From owner-cardiovascular@net.bio.net Mon Mar 01 22:00:00 1999
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From: "philippe" <philippe-jean-louis@usa.net>
Newsgroups: bionet.biology.cardiovascular
Subject: telex congrès
Date: Tue, 2 Mar 1999 12:13:52 +0100
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Bonjour,
vous étes médecin et  voulez recevoir nos prochain telex congrès cardiologie
par courriel , écrivez-nous...
Merci de nous spécifier votre pays d exercice.




From owner-cardiovascular@net.bio.net Mon Mar 01 22:00:00 1999
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From: pxpst2@unixs.cis.pitt.edu (Peter)
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,alt.support.angioplasty
Subject: Re: How much aspirin?
Date: Tue, 02 Mar 1999 10:56:58 -0500
Organization: University Of Pittsburgh
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In article <7b6ebp$c9d$1@news1.cableinet.co.uk>, "[.chris]"
<cja@extra.cableinet.co.uk> wrote:

> 
> As a result of that duscussion, I asked my Cardioman why I was (at that
> time) the only person on 1 x 75mg on alternate days.  He explained the
> current research re. less is better and in cunjunction with the incidence of
> stomache complaints (indigestion, cramps etc) and nosebleeds, the
> recommended dose is adjusted and individual to the patient.

I am not a doctor but I am a researcher.  But I feel that an explination
of the mode by which asprin works may shed light on the docters reasoning.
Aspirin,Ibupropen, and Naproxin all act to block the action of an enzyme
called cyclooxygenase(COX).  The reason that aspirin is the prefered drug
is due to the fact that it IRREVERSABLY binds to this enzyme and blocks
its action.  The main action of this enzyme(COX) is to create certain
"signal molecules" that tell your body that inflamation is needed. 
Inflamation is a response by your body to deal with just about all kinds
"insults".  The signal molecules are called prostoglandins.  The Other two
drugs Ibupr. and naprox. are reversable inhibitors of cylooxygenase.  Due
to the fact that asprin is irreversable, The blocked enzyme must be
cleared from the body and new enzyme must be made.  With the reversable
one, the inhibitor will disassociate from the COX and the COX will be able
to work.  If my memory serves me correctly, Aspirin will clear in about 24
hrs while the other two will clear in about 8 hrs.

  BTW, extended use of COX inhibitors is believed to reduced prostate
cancer rates and probaly aterosclerosis.  If you are interested in
learning more you should check out the National Lybrary of Medicine at
NIH.  These and other topics can be explored online.  Think of it as your
tax dollars working for you.

http://www.nlm.nih.gov/medlineplus/

-- 
Peter



" Don't you eat that yellow snow
     Watch out where the huskies go"
                                    FZ

From owner-cardiovascular@net.bio.net Tue Mar 02 22:00:00 1999
Path: biosci!ODONT3.U-STRASBG.FR!gaosaofaa12
From: gaosaofaa12@ODONT3.U-STRASBG.FR (gr8ofres)
Newsgroups: bionet.biology.cardiovascular
Subject: 16  Great Offers!
Date: 3 Mar 1999 10:32:53 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
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Distribution: world
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From owner-cardiovascular@net.bio.net Tue Mar 02 22:00:00 1999
Path: biosci!AOL.COM!SPhil79466
From: SPhil79466@AOL.COM
Newsgroups: bionet.biology.cardiovascular
Subject: Explosive New Marketing Strategy  800 607-6006 Ex 2492
Date: 2 Mar 1999 23:51:06 -0800
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Thank You

From owner-cardiovascular@net.bio.net Tue Mar 02 22:00:00 1999
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From: "galyles" <geoff@galyles.u-net.com>
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,alt.support.angioplasty
References: <36d3eec1.155528720@news.primenet.com>                                                                      <7b6ebp$c9d$1@news1.cableinet.co.uk> <pxpst2-0203991056590001@pelli.pathology.pitt.edu>
Subject: Re: How much aspirin?
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Peter wrote in message ...
>In article <7b6ebp$c9d$1@news1.cableinet.co.uk>, "[.chris]"
><cja@extra.cableinet.co.uk> wrote:
>
>>
>> As a result of that duscussion, I asked my Cardioman why I was (at that
>> time) the only person on 1 x 75mg on alternate days.  He explained the
>> current research re. less is better and in cunjunction with the incidence
of
>> stomache complaints (indigestion, cramps etc) and nosebleeds, the
>> recommended dose is adjusted and individual to the patient.
>
>I am not a doctor but I am a researcher.  But I feel that an explination
>of the mode by which asprin works may shed light on the docters reasoning.
>Aspirin,Ibupropen, and Naproxin all act to block the action of an enzyme
>called cyclooxygenase(COX).  The reason that aspirin is the prefered drug
>is due to the fact that it IRREVERSABLY binds to this enzyme and blocks
>its action.  The main action of this enzyme(COX) is to create certain
>"signal molecules" that tell your body that inflamation is needed.
>Inflamation is a response by your body to deal with just about all kinds
>"insults".  The signal molecules are called prostoglandins.

It is true that aspirin is an irreversible inhibitor of the cyclooxygenase
enzyme. However, the antithrombotic action of low dose aspirin requires a
little more explanation. The cyclooxygenase enzyme is the first biochemical
step in a process which converts a fatty acid called arachidonic acid into a
mixture of different prostaglandin-type molecules. However, the composition
of this mixture produced by additional biochemical steps depends upon the
cell types one is considering as their source. Some of these prostaglandins
are important as contributory mediators of "inflammation" and the
irreversible blockade by aspirin of their production in cells (such as those
of the immune system) responsible for starting up the inflammatory response
is important for the well-known anti-inflammatory (and probably also the
anti-fever and pain killing) actions of aspirin. However, in specific
reference to the antithrombotic effect of aspirin, one needs to consider the
prostaglandin-like molecules that are generated specifically in the blood
and in the blood vessels. Here, there are two types of cells which are of
relevance to the discussion - the circulating blood platelet cells, and the
endothelial cells which constitute the innermost lining of the blood vessel.
In platelets, the prostaglandin-like molecule which is produced through the
cycloooxygenase pathway is called thromboxane A2, and the properties of this
chemical released from platelets passing through  the blood vessels is that
it promotes the sticking of the platelets to the blood vessel wall around
which blood clotting may occur (i.e. it promotes thrombosis), and
thromboxane also can constrict (narrow) blood vessels by contracting the
muscle cells in the vessel wall, which can also increase the chances of a
clot blocking the vessel.  On the other hand, the prostaglandin-like
molecule produced via cyclooxygenase by the endothelial cells is called
prostacyclin (or sometimes prostaglandin I2) and this is good because this
agent inhibits platelet aggregration and causes relaxation of the muscle
cells i.e. it opposes the actions of thromboxane. In healthy blood vessels,
it is generally considered that the two systems (platelets vs.endothelial
cells) are operating to produce thromboxane and prostacyclin in a balanced
fashion such that the thrombotic effect of thromboxane is not allowed to
occur. However, in thrombosis causing heart attacks or strokes it is
possible that the thromboxane action of the platelets in some way may become
overriding - perhaps due to localized damage in some blood vessel
endothelial cells such that they are unable to generate sufficient
prostacyclin to prevent platelets sticking and clot formation on the vessel
lining. This is where "low-dose" aspirin is believed to come to the rescue
and prevent this happening for the following reasons.

Firstly, aspirin will inhibit irreversibly the cyclooxygenase in both the
platelets and the endothelial cells and so, theoretically, might be expected
to block the production of both thromboxane (the bad guy!) and also
prostacyclin (the good guy!). Once the cycloooxygenase enzyme has been
inhibited, it is totally non-functional and new enzyme has to be synthesized
in the cells in order for them to recover their ability to produce
thromboxane or prostacyclin. And.... herein lies a difference between the
two types of cells. Platelets within the circulation have no protein
synthetic machinery to make fresh cyclooxygenase enzyme, whereas endothelial
cells do! Consequently, platelet cyclooxygenase (and therefore thromboxane
production) effectively remains permanently inhibited as long as aspirin is
present (completely new platelet cells are formed and released from the bone
marrow slowly, and containing new enzyme, but this is a relatively slow
process!).  On the other hand, although the cycloooxygenase in the
endothelial cells (making prostacyclin) is substantially inhibited by the
low-dose aspirin, it is because the endothelial cells can synthesize
proteins that new copies of the enzyme are being made at a relatively faster
rate in these cells in the blood vessel wall, to partially offset the
inhibitory effect of aspirin. The low-dose of aspirin is probably important
because it is unable to inhibit all of the new enzyme at the rate it is
being produced in the endothelial cells, so this favours a resetting of the
balance for some prostacyclin production still to occur from the endothelial
cells, while at the same time the aspirin has caused a considerably reduced
(and possibly absent) production of thromboxane from the platelets.

Incidentally, the side effects of aspirin e.g.  gastric bleeding in some
patients are also ascribed to a block of cyclooxygenase. Here the natural
production of prostaglandins and prostacyclin by this enzyme present in
cells within the stomach lining is believed to be beneficial for preserving
the "intactness" of that lining. Hence, the ability of aspirin to prevent
these "beneficial" prostaglandin-like compounds to be produced in the
stomach may promote some breakdown of this lining leading to bleeding in
susceptible individuals. Again, "lower-dose" aspirin may reduce the chances
of this occurring compared with the usual "higher doses" of aspirin required
for its anti-inflammmatory effects, for which gastric bleeding is a side
effect of significant incidence.

Research is still ongoing into these mechanisms. Recent evidence is
beginning to emerge that there are different forms of the cyclooxygenase
enzyme present in different cell types, but I won't complicate the story at
this stage because the possible significance of this is still at the early
stages of investigation .  However, our understanding of the actions of
aspirin in terms of its antithrombotic effect may be further refined or even
new mechanisms proposed in due course.

Geoff





From owner-cardiovascular@net.bio.net Thu Mar 04 22:00:00 1999
Path: biosci!HOTMAIL.COM!qmesquita
From: qmesquita@HOTMAIL.COM ("Quintiliano H. de Mesquita")
Newsgroups: bionet.biology.cardiovascular
Subject: Myogenic Theory Explains!
Date: 5 Mar 1999 03:30:02 -0800
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                                            Myogenic Theory Explains!

“The Thrombogenic Theory of Myocardial Infarction Tumbled Down and the
Ortodoxy Didn’t Have Noticed”

The ortodox cardiology stay repressed in their therapeutic behaviour in
front of coronary- myocardiopathy, since when the thrombogenic theory
(TT) started to tumble down after 25 years of clinical research
(1944-69), with the recognition about  the failure of coumarin and
heparin anticoagulants to stop the unstable angina (UA) and in
prevention of myocardial infarction (MI).

During 10 years (1944-54) we have participated in clinical studies about
anticoagulants, recording its failure to stop the UA and in the MI
prevention, what led us to reject such therapeutic agents.

In 1969, with the general admission of the anticoagulants failure,
happened the introduction of the coronary bypass surgery practiced
directly in man, without the previous assessment in experimentation
animals.

Consequently, heart surgeons and cardiologists with no other visible way
to manage chronic coronary-myocardiopathy and acute coronary syndromes,
have assumed together the compulsive intervencionism practiced during
the last 3 decades: myocardial reperfusion through angioplasty and/or
coronary bypass surgery.

At the same time they indicate coronary dilators, antiaggregate of
platelets and beta blockers. Beta blockers, in our point of view,
represents a contradictory behaviour by the cardiologists in front of
the contractile deficient condition of the dependent coronary myocardial
segment, frequently developing generalized hypotonia.

The only actual concern by the ortodox cardiologist is to provide the
myocardial reperfusion in any case, independently of sex or age, without
any future guarantee regarding the success of the reperfusion act,
generally  submitted to the repetition practice due to its frequent
failure.

In 1972, we developed the myogenic theory (MT) stating the acute
myocardial infarction (AMI) as the cause and not consequence of coronary
thrombus. The myogenic theory met important support in pathological
anatomy findings since 1950 decade where the authors preconized the
coronary thrombus as consequence of acute myocardial infarction and not
its cause.

