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Cardiovascular diseases (CVDs) are the leading cause of death and disability worldwide. The aging population and the rapidly increasing prevalence of obesity and type 2 diabetes will contribute to a growing epidemic of CVDs globally. Despite the extensive investigations in etiology, the pathogenesis of CVDs still not fully understand, and the treatment and prevention for CVDs are still limited. Significant interest has been raised in gut microbiota-host interaction since increasing evidence revealed that gut microbiomes play an important role in human health and diseases, including CVDs. Among more than two thousand gut microbiota metabolites, a compound named trimethylamine N-oxide (TMAO) was revealed to be closely related to CVDs. However, the impact of TMAO on cardiovascular health is still full of controversy and the direct impact of TMAO on heart tissue and cardiomyocytes has not been fully understood yet. In the first chapter, we reviewed the literature on TMAO-related atherosclerosis and cardiomyopathy to give us a general aspect of current research progress in the role of TMAO on CVDs. In this context, we provide an overview of the potential mechanisms underlying TMAO-induced cardiovascular diseases at the cellular and molecular levels, with a focus on atherosclerosis and cardiomyopathy. We also address the direct effects of TMAO on cardiomyocytes (a new and under-researched area) and finally propose TMAO as a potential biomarker and/or therapeutic target for the diagnosis and treatment of patients with CVDs. In the second chapter, the direct impact of TMAO on cardiac function was tested in vivo using wild-type C57B6L mice model. Four experiment groups were enrolled in the feeding protocol, which included 3w (different time points), 6w, and 13w feeding time to reveal the impact of short and longer periods of TMAO consumption on cardiac function. The plasma TMAO was measured by liquid chromatography-tandem mass spectrometry (LC/MS/MS) method at the end of the feeding protocol. Echocardiography and electrocardiography (ECG) were performed to assess the overall heart function. The histopathology staining was used to evaluate the cardiac microstructure change. By the end of the feeding protocol, the plasma TMAO all increased significantly in the TMAO group compared to the control no matter the TMAO feeding period. Echocardiography showed that 6w and 13w TMAO intake could significantly decrease cardiac contractility evidenced by decreased eject fraction (EF) and fraction shortening (FS). The electrocardiography (ECG) showed decreased R wave aptitude in 6w and 13w TMAO feed group with sinus rhythm. However, 3w TMAO intake had no impact on both cardiac contractability and ECG. Moreover, chronic TMAO supplement (13w) showed increased left ventricle (LV) mass on echocardiography and increased LV thickness on the tissue section. Further histology analysis revealed cardiomyocyte hypertrophy in the 13w TMAO-treated male group. Notably, the female mice showed significantly higher TMAO levels both in the control and treated group compared to the male, however, no gender difference was observed as to the ECG and echocardiography. In addition, the plasma inflammation cytokines were also analyzed and the tumor necrosis factor-α (TNF- α), interleukin 10 (IL-10), Fibroblast growth factor 2 (FGF β) and leptin were all increased in the 13w TMAO treated group compared to the control. These results suggest that chronic TMAO exposure led to increased plasma TMAO levels, which contribute to system inflammation and cardiac dysfunction due to cardiac hypertrophy in mice models. Research in chapter 3 demonstrates the potential underlying mechanisms of TMAO-induced cardiac dysfunction using adult mouse cardiomyocytes. In this study, we examined the direct effect of TMAO on reactive oxidative species (ROS) generation and factors related to cardiomyocyte contractibility, including, microtubule, Connexin43 (Cx43) expression, and gap junction intracellular communication (GJIC), intracellular calcium dynamics and transversal-tubule (T-tubule) both in acute and chronic TMAO challenge. Moreover, we also tested whether TMAO can enter cardiomyocytes directly. The results suggested that TMAO could enter cardiomyocytes through organic cation transporters (OCTs) and promote increased ROS generation via augmentation of NADPH oxidase 4 (Nox4). Moreover, both acute and chronic TMAO exposure could induce microtubule densification, which plays a critical role in intracellular protein transportation and cardiomyocyte morphology maintenance. We also demonstrated chronic TMAO exposure could inhibit the Cx43 expression at both cellular and tissue level, and therefore impact the GJIC for the first time. Besides, we also revealed that TMAO could interrupt intracellular calcium handling both acutely and chronically, especially documented by decreased efficiency in intracellular calcium removal, related to decreased sarcoplasmic reticulum Ca2+-ATPase (Serca2) expression. However, TMAO showed no impact on cardiomyocyte T-tubule network organization. Taken together, we demonstrated a direct destructive role of TMAO on