Myocardial ultrasonic tissue characterization in patients with thyroid dysfunction

<p>Abstract</p> <p>Background</p> <p>Structural myocardial abnormalities have been extensively documented in hypothyroidism. Experimental studies in animal models have also shown involvement of thyroid hormones in gene expression of myocardial collagen. This study was planned to investigate the ability of ultrasonic tissue characterization, as evaluated by integrated backscatter (IBS), to early identify myocardial involvement in thyroid dysfunction.</p> <p>Patients and Methods</p> <p>We studied 15 patients with hyperthyroidism (HYPER), 8 patients with hypothyroidism (HYPO), 14 patients with subclinical hypothyroidism (SCH) and 19 normal (N) subjects, who had normal LV systolic function. After treatment, 10 HYPER, 6 HYPO, and 8 SCH patients were reevaluated. IBS images were obtained and analyzed in parasternal short axis (papillary muscle level) view, at left ventricular (LV) posterior wall. The following IBS variables were analyzed: 1) the corrected coefficient (CC) of IBS, obtained by dividing IBS intensity by IBS intensity measured in a rubber phantom, using the same equipment adjustments, at the same depth; 2) cardiac cyclic variation (CV) of IBS - peak-to-peak difference between maximal and minimal values of IBS during cardiac cycle; 3) cardiac cyclic variation index (CVI) of IBS - percentual relationship between the cyclic variation (CV) and the mean value of IBS intensity.</p> <p>Results</p> <p>CC of IBS was significantly larger (p < 0.05) in HYPER (1.57 ± 0.6) and HYPO (1.53 ± 0.3) as compared to SCH (1.32 ± 0.3) or N (1.15 ± 0.27). The CV (dB) (HYPO: 7.5 ± 2.4; SCH: 8.2 ± 3.1; HYPER: 8.2 ± 2.0) and the CVI (HYPO: 35.6 ± 19.7%; SCH: 34.7 ± 17.5%; HYPER: 37.8 ± 11.6%) were not significantly different in patients with thyroid dysfunction as compared to N (7.0 ± 2.0 and 44.5 ± 15.1%).</p> <p>Conclusions</p> <p>CC of IBS was able to differentiate cardiac involvement in patients with overt HYPO and HYPER who had normal LV systolic function. These early myocardial structural abnormalities were partially reversed by drug therapy in HYPER group. On the other hand, although mean IBS intensity tended to be slightly larger in patients with SCH as compared to N, this difference was not statistical significant.</p

Comparação dos testes de virusneutralização contra os genótipos 1 e 2 do vírus da diarreia viral bovina (BVDV-1 e BVDV-2) em bovinos de rebanhos naturalmente infectados

Os resultados dos testes de virusneutralização (VN) contra os genótipos do vírus da diarreia viral bovina (BVDV-1 e BVDV-2), bem como os respectivos títulos de anticorpos, foram comparados em 1.925 amostras de soro sanguíneo obtidas de rebanhos bovinos naturalmente infectados e não vacinados contra o BVDV, provenientes dos Estados de São Paulo e Minas Gerais. A proporção de amostras reagentes entre os genótipos foi analisada pelo Teste de McNemar, e os títulos de anticorpos das amostras reagentes ao BVDV-1 e ao BVDV-2 foram comparados pelo Teste de Wilcoxon. Não foi verificada discordância na proporção de bovinos reagentes ao BVDV-1 e ao BVDV-2 (P>0,05). No entanto, houve discordância entre os títulos de anticorpos detectados nos testes de VN contra os genótipos 1 e 2 do BVDV (P0.05). However, there was a disagreement among titers of antibodies detected in the VN tests against BVDV genotypes (P<0.0001). Although the proportion of reagent animals to BVDV genotypes was similar, false negative results would be obtained if 67 samples (3.5%) had been submitted only to VN test against BVDV-1, and 51 samples (2.65%) only against BVDV-2. Some herds had higher titers of antibodies for BVDV-1, while others for BVDV-2, thus demonstrating the occurrence of infection by different virus genotypes among the analyzed herds. Therefore, these results demonstrated the need for inclusion of both BVDV genotypes in VN tests.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Estadual Paulista Faculdade de Ciências Agrárias e Veterinárias Departamento de Medicina Veterinária Preventiva e Reprodução AnimalUniversidade Estadual Paulista Faculdade de Ciências Agrárias e Veterinárias Departamento de Ciências ExatasUniversidade Estadual Paulista Faculdade de Ciências Agrárias e Veterinárias Departamento de Medicina Veterinária Preventiva e Reprodução AnimalUniversidade Estadual Paulista Faculdade de Ciências Agrárias e Veterinárias Departamento de Ciências Exata