According the myogenic theory concepts the AMI is developed by
functional degradation state of the regional myocardial
coronary-dependent characterized by a pathophysiology essencially
myogenic, in the  3 stages of coronary-myocardiopathy:
- The stable angina with or w/out previous myocardial infarction,
developed by exertion or emotion and producing regional ventricular
ischemia (RVI), coronary-dependent, in which the negative inotropic
action develops the regional myocardial insufficiency (RMI), reciprocal,
ceasing with the stop of the provoking cause.
- The unstable angina (UA) as a spontaneous, reversible and recurrent
syndrome  resulted from an abrupt, and unexpected RMI followed by RVI of
long duration and resistant to all available therapeutic agents.
- The UA is perpetuated in the last crises of angina with its
transformation in infarctioning clinical picture (ICP) represented by
RMI + RVI -> myocardial infarction -> myocardial necrosis -> coronary
thrombosis not obligatory; electrocardiographically  recognized as
myocardial infarction with Q wave and w/out Q wave.

In front of this pathophysiological mechanism the cardiotonic appeared
as a new therapeutic concept and since 27 years ago proves to be capable
to preserve the myocardial and symptomatic stability in the stable
angina pectoris  with or w/out previous infarction, to stop the UA and
to provide the transformation of ICP in avoided myocardial infartion,
ICP- interrupted myocardial infarction or characterized as ICP-infarcted
according the behaviour of enzymatic peaks.

In 1981 the thrombogenic theory suffered the final tumble down when the
thrombolytics which were reintroduced in the UA and AMI showed that they
are uneffectives regarding the clinical events in the UA and passed to
be indicated only in the treatment of AMI.

During the last 2 decades has been clearly demonstrated in vast
literature that, thrombolytics and angioplasty release the coronary
arteries related with the MI, while is  recorded the coronary/dependent
ventricular dysfunction process.

Gregorini, L et al, in a recent article (Circulation, 1999; 99:482-90),
besides to confirm such aspects of left ventricular dysfunction after
thrombolysis  and coronary angioplasty, stressed the role of
alpha-adrenergic blockers  in reducing the coronary vasoconstriction and
improving the left ventricular dysfunction  post-ischemic.
In the myogenic theory point of view, the left ventricular dysfunction
recorded in this way is preconized as a primary process.

Also, the paper from Tamura, K et al (Am Heart J, 1996; 131:731-5)
reported about successive echocardiographical and
electrocardiographical  recordings in UA showing myocardial aspects of
RMI + RVI  which concepts are inside of the MT; If they had applied the
cardiotonic during their study, they certainly had the record of
immediate clinical and physiological stop of UA.

We need to emphasize the paper from Murakami, T et al (Am J Cardiol,
1998; 82 :839-44) about its new methodology represented by aspiration
thrombectomy after thrombolysis showing that intracoronary thrombus is
absent in a substantial number of patients with acute myocardial
infarction. We have the impression that the TT once more have lost its
support  about the coronary thrombosis in the AMI when these authors
came to strenghten our concept of primary myocardial infarction and
secondary coronary thrombosis. Their findings after thrombolysis
indicate: Recent thrombus (49%), Without thrombus (30%), Atheroma (14%),
Organized thrombus (2%) and  Not defined thrombus (5%).

No doubts that all ways go to the complete demonstration that cases
normally submitted to angiographic and ventriculographic studies arrive
with the recognition of conflictant aspects with the TT and compatible
aspects with the MT.

Therefore, we will pass in review such aspects that must be considered
as the pathological reality of coronary-myocardiopathy which the
Myogenic Theory Explains:

- Roberts, WC (Circulation, 1972;49:1) showed that in cases of AMI with
early sudden death that coronary thrombosis ocurred in approximately 10%
of cases with subendocardial  infarction of left ventricle and in around
50% of cases with transmural necrosis.
MT explains: the recent findings by Murakami et al during the acute
myocardial infarction, confirmed and reinforced old pathological studies
realized in the 1950 decade which were stressed by Roberts in 1972.

- Spain, DM and Bradess, VA (Am J Med Sci, 1960; 240:701) showed total
coronary obstruction of atherosclerotic nature representing around of
75% of cases of AMI and only 25% of cases with coronary thrombosis in
autopsy, recorded during 25 years.
MT explains: in these cases the total coronary atherosclerotic
obstruction was old and the AMI was resulting from severe regional
myocardiopathy coronary-dependent with MRI + RVI and secondary coronary
thrombosis not obligatory.

- Spain, DM and Bradess, VA (Circulation, 1960; 22: 816) recorded the
increase of incidence of coronary thrombosis related with the increase
of lifetime after AMI: < 1 hour = 16%, 1-14 hours = 37% and > 24 hours =
53%.
MT explains: these numbers represent a clear demonstration that AMI is
primary and the coronary thrombosis secondary, not obligatory and with
slow formation.

- Erhardt, LR et al (Lancet, 1973; 1:387; Am Heart J, 1976; 91:592)
demonstrated the coronary thrombosis incorporating fibrinogen marked by
I-125 and  I-131, radioactive agents administered after 10-15 hours from
the start of the clinical manifestations of AMI, fact that suggests
coronary thrombosis as consequence of primary myocardial necrosis; and
the record of the exclusion of I-125 in the thrombus of 1 case, when the
radioactive agent was administered  47 hours after the start of clinical
manifestations of AMI.
MT explains: the radioactive agents I-125 and I-131 incorporated to the
fibrinogen in the thrombus in progressive organization, not happened in
the referred 1 case because the thrombus was already formed.

- Hellstrom, HR (Circulation, 1970; 42 (Suppl III) : 165) demonstrated
in a experimental manner, that AMI produced by surgical ligature of
coronary artery without endothelial lesion was responsible by the
vascular stasis and the consequent coronary thrombosis, recorded in the
coronary artery after released.
MT explains: significant coronary thrombosis formed as consequence of
vascular stasis in the artery blocked by the AMI; such process is
similar to the  cerebral and cardiac infarctions coincident with the use
of anticonceptives.

- AMI coincident with rupture of atheromatous plaque and coronary
thrombosis from coronary artery related with the infarcted region.
MT explains: the coronary thrombosis watched in this way have been
conveniently interpreted by the ortodoxy as primary. However, the
coronary thrombosis can come late, subsequently to the AMI, whose
rupture of the plaque should be provoked by the invasion of white blood
cells  identified as inflamatories and by its derived products providing
the formation of coronary thrombosis.

- Coronary arteries angiographically normal related with the infarction
area without coronary thrombosis.
MT explains: these arteries are widely compromised by the
atherosclerotic process, exclusive of wall, apparently canalized but
inelastic,  what modifies the circulation from continuous to intermitent
type which will endanger the dependent myocardium, taking it to the AMI
according the MT model.

- Case of UA interrupted by the cardiotonic, showing normal coronary
arteries with slow flow  and defined asynergy of the myocardial region
coronary dependent and with systolic residual volume increased  >
(+/++);  which, in the period of 2 years (still using cardiotonic),
evolved to the total obstruction of the left descendent anterior artery
and  ventriculogram identical with systolic residual volume  > (++), but
without worsening the clinical situation.
MT explains: the use of cardiotonic + coronary dilator guaranteed the
preservation of myocardial and symptomatic stability,  in spite of the
evolution of the coronary arterial process to the total obstruction
without evolving to the MI.

- Bulkley, BH and Hutchins, GM (Circulation, 1977;56:906) published
cases of AMI situated in revascularized region by pervious coronary
artery bypass, interpreted as paradoxal infarction.
MT explains:  in these cases the myocardial ischemic effects exist and
the ventriculographic aspects are useful to demonstrate that AMI is
primary, even without coronary thrombosis which we consider not
obligatory.

- Old atherosclerotic plaque totally obstructing the coronary artery
related with the infarcted region.
MT explains: cases of this type are useful to demontrate that the
compromised coronary-dependent myocardium is taked to the RMI + RVI and
to the AMI by evolutive and degradated coronary-myocardiopathy process.

- AMI developed during the habitual or unusual practice of physical
activities during or immediate after the ergometric test, sex, sport or
during the digestive period plus physical efforts (even light),
frequently happens in front of coronaries with not significant, severe
or even total obstructions by old plaques, simultaneous or not with
coronary thrombosis.
MT explains:  in that cases the dependent coronary myocardial region
compromised in its structure can arrive to the AMI through an abrupt
exhaustion of the myocardial region – RMI + RVI – followed by coronary
thrombosis.

- The occurrence of AMI within 2-21 days after the abrupt interruption
of beta blockers, in continued use.
MT explains: due to its negative inotropic effect beta blockers develop
generalized hypotonia which eliminate the intersegmentary confrontation
of the coronary/dependent myocardium, with the effect of temporization
but without to avoid the AMI neither other complications like cardiac
insufficiency and sudden death. Its abrupt interruption is followed by
the reestablishment of the intersegmentar confrontation owing to the
unprepared coronary/dependent myocardial region which takes to the UA
with manifestations of RMI + RVI, occurrence of AMI, cardiac
insufficiency, severe arrhythmias and sudden death.

- Occurrence of AMI after the interruption of cardiotonic in continued
use for the preservation of the myocardial and symptomatic stability in
chronic coronary-myocardiopathy with or without previous myocardial
infarction.
MT explains:  the cardiotonic absence provides the myocardial
intersegmentar confrontation which may lead to the UA and consequently
to the AMI, according the model preconized by the MT.

- Case of UA interrupted by the cardiotonic, showing the 3 coronaries -
left descendent anterior, right and circunflex – completely obstructed,
but with a rich net of collateral coronary, and left ventricular
dysfunction but without recordings of anterior infarction.
MT explains: This case came to confirm more one time the immediate
results of interruption of UA in 100% of the cases and without
mortality, with the use of the new therapeutical concepts of the MT.
Treatment of attack followed by  the
permanently
upkeeping with the cardiotonic + coronary dilator which develops the
return to the myocardial stability preserved in this way and as
prevention of myocardial infarction.

- Case of angina, permanent and with great suffering with repeated
crises of UA, resistant to all types of medication, lasting 9 months;
happening 10 years after the myocardial infarction with total
obstruction of the 3 epicardial coronaries – DAE, D and CFx –
ventriculogram with large increase of the cardiac area and
characteristics of hibernating Heart. He was attended in our coronary
care unit during the UA crisis when was submitted to the cardiotonic,
recording immediate and complete relief. From this moment on this
patient remained under treatment with cardiotonic in a myocardial and
symptomatic stability during 13 years of comfortable survival, passing
away at 73 years old, due to a cerebral stroke.
MT explains: this case was interpreted as permanent deficient myocardial
condition mixed with symptomatic instability represented by crises of
RMI + RVI finally interrupted by the cardiotonic and therefore upkeeped
for long survival.

- Cases of chronic stable angina with the symptomatic and myocardial
stability preserved by decades, with or w/out previous myocardial
infarction showing evolutive coronary atherosclerotic processes to the
total obstruction of 2-3 coronaries w/out occurrence of AMI.
MT explains:  maintained by the cardiotonic + coronary dilator
therapeutic since 1991 with the addition of ACE inhibitor, his future
has been calm and guaranteed, complementing in this way the effects
provided by the coronary collateral circulation.

-     Cases of UA interrupted by the cardiotonic, maintained by decades,
of patients with significant obstructions of 2-3 coronaries have had
evolution to total obstruction with rich net of collateral coronary,
without recordings of myocardial infarction, during the long survival.
MT explains: Interruption of UA by cardiotonic as attack and
maintenance treatment have guaranteed the preservation of myocardial and
symptomatic stability as well in the prevention of myocardial
infarction.

-    Cases generally admitted in coronary care units as with AMI were
treated by cardiotonic in our unit, showing clinical and enzymatic
transformations which led us to classify them as clinical infarctioning
pictures, determined by the behaviour of enzymatic peaks.
MT explains: the cardiotonic in AMI was considered as a myocardial
protector (Mesquita, 1973; Pizzarello et al, 1975 and Morrison et al,
1976.1980). Through the enzymatic peaks the cases observed by us were
distinguished in tyhe following way:
? Myocardial infarction avoided: 20% of cases with normal enzymatic
peaks or < 2x the normal.
? Infarctioning clinical picture- interrupted: 47% of cases with
enzymatic peaks < 3x the normal.
? Infarctioning clinical picture- infarcted: 33% of cases with enzymatic
peaks > 3x the normal.

