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Sample records for aortic pulse wave

  1. Aortic pulse wave velocity improves cardiovascular event prediction

    DEFF Research Database (Denmark)

    Ben-Shlomo, Yoav; Spears, Melissa; Boustred, Chris

    2014-01-01

    To determine whether aortic pulse wave velocity (aPWV) improves prediction of cardiovascular (CVD) events beyond conventional risk factors.......To determine whether aortic pulse wave velocity (aPWV) improves prediction of cardiovascular (CVD) events beyond conventional risk factors....

  2. Aortic pulse wave velocity measurement in systemic sclerosis patients

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    M. Sebastiani

    2012-12-01

    Full Text Available Background. Systemic sclerosis (SSc is characterized by endothelial dysfunction and widespread microangiopathy. However, a macrovascular damage could be also associated. Aortic pulse wave velocity (aPWV is known to be a reliable indicator of arterial stiffness and a useful prognostic predictor of cardiovascular events. Moreover, aPWV may be easily measured by non-invasive, user-friendly tool. Aim of our study was to evaluate aPWV alterations in a series of SSc patients. Methods. The aPWV was evaluated in 35 consecutive female SSc patients and 26 sex- and age-matched healthy controls. aPWV alterations were correlated with cardiopulmonary involvement. Results. A significant increase of aPWV was observed in SSc patients compared to controls (9.4±3.2 m/s vs 7.3±1 m/s; P=0.002. In particular, 14/35 (40% SSc patients and only 1/26 (4% controls (P=0.0009 showed increased aPWV (>9 m/s cut-off value. Moreover, echocardiography evaluation showed an increased prevalence of right atrial and ventricular dilatation (atrial volume: 23.6±6.2 mL vs 20.3±4.3 mL, P=0.026; ventricular diameter 19.5±4.9 mm vs 15.9±1.6 mm; P=0.001 associated to higher values of pulmonary arterial systolic pressure (PAPs in SSc patients (31.5±10.4 mmHg vs 21.6±2.9 mmHg; P50 years old. Furthermore, altered aPWV was more frequently associated with limited cutaneous pattern, longer disease duration (≥5 years, and/or presence of anticentromere antibody (ACA. Conclusions. A significantly higher prevalence of abnormally increased aPWV was evidenced in SSc patients compared to healthy controls. The possibility of more pronounced and diffuse vascular damage in a particular SSc subset (ACA-positive subjects with limited cutaneous scleroderma and longer disease duration might be raised.

  3. Correlates of Osteoprotegerin and Association with Aortic Pulse Wave Velocity in Patients with Chronic Kidney Disease

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    Leonard, Mary B.; Townsend, Raymond R.; Appel, Lawrence; Wolf, Myles; Budoff, Matt J.; Chen, Jing; Lustigova, Eva; Gadegbeku, Crystal A.; Glenn, Melanie; Hanish, Asaf; Raj, Dominic; Rosas, Sylvia E.; Seliger, Stephen L.; Weir, Matthew R.; Parekh, Rulan S.

    2011-01-01

    Summary Background and objectives Osteoprotegerin (OPG), a cytokine that regulates bone resorption, has been implicated in the process of vascular calcification and stiffness. Design, setting, participants, & measurements Serum OPG was measured in 351 participants with chronic kidney disease (CKD) from one site of the Chronic Renal Insufficiency Cohort Study. Cortical bone mineral content (BMC) was measured by quantitative computed tomography in the tibia. Multivariable linear regression was used to test the association between serum OPG and traditional cardiovascular risk factors, measures of abnormal bone and mineral metabolism, and pulse wave velocity. Results Higher serum OPG levels were associated with older age, female gender, greater systolic BP, lower estimated GFR, and lower serum albumin. OPG was not associated with measures of abnormal bone or mineral metabolism including serum phosphorus, albumin-corrected serum calcium, intact parathyroid hormone, bone-specific alkaline phosphatase, or cortical BMC. Among 226 participants with concurrent aortic pulse wave velocity measurements, increasing tertiles of serum OPG were associated with higher aortic pulse wave velocity after adjustment for demographics, traditional vascular risk factors, and nontraditional risk factors such as estimated GFR, albuminuria, serum phosphate, corrected serum calcium, presence of secondary hyperparathyroidism, serum albumin, and C-reactive protein or after additional adjustment for cortical BMC in a subset (n = 161). Conclusions These data support a strong relationship between serum OPG and arterial stiffness independent of many potential confounders including traditional cardiovascular risk factors, abnormal bone and mineral metabolism, and inflammation. PMID:21940840

