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Sandler, H.

Publications and source records attributed to Sandler, H..

At least 55 records · Page 3

Cardiovascular function during sustained +G/z/ stress

The development of aerospace systems capable of very high levels of positive vertical accelerators stress has created a need for a better understanding of the cardiovascular responses to acceleration. Using a canine model, the heart and cardiovascular system were instrumented to continuously measure coronary blood flow, cardiac output, left ventricular and aortic root pressure, and oxygen saturation in the aorta, coronary sinus, and right ventricle. The animals were exposed to acceleration profiles up to +6 G, 120 s at peak G; a seatback angle of 45 deg was simulated in some experiments. Radiopaque contrast medium was injected to visualize the left ventricular chamber, coronary vasculature, aorta, and branches of the aorta. The results suggest mechanisms responsible for arrhythmias which may occur, and subendocardial hemorrhage which has been reported in other animals.

Erickson, H. H.↗

Angiocardiography - Past and present

Angiocardiography is defined as an X-ray procedure which uses an intravascularly injected contrast material for visualization of the internal anatomy of the heart and great vessels. Past and present efforts in angiocardiography technology and methodology are reviewed, with special emphasis on qualitative and quantitative measurements of heart and vessel geometry. One of the more recent applications of angiographic image analysis has been for pattern recognition of margin motions over a cardiac cycle, termed contourography. Angiocardiography will continue to serve, as it has served in the past, as the principal standard of reference for calibration and/or comparison of newer methods for determining volume or dimensional change, depending on further technologic advances in X-ray equipment and means for displaying computer-processed information.

Sandler, H.↗

A multichannel implantable telemetry system for flow, pressure, and ECG measurements

The design, principles of operation, and performance of an implantable miniaturized (48 cu cm in volume) multiplex telemetry system for simultaneous measurement of up to eight physiological parameters (including cardiovascular data) are described. Integrated circuits are used to reduce the size, complexity, and cost of fabrication. Power consumption is reduced using recently developed complementary MOS devices. PWM technique is selected as it is relatively easy to implement, lends itself to ICs, and provides an accurate means of transmitting data. The system is totally implantable within the chest of a test animal, with no wire penetrating through the skin. It is shown that the described system permits repeated measurement of the physiological effects of a variety of interventions in awake unanesthetized animals.

Fryer, T. B.↗

+Gz tolerance in man after 14-day bedrest periods with isometric and isotonic exercise conditioning

The effects of isometric and isotonic exercise training on post-bedrest +Gz tolerance were determined. In general, 14-day bedrest resulted in a significant loss of Gz tolerance, as previously discovered. At 2.1 Gz, neither the isometric nor the isotonic exercises regimens resulted in a significant increase in post-bedrest Gz tolerance. However, following isometric exercise, restoration of about half the tolerance decrement occurred at 3.2 Gz and 3.8 Gz. Possible reasons for this partial restoration of tolerance are put forward.

Greenleaf, J. E.↗

Elastic modulus of the human intact left ventricle - Determination and physiological interpretation

The left ventricle (l.v.) is represented as a shell of muscle whose performance is characterized in terms of the chamber pressure and stress/strain in the ventricular wall; the effective elastic modulus of the l.v. relates these performance variables, and hence represents the transfer function of the left ventricular physiological system. A method is presented for indirectly determining the effective modulus E for the left ventricle. The method employs a thick-walled mathematical model of the l.v. having a homogeneous isotropic medium. Instantaneous values of E are determined for subjects with heart diseases of varied etiologies, in order to assess the responses of the l.v. to chronic overloads of pressure and volume. Resulting values for E are used diagnostically to characterize the physiological state of the l.v. Normal values of E, at systole, indicate that the strength of contraction exercised by the l.v. is normal, and hence is an indication of the l.v. having adjusted to the heart disease.

Ghista, D. N.↗

Recent NASA contributions to biomedical telemetry

The present work reviews technological progress over the past five years in the field of long-term telemetric monitoring of physiological parameters during space flight. Emphasis is placed on those developments that have direct application to animal or human use on earth. An effort was made in these recent developments to free subjects from encumbering wires: a swallowable telemetry capsule for monitoring body temperature and a wristwatch transmitter connected to EKG leads were two of the devices developed.

Sandler, H.↗

Tutorial: angiocardiography, past and present

The contribution of X-ray methodology and angiocardiography in the ability to study cardiac and cardiovascular function is presented. Angiocardiography remains the most reliable method for determination of overall chamber size and shape particularly in the face of disease states of varying etiologies. It also presents the most accurate means for obtaining dimensional information concerning the heart and blood vessels without the use of surgery or attachment of transducers.

Sandler, H.↗

Cardiovascular imaging and image processing: Theory and practice - 1975; Proceedings of the Conference, Stanford University, Stanford, Calif., July 10-12, 1975

The present collection of papers outlines advances in ultrasonography, scintigraphy, and commercialization of medical technology as applied to cardiovascular diagnosis in research and clinical practice. Particular attention is given to instrumentation, image processing and display. As necessary concomitants to mathematical analysis, recently improved magnetic recording methods using tape or disks and high-speed computers of large capacity are coming into use. Major topics include Doppler ultrasonic techniques, high-speed cineradiography, three-dimensional imaging of the myocardium with isotopes, sector-scanning echocardiography, and commercialization of the echocardioscope. Individual items are announced in this issue.