cardiomyocytes' functional properties and provided a novel potential mechanism for TMAO-induced cardiac dysfunction. Overall, the research in this dissertation demonstrated the direct impact of TMAO on cardiomyocytes and cardiac function both in vivo and in vitro and evaluated the effect of TMAO both acutely and chronically. The TMAO can enter cardiomyocytes and induce Nox4-mediated oxidative stress, which could connect to multiple intracellular pathways, including microtubule densification, decreased Cx43 expression, and GJIC, as well as calcium handling dysfunction. Meanwhile, all these changes were closely related to the cardiomyocyte swelling observed in mice cardiac tissue after chronic TMAO consumption, which could ultimately contribute to cardiac contractile dysfunction and electrophysiology change in mice models. / Doctor of Philosophy / Cardiovascular diseases (CVDs) are a group of diseases related to our heart and blood vessels, such as heart attack and stroke. It is the leading cause of death and disability around the world, more common than diabetes and cancer. According to the reports of the American Heart Association, CVDs cost America 555 billion US dollars in 2016 while by 2035, the cost will reach 1.1 trillion. The individual, population, and economic impact of CVDs are tremendous, making CVD one of the largest public health problems at present. Despite the extensive investigations into the cause of CVDs, the exact underlying reason still not fully understand. The microbiome inside our body has raised much attention recently due to its close relationship with human health, including CVDs. The microbiome from the gut can affect our heart health both by affecting the immune system and its metabolites after we eat daily foods. Among thousands of metabolites, one named trimethylamine N-oxide (TMAO) has been shown to be related to increased CVDs risks. After we eat choline-rich food such as red meat and eggs, the gut microbiome can use these nutrients and produce TMA as metabolite waste, the TMA then goes into the liver and convert to TMAO via liver enzymes. However, the impact of TMAO on cardiovascular health is not fully understood yet. Our study uses the mice model to test whether TMAO has a direct impact on heat cells and heart function. We fed the mice with water containing 0.12% TMAO for different times including 3w, 6w, and 13w, and then check the mice's heart function through heart ultrasound and ECG. The results showed that TMAO could significantly harm heart function after long-term exposure in mice (13w). Further histology analysis of heart tissue showed increased heart cell size, which may contribute to decreased heart function. Certain blood inflammation cytokines related to CVDs also increased. The experiments using isolated mice heart cells showed that the ROS, which could harm the heart cells and related to lots of other damage processes in human health, were increased after exposure to the TMAO. Several other factors, including cell skeleton, cell channels responsible for cell-to-cell communication, and cell calcium balance were all damaged by TMAO, which could finally induce heart damage and heart diseases.

[EN] Atrial fibrillation (AF) is the most frequently diagnosed arrhythmia, characterized by an uncoordinated atrial electrical activation, thus causing the atria to be unable to pump blood effectively. The prevalence of AF is expected to increase significantly in the next decades as the population ages. However, both the knowledge and the treatment of this arrhythmia still have to experiment a significant progress. Previous studies have reported that AF organization, which can be defined as the repetitiveness degree of the atrial activity pattern, correlates with the arrhythmia status as well as with the therapy outcome. Thus, estimating AF organization from surface electrocardiographic (ECG) recordings constitutes a very interesting approach because ECG recordings are easy and cheap to obtain. The objective of this doctoral thesis is to assess the use of a variety of nonlinear indices in the estimation of AF organization from single-lead noninvasive ECG recordings. Apart from the most common noninvasive AF organization estimators, such as Sample Entropy (SampEn) and the dominant atrial frequency (DAF), the following nonlinear indices have been studied: Fuzzy Entropy, Spectral Entropy, Lempel-Ziv Complexity and Hurst Exponents. Moreover, since the presence of noise and ventricular residuals affects the performance of nonlinear methods, the application of a strategy aimed at reducing these nuisances has been evaluated. Therefore, the application of these metrics over the atrial activity fundamental waveform, named the main atrial wave (MAW), has been proposed. In this doctoral thesis, the following scenarios involving AF organization have been considered: the prediction of paroxysmal AF spontaneous termination, the study of the earlier signs anticipating AF termination and the classification between paroxysmal and persistent AF from short ECG recordings. Firstly, the performance of the studied metrics discriminating events related to AF organization was tested making use of a reference database aimed at predicting