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[考试辅导] 医学考博每日一读:

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发表于 2012-7-20 22:52:00 | 显示全部楼层 |阅读模式
A trial using electricity to shrink the hearts of patients with heart failure is about to start in Liverpool./ U& |3 \8 n3 P# Q4 g5 B1 S/ ]" O0 @
It will involve electrically stimulating one of the nerves leading to the heart, which it is hoped could shrink the heart and improve life expectancy.
( s: K; N# i; P5 PThis is the first trial of the technique in humans, after it was shown to keep rats and dogs alive for longer.
( ^$ W9 D6 D( @/ u  MThis first patient will be operated on in the next few days.
8 D  b8 F4 q5 O: J' M/ ^The heart pumps blood around the body, and when it fails to do this properly people can become tired and out of breath far more quickly. For some patients it feels like running a marathon when they are only sat in an armchair.4 Y0 O- n# p" n& c* h" X* o: Z7 J0 U
Heart failure affects around 900,000 people in the UK and can be the result of high blood pressure, dead heart muscle after a heart attack, or a genetic condition.+ l0 w. `# J* P" o: H& }4 h* Q
Bigger and bigger 8 E% _# s8 P1 {3 A
As the heart loses its ability to pump, it fills with too much blood and becomes stretched over time. The more the heart enlarges, the worse the symptoms.1 A. t$ e( [0 L1 @  E
Surgeons at Liverpool Heart and Chest Hospital and The Royal Liverpool University Hospital hope to reverse the damage.9 S7 u5 @' w0 I9 m) V8 P
They will fit a device - similar to a pacemaker - to the vagus nerve which runs to the heart. Surgeons said the electrical stimulation should "protect the heart" from the effects of the hormone adrenaline.
, H: A! g5 |! @  y3 z, [; ?8 GAdrenaline makes the heart pump harder and faster; this is one of the body's responses to heart failure - but doctors say it becomes toxic over time and damages the heart further. . ~3 [% G# e0 N: w+ o& D
The idea is that by shielding the heart, it will stop enlarging and begin to shrink.3 ~8 O" ^% [8 q0 {
Dr Jay Wright, a consultant cardiologist at Liverpool Heart and Chest Hospital, told the BBC: "We're hoping it will shrink the heart, but it might not be to normal size."
& Y. K* W0 N9 M8 E+ d$ C( j  zHe said shrinkage "would lead to improvement in symptoms - we know that the bigger the heart the worse the symptoms".) \9 S; b; m1 D+ o* ?/ a
Nearly 100 patients will take part in the trial at 30 hospitals around the world.
- n& W+ r, W/ D1 W3 a6 ^. L" U! qThe first will be Carl Jordan, who used to be a paramedic. He has had several heart attacks which have damaged his heart, causing it to become enlarged.8 a& B1 _! a+ p5 P. ^) C' S
He said: "Being the first person to have this device implanted in Liverpool was a huge decision. 7 \5 n$ @4 \  P# {: Y
"My quality of life at the moment is not great, because of the restrictions my condition has imposed on me, especially the breathing problem, as some days this is quite severe and getting worse.
: k/ n- U5 W# K+ i* \- Y"Another factor is I have a young family who, although I am the one with the illness, they too are living with it and see every day what it can do to me, so hopefully it will improve my quality of life as well as the lives of others.", Q$ E) N3 i$ u9 D- f' U$ P4 m" t
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