NobleBlocks

Philips (Spain)

companyMadrid, Spain

Research output, citation impact, and the most-cited recent papers from Philips (Spain) (Spain). Aggregated across the NobleBlocks index of 300M+ scholarly works.

Total works
716
Citations
23.0K
h-index
78
i10-index
422
Also known as
Philips (Spain)

Top-cited papers from Philips (Spain)

Blue-enriched white light in the workplace improves self-reported alertness, performance and sleep quality
Antoine Viola, Lynette M. James, Luc J. M. Schlangen, Derk‐Jan Dijk
2008· Scandinavian Journal of Work Environment & Health562doi:10.5271/sjweh.1268

OBJECTIVES: Specifications and standards for lighting installations in occupational settings are based on the spectral sensitivity of the classical visual system and do not take into account the recently discovered melanopsin-based, blue-light-sensitive photoreceptive system. The authors investigated the effects of exposure to blue-enriched white light during daytime workhours in an office setting. METHODS: The experiment was conducted on 104 white-collar workers on two office floors. After baseline assessments under existing lighting conditions, every participant was exposed to two new lighting conditions, each lasting 4 weeks. One consisted of blue-enriched white light (17 000 K) and the other of white light (4000 K). The order was balanced between the floors. Questionnaire and rating scales were used to assess alertness, mood, sleep quality, performance, mental effort, headache and eye strain, and mood throughout the 8-week intervention. RESULTS: Altogether 94 participants [mean age 36.4 (SD 10.2) years] were included in the analysis. Compared with white light (4000 K), blue-enriched white light (17 000 K) improved the subjective measures of alertness (P<0.0001), positive mood (P=0.0001), performance (P<0.0001), evening fatigue (P=0.0001), irritability (P=0.004), concentration (P<0.0001), and eye discomfort (P=0.002). Daytime sleepiness was reduced (P=0.0001), and the quality of subjective nocturnal sleep (P=0.016) was improved under blue-enriched white light. When the participants' expectation about the effect of the light treatments was entered into the analysis as a covariate, significant effects persisted for performance, alertness, evening fatigue, irritability, difficulty focusing, concentrating, and blurred vision. CONCLUSIONS: Exposure to blue-enriched white light during daytime workhours improves subjective alertness, performance, and evening fatigue.

A Survey of Lightweight-Cryptography Implementations
Thomas Eisenbarth, Sandeep Kumar, Christof Paar, Axel Pöschmann +1 more
2007· IEEE Design & Test of Computers477doi:10.1109/mdt.2007.178

The tight cost and implementation constraints of high-volume products, including secure RFID tags and smart cards, require specialized cryptographic implementations. The authors review recent developments in this area for symmetric and asymmetric ciphers, targeting embedded hardware and software. In this article, we present a selection of recently published lightweight-cryptography implementations and compare them to state-of-the-art results in their field.

Cardiac MRI Endpoints in Myocardial Infarction Experimental and Clinical Trials
Borja Ibáñez, Anthony H. Aletras, Andrew E. Arai, Håkan Arheden +4 more
2019· Journal of the American College of Cardiology346doi:10.1016/j.jacc.2019.05.024

After a reperfused myocardial infarction (MI), dynamic tissue changes occur (edema, inflammation, microvascular obstruction, hemorrhage, cardiomyocyte necrosis, and ultimately replacement by fibrosis). The extension and magnitude of these changes contribute to long-term prognosis after MI. Cardiac magnetic resonance (CMR) is the gold-standard technique for noninvasive myocardial tissue characterization. CMR is also the preferred methodology for the identification of potential benefits associated with new cardioprotective strategies both in experimental and clinical trials. However, there is a wide heterogeneity in CMR methodologies used in experimental and clinical trials, including time of post-MI scan, acquisition protocols, and, more importantly, selection of endpoints. There is a need for standardization of these methodologies to improve the translation into a real clinical benefit. The main objective of this scientific expert panel consensus document is to provide recommendations for CMR endpoint selection in experimental and clinical trials based on pathophysiology and its association with hard outcomes.