AF spontaneous termination. In this study, most of the proposed indices provided higher accuracy than traditional AF organization estimators. Accuracy values higher than 90% were obtained with several indices. In particular, the generalized Hurst exponents of order 1 and 2, H(1) and H(2), achieved outstanding results, thus being selected for later studies in this thesis. Furthermore, the computation of H(2) depends on two critical parameters, namely, the analyzed interval length (L) and the maximum search window for self-similarities (tau). Hence, a study with 660 combinations on these two parameters was performed, together with the sampling frequency (fs) of the recording, in order to obtain their optimal combination in computing AF organization. On the other hand, previous works analyzing the spontaneous termination of AF have been only focused on the last 2 minutes preceding the termination. In contrast, a different scenario considering longer recordings to detect the earlier signs anticipating paroxysmal AF termination has been analyzed for the first time in this thesis. H(2) was selected for the study because of its highest accuracy in AF termination prediction. Additionally, the DAF and SampEn were also computed as references. Through this study it has been corroborated that AF organization only varies significantly within the last 3 minutes before spontaneous termination. As a consequence, the early prediction of paroxysmal AF spontaneous termination does not seem feasible through the current signal analysis tools. Finally, H(2) was applied in the classification between paroxysmal and persistent AF from short ECG recordings, achieving a higher diagnostic accuracy than DAF and SampEn. This result suggests that the analysis of ambulatory ECG recordings through H(2) could be a future alternative to the use of Holter ECG recordings in the classification between paroxysmal and persistent AF. / [ES] La fibrilación auricular (FA) es la arritmia más frecuente y se caracteriza por una actividad auricular descoordinada, que impide que las aurículas bombeen sangre de manera eficaz. Se espera que la prevalencia de la FA aumente significativamente en las próximas décadas debido al envejecimiento de la población. Sin embargo, tanto el conocimiento relativo a esta arritmia como su tratamiento son todavía mejorables. Estudios previos han relacionado la organización de la FA, que se puede definir como el grado de repetitividad de la actividad auricular, con el estado de la arritmia o su respuesta al tratamiento. Además, la estimación de la organización de la FA a partir de registros electrocardiográficos (ECG) de superficie resulta especialmente interesante porque su obtención es sencilla y barata. El objetivo de esta tesis doctoral es evaluar el uso de distintos índices no lineales para estimar la organización de la FA a partir del ECG. Además de los estimadores no invasivos de organización más comunes, como la entropía muestral (SampEn) y la frecuencia auricular dominante (DAF), se han estudiado los siguientes métodos no lineales: la entropía borrosa, la entropía espectral, la complejidad Lempel-Ziv y los exponentes de Hurst. Además, se ha estudiado el uso de una estrategia destinada a la reducción del ruido y los residuos de actividad ventricular para mejorar el desempeño de métodos no lineales. Así, los índices estudiados también se han aplicado sobre la forma de onda fundamental de la actividad auricular, conocida como la onda auricular principal (MAW). Se han considerado los siguientes escenarios relacionados con la organización de la FA: la predicción de la terminación espontánea de la FA paroxística, el estudio de los primeros indicios de terminación espontánea de la FA y la clasificación entre FA paroxística y FA persistente a partir de registros ECG de corta duración. Primero, se estudió la capacidad de los índices estudiados para distinguir eventos relacionados con la organización de la FA mediante el análisis de una base de datos de referencia para la predicción de su terminación espontánea. La mayoría de los índices propuestos consiguieron una mayor precisión que los estimadores tradicionales de organización. Así, varios de los índices obtuvieron una precisión superior al 90% en la predicción de la terminación espontánea de la FA. En particular, los exponentes de Hurst generalizados de orden 1 y 2, H(1) y H(2), lograron los mejores resultados de clasificación. Puesto que el cálculo de H(2) depende de dos parámetros críticos, la longitud del intervalo analizado (L) y el tamaño máximo de la ventana donde buscar similitudes (tau), se llevó a cabo un estudio con 660 combinaciones de esos dos parámetros junto con la frecuencia de muestreo (fs) del registro para determinar el uso óptimo de este índice. Por otra parte, los trabajos previos que han estudiado la terminación espontánea de la FA se han centrado en los últimos 2 minutos antes de la terminación. Por contra, en esta tesis doctoral se han estudiado por primera vez registros de mayor duración para detectar los primeros indicios de la terminación de la FA. Para ello, se eligió el uso de H(2) por su alta precisión en la predicción de la terminación de la FA. Además, la DAF y SampEn