Wednesday, April 10, 2013

Neutrons help explain ozone poisoning and links to thousands of premature deaths each year

Apr. 9, 2013 ? A research team from Birkbeck, University of London, Royal Holloway University and Uppsala University in Sweden, have helped explain how ozone causes severe respiratory problems and thousands of cases of premature death each year by attacking the fatty lining of our lungs.

In a study published in Langmuir, the team used neutrons from the Institut Laue-Langevin in Grenoble and the UK's ISIS Neutron Source to observe how even a relatively low dose of ozone attacks lipid molecules that line the lung's surface. The presence of the lipid molecules is crucial for the exchange of oxygen and carbon dioxide, as they prevent the wet surfaces of the lung from collapsing.

Ozone is mostly produced in the upper atmosphere as the sun's UV light splits oxygen molecules, but it can also form at ground level from burning fossil fuels. It is known to harm our respiratory systems and is linked to asthma, bronchitis, heart attacks, and other cardiopulmonary problems. A recent study published by the Bloomberg School's Department of Environmental Health Sciences found that stricter ozone emission regulations in the US could prevent over a thousand premature deaths and over a million complaints of respiratory problems each year [1].

However, it remains unclear how exactly ozone causes this damage. One theory is it attacks the lung's surface layers which consist of a layer of water sitting below a mixture of fatty molecules called lipids and proteins that are together known as lung surfactant. The surfactant aids the exchange of oxygen and carbon dioxide during breathing. It does this by reducing surface tension, i.e. the attraction that molecules feel for each other, in the liquid surface layer above, causing these fluids to spread out and provide a greater surface area for gas exchange.

Critically, a lack of adequate surfactant, a deficiency often found naturally in babies born prematurely, can produce similar respiratory health complaints to those mentioned above, even resulting in death in some cases.

This link was further established in 2011 by the same team from Birkbeck who demonstrated that ozone reacted very strongly with the lipid layer, damaging it. However, what exactly is going on and how these reactions might impede the surfactant from doing its job was still unclear.

To investigate further Dr Katherine Thompson from Birkbeck and her team ran neutron reflection studies at the Institut Laue-Langevin in Grenoble and ISIS Neutron Source in Oxfordshire on an artificial lipid monolayer, created to mimic the lung surface. The lipid layer was exposed to a dilute gaseous mixture of ozone, and changes in its structure or surface tension were studied in real time. The concentration of ozone was around 100 parts per billion (0.1 ppm), equivalent to what you might get in a polluted city in the summer.

The use of neutrons meant that Dr Thompson could label different parts of the sample using deuteration, a process whereby a heavier isotope of hydrogen, deuterium, is introduced and contrasted with undeuterated samples to pick out the location of hydrogen atoms. This allowed them to monitor different parts of the molecule separately as they reacted with the ozone.

Using this technique Dr Thompson's team showed that one of the lipid's upwards-facing tails, known as the C9 portion, breaks off during the ozone degradation and is lost from the surface completely. The portion still attached to the lipid head then re-orientates itself and penetrates into the air?water interface. The loss of the C9 portion causes an initial decrease in surface tension which temporarily increases surface area for gas exchange and efficient respiration. However this effect is short-lived as the penetration of the rest of the molecule into the water results in a slow but pronounced rise in surface tension, producing an overall net increase.

Note:

1. Health Benefits from Large-Scale Ozone Reduction in the United States -- Berman et all, Oct 2012

2. Royal Holloway is one of the UK's leading universities. We have a distinguished history of world-changing research and innovative teaching, with an international outlook. Our close-knit community enables students to benefit from a personalised experience, with staff collaborating across facilities to enhance health, science, culture and security on a global scale. Set in 135 acres of parkland in Surrey, our campus is recognised as one of the most beautiful in the world, and the pioneering spirit of our founders continues to inspire teaching and research today.

3. Birkbeck, University of London, is a world-class research and teaching institution, a vibrant centre of academic excellence and London's only specialist provider of evening higher education.Our flexible approach attracts many non-traditional students and we offer them the opportunity to fit university studies around busy lives. Birkbeck encourages applications from students without traditional qualifications and it has a wide range of programmes to suit every entry level.18,000 students study at Birkbeck every year. They join a community that is as diverse and cosmopolitan as London's population.