- The method of  Murakami et al using intracoronary thrombectomy
aspiration and their findings showing absence of coronary thrombus
during acute myocardial infarction and the use of transesophageal
echocardiogram for the same purpose.
MT explains: the aspiration thrombectomy with thrombolysis and the
echocardiography can serve as support to the myogenic theory and keep
away forever the TT in vivo, offering to the pathologists the prove that
coronary thrombus is secondary. Serve also as a response to the paper of
Chandler et al (AM J Cardiol, 1974; 34:823) about coronary thrombosis
and AMI simultaneous, indicating what is primary and secondary.
In Murakami method the thombolysis release the artery related with the
myocardial infarction while the aspiration thombectomy cleans the
artery, stressing the left ventricular dysfunction which can be
corrected by the cardiotonic or by using the alpha-adrenergic blocker as
Gregorini et al.

- Important findings in the acute UA about the incidence of
intracoronary thrombus (52-85%) few hours after the start of symptoms
until 2 weeks, while its incidence in the chronic phase has been always
low (0-12%).
MT explains: the echocardiography during the UA clearly shows the
myogenic mechanism recording the RMI which develops the RVI
characterized by ECG, coincident with  platelet aggregates and
inflammatory blood cells which invade the involved region, becoming to
the normal with the stop of crises.

- Ambrose et al (Am J Cardiol, 1988;61:244-7) considered the myocardial
infarction without Q wave as an intermediary stage from UA to the
myocardial infarction with Q wave. They recorded total coronary
obstruction in 26% of cases w/out Q wave and in 90% of cases with Q
wave.
MT explains: the myocardial infarction w/out Q wave as intermediate
stage to the myocardial infarction with Q wave must be seen as
favourable to the MT, and its mechanism is considered by us as the
preconized for the UA of long duration and in smaller level than the
reached by the AMI. So, in this case the myocardial lesion is less
stressed in subendocardial or subepicardial layers, and with low
incidence of coronary thrombosis.

- DeWood, MA et al (NEJM, 1986;  315:417-23) recorded total coronary
obstruction in 32% of AMI cases without Q wave and in a more detailed
study showed an incidence for  total coronary obstruction significantly
and progressively increased in relation with the execution time of
angiographic examination: 26% in 24 hours, 37% from 24-72 hours and 42%
from 72 hours to 7 days. They also have recorded  that  the incidence of
subtotal coronary obstruction (> 90%), in myocardial infarction without
Q wave, showed evident reduction in gradual manner: 34% in 24 hours, 26%
from 24-72 hours and 18% from 72 hours to 7 days.
MT explains: These crescent indicators show that the formation of
coronary thrombus is secondary to the AMI depending directly of the
evolution time of the infarctioning process to become infarcted process;
Evidently, the gradual reduction of indicators referring to subtotal
obstruction was observed contrary and parallel to the thrombotic
transformations recorded secondarily to the infarction.

- Thrombolytics in UA improve the arterial events but show inefficiency
about the clinical events and regarding to stop the pathophysiological
process, what led investigators to recommend its use only in AMI.
(Rentrop, P et al, 1981, Williams, DO et al, 1990, Leinbach, RC, 1972,
Freeman, MR et al, 1992, TIMI IIIA Investigators, 1993 and Chen, L et
al, 1997)
MT explains: These results came to confirm the failure of anticoagulants
(1969) and completed the tumble down of the TT what the ortodox
cardiology make believe that do not happens.

- Roberts, WC (Am J Cardiology, 1984; 97:1410) wrote: "When I have an
acute myocardial infarction take me to the hospital that has a cardiac
catheterization laboratory and open cardiac surgical facilities".
MT explains: in case of chronic coronary-myocardiopathy the preservation
of myocardial and symptomatic stability and prevention of myocardial
infarction have been guaranteed by the association of cardiotonic +
coronary dilator + ACE inhibitor, permanently. So, my advice to all them
which think like the grand teacher of pathological anatomy represented
by William C. Roberts,  to defend their heart with calm using the
therapeutical efficacy by cardiotonics which complement the providential
action of the collateral coronary circulation.

Quintiliano H. de Mesquita, M.D.

For more information please visit my homepage at
http://www.infarctcombat.org/qhm/homepage.html















From owner-cardiovascular@net.bio.net Thu Mar 04 22:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.berkeley.edu!usenet.INS.CWRU.Edu!not-for-mail
From: JustaPhD <JustaPhD@juno.com>
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,alt.support.angioplasty
Subject: Re: How much aspirin?
Date: Fri, 05 Mar 1999 10:58:54 -0500
Organization: Case Western Reserve University, Cleveland OH (USA)
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Message-ID: <36DFFF3E.632B29E0@juno.com>
References: <36d3eec1.155528720@news.primenet.com>                                                                      <7b6ebp$c9d$1@news1.cableinet.co.uk> <pxpst2-0203991056590001@pelli.pathology.pitt.edu>
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Peter wrote:
> 
> In article <7b6ebp$c9d$1@news1.cableinet.co.uk>, "[.chris]"
> <cja@extra.cableinet.co.uk> wrote:
> 
> >
> > As a result of that duscussion, I asked my Cardioman why I was (at that
> > time) the only person on 1 x 75mg on alternate days.  He explained the
> > current research re. less is better and in cunjunction with the incidence of
> > stomache complaints (indigestion, cramps etc) and nosebleeds, the
> > recommended dose is adjusted and individual to the patient.

The reason that a single aspirin daily is recommended is that the biggest
successful clinical trial used that dose.  Smaller studies have shown that lower
doses on alternate days can be equally effective - and of course there are
reduced GASTRIC side effects. THERE IS NO WAY TO REDUCE BLEEDING SIDE EFFECTS -
since the impaired platelet function which leads to those side effects is
exactly the effect that reduces the reinfarc rate!

One study showed that most of the antiplatelet effect of aspirin occurs in the
entero-hepatic circulation ( the blood coming out of the digestive system,
carrying nutrients and drugs that have just been absorbed)- even when no
detectable aspirin can be found in the systemic circulation (i.e. bloodstream).
In theory, a single chilliness aspirin on alternate days SHOULD be effective. 
But no large scale studies have proven that to be the case ... so docs go with
what's been published.  If docs weren't too lazy to do the appropriate test, we
could all be titrated for the minimal effective dose just by doing a bleeding
time - when bleeding time increases from around a minute or so to three minutes
or so, the aspirin is doing its job on the platelets.  If you suffer from severe
GI side effects to aspirin you might just ask your cardiologist to do this.
> 
> I am not a doctor but I am a researcher. 

Me too - in fact I did some of the early work on aspirin-platelet effects. '

>  But I feel that an explination
> of the mode by which asprin works may shed light on the docters reasoning.
> Aspirin,Ibupropen, and Naproxin all act to block the action of an enzyme
> called cyclooxygenase(COX).  The reason that aspirin is the prefered drug
> is due to the fact that it IRREVERSABLY binds to this enzyme and blocks
> its action.  The main action of this enzyme(COX) is to create certain
> "signal molecules" that tell your body that inflamation is needed.
> Inflamation is a response by your body to deal with just about all kinds
> "insults".  The signal molecules are called prostoglandins. 

The relevant signal molecule for the anti-thrombotic effect of aspirin is
Thromboxane. It is made by platelets and significantly elevates their
'stickyness" - their ability to bind to broken blood vessels and aggregate with
each other to form the primary blow-out patch. Unfortunately they also bind to
atherosclerotic plaques through similar mechanisms.  When you block thromboxane
synthesis with aspirin, you diminish their ability to stick - but not to the
point that you get serious bleeding disorders (usually).

 The Other two
> drugs Ibupr. and naprox. are reversable inhibitors of cylooxygenase.

Ibu yes - other drugs like naprosyn, indomethacin, etc have various degrees of
"reversibility". But for the sake of this discussion there are only two drugs
that matter - aspirin which is an anti-platelet drug, and ibuprofen which is too
- but only for a few hours.

  Due
> to the fact that asprin is irreversable, The blocked enzyme must be
> cleared from the body and new enzyme must be made.  With the reversable
> one, the inhibitor will disassociate from the COX and the COX will be able
> to work.  If my memory serves me correctly, Aspirin will clear in about 24
> hrs while the other two will clear in about 8 hrs.

It aint the enzyme that has to be cleared,or more importantly, regenerated - its
the platelets. Unlike most other cells in the body, platelets cannot make
significant new cyclooxygenase (what they have is made before they splinter off 
from their progenitor cells,  the megakaryocytes).  So, when you take even a
single children's aspirin, most of the platelet cyclooxygenase is irreversibly
inactivated. It takes on average about a week to renew your platelets so their
aggregability goes from zero shortly after taking he aspirin back to normal in
about a week - for a day or two it's low enough that likelihood of a thrombotic
event is reduced significantly.  The other cells in the body that have
cyco-oxygenase can  resynthesize all they need in anywhere from a few minutes to
a few hours.

With ibuprofen - the drug is totally cleared (well >99.9%) in about 6 hours and
when the ibu is gone so is the platelet effect - take note menstruating women
who have a headache.  YOu wont lose as much blood if you take ibu rather than
aspirin or alleve.

>   BTW, extended use of COX inhibitors is believed to reduced prostate
> cancer rates and probaly aterosclerosis.  

Yeah - but then they increase the chance of stroke.

> If you are interested in
> learning more you should check out the National Lybrary of Medicine at
> NIH.  These and other topics can be explored online.  Think of it as your
> tax dollars working for you.
> 
> http://www.nlm.nih.gov/medlineplus/
> 
> --
> Peter
> 
> " Don't you eat that yellow snow
>      Watch out where the huskies go"
>                                     FZ

From owner-cardiovascular@net.bio.net Thu Mar 04 22:00:00 1999
Path: biosci!agate!newsfeed.berkeley.edu!howland.erols.net!portc02.blue.aol.com!pitt.edu!not-for-mail
From: pxpst2@unixs.cis.pitt.edu (Peter)
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,alt.support.angioplasty
Subject: Re: How much aspirin?
Date: Fri, 05 Mar 1999 13:01:42 -0500
Organization: University Of Pittsburgh
Lines: 23
Message-ID: <pxpst2-0503991301420001@pelli.pathology.pitt.edu>
References: <36d3eec1.155528720@news.primenet.com> <7b6ebp$c9d$1@news1.cableinet.co.uk> <pxpst2-0203991056590001@pelli.pathology.pitt.edu> <36DFFF3E.632B29E0@juno.com>
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In article <36DFFF3E.632B29E0@juno.com>, JustaPhD <JustaPhD@juno.com> wrote:

> It aint the enzyme that has to be cleared,or more importantly,
regenerated - its
> the platelets. Unlike most other cells in the body, platelets cannot make
> significant new cyclooxygenase (what they have is made before they
splinter off 
> from their progenitor cells,  the megakaryocytes).

I know this but I always thought that when the platlet is formed it has
mRNA stores that it will use to transcribe new protein for 60 or so days
of life of the platlet.

BTW, I appreciate your discusion and thank all who have replied.

-- 
Peter



" Don't you eat that yellow snow
     Watch out where the huskies go"
                                    FZ

From owner-cardiovascular@net.bio.net Thu Mar 04 22:00:00 1999
Path: biosci!MAIL.USA.COM!amail5
From: amail5@MAIL.USA.COM
Newsgroups: bionet.biology.cardiovascular
Subject: Revolutionary Plastic Surgery!  Read This!
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Newsgroups: bionet.biology.cardiovascular
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From owner-cardiovascular@net.bio.net Tue Mar 09 22:00:00 1999
Path: biosci!HOTMAIL.COM!qmesquita
From: qmesquita@HOTMAIL.COM ("Quintiliano H. de Mesquita")
Newsgroups: bionet.biology.cardiovascular
Subject: Myogenic Theory Explains!
Date: 9 Mar 1999 23:06:39 -0800
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Myogenic Theory Explains!

“The Thrombogenic Theory of Myocardial Infarction Tumbled Down and the
Ortodoxy Didn’t Have Noticed”

The ortodox cardiology stay repressed in their therapeutic behaviour in
front of coronary- myocardiopathy, since when the thrombogenic theory
(TT) started to tumble down after 25 years of clinical research
(1944-69), with the recognition about  the failure of coumarin and
heparin anticoagulants to stop the unstable angina (UA) and in
prevention of myocardial infarction (MI).

