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Dive into the research topics where L. Van Bortel is active.

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Featured researches published by L. Van Bortel.


Clinical Pharmacology & Therapeutics | 2008

Multiple-dose pharmacodynamics and pharmacokinetics of anacetrapib, a potent cholesteryl ester transfer protein (CETP) inhibitor, in healthy subjects.

Rajesh Krishna; Arthur J. Bergman; Bo Jin; M Fallon; Josee Cote; P Van Hoydonck; Tine Laethem; Isaias Noel Gendrano; K Van Dyck; Deborah Hilliard; O Laterza; Karen Snyder; Cynthia Chavez-Eng; Ryan Lutz; J Chen; Dm Bloomfield; M De Smet; L. Van Bortel; Maria J. Gutierrez; Nidal Al-Huniti; Kevin Dykstra; Keith M. Gottesdiener; John A. Wagner

Cholesteryl ester transfer protein (CETP) is a plasma protein that catalyzes the heteroexchange of cholesteryl esters from high‐density lipoprotein (HDL) and triglycerides to apolipoprotein B–containing lipoproteins, especially very low–density lipoproteins (LDL‐C). 1, 2


Physiological Measurement | 2008

Determining carotid artery pressure from scaled diameter waveforms: comparison and validation of calibration techniques in 2026 subjects

Sebastian Vermeersch; Ernst Rietzschel; M. De Buyzere; Dirk De Bacquer; G. De Backer; L. Van Bortel; Thierry C. Gillebert; Pascal Verdonck; Patrick Segers

Calibrated diameter distension waveforms could provide an alternative for local arterial pressure assessment more widely applicable than applanation tonometry. We compared linearly and exponentially calibrated carotid diameter waveforms to tonometry readings. Local carotid pressures measured by tonometry and diameter waveforms measured by ultrasound were obtained in 2026 subjects participating in the Asklepios study protocol. Diameter waveforms were calibrated using a linear and an exponential calibration scheme and compared to measured tonometry waveforms by examining the mean root-mean-squared error (RMSE), carotid systolic blood pressure (SBPcar) and augmentation index (AIx) of calibrated and measured pressures. Mean RMSE was 5.2(3.3) mmHg (mean(stdev)) for linear and 4.6(3.6) mmHg for exponential calibration. Linear calibration yielded an underestimation of SBPcar by 6.4(4.1) mmHg which was strongly correlated to values of brachial pulse pressure (PPbra) (R = 0.4, P < 0.05). Exponential calibration underestimated true SBPcar by 1.9(3.9) mmHg, independent of PPbra. AIx was overestimated by linear calibration by 1.9(10.1)%, the difference significantly increasing with increasing AIx (R = 0.25, P < 0.001) and by exponential calibration by 5.4(10.6)%, independently of the value of AIx. Properly calibrated diameter waveforms offer a viable alternative for local pressure estimation at the carotid artery. Compared to linear calibration, exponential calibration significantly improves the pressure estimation.


Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine | 2008

Three- and four-element Windkessel models: Assessment of their fitting performance in a large cohort of healthy middle-aged individuals

Patrick Segers; E. Rietzschel; M. De Buyzere; Nikos Stergiopulos; N Westerhof; L. Van Bortel; Thierry Gillebert; Pascal Verdonck

Lumped-parameter models are used to estimate the global arterial properties by fitting the model to measured (aortic) pressure and flow. Different model configurations coexist, and it is still an open question as to which model optimally reflects the arterial tree and leads to correct estimates of arterial properties. An assessment was made of the performance of (a) the three-element Windkessel model (WK3) consisting of vascular resistance R, total arterial compliance C, and characteristic impedance Zc; (b) a four-element model with an inertance element L placed in parallel with Zc (WK4-p); and (c) a four-element model with L placed in series with Zc (WK4-s). Models were fitted to data measured non-invasively in 2404 healthy subjects, aged between 35 and 55 years. It was found that model performance segregated into two groups. In a group containing 20 per cent of the dataset (characterized by low blood pressure and wave reflection) the WK4-p model outperformed the other models, with model behaviour as envisioned by its promoters. In these cases, the WK3 and WK4-s models led to increased overestimation of total arterial compliance and underestimation of characteristic impedance. However, in about 80 per cent of the cases, the WK4-p model showed a behaviour that was very similar to that of the WK3 and WK4-s models. Here, the WK4-s model yielded the best quality of fit, although model parameters reached physically impossible values for L in about 12 per cent of all cases. The debate about which lumped-parameter model is the better approximation of the arterial tree is therefore still not fully resolved.