4. About ILL and ISIS -- the Institut Laue-Langevin (ILL) in Grenoble and ISIS at the Rutherford Appleton Laboratory in the UK are international research centres which have led the world in neutron scattering science and technology. They operate intense neutron sources, feeding beams of neutrons to a suites of 30 to 40 high-performance instruments that are constantly upgraded. Each year 1,200 researchers from over 40 countries visit each of ISIS and ILL to conduct research into condensed matter physics, (green) chemistry, biology, nuclear physics, and materials science. The UK, along with France and Germany is an associate and major funder of the IL; ISIS is owned and operated by the UK Science and Technology Facilities Council.

5. STFC -- The Science and Technology Facilities Council is keeping the UK at the forefront of international science and tackling some of the most significant challenges facing society such as meeting our future energy needs, monitoring and understanding climate change, and global security. The Council has a broad science portfolio and works with the academic and industrial communities to share its expertise in materials science, space and ground-based astronomy technologies, laser science, microelectronics, wafer scale manufacturing, particle and nuclear physics, alternative energy production, radio communications and radar.

The next step for Katherine and her colleagues is to look at adapting the model, to represent the condition of people with various forms of chronic respiratory problem and attempt to understand why ozone seems to affect them worse than others.

Dr Katherine Thompson, Birkbeck, University of London said: "We are not completely sure what causes the second stage of tension increase. The damaged lipid might be slowly dissolving in the water and leaving the interface entirely, or a slow reaction might be occurring that is damaging another part of the lipid not directly attacked by ozone. What we can say is that the slow increase in surface tension that occurs as a result of the ozone exposure would certainly damage the ability of our lungs to process oxygen and carbon dioxide, and could account for the respiratory problems associated with ozone poisoning."

Dr Martin King from Royal Holloway University said: "This important study shows how a key air pollutant has a detrimental effect on the human lung and could impair breathing. It is essential that a complex mixture of air pollutants -- for example Ozone and nitrogen oxides -- and the effect of inhaled particulate matter on the lung, is looked at next."

Dr Richard Campbell from the Institut Laue-Langevin said: "Neutrons are an ideal tool for studying biological materials, particularly their reactions and interactions on surfaces and across interfaces. They are highly sensitive to lighter atoms such as carbon, hydrogen and oxygen that make up these organic molecules and isotopic labelling can be used to determine the structure and composition of interfacial layers. As one of the world's brightest neutron sources, the ILL has a long history of modelling important micro-scale processes that take place inside our bodies and providing ground-breaking insights that inform the next generation of treatments."

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The above story is reprinted from materials provided by Royal Holloway, University of London, via EurekAlert!, a service of AAAS.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


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Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/top_health/~3/P39my8Nuvq4/130409211934.htm

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4-year-old boy recovers from new bird flu in China

Rats infest the empty chicken cages at a live poultry wholesale market in Shanghai, China Wednesday, April 10, 2013. China says two more people have died of a new strain of bird flu, bringing the death toll to nine. Shanghai has suspended sales of live poultry. (AP Photo/Eugene Hoshiko)

Rats infest the empty chicken cages at a live poultry wholesale market in Shanghai, China Wednesday, April 10, 2013. China says two more people have died of a new strain of bird flu, bringing the death toll to nine. Shanghai has suspended sales of live poultry. (AP Photo/Eugene Hoshiko)

Pigeons rest at a park in Shanghai, China Wednesday, April 10, 2013. China says two more people have died of a new strain of bird flu, bringing the death toll to nine. (AP Photo/Eugene Hoshiko)

A breeder cares pigeons in a cage on the rooftop in Shanghai, China Wednesday, April 10, 2013. China sayid two more people have died of a new strain of bird flu, bringing the death toll to nine. Shanghai has suspended sales of live poultry. (AP Photo/Eugene Hoshiko)

A worker pulls a cart though an empty live poultry wholesale market in Shanghai, China Wednesday, April 10, 2013. China said two more people have died of a new strain of bird flu, bringing the death toll to nine. Shanghai has suspended sales of live poultry. (AP Photo/Eugene Hoshiko)

A worker walks though an empty live poultry wholesale market in Shanghai, China Wednesday, April 10, 2013. China said two more people have died of a new strain of bird flu, bringing the death toll to nine. Shanghai has suspended sales of live poultry. (AP Photo/Eugene Hoshiko)

(AP) ? A 4-year-old boy has recovered from a new strain of bird flu that has killed nine people in China, a doctor said Wednesday.

The child from Shanghai is among 33 people confirmed to have been infected with the H7N9 virus. The official Xinhua News Agency said he was the first to completely recover and be discharged from a hospital.