se calcularon como referencias. En este estudio se ha comprobado que la organización de la FA solamente presenta variaciones significativas en los últimos 3 minutos antes de su terminación espontánea. Por ello, la predicción temprana de la terminación no parece posible con los medios actuales de análisis de la señal. Por último, se aplicó H(2) para clasificar entre FA paroxística y FA persistente a partir de ECGs de corta duración, obteniendo una mayor precisión diagnóstica que la DAF y SampEn. Este resultado sugiere que el análisis de ECGs ambulatorios por medio de H(2) puede ser en el futuro una alte / [CA] La fibril·lació auricular (FA) és l'arítmia més freqüent i es caracteritza per una activitat auricular descoordinada, que impedix que les aurícules bomben sang de manera eficaç. S'espera que la prevalença de la FA augmente significativament en les pròximes dècades a causa de l'envelliment de la població. No obstant això, tant el coneixement relatiu a esta arítmia com el seu tractament són encara millorables. Estudis previs han relacionat l'organització de la FA, que es pot definir com el grau de repetitivitat de l'activitat auricular, amb l'estat de l'arítmia o la seua resposta al tractament. A més, l'estimació de l'organització de la FA a partir de registres electrocardiogràfics (ECG) de superfície resulta especialment interessant perquè la seua obtenció és senzilla i barata. L'objectiu d'esta tesi doctoral és avaluar l'ús de distints índexs no lineals en l'estimació de l'organització de la FA a partir de l'ECG de superfície. A més dels estimadors no invasius d'organització més comuns, com l'entropia mostral (SampEn) i la freqüència auricular dominant (DAF), s'han estudiat els següents mètodes no lineals: l'entropia borrosa, l'entropia espectral, la complexitat Lempel-Ziv i els exponents de Hurst. A més, s'ha estudiat l'ús d'una estratègia destinada a la reducció del soroll i els residus d'activitat ventricular per a millorar la seua capacitat d'estimar l'organització. Així, doncs, els índexs estudiats també s'han aplicat sobre la forma d'onda fonamental de l'activitat auricular, coneguda com l'onda auricular principal (MAW). S'han considerat els següents escenaris relacionats amb l'organització de la FA: la predicció de la terminació espontània de la FA paroxística, l'estudi dels primers indicis de terminació espontània de la FA i la classificació entre FA paroxística i FA persistent a partir de registres ECG de curta duració. Primer, es va estudiar la capacitat dels índexs estudiats per a distingir esdeveniments relacionats amb l'organització de la FA per mitjà de l'anàlisi d'una base de dades de referència per a la predicció de la seua terminació espontània. La majoria dels índexs proposats van aconseguir una major precisió que els estimadors tradicionals d'organització de la FA. Així, alguns dels índexs van obtindre una precisió superior al 90% en la predicció de la terminació espontània de la FA. En particular, els exponents de Hurst generalitzats d'orde 1 i 2, H(1) i H(2), van aconseguir els millors resultats de classificació. Com el càlcul de H(2) depén de dos paràmetres crítics, la longitud de l'interval analitzat (L) i la grandària màxima de la finestra on buscar similituds (tau), es va dur a terme un estudi amb 660 combinacions d'eixos dos paràmetres junt amb la freqüència de mostratge (fs) del registre per a determinar la combinació òptima de valors per a estimar l'organització de la FA. D'altra banda, els treballs previs que han estudiat la terminació espontània de la FA s'han centrat en els últims 2 minuts abans de la terminació. Per contra, en esta tesi doctoral s'han estudiat per primera vegada registres de major duració amb l'objectiu de detectar els primers indicis de la terminació de la FA. Es va triar l'ús de H(2) per a este estudi per la seua alta precisió en la predicció de la terminació de la FA. A més, la DAF i SampEn es van calcular com a referències. En este estudi s'ha comprovat que l'organització de la FA només presenta variacions significatives en els últims 3 minuts abans de la seua terminació espontània. Per això, la predicció primerenca de la terminació no pareix possible amb els mitjans actuals d'anàlisi del senyal. Finalment, es va aplicar H(2) per a classificar entre FA paroxística i FA persistent a partir d'ECGs de curta duració, obtenint una millor precisió diagnòstica que amb la DAF i SampEn. Este resultat suggerix que l'anàlisi d'ECGs ambulatoris per mitjà de H(2) pot ser en e / Julián Seguí, M. (2015). Study on the non-linear metrics contribution to estimate atrial fibrillation organization from the surface electrocardiogram [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/56150

Both the fast Fourier transform and discrete wavelet transform have been used extensively for signal denoising. Therefore, comparing the two for the purpose of denoising an electrocardiogram is of high interest. In this report, we outline the theory that both methods are built on, as well as develop MATLAB codes able to denoise an electrocardiogram using both methods. It was shown that the discrete wavelet transform performed significantly better in this context, which shows why it is the preferred method.

