito , Hemodinámica , Humanos , Enfermedades Pulmonares Obstructivas/complicaciones , Enfermedades Pulmonares Obstructivas/fisiopatología , Masculino , Persona de Mediana Edad , Oxígeno/sangre , Presión Parcial
19.
Acta Med Scand ; 206(1-2): 55-9, 1979.
Artículo en Inglés | MEDLINE | ID: mdl-484258

RESUMEN

Resuscitation was attempted in 319 patients brought to hospital with cardiac arrest during a 5-year period. Primary successful results were achieved in 50 patients (15.7%). Twelve patients were long-term survivors (3.4%), 10 of whom had normal brain function, whereas 2 had mild cerebral dysfunction. To improve prognostication in patients with initially successful resuscitation, Bayes' theorem was applied using 4 clinical findings after 24 hours' treatment: reactions to painful stimuli, pupillary size, light reactions and BP, Bayes' theorem as well as coma depth after 24 hours gave valuable information regarding individual prognosis.


Asunto(s)
Paro Cardíaco/mortalidad , Evaluación de Procesos y Resultados en Atención de Salud , Resucitación , Anciano , Toma de Decisiones , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Pronóstico , Suecia , Factores de Tiempo
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