During 10 years (1944-54) we have participated in clinical studies about
anticoagulants, recording its failure to stop the UA and in the MI
prevention, what led us to reject such therapeutic agents.

In 1969, with the general admission of the anticoagulants failure,
happened the introduction of the coronary bypass surgery practiced
directly in man, without the previous assessment in experimentation
animals.

Consequently, heart surgeons and cardiologists with no other visible way
to manage chronic coronary-myocardiopathy and acute coronary syndromes,
have assumed together the compulsive intervencionism practiced during
the last 3 decades: myocardial reperfusion through angioplasty and/or
coronary bypass surgery.

At the same time they indicate coronary dilators, antiaggregate of
platelets and beta blockers. Beta blockers, in our point of view,
represents a contradictory behaviour by the cardiologists in front of
the contractile deficient condition of the dependent coronary myocardial
segment, frequently developing generalized hypotonia.

The only actual concern by the ortodox cardiologist is to provide the
myocardial reperfusion in any case, independently of sex or age, without
any future guarantee regarding the success of the reperfusion act,
generally  submitted to the repetition practice due to its frequent
failure.

In 1972, we developed the myogenic theory (MT) stating the acute
myocardial infarction (AMI) as the cause and not consequence of coronary
thrombus. The myogenic theory met important support in pathological
anatomy findings since 1950 decade where the authors preconized the
coronary thrombus as consequence of acute myocardial infarction and not
its cause.

According the myogenic theory concepts the AMI is developed by
functional degradation state of the regional myocardial
coronary-dependent characterized by a pathophysiology essencially
myogenic, in the  3 stages of coronary-myocardiopathy:
- The stable angina with or w/out previous myocardial infarction,
developed by exertion or emotion and producing regional ventricular
ischemia (RVI), coronary-dependent, in which the negative inotropic
action develops the regional myocardial insufficiency (RMI), reciprocal,
ceasing with the stop of the provoking cause.
- The unstable angina (UA) as a spontaneous, reversible and recurrent
syndrome  resulted from an abrupt, and unexpected RMI followed by RVI of
long duration and resistant to all available therapeutic agents.
- The UA is perpetuated in the last crises of angina with its
transformation in infarctioning clinical picture (ICP) represented by
RMI + RVI -> myocardial infarction -> myocardial necrosis -> coronary
thrombosis not obligatory; electrocardiographically  recognized as
myocardial infarction with Q wave and w/out Q wave.

In front of this pathophysiological mechanism the cardiotonic appeared
as a new therapeutic concept and since 27 years ago proves to be capable
to preserve the myocardial and symptomatic stability in the stable
angina pectoris  with or w/out previous infarction, to stop the UA and
to provide the transformation of ICP in avoided myocardial infartion,
ICP- interrupted myocardial infarction or characterized as ICP-infarcted
according the behaviour of enzymatic peaks.

In 1981 the thrombogenic theory suffered the final tumble down when the
thrombolytics which were reintroduced in the UA and AMI showed that they
are uneffectives regarding the clinical events in the UA and passed to
be indicated only in the treatment of AMI.

During the last 2 decades has been clearly demonstrated in vast
literature that, thrombolytics and angioplasty release the coronary
arteries related with the MI, while is  recorded the coronary/dependent
ventricular dysfunction process.

Gregorini, L et al, in a recent article (Circulation, 1999; 99:482-90),
besides to confirm such aspects of left ventricular dysfunction after
thrombolysis  and coronary angioplasty, stressed the role of
alpha-adrenergic blockers  in reducing the coronary vasoconstriction and
improving the left ventricular dysfunction  post-ischemic.
In the myogenic theory point of view, the left ventricular dysfunction
recorded in this way is preconized as a primary process.

Also, the paper from Tamura, K et al (Am Heart J, 1996; 131:731-5)
reported about successive echocardiographical and
electrocardiographical  recordings in UA showing myocardial aspects of
RMI + RVI  which concepts are inside of the MT; If they had applied the
cardiotonic during their study, they certainly had the record of
immediate clinical and physiological stop of UA.

We need to emphasize the paper from Murakami, T et al (Am J Cardiol,
1998; 82 :839-44) about its new methodology represented by aspiration
thrombectomy after thrombolysis showing that intracoronary thrombus is
absent in a substantial number of patients with acute myocardial
infarction. We have the impression that the TT once more have lost its
support  about the coronary thrombosis in the AMI when these authors
came to strenghten our concept of primary myocardial infarction and
secondary coronary thrombosis. Their findings after thrombolysis
indicate: Recent thrombus (49%), Without thrombus (30%), Atheroma (14%),
Organized thrombus (2%) and  Not defined thrombus (5%).

No doubts that all ways go to the complete demonstration that cases
normally submitted to angiographic and ventriculographic studies arrive
with the recognition of conflictant aspects with the TT and compatible
aspects with the MT.

Therefore, we will pass in review such aspects that must be considered
as the pathological reality of coronary-myocardiopathy which the
Myogenic Theory Explains:

- Roberts, WC (Circulation, 1972;49:1) showed that in cases of AMI with
early sudden death that coronary thrombosis ocurred in approximately 10%
of cases with subendocardial  infarction of left ventricle and in around
50% of cases with transmural necrosis.
MT explains: the recent findings by Murakami et al during the acute
myocardial infarction, confirmed and reinforced old pathological studies
realized in the 1950 decade which were stressed by Roberts in 1972.

- Spain, DM and Bradess, VA (Am J Med Sci, 1960; 240:701) showed total
coronary obstruction of atherosclerotic nature representing around of
75% of cases of AMI and only 25% of cases with coronary thrombosis in
autopsy, recorded during 25 years.
MT explains: in these cases the total coronary atherosclerotic
obstruction was old and the AMI was resulting from severe regional
myocardiopathy coronary-dependent with MRI + RVI and secondary coronary
thrombosis not obligatory.

- Spain, DM and Bradess, VA (Circulation, 1960; 22: 816) recorded the
increase of incidence of coronary thrombosis related with the increase
of lifetime after AMI: < 1 hour = 16%, 1-14 hours = 37% and > 24 hours =
53%.
MT explains: these numbers represent a clear demonstration that AMI is
primary and the coronary thrombosis secondary, not obligatory and with
slow formation.

- Erhardt, LR et al (Lancet, 1973; 1:387; Am Heart J, 1976; 91:592)
demonstrated the coronary thrombosis incorporating fibrinogen marked by
I-125 and  I-131, radioactive agents administered after 10-15 hours from
the start of the clinical manifestations of AMI, fact that suggests
coronary thrombosis as consequence of primary myocardial necrosis; and
the record of the exclusion of I-125 in the thrombus of 1 case, when the
radioactive agent was administered  47 hours after the start of clinical
manifestations of AMI.
MT explains: the radioactive agents I-125 and I-131 incorporated to the
fibrinogen in the thrombus in progressive organization, not happened in
the referred 1 case because the thrombus was already formed.

- Hellstrom, HR (Circulation, 1970; 42 (Suppl III) : 165) demonstrated
in a experimental manner, that AMI produced by surgical ligature of
coronary artery without endothelial lesion was responsible by the
vascular stasis and the consequent coronary thrombosis, recorded in the
coronary artery after released.
MT explains: significant coronary thrombosis formed as consequence of
vascular stasis in the artery blocked by the AMI; such process is
similar to the  cerebral and cardiac infarctions coincident with the use
of anticonceptives.

- AMI coincident with rupture of atheromatous plaque and coronary
thrombosis from coronary artery related with the infarcted region.
MT explains: the coronary thrombosis watched in this way have been
conveniently interpreted by the ortodoxy as primary. However, the
coronary thrombosis can come late, subsequently to the AMI, whose
rupture of the plaque should be provoked by the invasion of white blood
cells  identified as inflamatories and by its derived products providing
the formation of coronary thrombosis.

- Coronary arteries angiographically normal related with the infarction
area without coronary thrombosis.
MT explains: these arteries are widely compromised by the
atherosclerotic process, exclusive of wall, apparently canalized but
inelastic,  what modifies the circulation from continuous to intermitent
type which will endanger the dependent myocardium, taking it to the AMI
according the MT model.

- Case of UA interrupted by the cardiotonic, showing normal coronary
arteries with slow flow  and defined asynergy of the myocardial region
coronary dependent and with systolic residual volume increased  >
(+/++);  which, in the period of 2 years (still using cardiotonic),
evolved to the total obstruction of the left descendent anterior artery
and  ventriculogram identical with systolic residual volume  > (++), but
without worsening the clinical situation.
MT explains: the use of cardiotonic + coronary dilator guaranteed the
preservation of myocardial and symptomatic stability,  in spite of the
evolution of the coronary arterial process to the total obstruction
without evolving to the MI.

- Bulkley, BH and Hutchins, GM (Circulation, 1977;56:906) published
cases of AMI situated in revascularized region by pervious coronary
artery bypass, interpreted as paradoxal infarction.
MT explains:  in these cases the myocardial ischemic effects exist and
the ventriculographic aspects are useful to demonstrate that AMI is
primary, even without coronary thrombosis which we consider not
obligatory.

- Old atherosclerotic plaque totally obstructing the coronary artery
related with the infarcted region.
MT explains: cases of this type are useful to demontrate that the
compromised coronary-dependent myocardium is taked to the RMI + RVI and
to the AMI by evolutive and degradated coronary-myocardiopathy process.

- AMI developed during the habitual or unusual practice of physical
activities during or immediate after the ergometric test, sex, sport or
during the digestive period plus physical efforts (even light),
frequently happens in front of coronaries with not significant, severe
or even total obstructions by old plaques, simultaneous or not with
coronary thrombosis.
MT explains:  in that cases the dependent coronary myocardial region
compromised in its structure can arrive to the AMI through an abrupt
exhaustion of the myocardial region – RMI + RVI – followed by coronary
thrombosis.

- The occurrence of AMI within 2-21 days after the abrupt interruption
of beta blockers, in continued use.
MT explains: due to its negative inotropic effect beta blockers develop
generalized hypotonia which eliminate the intersegmentary confrontation
of the coronary/dependent myocardium, with the effect of temporization
but without to avoid the AMI neither other complications like cardiac
insufficiency and sudden death. Its abrupt interruption is followed by
the reestablishment of the intersegmentar confrontation owing to the
unprepared coronary/dependent myocardial region which takes to the UA
with manifestations of RMI + RVI, occurrence of AMI, cardiac
insufficiency, severe arrhythmias and sudden death.

- Occurrence of AMI after the interruption of cardiotonic in continued
use for the preservation of the myocardial and symptomatic stability in
chronic coronary-myocardiopathy with or without previous myocardial
infarction.
MT explains:  the cardiotonic absence provides the myocardial
intersegmentar confrontation which may lead to the UA and consequently
to the AMI, according the model preconized by the MT.

- Case of UA interrupted by the cardiotonic, showing the 3 coronaries -
left descendent anterior, right and circunflex – completely obstructed,
but with a rich net of collateral coronary, and left ventricular
dysfunction but without recordings of anterior infarction.
MT explains: This case came to confirm more one time the immediate
results of interruption of UA in 100% of the cases and without
mortality, with the use of the new therapeutical concepts of the MT.
Treatment of attack followed by  the
permanently
upkeeping with the cardiotonic + coronary dilator which develops the
return to the myocardial stability preserved in this way and as
prevention of myocardial infarction.

- Case of angina, permanent and with great suffering with repeated
crises of UA, resistant to all types of medication, lasting 9 months;
happening 10 years after the myocardial infarction with total
obstruction of the 3 epicardial coronaries – DAE, D and CFx –
ventriculogram with large increase of the cardiac area and
characteristics of hibernating Heart. He was attended in our coronary
care unit during the UA crisis when was submitted to the cardiotonic,
recording immediate and complete relief. From this moment on this
patient remained under treatment with cardiotonic in a myocardial and
symptomatic stability during 13 years of comfortable survival, passing
away at 73 years old, due to a cerebral stroke.
MT explains: this case was interpreted as permanent deficient myocardial
condition mixed with symptomatic instability represented by crises of
RMI + RVI finally interrupted by the cardiotonic and therefore upkeeped
for long survival.