Les cohortes cardiovasculaires en Afrique subsaharienne (ASS) sont rares. Sa diversité génétique et environnementale en suggère la nécessité pour mieux appréhender les spécificités des MCV et de leurs facteurs de risque (FDR). Méthodes : Une cohorte pilote a été mise en place en 2015 en milieu rural au Bénin. Les FDR ont été collectées à l’inclusion en porte à porte et les événements recueillis au quotidien par une double surveillance sanitaire et communautaire. La prévalence de l’artériopathie oblitérante des membres inférieurs (AOMI), le retentissement électrocardiographique de l’hypertension artérielle et les représentations sociales des MCV ont également été étudiés. Résultats : La participation élevée (>95%), l’attrition faible (<8%) et la bonne adhésion de la communauté ont confirmé la faisabilité de la cohorte. L’incidence des MCV était de 5,4 pour 1000 pers-années avec un taux de mortalité à 79,2%. La prévalence de l’AOMI était de 5,5% avec une prédominance chez les hommes et les sujets de 55 ans et plus. L’hypertrophie ventriculaire gauche était 2 à 5 fois plus fréquente chez les sujets hypertendus. Les représentations sociales des MCV associaient des explications biomédicales et surnaturelles. Conclusion : Une cohorte de MCV est faisable en ASS et met en relief les spécificités des MCV au sein de la cible. / Few cohorts have been conducted in sub-Saharan Africa (SSA). Its genetic and environmental diversity suggests the need of cohorts to better understanding the specificities of CVD and their risk factors (RF). Method: A pilot cohort was set up in 2015 in a rural setting of Benin. Data for RF were collected at inclusion during a door-to-door survey and events daily through dual health and community surveillances. Prevalence of lower extremity artery diseases (LEAD), electrocardiographic impact of high blood pressure and the social representations of CVD were also studied. Results: The high participation rate (>95%), low attrition (<8%) and good community participation confirmed the feasibility of the cohort. Incidence of CVD was 5.4 cases per 1000 persons-years and the mortality rate 79.2%. Prevalence of LEAD was 5.5% and higher among men and people aged 55 years and above. Left ventricular hypertrophy was 2 to 5 times more frequent among people with hypertension. Social representations of CVD combined biomedical with supernatural explanations. Conclusion: A cohort of CVD is feasible in SSA and highlights CVD’s specificities.

Submitted by Sandra Pereira (srpereira@ufrrj.br) on 2017-01-26T11:36:13Z No. of bitstreams: 1 2016 - D?bora Barbosa Amarante.pdf: 1603287 bytes, checksum: 8c473e3225022499b4e4dc93119df63f (MD5) / Made available in DSpace on 2017-01-26T11:36:13Z (GMT). No. of bitstreams: 1 2016 - D?bora Barbosa Amarante.pdf: 1603287 bytes, checksum: 8c473e3225022499b4e4dc93119df63f (MD5) Previous issue date: 2016-02-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The 17?-estradiol (E2) regulate many cardiac genes via its estrogen receptor (ER). The propagation of electrical activity in the myocardium depends on the current transfer at gap junctions. Connexins 40 (Cx40) and 43 are the predominant junctional proteins. In mice, Cx40 is restricted to the atrium and conduction system. Alterations of Cx40 expression or activity are associated with atrial fibrillation. Here we evaluate the effect of the E2 onCx40 mRNA expression, in vitro, and in vivo the effect on atrium expression of Cx40 mRNA in correlation to ECG studies. We treated A7r5 cells (smooth muscle cells from rat thoracic aorta) with low and high doses ofestradiol benzoate, EB, (10-8 M and 10-6M) for 24h and rat neonatal cardiomyocytes with EB 10-6 M for 2, 4 and8 hours. A7r5 cells were trasiently transfected with 0.5 microgramas of the test plasmid (-1190/+121Cx40Luc pGL3) and treated with 10-6M of EB for 24 hours. Female mice were subjected to ovariectomy (OVX) and then, treated with a low (2?g) and a high dose (20?g) of estradiol benzoate (EB; OVX+EB2 and OVX+EB20) for 15 days. ECG recordings were obtained from mice and atrium Cx40 mRNA expression were evaluated by RT-PCR real time. First, we observed that high doses of EB down regulated Cx40 mRNA in vitro (A7r5 cells and rat atrial cardiomyocytes). The transcriptional activity of Cx40 promoter was inhibited by 10-6M of EB in A7r5 cells. We observed lower heart rate for OVX animals when to compared to control animals, FO. In this regard, no difference was observed between OVX+EB2 and OVX+BE20 heart rate. The OVX group showed decrease P wave duration when to compared to FO group, but no difference in the P wave duration was observed among the others groups. No difference was observed in another ECG intervals among the experimental groups. The atrial Cx40mRNA level was reduced in OVX+BE20group when to compared to FO group. Our data indicate, for the first time, high doses of estradiol benzoate reduce Cx40 mRNA in vitro and ovariectomized mice. We proposed that when E2 levels are high, the complex ER-E2 acts directly from the DNA, inhibiting the transcriptional activity of Cx40 promoter / O 17?