Acta Clinica Belgica | 2010

CARDIAC TOXICITY OF TRASTUZUMAB: EXPERIENCE AT THE GHENT UNIVERSITY HOSPITAL, BELGIUM

C. Lamot; Sylvie Rottey; T. De Backer; L. Van Bortel; Hugo Robays; S. Van Belle; Hannelore Denys; Veronique Cocquyt

Abstract Introduction Trastuzumab (TRAS) is a humanised monoclonal antibody that is targeted against the HER2 growth factor receptor. Over-expression of the receptor occurs in around 15-25% of women with early breast cancer (CA). Four major adjuvant trials compared trastuzumab treatment with observation after neoadjuvant or adjuvant chemotherapy in women with high risk HER2-positive breast cancer. Results of these trials showed that trastuzumab treatment given every 3 weeks for 1 year achieved a significant improvement of disease free survival and overall survival. However, cardiac toxicity occurred more in the trastuzumab arm than in the observation arm resulting in symptomatic congestive heart failure and a significant drop in left ventricular ejection function (LVEF). Aim of the study The purpose of this analysis is to evaluate cardiac toxicity of adjuvant trastuzumab treatment in 30 breast cancer patients. Study parameters were cardiac toxicity assessed by LV function, disease free survival and overall survival. Materials and methods Based on the adjuvant trials and in expectation of the reimbursement of trastuzumab in the adjuvant setting, a convention was set up between the Belgian National Institute for Health and Disability Insurance and hospital centres specialized in the treatment of breast cancer. In this convention, trastuzumab was offered to patients diagnosed with invasive, non-metastatic breast cancer with an over-expression of HER2 proven by a positive FISH test. Metastatic lymph nodes or a tumour measuring more than 10 mm had to be present. At least 4 cycles of adjuvant or neoadjuvant chemotherapy had to be given to the patient. Radiotherapy could be administered. The time interval between chemotherapy or radiotherapy and treatment with trastuzumab could not be more than 6 months. LVEF determined by MUGA scan or by ultrasonography at the start of trastuzumab treatment had to be more than 55%. Results 30 breast cancer patients were treated with adjuvant trastuzumab in our hospital between June 2006 and July 2007. All patients met the inclusion criteria. Six patients stopped trastuzumab treatment because of cardiac toxicity. All these patients had received prior anthracycline neoadjuvant or adjuvant chemotherapy. Five of these patients were found to have a LVEF < 55%, one showing symptoms of congestive cardiomyopathy. The sixth patient was diagnosed with a newly developed tricuspid valve insufficiency grade 3. Follow-up data of 20 months since the start of trastuzumab treatment showed that 27 patients were disease-free. Two patients died because of progressive breast cancer disease. One patient was lost of follow-up. Conclusion In this small group of breast cancer patients, treated with adjuvant trastuzumab, cardiac toxicity expressed as a decreased left ventricular function seems to have a higher incidence compared to the other adjuvant trials. Therefore, a close cardiac monitoring for several years should be recommended in patients treated with trastuzumab.


American Journal of Physiology-heart and Circulatory Physiology | 2006

Aortic reflection coefficients and their association with global indexes of wave reflection in healthy controls and patients with Marfan's syndrome

Patrick Segers; J. De Backer; Daniel Devos; Stein Inge Rabben; Thierry Gillebert; L. Van Bortel; J. De Sutter; A. De Paepe; Pascal Verdonck


Artery Research | 2008

Estimated central blood pressure: importance of radial artery pressure waveform calibration

Dries Mahieu; Ernst Rietzschel; M. De Buyzere; Francis Verbeke; Thierry C. Gillebert; G. De Backer; Dirk De Bacquer; Pascal Verdonck; L. Van Bortel; Patrick Segers


Artery Research | 2008

The reservoir pressure concept: the 3-element windkessel model revisited? Application to the Asklepios population study

Sebastian Vermeersch; Ernst Rietzschel; M. De Buyzere; D. De Backer; G. De Bacquer; L. Van Bortel; Thierry C. Gillebert; Pascal Verdonck; Patrick Segers


Artery Research | 2008

The form factor (FF) of pressure waveforms in a young population: difference between men and women

Dries Mahieu; Isabelle Fabry; F. Vanmolkot; J De Hoon; L. Van Bortel


Computer Methods in Biomechanics and Biomedical Engineering | 2007

Influence of sex on arterial stiffening evaluated using a pressure-dependent, geometry-independent stiffness index

Sebastian Vermeersch; E. Rietzschel; M. De Buyzere; L. Van Bortel; Thierry C. Gillebert; Pascal Verdonck; Patrick Segers


Journal of Biomechanics | 2006

Does pressure wave reflection contribute to aortic root dilatation in patients with Marfan disease

Patrick Segers; J. De Backer; Daniel Devos; Thierry Gillebert; L. Van Bortel; Stein Inge Rabben; J. De Sutter; A. De Paepe; Pascal Verdonck

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M. De Buyzere

Ghent University Hospital

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J. De Backer

Ghent University Hospital

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A. De Paepe

Ghent University Hospital

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Stein Inge Rabben

Norwegian University of Science and Technology

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