Cellular Effect of High Doses of Silica-Coated Quantum Dot Profiled with High Throughput Gene Expression Analysis and High Content Cellomics Measurements
Tingting Zhang, Jackie L. Stilwell, Daniele Gerion, Lianghao Ding +4 more
2006· Nano Letters345doi:10.1021/nl0603350

Quantum dots (Qdots) are now used extensively for labeling in biomedical research, and this use is predicted to grow because of their many advantages over alternative labeling methods. Uncoated Qdots made of core/shell CdSe/ZnS are toxic to cells because of the release of Cd2+ ions into the cellular environment. This problem has been partially overcome by coating Qdots with polymers, poly(ethylene glycol) (PEG), or other inert molecules. The most promising coating to date, for reducing toxicity, appears to be PEG. When PEG-coated silanized Qdots (PEG-silane-Qdots) are used to treat cells, toxicity is not observed, even at dosages above 10-20 nM, a concentration inducing death when cells are treated with polymer or mercaptoacid coated Qdots. Because of the importance of Qdots in current and future biomedical and clinical applications, we believe it is essential to more completely understand and verify this negative global response from cells treated with PEG-silane-Qdots. Consequently, we examined the molecular and cellular response of cells treated with two different dosages of PEG-silane-Qdots. Human fibroblasts were exposed to 8 and 80 nM of these Qdots, and both phenotypic as well as whole genome expression measurements were made. PEG-silane-Qdots did not induce any statistically significant cell cycle changes and minimal apoptosis/necrosis in lung fibroblasts (IMR-90) as measured by high content image analysis, regardless of the treatment dosage. A slight increase in apoptosis/necrosis was observed in treated human skin fibroblasts (HSF-42) at both the low and the high dosages. We performed genome-wide expression array analysis of HSF-42 exposed to doses 8 and 80 nM to link the global cell response to a molecular and genetic phenotype. We used a gene array containing approximately 22,000 total probe sets, containing 18,400 probe sets from known genes. Only approximately 50 genes (approximately 0.2% of all the genes tested) exhibited a statistically significant change in expression level of greater than 2-fold. Genes activated in treated cells included those involved in carbohydrate binding, intracellular vesicle formation, and cellular response to stress. Conversely, PEG-silane-Qdots induce a down-regulation of genes involved in controlling the M-phase progression of mitosis, spindle formation, and cytokinesis. Promoter analysis of these results reveals that expression changes may be attributed to the down-regulation of FOXM and BHLB2 transcription factors. Remarkably, PEG-silane-Qdots, unlike carbon nanotubes, do not activate genes indicative of a strong immune and inflammatory response or heavy-metal-related toxicity. The experimental evidence shows that CdSe/ZnS Qdots, if appropriately protected, induce negligible toxicity to the model cell system studied here, even when exposed to high dosages. This study indicates that PEG-coated silanized Qdots pose minimal impact to cells and are a very promising alternative to uncoated Qdots.

Serial Magnetic Resonance Imaging to Identify Early Stages of Anthracycline-Induced Cardiotoxicity
Carlos Galán‐Arriola, Manuel Lobo, Jean Paul Vilchez‐Tschischke, Gonzalo Javier López +4 more
2019· Journal of the American College of Cardiology258doi:10.1016/j.jacc.2018.11.046

BACKGROUND: Anthracycline-induced cardiotoxicity is a major clinical problem, and early cardiotoxicity markers are needed. OBJECTIVES: The purpose of this study was to identify early doxorubicin-induced cardiotoxicity by serial multiparametric cardiac magnetic resonance (CMR) and its pathological correlates in a large animal model. METHODS: mapping (including extracellular volume [ECV] quantification). A control group was sacrificed after the initial CMR. RESULTS: prolongation occurs at a reversible disease stage. CONCLUSIONS: mapping, ECV, or LV motion defects. The occurrence of these changes at a reversible disease stage shows the clinical potential of this CMR marker for tailored anthracycline therapy.