Harrison, D. C.↗

Effects of simulated weightlessness on responses of untrained men to +Gz acceleration

This study documents bedrest-induced metabolic and physiologic changes in six untrained men exposed, following a two-week period of simulated weightlessness, to possible +Gz acceleration profiles anticipated for Space Shuttle vehicle travel. All subjects demonstrated decreased +Gz tolerance following simulated weightlessness. While only one of six subjects could not tolerate the +Gz profile in the control phase of the study, three of the six could not complete the postbed-rest study. The use of an inflated standard Air Force cutaway G-suit improved +Gz tolerance in all subjects, but two of six subjects still failed to complete the profile. These findings are discussed in reference to the selection of untrained humans for Space Shuttle vehicle travel.

Jacobson, L. B.↗

Changes in mesenteric, renal, and aortic flows with +Gx acceleration

Previous studies in man and dogs have indicated that the splanchnic bed might contribute to the maintenance of arterial pressure during +Gx acceleration. Eight mongrel dogs were chronically instrumented with Doppler flow probes around the superior mesenteric (SMA) and renal arteries (RA) as well as the terminal aorta (TA). A solid-state pressure transducer was placed in the aorta distal to the flow probe. Using alpha-chloralose anesthesia following a 2-4 week recovery period, the animals were subjected to 120 sec at levels of 5, 10 and 15 +Gx acceleration on a 7.6-m radius centrifuge. The results indicate that both an active component and a mechanical component contribute to the maintenance of arterial pressure during +Gx acceleration.

Stone, H. L.↗

Determination of left ventricular size and shape

Significant advances have occurred over the past 15 years in the ability to measure ventricular dimensions. Angiocardiography still remains the most reliable method for overall determination of chamber size and shape and serves as a standard for calibration or comparison for newer methods. Improvements in the use of radiographic methods over the next few years are anticipated with more extensive use of multiplane studies associated with repeated injections of improved contrast materials that produce fewer physiological effects or with substances that adhere to the endocardial surfaces. It is also anticipated that existing methods for automatically obtaining dimensional information from X rays will be continued and improved.

Sandler, H.↗

Cardiac mechanics: Physiological, clinical, and mathematical considerations

Recent studies concerning the basic physiological and biochemical principles underlying cardiac muscle contraction, methods for the assessment of cardiac function in the clinical situation, and mathematical approaches to cardiac mechanics are presented. Some of the topics covered include: cardiac ultrastructure and function in the normal and failing heart, myocardial energetics, clinical applications of angiocardiography, use of echocardiography for evaluating cardiac performance, systolic time intervals in the noninvasive assessment of left ventricular performance in man, evaluation of passive elastic stiffness for the left ventricle and isolated heart muscle, a conceptual model of myocardial infarction and cardiogenic shock, application of Huxley's sliding-filament theory to the mechanics of normal and hypertrophied cardiac muscle, and a rheological modeling of the intact left ventricle. Individual items are announced in this issue.

Mirsky, I.↗

Angiocardiographic methods for determination of left ventricular geometry and volume

Methods are described for calculating left ventricular (LV) dimensions and chamber volumes from radiographic films. The use of biplane films for the calculation of LV volume and volume change is based on the assumption of an ellipsoidal geometry. Calculation of LV volumes from biplane films usually overestimated known volumes in postmortem hearts regardless of the methods used for volume calculation. The reasons for this are probably best explained by the fact that a smooth-surface ellipse is used to represent the irregular cavity of the LV chamber. LV volume calculated from data in a single plane compared favorably and closely with volumes calculated from biplane films. A table of normal values of ventricular volume established by angiographic studies is presented.

Sandler, H.↗

Clinical applications of angiocardiography

Several tables are presented giving left ventricular (LV) data for normal patients and patients with heart disease of varied etiologies, pointing out the salient features. Graphs showing LV pressure-volume relationships (compliance) are presented and discussed. The method developed by Rackley et al. (1964) for determining left ventricular mass in man is described, and limitations to the method are discussed. Some clinical methods for determining LV oxygen consumption are briefly described, and the relation of various abnormalities of ventricular performance to coronary artery disease and ischemic heart disease is characterized.

Dodge, H. T.↗

Oxygen utilization of the human left ventricle - An indirect method for its evaluation and clinical considerations

An analytical method is presented for determining the oxygen consumption rate of the intact heart working (as opposed to empty but beating) human left ventricle. Use is made of experimental recordings obtained for the chamber pressure and the associated dimensions of the LV. LV dimensions are determined by cineangiocardiography, and the chamber pressure is obtained by means of fluid-filled catheters during retrograde or transeptal catheterization. An analytical method incorporating these data is then employed for the evaluation of the LV coronary oxygen consumption in five subjects. Oxygen consumption for these subjects was also obtained by the conventional clinical method in order to evaluate the reliability of the proposed method.

Ghista, D. N.↗

Evaluation of positive G sub Z tolerance following simulated weightlessness (bedrest)

The magnitude of physiologic changes which are known to occur in human subjects exposed to varying levels of + G sub Z acceleration following bed rest simulation of weightlessness was studied. Bed rest effects were documented by fluid and electrolyte balance studies, maximal exercise capability, 70 deg passive tilt and lower body negative pressure tests and the ability to endure randomly prescribed acceleration profiles of +2G sub Z, +3G sub Z, and +4G sub Z. Six healthy male volunteers were studied during two weeks of bed rest after adequate control observations, followed by two weeks of recovery, followed by a second two-week period of bed rest at which time an Air Force cutaway anti-G suit was used to determine its effectiveness as a countermeasure for observed cardiovascular changes during acceleration. Results showed uniform and significant changes in all measured parameters as a consequence of bed rest including a reduced ability to tolerate +G sub Z acceleration. The use of anti-G suits significantly improved subject tolerance to all G exposures and returned measured parameters such as heart rate and blood pressure towards or to pre-bed-rest (control) values in four of the six cases.

Jacobson, L. B.↗