- Cases of chronic stable angina with the symptomatic and myocardial
stability preserved by decades, with or w/out previous myocardial
infarction showing evolutive coronary atherosclerotic processes to the
total obstruction of 2-3 coronaries w/out occurrence of AMI.
MT explains:  maintained by the cardiotonic + coronary dilator
therapeutic since 1991 with the addition of ACE inhibitor, his future
has been calm and guaranteed, complementing in this way the effects
provided by the coronary collateral circulation.

-     Cases of UA interrupted by the cardiotonic, maintained by decades,
of patients with significant obstructions of 2-3 coronaries have had
evolution to total obstruction with rich net of collateral coronary,
without recordings of myocardial infarction, during the long survival.
MT explains: Interruption of UA by cardiotonic as attack and
maintenance treatment have guaranteed the preservation of myocardial and
symptomatic stability as well in the prevention of myocardial
infarction.

-    Cases generally admitted in coronary care units as with AMI were
treated by cardiotonic in our unit, showing clinical and enzymatic
transformations which led us to classify them as clinical infarctioning
pictures, determined by the behaviour of enzymatic peaks.
MT explains: the cardiotonic in AMI was considered as a myocardial
protector (Mesquita, 1973; Pizzarello et al, 1975 and Morrison et al,
1976.1980). Through the enzymatic peaks the cases observed by us were
distinguished in tyhe following way:
? Myocardial infarction avoided: 20% of cases with normal enzymatic
peaks or < 2x the normal.
? Infarctioning clinical picture- interrupted: 47% of cases with
enzymatic peaks < 3x the normal.
? Infarctioning clinical picture- infarcted: 33% of cases with enzymatic
peaks > 3x the normal.

- The method of  Murakami et al using intracoronary thrombectomy
aspiration and their findings showing absence of coronary thrombus
during acute myocardial infarction and the use of transesophageal
echocardiogram for the same purpose.
MT explains: the aspiration thrombectomy with thrombolysis and the
echocardiography can serve as support to the myogenic theory and keep
away forever the TT in vivo, offering to the pathologists the prove that
coronary thrombus is secondary. Serve also as a response to the paper of
Chandler et al (AM J Cardiol, 1974; 34:823) about coronary thrombosis
and AMI simultaneous, indicating what is primary and secondary.
In Murakami method the thombolysis release the artery related with the
myocardial infarction while the aspiration thombectomy cleans the
artery, stressing the left ventricular dysfunction which can be
corrected by the cardiotonic or by using the alpha-adrenergic blocker as
Gregorini et al.

- Important findings in the acute UA about the incidence of
intracoronary thrombus (52-85%) few hours after the start of symptoms
until 2 weeks, while its incidence in the chronic phase has been always
low (0-12%).
MT explains: the echocardiography during the UA clearly shows the
myogenic mechanism recording the RMI which develops the RVI
characterized by ECG, coincident with  platelet aggregates and
inflammatory blood cells which invade the involved region, becoming to
the normal with the stop of crises.

- Ambrose et al (Am J Cardiol, 1988;61:244-7) considered the myocardial
infarction without Q wave as an intermediary stage from UA to the
myocardial infarction with Q wave. They recorded total coronary
obstruction in 26% of cases w/out Q wave and in 90% of cases with Q
wave.
MT explains: the myocardial infarction w/out Q wave as intermediate
stage to the myocardial infarction with Q wave must be seen as
favourable to the MT, and its mechanism is considered by us as the
preconized for the UA of long duration and in smaller level than the
reached by the AMI. So, in this case the myocardial lesion is less
stressed in subendocardial or subepicardial layers, and with low
incidence of coronary thrombosis.

- DeWood, MA et al (NEJM, 1986;  315:417-23) recorded total coronary
obstruction in 32% of AMI cases without Q wave and in a more detailed
study showed an incidence for  total coronary obstruction significantly
and progressively increased in relation with the execution time of
angiographic examination: 26% in 24 hours, 37% from 24-72 hours and 42%
from 72 hours to 7 days. They also have recorded  that  the incidence of
subtotal coronary obstruction (> 90%), in myocardial infarction without
Q wave, showed evident reduction in gradual manner: 34% in 24 hours, 26%
from 24-72 hours and 18% from 72 hours to 7 days.
MT explains: These crescent indicators show that the formation of
coronary thrombus is secondary to the AMI depending directly of the
evolution time of the infarctioning process to become infarcted process;
Evidently, the gradual reduction of indicators referring to subtotal
obstruction was observed contrary and parallel to the thrombotic
transformations recorded secondarily to the infarction.

- Thrombolytics in UA improve the arterial events but show inefficiency
about the clinical events and regarding to stop the pathophysiological
process, what led investigators to recommend its use only in AMI.
(Rentrop, P et al, 1981, Williams, DO et al, 1990, Leinbach, RC, 1972,
Freeman, MR et al, 1992, TIMI IIIA Investigators, 1993 and Chen, L et
al, 1997)
MT explains: These results came to confirm the failure of anticoagulants
(1969) and completed the tumble down of the TT what the ortodox
cardiology make believe that do not happens.

- Roberts, WC (Am J Cardiology, 1984; 97:1410) wrote: "When I have an
acute myocardial infarction take me to the hospital that has a cardiac
catheterization laboratory and open cardiac surgical facilities".
MT explains: in case of chronic coronary-myocardiopathy the preservation
of myocardial and symptomatic stability and prevention of myocardial
infarction have been guaranteed by the association of cardiotonic +
coronary dilator + ACE inhibitor, permanently. So, my advice to all them
which think like the grand teacher of pathological anatomy represented
by William C. Roberts,  to defend their heart with calm using the
therapeutical efficacy by cardiotonics which complement the providential
action of the collateral coronary circulation.

Quintiliano H. de Mesquita, M.D.

For more information please visit my homepage at
http://www.infarctcombat.org/qhm/homepage.html















From owner-cardiovascular@net.bio.net Wed Mar 10 22:00:00 1999
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From: pradipg@aol.com (PradipG)
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Subject: CANCER CELL/TISSUE RESPIRATION IN CULTURE
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CANCER CELL/TISSUE RESPIRATION IN CULTURE

We have used O2/CO2 Respirometer (Micro-Oxymax) to measure O2 consumption and
CO2 production in normal and cancer cell/tissue. The results are very exciting.
We could easily differentiate O2 consumption between normal and cancer cells
and suppression of respiration by anticancer agents. Following cell lines and
tissue were used for the experiment.
 
CANCER CELL/TISSUE:
1. Rat prostate cancer cell line (MAT-LyLu)
2. Human prostate cancer cell line (PC-3)
3. Rat prostate cancer tissue from MAT-LyLu cells implanted rats.
4. Metastatic lung from MAT-LyLu cells implanted rats.
5. Prostate cancer cells exposed to anticancer agent, gossypol.

NORMAL CELL/TISSUE:
1. Normal prostate tissue from rat.
2. Lung tissue from rats.
3. Adipocytes from normal rats.

If you are interested about this technology and the observation, please e-mail
your postal address. I will send you all information.

P.K. Ghosh, Ph.D.


From owner-cardiovascular@net.bio.net Fri Mar 12 22:00:00 1999
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From: lecueder@fmed.edu.uy
Newsgroups: bionet.biology.cardiovascular
Subject: First Virtual Congress of Cardiology
Date: Sat, 13 Mar 1999 19:00:48 GMT
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Dear friends,
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(October 1999 - April 2000)

Please visit
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News:
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Preliminary Scientific Program
Instructions for Authors
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Deadline for Abstracts: June 30, 1999
The registration form can be filled out (free).
Kind regards,

Dr. Silvia Lecueder
Steering Committee - 1st Virtual Congress of Cardiology


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NNTP-Posting-Host: modem-39.elmiron.dialup.pol.co.uk
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NNTP-Posting-Date: 16 Mar 1999 16:33:36 GMT
X-Complaints-To: abuse@theplanet.net
X-Newsreader: Microsoft Outlook Express 4.72.3110.1
X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3

Advanced interactive websites for medical and research applications.
Database integration, discussion forums, live conference rooms, embedded
literature searches and ASP available.

Examples can be found at www.nphcardiac-research.ac.uk and
www.66harleyst.co.uk

More information from thayes@webvisionuk.co.uk






From owner-cardiovascular@net.bio.net Mon Mar 15 22:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.berkeley.edu!diablo.theplanet.net!news.theplanet.net!newspost.theplanet.net!not-for-mail
From: "Terry Hayes" <thayes@webvisionuk.co.uk>
Newsgroups: bionet.biology.cardiovascular
Subject: Interactive Websites
Date: Tue, 16 Mar 1999 23:33:28 -0000
Organization: Customer of Planet Online
Lines: 15
Message-ID: <7cm158$c92$4@news4.svr.pol.co.uk>
NNTP-Posting-Host: modem-39.elmiron.dialup.pol.co.uk
X-Trace: news4.svr.pol.co.uk 921602024 12578 62.136.64.167 (16 Mar 1999 16:33:44 GMT)
NNTP-Posting-Date: 16 Mar 1999 16:33:44 GMT
X-Complaints-To: abuse@theplanet.net
X-Newsreader: Microsoft Outlook Express 4.72.3110.1
X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3

Advanced interactive websites for medical and research applications.
Database integration, discussion forums, live conference rooms, embedded
literature searches and ASP available.

Examples can be found at www.nphcardiac-research.ac.uk and
www.66harleyst.co.uk

More information from thayes@webvisionuk.co.uk








From owner-cardiovascular@net.bio.net Tue Mar 16 22:00:00 1999
Path: biosci!pravda.ucr.edu!awabi.library.ucla.edu!128.230.129.106!news.maxwell.syr.edu!sunqbc.risq.qc.ca!wesley.videotron.net!news.openface.ca!not-for-mail
From: cmerklinger@~!icaxon.com!~ (C.M.)
Newsgroups: bionet.biology.cardiovascular
Subject: Need info
Date: Wed, 17 Mar 1999 14:57:57 GMT
Organization: I.C.Axon
Lines: 3
Message-ID: <36efc2e2.2974925@news.openface.ca>
NNTP-Posting-Host: mail.icaxon.com
X-Newsreader: Forte Free Agent 1.11/32.235

Hi

I am looking for 

From owner-cardiovascular@net.bio.net Tue Mar 16 22:00:00 1999
Path: biosci!newshost.lanl.gov!awabi.library.ucla.edu!208.134.241.18!newsfeed.cwix.com!192.26.210.166!sunqbc.risq.qc.ca!wesley.videotron.net!news.openface.ca!not-for-mail
From: cmerklinger@~!icaxon.com!~ (C.M.)
Newsgroups: bionet.biology.cardiovascular,fj.sci.medical,misc.education.medical,sci.med.cardiology
Subject: Looking for testimonials
Date: Wed, 17 Mar 1999 15:47:19 GMT
Organization: I.C.Axon
Lines: 10
Message-ID: <36efc9a8.4709585@news.openface.ca>
NNTP-Posting-Host: mail.icaxon.com
X-Newsreader: Forte Free Agent 1.11/32.235

I am looking for testimonials from Arrhythmia patients who have been
diagnosed using the following tests: Holter monitoring, TTM, Loop
event recorders, Electrophysiologic study, Exercise stress test,
Echocardiogram and Cardiac Catheterization.

I would greatly appreciate any feedback on these matters.