The Past, Present, and Future for Software Architecture
Philippe Kruchten, Henk Obbink, Judith A. Stafford
2006· IEEE Software224doi:10.1109/ms.2006.59

It's been 10 years since David Garlan and Mary Shaw wrote their seminal book Software Architecture Perspective on an Emerging Discipline, since Maarten Boasson edited a special issue of IEEE Software on software architecture, and since the first International Software Architecture Workshop took place. What has happened over these 10 years? What have we learned? Where do we look for information? What's the community around this discipline? And where are we going from here?This article is part of a focus section on software architecture.

Green Light for Nocturnally Migrating Birds
Hanneke Poot, Bruno J. Ens, Han de Vries, Maurice Donners +2 more
2008· Ecology and Society207doi:10.5751/es-02720-130247

Poot, H., B. J. Ens, H. de Vries, M. A. H. Donners, M. R. Wernand, and J. M. Marquenie. 2008. Green light for nocturnally migrating birds. Ecology and Society 13(2): 47. https://doi.org/10.5751/ES-02720-130247

Myocardial Edema After Ischemia/Reperfusion Is Not Stable and Follows a Bimodal Pattern
Rodrigo Fernández‐Jiménez, Javier Sánchez‐Gonzalez, Jaume Agüero, Jaime García‐Prieto +4 more
2014· Journal of the American College of Cardiology206doi:10.1016/j.jacc.2014.11.004

BACKGROUND: It is widely accepted that edema occurs early in the ischemic zone and persists in stable form for at least 1 week after myocardial ischemia/reperfusion. However, there are no longitudinal studies covering from very early (minutes) to late (1 week) reperfusion stages confirming this phenomenon. OBJECTIVES: This study sought to perform a comprehensive longitudinal imaging and histological characterization of the edematous reaction after experimental myocardial ischemia/reperfusion. METHODS: The study population consisted of 25 instrumented Large-White pigs (30 kg to 40 kg). Closed-chest 40-min ischemia/reperfusion was performed in 20 pigs, which were sacrificed at 120 min (n = 5), 24 h (n = 5), 4 days (n = 5), and 7 days (n = 5) after reperfusion and processed for histological quantification of myocardial water content. Cardiac magnetic resonance (CMR) scans with T2-weighted short-tau inversion recovery and T2-mapping sequences were performed at every follow-up stage until sacrifice. Five additional pigs sacrificed after baseline CMR served as controls. RESULTS: In all pigs, reperfusion was associated with a significant increase in T2 relaxation times in the ischemic region. On 24-h CMR, ischemic myocardium T2 times returned to normal values (similar to those seen pre-infarction). Thereafter, ischemic myocardium-T2 times in CMR performed on days 4 and 7 after reperfusion progressively and systematically increased. On day 7 CMR, T2 relaxation times were as high as those observed at reperfusion. Myocardial water content analysis in the ischemic region showed a parallel bimodal pattern: 2 high water content peaks at reperfusion and at day 7, and a significant decrease at 24 h. CONCLUSIONS: Contrary to the accepted view, myocardial edema during the first week after ischemia/reperfusion follows a bimodal pattern. The initial wave appears abruptly upon reperfusion and dissipates at 24 h. Conversely, the deferred wave of edema appears progressively days after ischemia/reperfusion and is maximal around day 7 after reperfusion.

Hydrodynamics of small tubular pumps
Joshua Dijksman
1984· Journal of Fluid Mechanics184doi:10.1017/s0022112084000318

Miniature tubular pumps are used to emit droplets from ink-jet matrix heads. This paper deals with the simulation of the behaviour of a viscous and compressible liquid in such pumps. The response of the liquid in the frequency and time domain is analysed. An approximate method is given to determine the droplet speed and size.