A doctor at the Infectious Disease Department of the Pediatric Hospital affiliated with Shanghai's Fudan University confirmed the boy had recovered and left the hospital, but said she didn't know if it was the first recovery from H7N9. She refused to give her name, as Chinese officials often do.

Five new cases of H7N9 infection were reported on Wednesday. Two of those were in Shanghai, two in Jiangsu province, and one in Zhejiang province, according to the websites of the provincial and city health authorities. Both Zhejiang and Jiangsu border Shanghai.

China announced the first known cases on March 31, sparking concern among experts worldwide because it was the first time the strain of bird flu has been known to infect humans. They fear the virus could mutate in a way that allows it to spread easily among people, but so far there has been no sign of human-to-human transmission.

Chinese health officials believe people may be getting sick from direct contact with infected fowl, but the virus is hard to track because it appears to be spreading in birds without making them ill. The World Health Organization says at least two family clusters are being investigated, but that there is no evidence of infections among other contacts or health workers who cared for them. There have been no reported cases outside of eastern China.

Xinhua also said Wednesday that police in southwest China detained three people for up to 10 days for spreading false rumors online that the H7N9 virus had been detected in a live poultry market in Guizhou province. It said the report was reposted many times, causing fear among local people.

Meanwhile, Indonesia announced it is suspending the import of poultry products from China.

Vice Agriculture Minister Rusman Heriawan said the ban was signed Wednesday and would be lifted after the Chinese government confirms the country is free of the virus.

Indonesia currently only imports duck feathers from China, used to make shuttlecocks in the badminton-obsessed country. Some have expressed fears that the ban may lead to a shuttlecock shortage.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/bbd825583c8542898e6fa7d440b9febc/Article_2013-04-10-China-Bird%20Flu/id-26e4da5198bb4d229e3184f7585d09b6

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Adobe Launches Primetime To Facilitate TV Everywhere Services, Signs Up Comcast & NBC Sports As Customers

nbc sportsAdobe has changed the way it sells technology used to enabled high-quality streaming services from TV networks and other video providers. With the launch of Adobe Primetime -- previously know as Project Primetime -- the technology company is providing a suite of tools for video delivery. And it's signed up a couple of big new clients for the suite of products.

Source: http://feedproxy.google.com/~r/Techcrunch/~3/Bi62ga6OZAQ/

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Louisville beats Michigan 82-76 to win NCAA title

ATLANTA (AP) ? Luke Hancock made all five of his 3-pointers and led Louisville to its first NCAA men's basketball championship since 1986 with an 82-76 victory over Michigan on Monday night.

Coach Rick Pitino added this title to the one he won at Kentucky in 1996 and is the first coach to win a championship at two schools. Earlier in the day, Pitino was elected to the Naismith Memorial Hall of Fame.

Hancock scored 22 points and Peyton Siva had 18 for the Cardinals (35-5), who trailed by 12 late in the first half before rallying for the school's third national title.

Trey Burke had 24 points for Michigan (31-8), which was in the final for the first time since the Fab Five led the Wolverines there in 1993. Little-used freshman Spike Albrecht added 17 points.

But the celebration belonged to the Cardinals, who added this to a Sugar Bowl victory this year and also have their women's team in Tuesday's national final against Connecticut.

Chane Behanan scored nine quick points early in the second half to help Louisville take the lead after trailing by double digits.

Behanan finished with 15 points and 13 rebounds, including eight on the offensive glass.

Albrecht came in for Burke and made his first four 3-point attempts, scoring all his points in the opening half. Albrecht finally missed with a little more than 11 minutes left; he was still 9 for 10 from long range for the tournament.

Hancock made all four of his 3-pointers to start a 14-1 run for Louisville that briefly gave the Cardinals a one-point lead late in the first half after they trailed by 12. Michigan's Glenn Robinson III made two free throws with 2 seconds left to give the Wolverines the lead at the half but Louisville led by as many as five early in the second.

The Cardinals came in having won six games this season after trailing by 10 or more, including Saturday night's semifinals, when they beat Wichita State 72-68 after also falling behind by 12.

It was a scintillating final act of a season that has been more of a grind, with scoring at its lowest (67.49 points per team) since 1951-52 and shooting at its worst (43.3 percent) since 1964-65.

The 131.2-points-per-game average during March Madness is the lowest since the 3-point line was brought to the game in 1987, though the teams had surpassed that with 5:30 left.