Thank you,

Catherine

From owner-cardiovascular@net.bio.net Wed Mar 17 22:00:00 1999
From: klmmgv@defas.com
Newsgroups: bionet.biology.cardiovascular
Subject: T u n e  -  u p   y o u r  s i t e ,  p r o m o t e   y o u r   s i t e   . . . . .
Date: 18 Mar 1999 09:29:44 GMT
Organization: City Telecom (HK) LTD
Lines: 22
Message-ID: <7cqh28$g91$237@news.ctimail.com>
NNTP-Posting-Host: 103user134.ctinets.com
X-Trace: news.ctimail.com 921749384 16673 203.80.103.134 (18 Mar 1999 09:29:44 GMT)
X-Complaints-To: usenet@news.ctimail.com
NNTP-Posting-Date: 18 Mar 1999 09:29:44 GMT
Path: biosci!bcm.tmc.edu!news.msfc.nasa.gov!europa.clark.net!207.114.4.11!nntp.abs.net!outfeed1.news.cais.net!news2.hkt.net!news.ctimail.com!not-for-mail


ppyfdfqxxjwhvpeotuzdczdostetjikqwhyvdqzpqvig

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`



From owner-cardiovascular@net.bio.net Sat Mar 20 22:00:00 1999
From: hlmcnb@defas.com
Newsgroups: bionet.biology.cardiovascular
Subject: How to increase traffic to your Web site WITHOUT spending advertising dollars ?
Date: 21 Mar 1999 06:33:53 GMT
Organization: City Telecom (HK) LTD
Lines: 15
Message-ID: <7d23sh$ous$237@news.ctimail.com>
NNTP-Posting-Host: 104user23.ctinets.com
X-Trace: news.ctimail.com 921998033 25564 203.80.104.23 (21 Mar 1999 06:33:53 GMT)
X-Complaints-To: usenet@news.ctimail.com
NNTP-Posting-Date: 21 Mar 1999 06:33:53 GMT
Path: biosci!fcrdcnews.NCIFCRF.GOV!washdc3-snf1!cpk-news-hub1.bbnplanet.com!su-news-hub1.bbnplanet.com!news.gtei.net!newsfeed.berkeley.edu!news-xfer.newsread.com!yellow.newsread.com!netaxs.com!newsread.com!uunet!ffx.uu.net!in5.uu.net!venus.hkstar.com!news.hkt.net!news2.hkt.net!news.ctimail.com!not-for-mail


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From owner-cardiovascular@net.bio.net Sun Mar 21 22:00:00 1999
Path: biosci!CWCOM.NET!e.oreilly
From: e.oreilly@CWCOM.NET ("Eileen O'Reilly")
Newsgroups: bionet.biology.cardiovascular
Subject: (none)
Date: 22 Mar 1999 11:36:01 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 1
Sender: daemon@net.bio.net
Distribution: world
Message-ID: <0e8853131191639SKYNET@cwcom.net>
NNTP-Posting-Host: net.bio.net



From owner-cardiovascular@net.bio.net Sun Mar 21 22:00:00 1999
From: fvmmkp@qeeq.com
Newsgroups: bionet.biology.cardiovascular
Subject: Buy smart, Sell smart.....
Date: 22 Mar 1999 18:22:39 GMT
Organization: City Telecom (HK) LTD
Lines: 16
Message-ID: <7d61pf$bg7$237@news.ctimail.com>
NNTP-Posting-Host: 103user81.ctinets.com
X-Trace: news.ctimail.com 922126959 11783 203.80.103.81 (22 Mar 1999 18:22:39 GMT)
X-Complaints-To: usenet@news.ctimail.com
NNTP-Posting-Date: 22 Mar 1999 18:22:39 GMT
Path: biosci!fcrdcnews.NCIFCRF.GOV!washdc3-snf1!cpk-news-hub1.bbnplanet.com!news.gtei.net!news-xfer.newsread.com!yellow.newsread.com!netaxs.com!newsread.com!uunet!ffx.uu.net!in4.uu.net!venus.hkstar.com!news2.hkt.net!news.ctimail.com!not-for-mail


kgrvlxlkjrzlkgnkdnppjpjvmws

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From owner-cardiovascular@net.bio.net Mon Mar 22 22:00:00 1999
Path: biosci!internet!biosci!not-for-mail
From: biohelp (BIOSCI Administrator)
Newsgroups: bionet.biology.cardiovascular
Subject: BIOSCI/bionet miniFAQ & Fundraiser
Date: 23 Mar 1999 02:00:12 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 233
Sender: daemon@net.bio.net
Distribution: world
Message-ID: <199903231000.CAA09637@net.bio.net>
NNTP-Posting-Host: net.bio.net

(LAST REVISION: 30-JUL-95)

This BIOSCI "miniFAQ" is designed to answer the questions that come up
the *most frequently*.  The main BIOSCI FAQ (Frequently Asked
Questions) is accessible on the World Wide Web at URL
http://www.bio.net/.

If you can not find an answer to your question in this or other
documentation, the BIOSCI technical support staff answers e-mail
queries sent to

		       biosci-help@net.bio.net

We can only answer questions about the use of the newsgroups and
mailing lists.  We unfortunately do not have the staff to do Internet
information searches or answer scientific questions.  Please post
those to the appropriate BIOSCI/bionet newsgroups.


	Contents:
	--------
	0) BIOSCI NEEDS YOUR SUPPORT!!

	1) Using the WWW to access the BIOSCI/bionet newsgroups.

	2) What to do about "spams," i.e., junk mail, ads, etc.

	3) Examples of subscribing and unsubscribing to the mailing lists.

	4) The BIOSCI user address and research interest directory.


0) BIOSCI NEEDS YOUR SUPPORT!!
------------------------------
BIOSCI's government funding has been expended, and we are now
operating solely from advertising revenue that we have raised from our
Web site at http://www.bio.net/.  We need just a few minutes of your
time to help us serve you.

You can do two important things which will take very little time for
you individually and will immensely help us continue to help you.

First, please use our WWW system at http://www.bio.net/ to access the
archives.  You can post or reply to messages via your Web browser as
described in item #1 below.  Your usage helps attract sponsors. If you
contact any of our sponsors, please be sure to thank them for
supporting BIOSCI. It is critical for them to get this feedback if
they are to continue their sponsorship for the long term.

Second, if you work for a company or organization that provides
products or services of interest to the biology community, please pass
this message on to your marketing or marketing communications
department or other appropriate group.  Please ask them to help
support BIOSCI by sponsoring our Web site and explain the uses and
benefits of the system to the biology community. If they are
interested, they can then contact us for further information at our
tech support address, biosci-help@net.bio.net.


1) Using the WWW to access the BIOSCI/bionet newsgroups.
--------------------------------------------------------
As of 10 December 1995, all BIOSCI/bionet full newsgroups are
accessible through the World Wide Web (WWW) at URL http://www.bio.net.
One can read and reply publicly or privately to both recent postings
and archived messages through one's Web browser if it is configured
properly to send e-mail.  Each newsgroup is equipped with its own WAIS
index.  The main BIOSCI home page also has access to the BIO-JOURNALS
Table of Contents database WAIS index and the BIOSCI user address
database described in another item further below.


2) What to do about "spams," i.e., junk mail, ads, etc.
-------------------------------------------------------
BIOSCI is a set of parallel USENET newsgroups (the "bionet" groups),
mailing lists, and a hypermail archive at URL http://www.bio.net/.
The same postings are distributed on all media (except for a small
number of mailing-list-only groups at net.bio.net).  Unfortunately it
is becoming a despicable practice on the Internet (by a few people out
to make a fast buck) to do automated mass postings to thousands of
newsgroups and mailing lists.  These attempts to grab free advertising
are refered to as "spams" in the usual, somewhat boneheaded, net
terminology.  USENET is more susceptible to this practice, and many
spams originate on the USENET groups and then are passed on to the
mailing lists.  However, spammers also get lists of mailing addresses
and hit these too, so neither medium is immune.

What should you do personally if you get junk mail?
---------------------------------------------------
Just delete it and move on without reading it further.  Filing a
protest is becoming increasingly useless because spammers are often
disguising the addresses where the messages are sent from.  Unless you
really understand Internet mail systems, your attempt at protest by
sending replies to the message will often end up being sent to the
address of an innocent person that the spammer is victimizing.

What can BIOSCI/bionet do to protect its newsgroups?
----------------------------------------------------
The only solution currently available is to moderate the newsgroup.
If this newsgroup is already moderated, then you are in good shape.
Moderation protects the USENET distribution from about 95% of the
spams that are being sent to date and protects the mailing lists
completely.  Moderation means, however, that someone has to take the
time to review each message before it goes out.  We have set up
software here that simply allows the moderator to forward to an
address at net.bio.net messages that (s)he wishes to have distributed.
This takes no more time than that needed to read the message and pass
it on, say about 1 min. per message.

Most newsgroups currently have a discussion leader who is responsible
for their newsgroup.  The discussions leaders and their e-mail
addresses are listed in the BIOSCI Information Sheet which is
available on the Web at http://www.bio.net/.  If a newsgroup is being
hit with too many junk postings, please contact the discussion leader
for that group and see if there is interest in moderating the group.
Please do not assume that by simply posting a complaint to the
newsgroup itself, anyone on the BIOSCI staff will act on your
complaint.  With close to 100 newsgroups to run, the BIOSCI staff has
to rely on the discussion leaders of each newsgroup to report problems
directly to us at biosci-help@net.bio.net.

We will moderate any of our newsgroups if the discussion leader tells
us that the readership of the group wishes to do so and if a moderator
is willing to do the work.  For most BIOSCI/bionet groups, this
entails only a few minutes of work each day.

Moderating a newsgroup will resolve probably 95% of the junk postings
on the USENET distribution.  Unfortunately there are easy ways for
determined spammers to override the moderation mechanism on USENET,
but we can protect our e-mail subscribers from unwanted postings if
the newsgroup is moderated.  You can also access our newsgroups over
the WWW at URL http://www.bio.net.  While this Web interface will not
stop spammers from trying to post to the groups, this will give you
yet another way, besides using USENET news, to keep the junk out of
your personal mail files.  For those of you with local USENET news
systems, the Web interface will also give you faster access to new
newsgroups and recent postings.


3) Examples of subscribing and unsubscribing to the mailing lists.
------------------------------------------------------------------
PLEASE NOTE: The BIOSCI management does NOT act on
subscription/unsubscription requests that are posted improperly to the
newsgroups and mailing lists.  People who do this only bother everyone
on the lists to no avail.  Please be sure to follow the proper
procedures below.

Gory details are in the BIOSCI Information sheets on the Web at
http://www.bio.net.  Below we give an example utilizing the
METHODS-AND-REAGENTS list at both of our two BIOSCI sites:

Users in the Americas and Pacific Rim countries who use the BIOSCI
------------------------------------------------------------------
node at computer net.bio.net:
----------------------------

A) Determine the "listname" which is the <=8 character mail address
                                         ^^^^^^^^^^^^^
   for the group.  These can be found in the BIOSCI Info. Sheet.  For
   the METHODS-AND-REAGENTS group the mailing address is
   methods@net.bio.net.  The listname is the portion of the address to
   the left of the @ sign, i.e., "methods".  The listname is used with
   the "subscribe" and "unsubscribe" commands illustrated below.

B) Mail all commands in the body of a mail message addressed to
   biosci-server@net.bio.net.  Do NOT send commands to the newsgroup
   posting addresses!  Leave the Subject: line blank, any text on it
   will be ignored.

C) In the body of your message put one or more of the following
   commands with an "end" command on the last line, e.g.,

   subscribe methods
   unsubscribe methods
   end

   Do NOT put your e-mail address or other text on these lines.  The
   server only allows you to cancel your subscription if the address
   on your mail header matches the address on our mailing list.
   Please ask for help at biosci-help@net.bio.net if your address has
   changed, e.g., if you know you are on the list but the server tells
   you that you are not a member.


Users in Europe, Africa, and Central Asia who use the BIOSCI node at
--------------------------------------------------------------------
computer daresbury.ac.uk (also known as dl.ac.uk):
-------------------------------------------------

To subscribe and unsubscribe to/from the BIOSCI lists, you need to
specify the full USENET newsgroup name with "bionet-news." prepended.
The USENET newsgroup names are listed in the BIOSCI Information sheet
on the Web at http://www.bio.net/.  For the METHODS-AND-REAGENTS list
the USENET newsgroup name is bionet.molbio.methds-reagnts, thus the
appropriate commands are

    sub bionet-news.bionet.molbio.methds-reagnts

    unsub bionet-news.bionet.molbio.methds-reagnts

These commands are included in a message addressed to mxt@dl.ac.uk,
NOT to the newsgroup mailing addresses.  As usual, include the text in
the body of the message as text on the Subject: line is ignored.

To unsubscribe from all the lists at the UK node, use

    unsub bionet-news

Please note that if the address in the list is different than the one
in your mail message header, you will not be able to unsubscribe by
this method. If you have problems, please mail biosci@daresbury.ac.uk.


4) The BIOSCI user address and research interest directory.
-----------------------------------------------------------
Please take this opportunity to add your name, address, and research
interest information to the BIOSCI User Address Database if you have
not already done so.

You can fill out the address form directly through our Web page at URL
http://www.bio.net/adrform.html.