-estradiol (E2), regula muitos genes card?acos atrav?s de seu receptor (receptor para estr?geno, RE). A propaga??o da atividade el?trica no mioc?rdio depende da transfer?ncia de corrente atrav?s das jun??es comunicantes. As conexinas 40 (Cx40) e 43 s?o as principais conexinas que formam as jun??es expressas no cora??o. Em camundongos, a Cx40 ? restrita ao ?trio e sistema de condu??o. Altera??es na express?o ou atividade da Cx40 est?o associadas a fibrila??o atrial. Aqui n?s avaliamos o efeito do E2 in vitro e in vivo sobre a express?o do RNAm da Cx40 nos ?trios e correlacionamos aos estudos eletrocardiogr?ficos (ECG). N?s tratamos a linhagem A7r5 (derivada de m?sculo liso a?rtico de rato embrion?rio) com alta e baixa concentra??es de benzoato de estradiol, BE, (10-6 M e 10-8 M) durante 24 horas e cultura prim?ria de cardiomi?citos atriais de ratos neonatos foram incubados com BE 10-6 M durante 2, 4 e 8 horas. Ensaios de transfec??o transiente foram realizados na linhagem A7r5 com um plasm?deo contendo um segmento da regi?o promotora da Cx40 (-1190/+121Cx40LucpGL3) e tratadas com 10-6 M de BE durante 24 horas. Camundongos f?meas foram ovariectomizadas (OVX) e ent?o tratadas com baixa (2 microgramas) e alta (20 microgramas) doses de benzoato de estradiol (OVX+BE2 e OVX+BE20) durante 15 dias, sendo que o grupo controle sofreu apenas estresse cir?rgico (FO). Foram realizados registros ECG e a express?o atrial do RNAm da Cx40 foi avaliada por RT-PCR em tempo real. N?s observamos que altas doses de BE diminui a express?o do RNAm da Cx40 in vitro (na linhagem A7r5 e na cultura de cardiomi?citos). A atividade transcricional do promotor foi inibida por BE10-6 M. N?s observamos diminui??o da frequ?ncia card?aca dos animais do grupo OVX em rela??o ao controle, grupo FO. Nenhuma diferen?a foi observada na frequ?ncia card?aca entre os grupos OVX+BE2 e OVX+BE20. Os animais do grupo OVX apresentaram diminui??o na dura??o da onda P em rela??o ao grupo FO, no entanto nenhuma diferen?a foi observada na dura??o da onda P entre os outros grupos. Nenhuma diferen?a foi observada nos outros intervalos eletrocardiogr?ficos entre os grupos experimentais. A express?o atrial do RNAm da Cx40 estava reduzida nos animais do grupo OVX+BE20 em rela??o ao grupo FO. Nossos dados demonstram que altas doses de benzoato de estradiol reduzem a express?o do RNAm da Cx40 in vitro e em camundongos ovariectomizados. N?s propomos que altas doses de E2 ativa o seu receptor, e o complexo RE-E2 age diretamente no DNA, inibindo a atividade transcricional do promotor da Cx40

Cardiovascular disease is a serious life-threatening disease. It can occur suddenly and progresses rapidly. Finding the right disease features in the early stage is important to decrease the number of deaths and to make sure that the patient can fully recover. Though there are several methods of examination, describing heart activities in signal form is the most cost-effective way. In this case, ECG is the best choice because it can record heart activity in signal form and it is safer, faster and more convenient than other methods of examination. However, there are still problems involved in the ECG. For example, not all the ECG features are clear and easily understood. In addition, the frequency features are not present in the traditional ECG. To solve these problems, the project uses the optimized CWT algorithm to transform data from the time domain into the time-frequency domain. The result is evaluated by three data mining algorithms with different mechanisms. The evaluation proves that the features in the ECG are successfully extracted and important diagnostic information in the ECG is preserved. A user interface is designed increasing efficiency, which facilitates the implementation.

of The aim of this study was to develop and evaluate two protocols for estrus synchronization and/or induction in 12-14 months old beef heifers, which would allow the use of timed artificial insemination (TAI) after a short period of estrus detection (48h). The first experiment consisted of evaluating whether eCG was a necessary component in the BioRep system to be used in heifers. To address this question 64 heifers (Bos taurus x Bos indicus) were randomly divided into 2 groups: eCG (treatment n=32) and no eCG (controle n=32). A second experiment was performed with the objective of increasing the number of animals in the eCG group to evaluate the consistency of the results obtained in the first experiment (n=92). On day 0 animals from group treatment received a vaginal pessary containing 250mg of medroxyprogesterone acetate (MPA) for 7 days, along with an intramuscular (IM) injection containing 2.5mg of estradiol benzoate (EB). On day 6 animals were treated with 250IU of eCG (IM) and i~g of cloprostenol sodium in the vulvar submucosa (VSM). After MPA withdrawal heifers were checked for estrus manifestation for 48h and were inseminated 12 hours after estrus detection. Heifers