Sitting on the bench with the Cardinals was sophomore guard Kevin Ware, the team's inspiration since snapping his tibia in the regional final last weekend.

Needing a pickup without Ware, Hancock led the scoring against Wichita State. And rarely used walk-on Tim Henderson made two key 3-pointers during the comeback.

Pitino, meanwhile, was working the sideline hours after being chosen for the Naismith Memorial Hall of Fame.

Russ Smith, the Louisville team leader who Pitino has nicknamed "Russdiculous" for some of his wild ? and wildly effective ? antics on the court, finished with nine points on 3-of-16 shooting.

Michigan topped Syracuse 61-56 on Saturday despite an off night from Burke, who finished with only seven points on 1-for-8 shooting.

Burke, a sophomore, seriously considered leaving for the NBA after last season but decided he had unfinished business left in Ann Arbor. He picked up the AP Player of the Year award, among others, and is now one victory away from the ultimate prize in college hoops.

Source: http://news.yahoo.com/louisville-beats-michigan-82-76-win-ncaa-title-034922701--spt.html

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Retinoic acid gradient visualized for the first time in an embryo

Monday, April 8, 2013

In a ground-breaking study, researchers from the RIKEN Brain Science Institute in Japan report a new technique that allows them to visualize the distribution of retinoic acid in a live zebrafish embryo, in real-time. This technique enabled them to observe two concentration gradients going in opposing directions along the head-to-tail axis of the embryo, thus providing long-awaited evidence that retinoic acid is a morphogen.

The report, published today in the journal Nature, puts an end to a long-standing debate around the presence of retinoic acid gradients across the vertebrate embryo, during the early stages of development. It also sheds light on the role of retinoic acid in tissue development.

Retinoic acid has been thought to be a morphogen, a signalling molecule that diffuses throughout the embryo switching genes on and off and imparting different cell fates depending on its concentration. However, retinoic acid concentration gradients had never been visualized because retinoic acid cannot be tagged with the commonly used 'green fluorescent protein' GFP, or GFP-like proteins, as label.

"Until now no one had succeeded in monitoring the concentration of retinoic acid in real-time in a live embryo, and there was no direct data proving the existence of a retinoic acid gradient in the vertebrate embryo, explains Dr. Miyawaki, who led the research.

In order to monitor the concentration of retinoic acid in live zebrafish embryos at the early stages of their development, Dr. Miyawaki and his colleague Dr. Shimozono developed a technique to tag the molecule that acts as receptor for retinoic acid with genetically-encoded, coloured fluorophores. Based on the principle of fluorescence resonance energy transfer (FRET), the tags allow them to visualize the presence of retinoic acid and quantitatively determine its concentration over time.

By combining this technique with pharmacological and genetic manipulations, Miyawaki and his team demonstrate the presence of two linear retinoic acid concentration gradients across the antero-posterior axis of the embryo, from the trunk area to the head and the tail. Their findings suggest that retinoic acid diffuses quickly, thus establishing stable and robust gradients that are resistant to external perturbations.

"A better understanding of the gradients of retinoic acid is essential for research into the patterns of tissue development. It is necessary if we ever want to control the development of three-dimensional tissue structures from induced pluripotent stem cells, for regenerative medicine for example," concludes Dr. Miyawaki.

###

RIKEN: http://www.riken.jp/engn/

Thanks to RIKEN for this article.

This press release was posted to serve as a topic for discussion. Please comment below. We try our best to only post press releases that are associated with peer reviewed scientific literature. Critical discussions of the research are appreciated. If you need help finding a link to the original article, please contact us on twitter or via e-mail.

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Source: http://www.labspaces.net/127627/Retinoic_acid_gradient_visualized_for_the_first_time_in_an_embryo

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Tuesday, April 9, 2013

Mod Men: Shutterstock Explores What The World Of 'Mad Men' Would Look Like Today (PHOTOS)

Just in case you haven't noticed already, "Mad Men," everyone's favorite 1960s period drama depicting the sexy world of advertising elite, is back on the air. Don't worry, we won't give away any spoilers as to what Don Draper and company are up to in the years 1967-68. But the sixth season's mini fast forward in time did get some people thinking... what would the world of "Mad Men" look like today?

mad men


The answer can be found in Mod Men, a series Imagined by Shutterstock's creative designers, which uses simple split-screen pictures to show what the TV universe would look like five decades later. Take Don Draper's leather briefcase, for example. Would that svelte piece of luggage see the light of day in the age of the Cloud? Probably not, we're sorry to say.