An asynchronous low-power 80C51 microcontroller
Hans van Gageldonk, Kees van Berkel, A. Peeters, David Baumann +2 more
2002181doi:10.1109/async.1998.666497

This paper presents a low-power asynchronous implementation of the 80C51 microcontroller. It was realized in a 0.5 /spl mu/ CMOS process and it shows a power advantage of a factor 4 compared to a recent synchronous implementation in the same technology. The chip is fully bit compatible with the synchronous implementation, and timing compatible for external memory access. The circuit is a compiled VLSI-program, using Tangram as VLSI-programming language and the Tangram tool-set to compile the design automatically to a standard-cell netlist. This design approach proves to be powerful enough to describe the microcontroller and derive an efficient implementation. Further, it offers the designer the possibility to explore various alternatives in the design space.

White matter microstructure correlates of mathematical giftedness and intelligence quotient
Francisco J. Navas‐Sánchez, Yasser Alemán‐Gómez, Javier Sánchez‐Gonzalez, Juan A. Guzmán‐De‐Villoria +4 more
2013· Human Brain Mapping176doi:10.1002/hbm.22355

Recent functional neuroimaging studies have shown differences in brain activation between mathematically gifted adolescents and controls. The aim of this study was to investigate the relationship between mathematical giftedness, intelligent quotient (IQ), and the microstructure of white matter tracts in a sample composed of math-gifted adolescents and aged-matched controls. Math-gifted subjects were selected through a national program based on detecting enhanced visuospatial abilities and creative thinking. We used diffusion tensor imaging to assess white matter microstructure in neuroanatomical connectivity. The processing included voxel-wise and region of interest-based analyses of the fractional anisotropy (FA), a parameter which is purportedly related to white matter microstructure. In a whole-sample analysis, IQ showed a significant positive correlation with FA, mainly in the corpus callosum, supporting the idea that efficient information transfer between hemispheres is crucial for higher intellectual capabilities. In addition, math-gifted adolescents showed increased FA (adjusted for IQ) in white matter tracts connecting frontal lobes with basal ganglia and parietal regions. The enhanced anatomical connectivity observed in the forceps minor and splenium may underlie the greater fluid reasoning, visuospatial working memory, and creative capabilities of these children.

Magnetically-actuated artificial cilia for microfluidic propulsion
S. N. Khaderi, C.B. Craus, Jeanette Hussong, N. Schorr +4 more
2011· Lab on a Chip170doi:10.1039/c0lc00411a

In this paper we quantitatively analyse the performance of magnetically-driven artificial cilia for lab-on-a-chip applications. The artificial cilia are fabricated using thin polymer films with embedded magnetic nano-particles and their deformation is studied under different external magnetic fields and flows. A coupled magneto-mechanical solid-fluid model that accurately captures the interaction between the magnetic field, cilia and fluid is used to simulate the cilia motion. The elastic and magnetic properties of the cilia are obtained by fitting the results of the computational model to the experimental data. The performance of the artificial cilia with a non-uniform cross-section is characterised using the numerical model for two channel configurations that are of practical importance: an open-loop and a closed-loop channel. We predict that the flow and pressure head generated by the artificial cilia can be as high as 18 microlitres per minute and 3 mm of water, respectively. We also study the effect of metachronal waves on the flow generated and show that the fluid propelled increases drastically compared to synchronously beating cilia, and is unidirectional. This increase is significant even when the phase difference between adjacent cilia is small. The obtained results provide guidelines for the optimal design of magnetically-driven artificial cilia for microfluidic propulsion.

Decreased Corticospinal Tract Fractional Anisotropy Predicts Long-term Motor Outcome After Stroke
Josep Puig, Gerard Blasco, Pepus Daunis‐i‐Estadella, Götz Thomalla +4 more
2013· Stroke146doi:10.1161/strokeaha.111.000382

