Das Bild der modernen Physik by Pascual Jordan. PDF

By Pascual Jordan.

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Qxd 12/22/08 32 11:31 Page 32 CHAPTER 2 space between the myocytes and the cells are less well organized; the nuclei are large and polyploidy is unusual. The diameter of the myocyte in the fetal sheep heart is only 5 –7 μm. The diameter of the myocyte increases by only a small amount during gestational development, so that the increase in muscle mass during prenatal growth is almost exclusively the result of increase in cell numbers, or hyperplasia. Following birth there is a rapid decrease in myocyte mitosis; a small increase in cell number occurs during the first few weeks after birth, but beyond this early neonatal period, essentially all myocardial growth is the result of increase in myocyte size, or hypertrophy.

Kluckow et al. [18] have reviewed these observations. It is estimated that about 75% of SVC flow is derived from the brain. About one-third of all infants born at less than 30 weeks’ gestation had SVC flows below the estimated normal levels recorded within 24 hours of birth, predominantly in the postnatal period of 5–12 hours. In their studies there was a poor relationship between systemic arterial hypotension and the magnitude of SVC flow. There was, however, an excellent relationship between the observation of reduced SVC flow and the development of periventricular/intraventricular hemorrhage.

Cardiovascular effects of patent ductus arteriosus in preterm lambs with respiratory distress. J Pediatr 1987;111:579 – 587. 22 Paradisis M, Evans N, Kluckow M, Osborn D, McLachlan AJ. Pilot study of milrinone for low systemic blood flow in very preterm infants. J Pediatr 2006;148:306 –313. qxd 12/22/08 11:31 3 Page 37 CHAPTER 3 Oxygen uptake and delivery Oxygen in blood Disturbances in oxygen uptake in the lungs, or in supply of adequate amounts of oxygen to the tissues, are common features of many congenital heart lesions.

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