Scroll through the slideshow below to see what the designers had in store for Peggy Olsen, Joan Harris and Pete Campbell. Let us know your additions to Mod Men in the comments.

[h/t Visual News]

  • Betty Francis

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Betty Francis</a>

  • Peggy Olson

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Peggy Olson</a>

  • Joan Harris

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Joan Harris</a>

  • Pete Campbell

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Pete Campbell</a>

  • Roger Sterling

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Roger Sterling</a>

  • Don Draper

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Don Draper</a>

  • Mod Men

    <a href="http://www.shutterstock.com/blog/2013/04/mod-men-the-world-of-mad-men-through-a-21st-century-lens/" target="_blank">Mod Men</a>

Related on HuffPost:

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Source: http://www.huffingtonpost.com/2013/04/08/mod-men-shutterstock-explores-what-mad-men-would-look-like-now_n_3038266.html

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Cleveland Clinic research: Prior chest radiation grows risk of death after heart surgery

Cleveland Clinic research: Prior chest radiation grows risk of death after heart surgery [ Back to EurekAlert! ] Public release date: 8-Apr-2013
[ | E-mail | Share Share ]

Contact: Wyatt DuBois
duboisw@ccf.org
216-445-9946
Cleveland Clinic

Despite comparable pre-surgery risk scores, patients with radiation heart disease found to be at much greater risk years after surgery

Monday, April 8, 2013, Cleveland: Patients who have open heart surgery for heart disease caused by radiation cancer treatment are nearly twice as likely to die in the years following their surgery compared to similar patients who did not undergo radiation treatment, according to new research from Cleveland Clinic published today in the American Heart Association journal Circulation.

The team of researchers, led by Milind Desai, M.D., a cardiologist in the Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic, examined 173 patients who underwent heart surgery an average of 18 years after receiving chest radiation for cancer and compared the mortality rates to 305 similar heart surgery patients who did not undergo prior radiation. After an average follow-up of 7.6 years, 55 percent of the patients in the radiation group had died, compared to 28 percent in the non-radiation group. Short-term mortality (including 30-day mortality) were not significantly different. In the cases where cause of death could be ascertained, the vast majority died as a result of heart or lung disease and not from recurring cancer.

"Even with low-risk scores and procedural success, chest radiation years or even decades prior to heart surgery puts patients at a much higher risk for long-term events," said Dr. Desai. "Further research needs to be done to understand this patient population and to better stratify their risk so that we can identify the most effective ways to treat their complex disease."

Radiation therapy is often the most effective way to treat cancers that affect the chest, including cancers of the breast and lung, and Hodgkin and non-Hodgkin lymphoma. But radiation can cause problems for the heart and its surrounding structure that often manifest themselves years, even decades, later. Long term, chest radiation can cause coronary artery disease, valve disease, cardiomyopathy -- or weakening of the heart muscle -- and problems with the electronic signals that make the heart beat.

"In radiation heart disease patients, we often see a very peculiar presentation of cardiac disease," Dr. Desai said. "These are often younger patients than typically present with advanced heart disease, and they often have aggressive coronary artery blockages, valve narrowing or leakage -- in many cases involving multiple valves -- and thickening of the sac around the heart."

The researchers say that it's important for physicians to recognize when the heart disease is caused by radiation and then decide on the best strategy to treat these patients.

"Not all of these patients are at the same level of risk there is a spectrum of risk," Dr. Desai said. "We need to develop ways to identify the risks and better determine which patients would benefit from surgery versus other treatments, like percutaneous interventions, for example."

Dr. Desai said it's important for cancer patients who receive chest radiation to know the risks to their hearts and be aware that they could encounter heart disease down the road.

"If you have had prior chest radiation and you are now experiencing heart problems, the two could be linked," he said. "It's vital that you discuss it with your doctor and find a treatment center experienced in treating patients with radiation heart disease one that has doctors who understand the disease and have the expertise to diagnose and effectively treat it."

###

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S.News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual "America's Best Hospitals" survey. More than 3,000 full-time salaried physicians and researchers and 11,000 nurses represent 120 medical specialties and subspecialties. The Cleveland Clinic health system includes a main campus near downtown Cleveland, more than 75 Northern Ohio outpatient locations, including 16 full-service Family Health Centers, Cleveland Clinic Florida, the Lou Ruvo Center for Brain Health in Las Vegas, Cleveland Clinic Canada, and, currently under construction, Cleveland Clinic Abu Dhabi. In 2012, there were 5.1 million outpatient visits throughout the Cleveland Clinic health system and 157,000 hospital admissions. Patients came for treatment from every state and from more than 130 countries. Visit us at http://www.clevelandclinic.org. Follow us at http://www.twitter.com/ClevelandClinic.