which did not manifest estrus during the 48h observation received i~g of GnRH (IM) and were inseminated 16 to 24h later by TAI. Heifers in the control group received a similar treatment except for the eCG injection which was not used. Because results from treatment group on first and second experiments were not different, pooled conception (55.2%) and pregnancy (46.2%) rates were compared to control rates (23.07% and 25.0% respectively) showing a significant improvement of those rates. We conclude that the use of eCG associated with MPA improves pregnancy rates of 12-14 months old beef heifers. Our second objective was to evaluate the use of progestogens in a system of estrus induction/synchronization using eCG-GnRH-MPA-PGGnRH (eMGPG) in 12-14 months old beef heifers. Bos taurus heifers, mostly Red Angus, were randomly divided into 2 groups: eMGPG (n=85) and eGPG (n=85). Heifers on group eMGPG received 400IU of eCG (IM; day -3) with the objective of inducing an increase in follicular growth, leading to higher responsiveness of follicles to GnRH. Seventy-two hours after eCG injection animals were given GnRH (100g; IM; day 0) and a vaginal pessary containing 250mg of MPA for 7 days. At MPA withdrawal (day 7) 5mg of Dinoprost was injected into the VSM. Fourty-eight hours after pessary withdrawal estrus detection followed by AI was performed. Heifers which did not manifest estrus received 100g of GnRH (IM) and were inseminated 16 to 24h later by TAI. Females from group eGPG received a protocol similar to group eMGPG, except for MPA which was not used. Percentage of estrus manifestation on groups eMGPG and eGPG after prostaglandin injection were 23.5% (20/85) and 22.3% (19/85) respectivelly (p>0.05). Similarly, conception and pregnancy rates on groups eMGPG (65.0%; 13/20 and 37.6%; 32/85%) and eGPG (68.4%; 13/19 and 28.2%; 24/85) were not statistically different. To evaluate the response of follicles with different sizes after eCG administration, 12-14 months old heifers were randomly divided into groups of animals containing follicles of 5.0 (small), 8.5 (medium) and >10.0mm (large) to receive 400IU of eCG (IM) during diestrus. Follicular diameters on day 3 of the control of follicular growth by ultrasound were 13mm, 10mm and 8mm on groups of large, medium and small follicles, respectively. We conclude that the use of eCG prior to the regular hormonal protocol, with the objective of increasing the follicular responsiveness to GnRH does not replace a source of progestagen during the synchronization/induction of estrus in 12-14 months old beef heifers.Furthermore, some females despite the prior administration of eCG depending upon their stage of follicular development do not reach a diameter compatible with GnRH responsiveness / O objetivo do presente estudo, foi o de desenvolver e avaliar dois protocolos de sincronização e ou indução de estro em novilhas de corte com 12 a 14 meses de idade, que possibilite o emprego da inseminação em tempo fixo (IATF) após um curto controle de estro (48h). O primeiro trabalho experimental consistiu na avaliação da necessidade de eCG no sistema BioRep quando utilizado em novilhas. Para tanto, foram empregadas 64 novilhas (Bos taurus x Bos indicus) divididas ao acaso em dois grupos: eCG (tratamento- n =32) e s/eCG (controle -n=32). Em uma segunda etapa o grupo tratamento foi implantado em um número maior de fêmeas (n=92), avaliando a consistência dos resultados obtidos no pré-experimento. No dia 0, as novilhas do grupo tratamento receberam um pessário vaginal com 250mg de MAP por sete dias, e uma injeção intra-muscular (IM) de 2,5mg de BE. No sexto dia, foram aplicados 250UI IM de eCG e 104μg Cloprostenol sódico na sub-mucosa vulvar (smv). Após a retirada do MAP, as novilhas tiveram seu estro controlado por um período de 48h, sendo inseminadas 12h após a manifestação do mesmo. As novilhas que não manifestaram o estro no período de controle, receberam 100μg IM de GnRH e, após 16 a 24h, foram inseminadas por IATF. As novilhas do grupo controle receberam o mesmo tratamento anterior, sem a aplicação do eCG. Os índices de concepção e prenhez nos grupos tratamento (55,2% e 46,2%), mostrarem-se similares e ao serem agrupados foram significativamente superiores aos do grupo controle (23,07% e 25,0%) respectivamente (P<0,05). Conclui-se que o emprego de eCG, associado ao MAP, permite melhorar os índices de prenhez em novilhas de 12 a 14 meses de idade. Por sua vez, o segundo experimento teve por objetivo avaliar o emprego de progestágeno em um sistema de indução/sincronização de estro, utilizando eCG-GnRH-MAP-PG-GnRH (eMGPG) para novilhas de corte de 12 a 14 meses. Novilhas Bos taurus, predominante Red Angus, foram divididas aleatoriamente em dois grupos: eMGPG (n=85) e eGPG (n=85). As novilhas do grupo eMGPG receberam 400UI de eCG (IM; dia -3) com a finalidade de provocar um aumento de crescimento folicular, tornando-os mais responsivos ao GnRH. Após 72h, os animais receberam uma injeção de GnRH (100μg; IM; dia 0) e um pessário