The address database is reindexed nightly for WWW access (the URL is
http://www.bio.net/).  If you are not directly on the Internet but can
reach it by e-mail, please use our waismail server to access the user
directory.  waismail use is described above.  You can also request a
user address form by e-mail from biosci-help@net.bio.net.

Please check your database entry from time-to-time to see if your
address information is still up-to-date.  Because of our limited
personnel resources, we ask that you resubmit a *complete* form to
revise your entry; we only replace complete entries and do not have
resources to edit old forms.


From owner-cardiovascular@net.bio.net Mon Mar 22 22:00:00 1999
From: bfywsy@qeeq.com
Newsgroups: bionet.biology.cardiovascular
Subject: Car price FREE quote, insurance FREE quote....
Date: 23 Mar 1999 05:53:58 GMT
Organization: City Telecom (HK) LTD
Lines: 16
Message-ID: <7d7a9m$k9t$237@news.ctimail.com>
NNTP-Posting-Host: 111user207.ctinets.com
X-Trace: news.ctimail.com 922168438 20797 203.80.111.207 (23 Mar 1999 05:53:58 GMT)
X-Complaints-To: usenet@news.ctimail.com
NNTP-Posting-Date: 23 Mar 1999 05:53:58 GMT
Path: biosci!rutgers!nntp.upenn.edu!newsserver.jvnc.net!198.138.0.5!newshub.northeast.verio.net!news-xfer.newsread.com!yellow.newsread.com!netaxs.com!newsread.com!uunet!ffx.uu.net!in5.uu.net!news.hk.linkage.net!news.hkg.com!news2.hkt.net!news.ctimail.com!not-for-mail


upkiqpkokyjovuxenflphwqol

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,/@T*/"]H=&UL/@T*G*2(^/"]B;V1Y/@T*/"]B;V1Y
,/@T*/"]H=&UL/@T*


From owner-cardiovascular@net.bio.net Mon Mar 22 22:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.berkeley.edu!nntp2.dejanews.com!nnrp1.dejanews.com!not-for-mail
From: bmedina@my-dejanews.com
Newsgroups: bionet.biology.cardiovascular
Subject: conference announcement
Date: Tue, 23 Mar 1999 10:56:23 GMT
Organization: Deja News - The Leader in Internet Discussion
Lines: 43
Message-ID: <7d7s0k$j4c$1@nnrp1.dejanews.com>
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The World Heart Federation and the American College of Cardiology invite you
to attend an Internet Webcast of  Mini Course  "Novel Approaches to the
Treatment of Chronic Myocardial Ischemia" from the ACC's  48th Annual
Scientific Session held in New Orleans on March 11, 1999.

Desktop attendees throughout the globe will be able to hear each speaker's
voice in direct synchronization with the complete visual presentation,
including slides, graphics, and photographs.  In addition, a text transcript
of each presentation will be available in both English and Spanish. Access to
the Internet Webcast is FREE at: http://www.prous.com/ttmacc99


Mini Course: Novel Approaches to the Treatment of Chronic Myocardial Ischemia


Chair:		Jonathan Abrams, MD, University of NM, Albuquerque, NM
Introduction:	Tak-Fu Tse, MD, President, Hong Kong, World Heart Federation


Changing Features of the Patient with Stable Angina
Edwin L. Alderman, MD, Stanford University Medical Center, Stanford, CA
Cholesterol Lowering
Andrew P. Selwyn, MD, Brigham & Women's Hospital, Boston,  MA
Estrogen
Peter Collins, MD, Imperial College School of Medicine, London, England
Transmyocardial Laser Revascularization
Carolyn L. Donovan, MD, Duke University Medical Center, Durham, NC
Angiogenesis
Michael Simons, MD, Beth Israel Hospital, Boston, MA
External Counterpulsation
Peter F. Cohn, MD, State University of New York Health Center, Stony Brook, NY


Contact: Susan Feitoza
Prous Science, Barcelona
Tel: +34 93 459-2220
Fax: +34 93 458-1535
e-mail: susan_feitoza@prous.es



-----------== Posted via Deja News, The Discussion Network ==----------
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From owner-cardiovascular@net.bio.net Tue Mar 23 22:00:00 1999
Path: biosci!AOL.COM!Optmyzer72
From: Optmyzer72@AOL.COM
Newsgroups: bionet.biology.cardiovascular
Subject: per request
Date: 24 Mar 1999 02:36:24 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 27
Sender: daemon@net.bio.net
Distribution: world
Message-ID: <8d564008.36f8bc6e@aol.com>
NNTP-Posting-Host: net.bio.net


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From owner-cardiovascular@net.bio.net Wed Mar 24 22:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.berkeley.edu!netnews.com!newspeer1.nac.net!newsfeed.concentric.net!global-news-master
From: "Spaz" <kevinhan@hotmail.com>
Newsgroups: bionet.biology.cardiovascular
Subject: bio
Date: 25 Mar 1999 07:45:41 PST
Organization: Concentric Internet Services
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Hi



From owner-cardiovascular@net.bio.net Wed Mar 24 22:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.stanford.edu!remarQ73!supernews.com!remarQ.com!WCG!news2.randori.com!not-for-mail
From: "David Fruit" <david@werewolf.com>
Subject: recent death
Newsgroups: bionet.biology.cardiovascular
Message-ID: <01be76cc$a1033320$bf99170c@default>
X-Newsreader: Microsoft Internet News 4.70.1157
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Date: Thu, 25 Mar 1999 14:34:46 GMT
NNTP-Posting-Host: 12.23.153.191
X-Trace: news2.randori.com 922372486 12.23.153.191 (Thu, 25 Mar 1999 06:34:46 PDT)
NNTP-Posting-Date: Thu, 25 Mar 1999 06:34:46 PDT

Hi
I have been looking for information on Antrial Scholaratic(Sceleratic???)
Cardio
Vascular disease,
My husbands uncle recently passed away at age 42 with this disease If you
have information
about it we would like to here from you.
Sincerely Debbie Fruit@werewolf.net
or at N8145 co rd F
        Menomonie, WI 54751



From owner-cardiovascular@net.bio.net Thu Mar 25 22:00:00 1999
Path: biosci!bcm.tmc.edu!news.msfc.nasa.gov!news.maxwell.syr.edu!newsfeed.wli.net!su-news-hub1.bbnplanet.com!sanjose-news-feed1.bbnplanet.com!news.gtei.net!inficad!aol.com
From: cealone@aol.com
Newsgroups: bionet.biology.cardiovascular
Subject: "WHAT’S THAT ROTTEN SMELL IN PHOENIX?"...We need your help!
Date: Thursday, 25 Mar 1999 17:41:16 -0600
Organization: Citizens Environmental Awareness League
Lines: 5
Message-ID: <25039917.4116@aol.com>
Reply-To: cealone@aol.com
NNTP-Posting-Host: ip247.ts10.phx.inficad.com

"WHAT’S THAT ROTTEN SMELL IN PHOENIX?" That’s the title of a featured story in TIME Magazine http://cgi.pathfinder.com/time/magazine/1998/dom/981123/special_report.corporat5a.html (11/23/98 issue) and the reason TIME came to Phoenix to find out why a BRILLIANT grass roots group is making such a big stink about an even bigger one. BLATANT air pollution, toxic spills, illegal zoning, corporate welfare from a single huge SUMITOMO SITIX factory smack dab in the middle of a residential area! Our relentless group has won every single legal battle against them. We are ready to go to trial for certain victory, EXCEPT, we just don’t have enough money! Don’t let another corporate giant get away with bullying another innocent neighborhood. PLEASE DONATE.  We need your help!  Any contribution over $50.00 will be returned to donor when we win and should we collect our legal fees.

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For more information about our orgainziation and our fight please visit our web site at http://www.ceal.com.?y$Gx'

From owner-cardiovascular@net.bio.net Fri Mar 26 22:00:00 1999
Path: biosci!PRIMENET.COM!wildbill
From: wildbill@PRIMENET.COM ("Bill Peck")
Newsgroups: bionet.biology.cardiovascular
Subject: Baby boy needs help
Date: 26 Mar 1999 18:49:04 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 48
Sender: daemon@net.bio.net
Distribution: world
Message-ID: <000101be77fb$6324b800$4514a5ce@default>
NNTP-Posting-Host: net.bio.net

I apologize for cross-posting this to five different newgroups, but a
friend has a 2 year old who is dying and I am looking for information.

Dakota is 2 years old.  His insides are being taken over by blood
vessels.  Apparently, this condition is extremely rare.  The best term
they can come up with is "Systemic Lymphatic Angiomatosis."  The cells
in his body that produce blood vessels during gestation have never
stopped reproducing.  Blood vessels are reproducing continually
everywhere inside his body, and as a result, forming "nests" and "webs"
and masses.

All the treatments he has had have been experimental. Dakota has had
respiratory arrest and heart failure.  Each time, so far, he has been
able to be revived.  The most recent life-threatening condition has been
with his lungs.  They have filled with fluid and then turned to mass.
The doctors tried surgery to correct this, by scraping and sealing the
lining of the lungs.  However, we have just recently learned that it was
not successful in keeping the disease out.  The blood vessels have eaten
right through the lungs in a short period of time. The right lung is
completely taken over and the left is partially.  His breathing is
labored, but with medications,
his oxygen level is maintaining right now at a good rate, but probably
not for long.  Dakota looks and acts normal except for having to be on
oxygen on and off.

The doctors also determined this week that the disease has spread to his
chest cavity, throat, heart, and spleen.  With it spreading this fast,
there is little time.  The doctors are continuing with chemotherapy to
try to slow down the disease.   Dakota also gets blood transfusions for
hemoglobin and platelets regularly.  He requires them about every other
day, right now.

Dakota is currently being treated by Dr. Cornelius at DeVos Children's
Hospital in Grand Rapids, Michigan.

If you are familiar with this, or a similar condition, please contact me
at jdolson@iserv.net.  If you know of an appropriate newsgroup, feel
free to cross post this message, but not after May 1, 1999.  Please *do
not* cross post to any 'alternative' medicine newsgroups.

Thank you.

Jim Dolson
Grand Rapids, MI
March 18, 1999
jdolson@iserv.net



From owner-cardiovascular@net.bio.net Fri Mar 26 22:00:00 1999
From: Martin <100070.33@CompuServe.COM>
Subject: Coronary heart disease <-> prostate
Organization: CompuServe, Inc. (1-800-689-0736)
Message-ID: <OCawguHe#GA.96@nih2naaf.prod2.compuserve.com>
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,sci.med.prostate.bph,sci.med.prostate.prostatitis
Date: Sat, 27 Mar 1999 12:59:56 -0500
Path: biosci!agate!newsfeed.berkeley.edu!WCG!arl-news-svc-3.compuserve.com!news-master.compuserve.com!nntp-nih2naaf.prod2.compuserve.com
Lines: 7

I know from trustworthy medical sources about the connection 
between 
coronary heart disease and a functional prostate suffering. 
This seems to be a well known fact. 
Can anybody give me hints which could support this fact in any 
way 
Thank you !

From owner-cardiovascular@net.bio.net Fri Mar 26 22:00:00 1999
Path: biosci!servetheworld.com!easymeals
From: easymeals@servetheworld.com
Newsgroups: bionet.biology.cardiovascular
Subject: >>> Come take a L(©¿©)K! - Real Audio + Free Drawing & Gourmet Meals Offer <<<
Date: 27 Mar 1999 10:22:00 -0800
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 38
Sender: daemon@net.bio.net
Distribution: world
Message-ID: <199903271826.NAA07928@sacapuntas.efortress.com>
Reply-To: easymeals@servetheworld.com
NNTP-Posting-Host: net.bio.net


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From owner-cardiovascular@net.bio.net Sat Mar 27 22:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.stanford.edu!news-feed.inet.tele.dk!bofh.vszbr.cz!news.maxwell.syr.edu!nntp2.dejanews.com!nnrp1.dejanews.com!not-for-mail
From: David L. Casey, MD <dlcasey@my-dejanews.com>
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,sci.med.prostate.bph,sci.med.prostate.prostatitis
Subject: Re: Coronary heart disease <-> prostate
Date: Sun, 28 Mar 1999 01:44:43 GMT
Organization: Deja News - The Leader in Internet Discussion
Lines: 35
Message-ID: <7dk1ia$vu7$1@nnrp1.dejanews.com>
References: <OCawguHe#GA.96@nih2naaf.prod2.compuserve.com>
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In article <OCawguHe#GA.96@nih2naaf.prod2.compuserve.com>,
  Martin <100070.33@CompuServe.COM> wrote:
> I know from trustworthy medical sources about the connection
> between
> coronary heart disease and a functional prostate suffering.
> This seems to be a well known fact.
> Can anybody give me hints which could support this fact in any
> way
> Thank you !
>

Let's see...you're the one with the trustworthy medical sources, yet you're
asking us for hints to support the facts...hmmmmm.....