BACKGROUND AND PURPOSE: Nearly 50% of patients have residual motor deficits after stroke, and long-term motor outcome is difficult to predict. We assessed the predictive value of axonal damage to the corticospinal tract indexed by diffusion tensor imaging fractional anisotropy for long-term motor outcome. METHODS: Consecutive patients with middle cerebral artery stroke underwent multimodal MRI, including diffusion tensor imaging ≤12 hours, 3 days, and 30 days after onset. Clinical severity, infarct volume, location of corticospinal tract damage on diffusion tensor tractography, and ratios of fractional anisotropy (rFA) between affected and unaffected sides of the corticospinal tract at the pons were evaluated. Severity of motor deficit at 2 years was categorized using the Motricity Index as no deficit (Motricity Index, 100), slight-moderate deficit (Motricity Index, 99-50), or severe deficit (Motricity Index, <50). RESULTS: We evaluated 70 patients (28 women; 72±12 years). rFA values at day 30 correlated with the degree of motor deficit at 2 years (P<0.001). rFA at day 30 was the only independent predictor of long-term motor outcome (odds ratio, 1.60; 95% confidence interval, 1.26-2.03; P<0.001). The sensitivity, specificity, and positive and negative predictive values of the cutoffs rFA<0.982 for predicting slight-moderate deficit and rFA<0.689 for severe deficit were 94.4%, 84.6%, 73.9%, and 97.1%, respectively, and 100%, 83.3%, 81.3%, and 100%, respectively. CONCLUSIONS: rFA at day 30 is an independent predictor of long-term motor outcome after stroke.

Pathophysiology Underlying the Bimodal Edema Phenomenon After Myocardial Ischemia/Reperfusion
Rodrigo Fernández‐Jiménez, Jaime García‐Prieto, Javier Sánchez‐Gonzalez, Jaume Agüero +4 more
2015· Journal of the American College of Cardiology144doi:10.1016/j.jacc.2015.06.023

BACKGROUND: Post-ischemia/reperfusion (I/R) myocardial edema was recently shown to follow a consistent bimodal pattern: an initial wave of edema appears on reperfusion and dissipates at 24 h, followed by a deferred wave that initiates days after infarction, peaking at 1 week. OBJECTIVES: This study examined the pathophysiology underlying this post-I/R bimodal edematous reaction. METHODS: Forty instrumented pigs were assigned to different myocardial infarction protocols. Edematous reaction was evaluated by water content quantification, serial cardiac magnetic resonance T2-mapping, and histology/immunohistochemistry. The association of reperfusion with the initial wave of edema was evaluated in pigs undergoing 40-min/80-min I/R and compared with pigs undergoing 120-min ischemia with no reperfusion. The role of tissue healing in the deferred wave of edema was evaluated by comparing pigs undergoing standard 40-min/7-day I/R with animals subjected to infarction without reperfusion (chronic 7-day coronary occlusion) or receiving post-I/R high-dose steroid therapy. RESULTS: Characterization of post-I/R tissue changes revealed maximal interstitial edema early on reperfusion in the ischemic myocardium, with maximal content of neutrophils, macrophages, and collagen at 24 h, day 4, and day 7 post-I/R, respectively. Reperfused pigs had significantly higher myocardial water content at 120 min and T2 relaxation times on 120 min cardiac magnetic resonance than nonreperfused animals. Permanent coronary occlusion or high-dose steroid therapy significantly reduced myocardial water content on day 7 post-infarction. The dynamics of T2 relaxation times during the first post-infarction week were altered significantly in nonreperfused pigs compared with pigs undergoing regular I/R. CONCLUSIONS: The 2 waves of the post-I/R edematous reaction are related to different pathophysiological phenomena. Although the first wave is secondary to reperfusion, the second wave occurs mainly because of tissue healing processes.

Three-dimensionally ordered polymer networks with a helicoidal structure
Dirk J. Broer, Ingrid Heynderickx
1990· Macromolecules136doi:10.1021/ma00211a012

ABSTRACT: It is demonstrated that densely cross-linked polymer networks with a helicoidal order in the nematogenic bridging units can be created by photoinitiated polymerization of liquid-crystalline diacry-lates containing a chiral dopant. The natural pitch of the monomeric mixture is controlled by the dopant concentration, while the total rotation angle of the molecular helix and thus the actual pitch of the mate-rial between two unidirectionally rubbed substrates are supplementarily adjusted by the angle between the director at both interfaces and by the film thickness. During polymerization of a monomeric film the rota-tion angle remains constant, while the pitch may decrease due to polymerization shrinkage. I.