Contact: Wyatt DuBois, 216.445.9946, duboisw@ccf.org
Tora Vinci, 216.444.2412, vinciv@ccf.org


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Cleveland Clinic research: Prior chest radiation grows risk of death after heart surgery [ Back to EurekAlert! ] Public release date: 8-Apr-2013
[ | E-mail | Share Share ]

Contact: Wyatt DuBois
duboisw@ccf.org
216-445-9946
Cleveland Clinic

Despite comparable pre-surgery risk scores, patients with radiation heart disease found to be at much greater risk years after surgery

Monday, April 8, 2013, Cleveland: Patients who have open heart surgery for heart disease caused by radiation cancer treatment are nearly twice as likely to die in the years following their surgery compared to similar patients who did not undergo radiation treatment, according to new research from Cleveland Clinic published today in the American Heart Association journal Circulation.

The team of researchers, led by Milind Desai, M.D., a cardiologist in the Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic, examined 173 patients who underwent heart surgery an average of 18 years after receiving chest radiation for cancer and compared the mortality rates to 305 similar heart surgery patients who did not undergo prior radiation. After an average follow-up of 7.6 years, 55 percent of the patients in the radiation group had died, compared to 28 percent in the non-radiation group. Short-term mortality (including 30-day mortality) were not significantly different. In the cases where cause of death could be ascertained, the vast majority died as a result of heart or lung disease and not from recurring cancer.

"Even with low-risk scores and procedural success, chest radiation years or even decades prior to heart surgery puts patients at a much higher risk for long-term events," said Dr. Desai. "Further research needs to be done to understand this patient population and to better stratify their risk so that we can identify the most effective ways to treat their complex disease."

Radiation therapy is often the most effective way to treat cancers that affect the chest, including cancers of the breast and lung, and Hodgkin and non-Hodgkin lymphoma. But radiation can cause problems for the heart and its surrounding structure that often manifest themselves years, even decades, later. Long term, chest radiation can cause coronary artery disease, valve disease, cardiomyopathy -- or weakening of the heart muscle -- and problems with the electronic signals that make the heart beat.

"In radiation heart disease patients, we often see a very peculiar presentation of cardiac disease," Dr. Desai said. "These are often younger patients than typically present with advanced heart disease, and they often have aggressive coronary artery blockages, valve narrowing or leakage -- in many cases involving multiple valves -- and thickening of the sac around the heart."

The researchers say that it's important for physicians to recognize when the heart disease is caused by radiation and then decide on the best strategy to treat these patients.

"Not all of these patients are at the same level of risk there is a spectrum of risk," Dr. Desai said. "We need to develop ways to identify the risks and better determine which patients would benefit from surgery versus other treatments, like percutaneous interventions, for example."

Dr. Desai said it's important for cancer patients who receive chest radiation to know the risks to their hearts and be aware that they could encounter heart disease down the road.

"If you have had prior chest radiation and you are now experiencing heart problems, the two could be linked," he said. "It's vital that you discuss it with your doctor and find a treatment center experienced in treating patients with radiation heart disease one that has doctors who understand the disease and have the expertise to diagnose and effectively treat it."

###

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S.News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual "America's Best Hospitals" survey. More than 3,000 full-time salaried physicians and researchers and 11,000 nurses represent 120 medical specialties and subspecialties. The Cleveland Clinic health system includes a main campus near downtown Cleveland, more than 75 Northern Ohio outpatient locations, including 16 full-service Family Health Centers, Cleveland Clinic Florida, the Lou Ruvo Center for Brain Health in Las Vegas, Cleveland Clinic Canada, and, currently under construction, Cleveland Clinic Abu Dhabi. In 2012, there were 5.1 million outpatient visits throughout the Cleveland Clinic health system and 157,000 hospital admissions. Patients came for treatment from every state and from more than 130 countries. Visit us at http://www.clevelandclinic.org. Follow us at http://www.twitter.com/ClevelandClinic.

Contact: Wyatt DuBois, 216.445.9946, duboisw@ccf.org
Tora Vinci, 216.444.2412, vinciv@ccf.org


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2013-04/cc-ccr040813.php

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