SUMMARY We established the incidence of coronary artery spasm provoked by 0.4 mg of methergine in 1089 consecutive patients undergoing coronary angiography. The test was performed after routine coronary arteriography. Subjects included patients with angina, both typical and atypical, patients who had recently had myocardial infarction and patients with either valvular disease or congestive cardiomyopathy. Patients with spontaneous spasm, left main narrowing or severe three-vessel disease were excluded. One hundred thirty-four patients experienced focal spasm. Focal spasm was uncommon in patients with atypical precordial pain (1.2%), angina of effort (4.3%), valvular disease (1.95%) or cardiomyopathy (0%). It occurred most often in patients with angina at rest and less often in patients with angina both at rest and induced by exercise. Spasm was provoked in 20% of patients with recent transmural infarction, but in only 6.2% of patients studied later after infarction. Spasm was superimposed on fixed atherosclerotic lesions in 60% of the patients. No serious complications were encountered.Although the patients who underwent provocation tests in this study are not representative of all patients with coronary artery disease, spasm occurred in 20% of patients who experienced a coronary event and in 15% of patients who complained of chest pain.
Abstract. This study presents an original method to evaluate key parameters for the estimation of the direct radiative effect (DRE) of aerosol above clouds: the absorption of the the cloud albedo. It is based on multi-angle total and polarized radiances both provided by the A-train satellite instrument POLDER -Polarization and Directionality of Earth Reflectances. The sensitivities brought by each kind of measurements are used in a complementary way. Polarization mostly translates scattering processes and is thus used to estimate scattering aerosol optical thickness and aerosol size. On the other hand, total radiances, together with the scattering properties of aerosols, are used to evaluate the absorption optical thickness of aerosols and cloud optical thickness. The retrieval of aerosol and clouds properties (i.e., aerosol and cloud optical thickness, aerosol single scattering albedo and Ångström exponent) is restricted to homogeneous and optically thick clouds (cloud optical thickness larger than 3). In addition, a procedure has been developed to process the shortwave DRE of aerosols above clouds. Three case studies have been selected: a case of absorbing biomass burning aerosols above clouds over the southeast Atlantic Ocean, a Siberian biomass burning event and a layer of Saharan dust above clouds off the northwest coast of Africa. Besides these case studies, both algorithms have been applied to the southeast Atlantic Ocean and the results have been averaged during August 2006. The mean DRE is found to be 33.5 W m −2 (warming). Finally, the effect of the heterogeneity of clouds has been investigated and reveals that it affects mostly the retrieval of the cloud optical thickness and not greatly the aerosols properties. The homogenous cloud assumption used in both the properties retrieval and the DRE processing leads to a slight underestimation of the DRE.
Monthly averaged level-3 SeaWiFS chlorophyll concentration data from 1998 to 2001 are globally analyzed using Fourier's analysis to determine the main patterns of temporal variability in all parts of the world ocean. In most regions, seasonal variability dominates over interannual variability, and the timing of the yearly bloom can generally be explained by the local cycle of solar energy. The studied period was influenced by the late consequences of the very strong El Niño of 1997-98. After this major event, the recovery to normal conditions followed different patterns at different locations. Right at the equator, chlorophyll concentration was abnormally high in 1998, and then decreased, while aside from the equator, it was low in 1998, and increased later when equatorial upwelled waters spread poleward.
Most of the current aerosol retrievals from passive sensors are restricted to cloud-free scenes, which strongly reduces our ability to monitor the aerosol properties at a global scale and to estimate their radiative forcing. The presence of aerosol above clouds (AAC) affects the polarized light reflected by the cloud layer, as shown by the spaceborne measurements provided by the POlarization and Directionality of Earth Reflectances (POLDER) instrument on the PARASOL satellite. In a previous work, a first retrieval method was developed for AAC scenes and evaluated for biomass-burning aerosols transported over stratocumulus clouds. The method was restricted to the use of observations acquired at forward scattering angles (90–120°) where polarized measurements are highly sensitive to fine-mode particle scattering. Non-spherical particles in the coarse mode, such as mineral dust particles, do not much polarize light and cannot be handled with this method. In this paper, we present new developments that allow retrieving also the properties of mineral dust particles above clouds. These particles do not much polarize light but strongly reduce the polarized cloud bow generated by the liquid cloud layer beneath and observed for scattering angles around 140°. The spectral attenuation can be used to qualitatively identify the nature of the particles (i.e. accumulation mode versus coarse mode, i.e. mineral dust particles versus biomass-burning aerosols), whereas the magnitude of the attenuation is related to the optical thickness of the aerosol layer. We also use the polarized measurements acquired in the cloud bow to improve the retrieval of both the biomass-burning aerosol properties and the cloud microphysical properties. We provide accurate polarized radiance calculations for AAC scenes and evaluate the contribution of the POLDER polarization measurements for the simultaneous retrieval of the aerosol and cloud properties. We investigate various scenes with mineral dust particles and biomass-burning aerosols above clouds. For clouds, our results confirm that the droplet size distribution is narrow in high-latitude ocean regions and that the droplet effective radii retrieved from both polarization measurements and from total radiance measurements are generally close for AAC scenes (departures smaller than 2 μm). We found that the magnitude of the primary cloud bow cannot be accurately estimated with a plane parallel transfer radiative code. The errors for the modeling of the polarized cloud bow are between 4 and 8% for homogenous cloudy scenes, as shown by a 3-D radiative transfer code. These effects only weakly impact the retrieval of the Aerosol Optical Thickness (AOT) performed with a mineral dust particle model for which the microphysical properties are entirely known (relative error smaller than 6%). We show that the POLDER polarization measurements allow retrieving the AOT, the fine-mode particle size, the Ångström exponent and the fraction of spherical particles. However, the complex refractive index and the coarse-...
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