Reciprocal space mapping
Paul F. Fewster
1997· Critical reviews in solid state and materials sciences/CRC critical reviews in solid state and materials sciences136doi:10.1080/10408439708241259

Abstract This review covers the recent advances in reciprocal space mapping. The experimental techniques as well as the theoretical and conceptual developments are discussed. The advantages of reciprocal space mapping over the conventional single scan X-ray scattering methods become clear from the examples presented. Extracting the additional information from mapping in reciprocal space maps has led to a deeper understanding of materials. Imperfect materials benefit enormously from these methods. Near perfect materials also indicate weak diffuse scattering that can now be interpreted in terms of defects, etc., whereas with single scans the influence is difficult to observe and separate from other features. Reciprocal space maps can be collected with both high and low angular resolution diffractometers, depending on the application, although a combination of resolutions may be necessary. It is also growing in importance in the analysis of materials using specular reflectometry. High-resolution reciprocal space mapping is not restricted to good crystalline quality. Examples of reciprocal space mapping are given for semiconductors, metals, ceramics and biological samples. For semiconductor materials, reciprocal space mapping has now become almost routine in the study of lattice relaxation in thin layers and in the assessment of the “quality” of materials. Combinations of mapping with topography and precision lattice parameter determination are also discussed. The latter part of this review discusses the advantages of three-dimensional reciprocal space mapping, which takes the analysis further. With this method the full three-dimensional shapes in reciprocal space can be studied.

Defect-based delay testing of resistive vias-contacts a critical evaluation
K. Baker, G. Gronthoud, M. Lousberg, I. Schanstra +1 more
2003129doi:10.1109/test.1999.805769

This defect-based study analyzes statistical signal delay properties and delay fault test pattern constraints in the CMOS deep submicron environment. Delay fault testing has uncertainty, or noise, in its attempt to detect defects that slow a signal. CMOS resistive vias and contacts were used as a delay defect target. Data were taken from a scan-based test chip (Veqtor) on the Philips 0.25 /spl mu/m technology. Methods to improve delay fault defect detection are given.

Dynamic Edematous Response of the Human Heart to Myocardial Infarction
Rodrigo Fernández‐Jiménez, Manuel Barreiro‐Pérez, Ana Martín‐Garcia, Javier Sánchez‐Gonzalez +4 more
2017· Circulation127doi:10.1161/circulationaha.116.025582

BACKGROUND: Clinical protocols aimed to characterize the post-myocardial infarction (MI) heart by cardiac magnetic resonance (CMR) need to be standardized to take account of dynamic biological phenomena evolving early after the index ischemic event. Here, we evaluated the time course of edema reaction in patients with ST-segment-elevation MI by CMR and assessed its implications for myocardium-at-risk (MaR) quantification both in patients and in a large-animal model. METHODS: A total of 16 patients with anterior ST-segment-elevation MI successfully treated by primary angioplasty and 16 matched controls were prospectively recruited. In total, 94 clinical CMR examinations were performed: patients with ST-segment-elevation MI were serially scanned (within the first 3 hours after reperfusion and at 1, 4, 7, and 40 days), and controls were scanned only once. T2 relaxation time in the myocardium (T2 mapping) and the extent of edema on T2-weighted short-tau triple inversion-recovery (ie, CMR-MaR) were evaluated at all time points. In the experimental study, 20 pigs underwent 40-minute ischemia/reperfusion followed by serial CMR examinations at 120 minutes and 1, 4, and 7 days after reperfusion. Reference MaR was assessed by contrast-multidetector computed tomography during the index coronary occlusion. Generalized linear mixed models were used to take account of repeated measurements. RESULTS: In humans, T2 relaxation time in the ischemic myocardium declines significantly from early after reperfusion to 24 hours, and then increases up to day 4, reaching a plateau from which it decreases from day 7. Consequently, edema extent measured by T2-weighted short-tau triple inversion-recovery (CMR-MaR) varied with the timing of the CMR examination. These findings were confirmed in the experimental model by showing that only CMR-MaR values for day 4 and day 7 postreperfusion, coinciding with the deferred edema wave, were similar to values measured by reference contrast-multidetector computed tomography. CONCLUSIONS: Post-MI edema in patients follows a bimodal pattern that affects CMR estimates of MaR. Dynamic changes in post-ST-segment-elevation MI edema highlight the need for standardization of CMR timing to retrospectively delineate MaR and quantify myocardial salvage. According to the present clinical and experimental data, a time window between days 4 and 7 post-MI seems a good compromise solution for standardization. Further studies are needed to study the effect of other factors on these variables.