vaginal contendo 250mg de acetato de medroxi-progesterona (MAP) por sete dias. Na retirada do MAP (dia 7), foi aplicada uma dose de 5mg de Dinoprost, via submucosa vulvar. Nas 48h seguintes à retirada dos pessários, foi realizado o controle da manifestação de estro e inseminação artificial (IA). As novilhas que não manifestaram estro nesse período, receberam uma dose de 100μg de GnRH por via IM e IATF nas 16 a 24h seguintes. As fêmeas do grupo eGPG receberam o protocolo similar ao anterior porém, sem o MAP. A percentagem de estro dos grupos eMGPG e eGPG após a aplicação da prostaglandina foram de 23,5% (20/85) e 22,3% (19/85) respectivamente (p>0,05). Igualmente, os índices de concepção e prenhez nos grupos eMGPG (65,0%; 13/20 e 37,6%; 32/85) e eGPG (68,4%; 13/19 e 28,2%; 24/85) não diferiram estatisticamente. Com intuito de avaliar a resposta de folículos de diferentes tamanhos após administração de eCG, novilhas de 12-14 meses foram aleatoriamente distribuídas para receber 400UI de eCG (IM) na presença de folículos de 5,0, 8,5 e >10,0mm, durante o diestro. Os diâmetros médios dos folículos no dia 3 da dinâmica foram, de 13mm, de 10mm e de 8mm nos grupos de folículos grandes, de folículos médios e de folículos pequenos respectivamente. Conclui-se que a aplicação prévia de eCG para aumentar o índice de folículos responsivos ao GnRH não substitui uma fonte de gestágeno na sincronização/indução de estro em novilhas de corte com 12 a 14 meses de idade. Pode-se concluir também que algumas fêmeas, apesar da aplicação prévia de eCG, dependendo do momento do crescimento folicular em que se encontram, não atingem um diâmetro folicular compatível com resposta ao GnRH

Les malformations cardiaques congénitales sont la première cause de décès liés à une anomalie congénitale. L’´electrocardiogramme du fœtus (ECGf), qui est censé contenir beaucoup plus d’informations par rapport aux méthodes échographiques conventionnelles, peut ˆêtre mesuré´e par des électrodes sur l’abdomen de la mère. Cependant, il est tr`es faible et mélangé avec plusieurs sources de bruit et interférence y compris l’ECG de la mère (ECGm) dont le niveau est très fort. Dans les études précédentes, plusieurs méthodes ont été proposées pour l’extraction de l’ECGf à partir des signaux enregistrés par des électrodes placées à la surface du corps de la mère. Cependant, ces méthodes nécessitent un nombre de capteurs important, et s’avèrent inefficaces avec un ou deux capteurs. Dans cette étude trois approches innovantes reposant sur une paramétrisation algébrique, statistique ou par variables d’état sont proposées. Ces trois méthodes mettent en œuvre des modélisations différentes de la quasi-périodicité du signal cardiaque. Dans la première approche, le signal cardiaque et sa variabilité sont modélisés par un filtre de Kalman. Dans la seconde approche, le signal est découpé en fenêtres selon les battements, et l’empilage constitue un tenseur dont on cherchera la décomposition. Dans la troisième approche, le signal n’est pas modélisé directement, mais il est considéré comme un processus Gaussien, caractérisé par ses statistiques à l’ordre deux. Dans les différentes modèles, contrairement aux études précédentes, l’ECGm et le (ou les) ECGf sont modélisés explicitement. Les performances des méthodes proposées, qui utilisent un nombre minimum de capteurs, sont évaluées sur des données synthétiques et des enregistrements réels, y compris les signaux cardiaques des fœtus jumeaux. / Congenital heart defects are the leading cause of birth defect-related deaths. The fetal electrocardiogram (fECG), which is believed to contain much more information as compared with conventional sonographic methods, can be measured by placing electrodes on the mother’s abdomen. However, it has very low power and is mixed with several sources of noise and interference, including the strong maternal ECG (mECG). In previous studies, several methods have been proposed for the extraction of fECG signals recorded from the maternal body surface. However, these methods require a large number of sensors, and are ineffective with only one or two sensors. In this study, state modeling, statistical and deterministic approaches are proposed for capturing weak traces of fetal cardiac signals. These three methods implement different models of the quasi-periodicity of the cardiac signal. In the first approach, the heart rate and its variability are modeled by a Kalman filter. In the second approach, the signal is divided into windows according to the beats. Stacking the windows constructs a tensor that is then decomposed. In a third approach, the signal is not directly modeled, but it is considered as a Gaussian process characterized by its second order statistics. In all the different proposed methods, unlike previous studies, mECG and fECG(s) are explicitly modeled. The performances of the proposed methods, which utilize a minimal number of electrodes, are assessed on synthetic data and actual recordings including twin fetal cardiac signals.