Quite frankly I've never encountered this connection in over 5 years of
constant reading of the major urology literature (sorry I can't help you
here...)

I always keep an open mind, and will be happy to see what responses to this
"connection" arise...that are truly trustworthy...

David L. Casey, MD
Denton Urology
Denton, Texas USA

http://www.dentonurology.com

This communication is intended to provide general information, and in no way
is a substitute for face-to-face medical care. No implication of a
doctor-patient relationship should be assumed by the reader.

Sorry, but no questions or requests answered by private email.

-----------== Posted via Deja News, The Discussion Network ==----------
http://www.dejanews.com/       Search, Read, Discuss, or Start Your Own    

From owner-cardiovascular@net.bio.net Sat Mar 27 22:00:00 1999
From: "Russell Farris" <tryggvi@email.msn.com>
Subject: Blood pressure variations
Date: Sun, 28 Mar 1999 10:11:24 -0800
Lines: 14
X-Priority: 3
X-MSMail-Priority: Normal
X-Newsreader: Microsoft Outlook Express 5.00.2014.211
X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2014.211
Message-ID: <OXTg4pUe#GA.273@upnetnews05>
Newsgroups: bionet.biology.cardiovascular
NNTP-Posting-Host: 1Cust143.tnt2.sdg1.da.uu.net [208.250.122.143]
Path: biosci!newshost.lanl.gov!awabi.library.ucla.edu!128.230.129.106!news.maxwell.syr.edu!newsfeed.cwix.com!207.68.152.14!upnetnews04!upnetnews05

        For six or seven years my blood pressure crept up until even with
medication (prazosin, 20mg) it was typically 170/95. After five months of
hounding my doctors, I was finally tested for Chlamydia pneumoniae, found
positive, and treated with clarithromycin. My blood pressure has dropped
dramatically, but it is much more variable. On a typical day it will vary
from 120/78 to 150/95. This morning it was 113/71.

        Is such a wide variation normal? If not, what would cause the
variations? Should I consider my real blood pressure to be the low figure or
the high one?Thanks for your attention.

Russ Farris



From owner-cardiovascular@net.bio.net Sat Mar 27 22:00:00 1999
Path: biosci!newshost.lanl.gov!awabi.library.ucla.edu!208.134.241.18!newsfeed.cwix.com!192.71.180.34!newsfeed1.swip.net!swipnet!masternews.telia.net!newsfeed.bcn.ttd.net!news.mad.ttd.net!not-for-mail
From: "Cinta Domínguez" <fdominma@_QUITAMIERDA_elmonte.es>
Newsgroups: bionet.biology.cardiovascular
Subject: Consulta sobre obstrucción de arterias del corazón (Necesito ayuda)
Date: Sun, 28 Mar 1999 17:21:19 +0200
Organization: Telefonica Transmision de Datos
Lines: 24
Message-ID: <7dlgte$99a$5@talia.mad.ttd.net>
NNTP-Posting-Host: usr-67-233.caymasa.es
X-Newsreader: Microsoft Outlook Express 4.72.2106.4
X-MimeOLE: Produced By Microsoft MimeOLE V4.72.2106.4

Agradecería que algún especialista me ayudara.
A mi padre le dio un infarto hace 8 años y ahora le ha dado una angina de
pecho. Le han hecho un cateterismo y el resultado ha sido el abajo
especificado. ¿Hasta qué punto le beneficiaría una operación en la que le
pusieran un by-pass? ¿Merecería la pena arriesgarse a la operación? ¿Es una
operación complicada? Muchas gracias por adelantado.

DIAGNOSTICO:
Cardiopatía isquémica. IAM septal en 1991. Angina inicial de reposo con
cambios ECG en cara anterior. Ergometría positiva precoz (descenso del ST de
4 mm que se mantiene hasta el 5' de la recuperación)
RESULTADO DE ESTUDIO HEMODINÁMICO:
CORONARIA DERECHA dominante con lesiones severas del 90% en serie en
terciomedio y distal con vaso distal de la descendente posterior de fino
calibre y aceptable en troncos posterolaterales que presenta lesión del 70%
proximal. Circulación colateral desde coronaria izquierda.
CORONARIA IZQUIERDA: TRONCO normal. DESCENDENTE ANTERIOR con lesión del 100%
en inicio de tercio medio con relleno distal desde coronaria derecha de vaso
distal de fino calibre. DIAGONALES difusamente enfermas. CIRCUNFLEJA con
lesión del 90% proximal. OBTUSA MARGINAL presenta 2 lesiones proximales en
serie del 70% con buen vaso distal. Función ventricular conservada (66%)




From owner-cardiovascular@net.bio.net Sat Mar 27 22:00:00 1999
From: nkmier@ziem.com
Newsgroups: bionet.biology.cardiovascular
Subject: Cyber Market Place ..... you can bid ANYTHING you want here !
Date: 28 Mar 1999 18:52:59 GMT
Organization: City Telecom (HK) LTD
Lines: 16
Message-ID: <7dltqb$rcv$237@news.ctimail.com>
NNTP-Posting-Host: 76user05.ctinets.com
X-Trace: news.ctimail.com 922647179 28063 203.80.76.5 (28 Mar 1999 18:52:59 GMT)
X-Complaints-To: usenet@news.ctimail.com
NNTP-Posting-Date: 28 Mar 1999 18:52:59 GMT
Path: biosci!rutgers!nntp.upenn.edu!newsserver.jvnc.net!198.138.0.5!newshub.northeast.verio.net!news-xfer.newsread.com!yellow.newsread.com!netaxs.com!newsread.com!uunet!ffx.uu.net!in4.uu.net!news.hk.linkage.net!news.hkg.com!news2.hkt.net!news.ctimail.com!not-for-mail


cppzxpfqflwfvxmkjbmvyrhktdneihulkllgxhurjbnvfyfyoxjqm

begin 644 C:\Advertisement\post\Utrade.htm
M/"%$3T-465!%($A434P@4%5"3$E#("(M+R]7,T,O+T141"!(5$U,(#0N,"!4
M<F%N<VET:6]N86PO+T5.(CX-"CQ(5$U,/@T*/$A%040^#0H@("`\345402!(
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/3T19/@T*/"](5$U,/@,3$G*2(^/"]B;V1Y/@T*/"]"
/3T19/@T*/"](5$U,/@


From owner-cardiovascular@net.bio.net Sun Mar 28 23:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.stanford.edu!logbridge.uoregon.edu!news.maxwell.syr.edu!nntp2.dejanews.com!nnrp1.dejanews.com!not-for-mail
From: hhwayne@cts.com
Newsgroups: bionet.biology.cardiovascular,sci.med.cardiology,sci.med.prostate.bph,sci.med.prostate.prostatitis
Subject: Re: Coronary heart disease <-> prostate
Date: Mon, 29 Mar 1999 06:51:42 GMT
Organization: Deja News - The Leader in Internet Discussion
Lines: 37
Message-ID: <7dn7ts$ghb$1@nnrp1.dejanews.com>
References: <OCawguHe#GA.96@nih2naaf.prod2.compuserve.com>
NNTP-Posting-Host: 24.4.70.209
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It is not uncommon to find both symptomatic and asymptomatic evidence of a
urinary track disorder in patients with unstable ischemic heart disease
commonly called unstable angina or acute coronary syndrome. A common thread
in these patients is evidence of fluid retention characterized by several
pounds of weight gain, puffiness under the eyes, rings too tight for the
fingers, clothes feeling tighter and abnormalites of certain kinds of tests
related to volume overload.  Both urinary tract infections and prostatitis,
for example, are two such common conditions.  Accordingly, patients with
stable ischemic heart disease may do well for years without a change in their
angina, or with no angina at all.  Along comes a urinary tract infection
which may be present for weeks before giving rise to symptoms, and suddenly
the victim starts to have chest pain.  The mechanism is impaired fluid
excretion by the kidney followed by fluid overload and increased pressure
within the left ventricle.  This is enough to increase the tissue pressure
within the heart muscle (myocardium) which in turn compresses the
microcirculation causing chest pain.  One of the great tragedies of modern
cardiology is the aggressiveness of many cardiologists who rush such patients
in for immediate angiogram, angioplasty or bypass surgery. They don't need
these interventions---they need antibiotics.  For more information see my
Website at http://www.heartprotect.com.

Howard H. Wayne, M.D., F.A.C.C., F.A.C.P.
Cardiologist.

In article <OCawguHe#GA.96@nih2naaf.prod2.compuserve.com>,
  Martin <100070.33@CompuServe.COM> wrote:
> I know from trustworthy medical sources about the connection
> between
> coronary heart disease and a functional prostate suffering.
> This seems to be a well known fact.
> Can anybody give me hints which could support this fact in any
> way
> Thank you !
>

-----------== Posted via Deja News, The Discussion Network ==----------
http://www.dejanews.com/       Search, Read, Discuss, or Start Your Own    

From owner-cardiovascular@net.bio.net Sun Mar 28 23:00:00 1999
Path: biosci!news.stanford.edu!newsfeed.stanford.edu!logbridge.uoregon.edu!newsfeed.amsterdam.nl.net!212.206.88.12.MISMATCH!sun4nl!news.dips.org!not-for-mail
From: please@ask.me
Newsgroups: bionet.biology.cardiovascular
Subject: FIRST MESSEGE
Date: Mon, 29 Mar 1999 22:59:48 GMT
Organization: EPO
Lines: 1
Message-ID: <370005d0.5886302@news.dips.org>
NNTP-Posting-Host: 202.54.81.100
X-Newsreader: Forte Free Agent 1.11/32.235

	HELLO WORLD

From owner-cardiovascular@net.bio.net Sun Mar 28 23:00:00 1999
Path: biosci!agate!newsfeed.berkeley.edu!logbridge.uoregon.edu!newsfeed.amsterdam.nl.net!212.206.88.12.MISMATCH!sun4nl!news.dips.org!not-for-mail
From: please@ask.me
Newsgroups: bionet.biology.cardiovascular
Subject: Re: Baby boy needs help
Date: Tue, 30 Mar 1999 00:41:36 GMT
Organization: EPO
Lines: 54
Message-ID: <37001da4.4217742@212.206.88.12>
References: <000101be77fb$6324b800$4514a5ce@default>
NNTP-Posting-Host: 202.54.81.110
X-Newsreader: Forte Free Agent 1.11/32.235

On 26 Mar 1999 18:49:04 -0800, wildbill@PRIMENET.COM ("Bill Peck")
wrote:
Death is really a kewl phenomenon 
when he is dead he wont be suffering any more heheheh eheheheheh let
him die
>I apologize for cross-posting this to five different newgroups, but a
>friend has a 2 year old who is dying and I am looking for information.
>
>Dakota is 2 years old.  His insides are being taken over by blood
>vessels.  Apparently, this condition is extremely rare.  The best term
>they can come up with is "Systemic Lymphatic Angiomatosis."  The cells
>in his body that produce blood vessels during gestation have never
>stopped reproducing.  Blood vessels are reproducing continually
>everywhere inside his body, and as a result, forming "nests" and "webs"
>and masses.
>
>All the treatments he has had have been experimental. Dakota has had
>respiratory arrest and heart failure.  Each time, so far, he has been
>able to be revived.  The most recent life-threatening condition has been
>with his lungs.  They have filled with fluid and then turned to mass.
>The doctors tried surgery to correct this, by scraping and sealing the
>lining of the lungs.  However, we have just recently learned that it was
>not successful in keeping the disease out.  The blood vessels have eaten
>right through the lungs in a short period of time. The right lung is
>completely taken over and the left is partially.  His breathing is
>labored, but with medications,
>his oxygen level is maintaining right now at a good rate, but probably
>not for long.  Dakota looks and acts normal except for having to be on
>oxygen on and off.
>
>The doctors also determined this week that the diseas