Evaluation of spectral photon counting computed tomography K-edge imaging for determination of gold nanoparticle biodistribution <i>in vivo</i>
Salim Si‐Mohamed, David P. Cormode, Daniel Bar-Ness, Monica Sigovan +4 more
2017· Nanoscale126doi:10.1039/c7nr01153a

= 0.93). TEM results were in agreement with the imaging and ICP-OES in that much higher concentrations of AuNPs were observed in the liver, spleen, bone marrow and lymph nodes (mainly in macrophages). In conclusion, we found that SPCCT can be used for repetitive and non-invasive determination of the biodistribution of gold nanoparticles in vivo.

Impact of the Timing of Metoprolol Administration During STEMI on Infarct Size and Ventricular Function
José M. García‐Ruiz, Rodrigo Fernández‐Jiménez, Ana García‐Álvarez, Gonzalo Pizarro +4 more
2016· Journal of the American College of Cardiology106doi:10.1016/j.jacc.2016.02.050

BACKGROUND: Pre-reperfusion administration of intravenous (IV) metoprolol reduces infarct size in ST-segment elevation myocardial infarction (STEMI). OBJECTIVES: This study sought to determine how this cardioprotective effect is influenced by the timing of metoprolol therapy having either a long or short metoprolol bolus-to-reperfusion interval. METHODS: We performed a post hoc analysis of the METOCARD-CNIC (effect of METOprolol of CARDioproteCtioN during an acute myocardial InfarCtion) trial, which randomized anterior STEMI patients to IV metoprolol or control before mechanical reperfusion. Treated patients were divided into short- and long-interval groups, split by the median time from 15 mg metoprolol bolus to reperfusion. We also performed a controlled validation study in 51 pigs subjected to 45 min ischemia/reperfusion. Pigs were allocated to IV metoprolol with a long (-25 min) or short (-5 min) pre-perfusion interval, IV metoprolol post-reperfusion (+60 min), or IV vehicle. Cardiac magnetic resonance (CMR) was performed in the acute and chronic phases in both clinical and experimental settings. RESULTS: For 218 patients (105 receiving IV metoprolol), the median time from 15 mg metoprolol bolus to reperfusion was 53 min. Compared with patients in the short-interval group, those with longer metoprolol exposure had smaller infarcts (22.9 g vs. 28.1 g; p = 0.06) and higher left ventricular ejection fraction (LVEF) (48.3% vs. 43.9%; p = 0.019) on day 5 CMR. These differences occurred despite total ischemic time being significantly longer in the long-interval group (214 min vs. 160 min; p < 0.001). There was no between-group difference in the time from symptom onset to metoprolol bolus. In the animal study, the long-interval group (IV metoprolol 25 min before reperfusion) had the smallest infarcts (day 7 CMR) and highest long-term LVEF (day 45 CMR). CONCLUSIONS: In anterior STEMI patients undergoing primary angioplasty, the sooner IV metoprolol is administered in the course of infarction, the smaller the infarct and the higher the LVEF. These hypothesis-generating clinical data are supported by a dedicated experimental large animal study.