Alain Efstratiou | National and Kapodistrian University of Athens (original) (raw)

Alain  Efstratiou

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Papers by Alain Efstratiou

Research paper thumbnail of Combined spontaneous postpartum coronary artery dissection and pulmonary embolism with survival

Catheterization and Cardiovascular Diagnosis, 1994

A young woman who survived after suffering in the immediate postpartum period a spontaneous coron... more A young woman who survived after suffering in the immediate postpartum period a spontaneous coronary dissection with resultant myocardial infarction and a pulmonary embolism with pulmonary infarct is presented. Diagnostic and therapeutic considerations for this unique occurrence are discussed and reviewed.

Research paper thumbnail of Two n England

Advances in Experimental Medicine and Biology, 1997

Research paper thumbnail of Extensive genetic pyogen

Microbiology, 1998

The genetic diversity of clinical isolates of Streptococcus pyogenes serotype M 5 has been charac... more The genetic diversity of clinical isolates of Streptococcus pyogenes serotype M 5 has been characterized. Strain genotypes were defined by macrorestriction profile, 165 ribotype, emm gene subtype, insertion element IS7239 profile, and exotoxin gene determinant. By these criteria, clinical isolates of M 5 constituted a multiplicity of strain clusters rather than a homogeneous population as found for certain serotypes. Distance matrices and an unrooted tree were constructed from macrorestriction data with three rarely cutting endonucleases, determined by PFGE. A single IS7239 profile was common to 85% of isolates but there was great diversity of both ribotype and macrorestriction profile, and 18 different emm gene subtypes were detected by PCR-RFLP. DNA sequence analysis of the antigen-coding 5' (hypervariable) region of emm gene amplicons (about 240 bp) showed that 14/18 exhibited up to 6 % divergence. Four amplicons had highly divergent sequencescorresponding to those previously determined for emm6, emm 11, emm 18 and emm77. Further serological and hybridization studies were used to analyse the discrepancy between the Lancef ield serotype of these strains (M5) and their emm genotype. Overall, this study shows a high degree of genetic diversity in serotype M5, with implications for the Lancefield scheme itself, for the epidemiology of group A streptococci, and for recombinant DNA strategies for M protein-based vaccine development. UK

Research paper thumbnail of 739-1 Multivessel Supported Coronary Angioplasty in Cardiogenic Shock

Journal of the American College of Cardiology, 1995

Research paper thumbnail of Aa

Epidemiology and Infection, 2009

Research paper thumbnail of Emergency coronary bypass or angioplasty in patients with electromechanical dissociation or refractory ventricular fibrillation: Enhanced survival with left ventricular venting

Journal of The American College of Cardiology, 1996

Research paper thumbnail of Combined percutaneous carotid stenting and coronary angioplasty during acute ischemic neurologic and coronary syndromes

The American Journal of Cardiology, 1996

Research paper thumbnail of Combined spontaneous postpartum coronary artery dissection and pulmonary embolism with survival

Catheterization and Cardiovascular Diagnosis, 1994

A young woman who survived after suffering in the immediate postpartum period a spontaneous coron... more A young woman who survived after suffering in the immediate postpartum period a spontaneous coronary dissection with resultant myocardial infarction and a pulmonary embolism with pulmonary infarct is presented. Diagnostic and therapeutic considerations for this unique occurrence are discussed and reviewed.

Research paper thumbnail of Two n England

Advances in Experimental Medicine and Biology, 1997

Research paper thumbnail of Extensive genetic pyogen

Microbiology, 1998

The genetic diversity of clinical isolates of Streptococcus pyogenes serotype M 5 has been charac... more The genetic diversity of clinical isolates of Streptococcus pyogenes serotype M 5 has been characterized. Strain genotypes were defined by macrorestriction profile, 165 ribotype, emm gene subtype, insertion element IS7239 profile, and exotoxin gene determinant. By these criteria, clinical isolates of M 5 constituted a multiplicity of strain clusters rather than a homogeneous population as found for certain serotypes. Distance matrices and an unrooted tree were constructed from macrorestriction data with three rarely cutting endonucleases, determined by PFGE. A single IS7239 profile was common to 85% of isolates but there was great diversity of both ribotype and macrorestriction profile, and 18 different emm gene subtypes were detected by PCR-RFLP. DNA sequence analysis of the antigen-coding 5' (hypervariable) region of emm gene amplicons (about 240 bp) showed that 14/18 exhibited up to 6 % divergence. Four amplicons had highly divergent sequencescorresponding to those previously determined for emm6, emm 11, emm 18 and emm77. Further serological and hybridization studies were used to analyse the discrepancy between the Lancef ield serotype of these strains (M5) and their emm genotype. Overall, this study shows a high degree of genetic diversity in serotype M5, with implications for the Lancefield scheme itself, for the epidemiology of group A streptococci, and for recombinant DNA strategies for M protein-based vaccine development. UK

Research paper thumbnail of 739-1 Multivessel Supported Coronary Angioplasty in Cardiogenic Shock

Journal of the American College of Cardiology, 1995

Research paper thumbnail of Aa

Epidemiology and Infection, 2009

Research paper thumbnail of Emergency coronary bypass or angioplasty in patients with electromechanical dissociation or refractory ventricular fibrillation: Enhanced survival with left ventricular venting

Journal of The American College of Cardiology, 1996

Research paper thumbnail of Combined percutaneous carotid stenting and coronary angioplasty during acute ischemic neurologic and coronary syndromes

The American Journal of Cardiology, 1996

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