  4. Numerical assessment and comparison of pulse wave velocity methods aiming at measuring aortic stiffness.

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    Obeid, Hasan; Soulat, Gilles; Mousseaux, Elie; Laurent, Stéphane; Stergiopulos, Nikos; Boutouyrie, Pierre; Segers, Patrick

    2017-10-31

    Pulse waveform analyses have become established components of cardiovascular research. Recently several methods have been proposed as tools to measure aortic pulse wave velocity (aPWV). The carotid-femoral pulse wave velocity (cf-PWV), the current clinical gold standard method for the noninvasive assessment of aPWV, uses the carotid-to-femoral pulse transit time difference (cf-PTT) and an estimated path length to derive cf-PWV. The heart-ankle PWV (ha-PWV), brachial-ankle PWV (ba-PWV) and finger-toe (ft-PWV) are also methods presuming to approximate aPWV based on time delays between physiological cardiovascular signals at two locations (~heart-ankle PTT, ha-PTT; ~brachial-ankle PTT, ba-PTT; ~finger-toe PTT, ft-PTT) and a path length typically derived from the subject's height. To test the validity of these methods, we used a detailed 1D arterial network model (143 arterial segments) including the foot and hand circulation. The arterial tree dimensions and properties were taken from the literature and completed with data from patient scans. We calculated PTTs with all the methods mentioned above. The calculated PTTs were compared with the aortic PTT (aPTT), which is considered as the absolute reference method in this study. The correlation between methods and aPTT was good and significant, cf-PTT (R 2   =  0.97; P  methods, but absolute values differed because of the different path lengths used. In conclusion, our computer model-based analyses demonstrate that for PWV methods based on peripheral signals, pulse transit time differences closely correlate with the aortic transit time, supporting the use of these methods in clinical practice.

  5. Non-invasive aortic systolic pressure and pulse wave velocity estimation in a primary care setting: An in silico study.

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    Guala, Andrea; Camporeale, Carlo; Ridolfi, Luca; Mesin, Luca

    2017-04-01

    Everyday clinical cardiovascular evaluation is still largely based on brachial systolic and diastolic pressures. However, several clinical studies have demonstrated the higher diagnostic capacities of the aortic pressure, as well as the need to assess the aortic mechanical properties (e.g., by measuring the aortic pulse wave velocity). In order to fill this gap, we propose to exploit a set of easy-to-obtain physical characteristics to estimate the aortic pressure and pulse wave velocity. To this aim, a large population of virtual subjects is created by a validated mathematical model of the cardiovascular system. Quadratic regressive models are then fitted and statistically selected in order to obtain reliable estimations of the aortic pressure and pulse wave velocity starting from the knowledge of the subject age, height, weight, brachial pressure, photoplethysmographic measures and either electrocardiogram or phonocardiogram. The results are very encouraging and foster clinical studies aiming to apply a similar technique to a real population. Copyright © 2017 IPEM. Published by Elsevier Ltd. All rights reserved.

  6. [Effects of aromatherapy on changes in the autonomic nervous system, aortic pulse wave velocity and aortic augmentation index in patients with essential hypertension].

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    Cha, Jung Hee; Lee, Sun Hee; Yoo, Yang Sook

    2010-10-01

    To investigate the effectiveness of aromatherapy on blood pressure, heart rate variability, aortic pulse wave velocity and the aortic augmentation index of essential hypertensive patients. Using a coin toss, 22 participants were assigned to the experimental group and 20 to the control. The experimental group was given a blend of oils of lemon (Citrus limonum), lavender (Lavandula angustifolia), and ylang ylang (Cananga odorata) which were prepared in the ratio of 2:2:1, respectively. The control group was given an artificial lemon fragrance of Limonene (35 cc) and Citral (15 cc) mixture. The experiment, inhalation, was conducted for 3 weeks (2 min per inhalation, 2 times per day) to both groups. There was a noticeable difference in systolic blood pressure between the groups (p=.001), however the difference in diastolic blood pressure between the two groups was not significant. There was a notable difference in sympathetic nerve system activity of heart rate variability (p=.047). However, the differences in aortic pulse wave velocity or the aortic augmentation index were not significant. Aromatherapy is effective in lowering systolic blood pressure and sympathetic nerve system activity.

  7. Measuring aortic pulse wave velocity using high-field cardiovascular magnetic resonance: comparison of techniques

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    Shaffer Jean M

    2010-05-01

    Full Text Available Abstract Background The assessment of arterial stiffness is increasingly used for evaluating patients with different cardiovascular diseases as the mechanical properties of major arteries are often altered. Aortic stiffness can be noninvasively estimated by measuring pulse wave velocity (PWV. Several methods have been proposed for measuring PWV using velocity-encoded cardiovascular magnetic resonance (CMR, including transit-time (TT, flow-area (QA, and cross-correlation (XC methods. However, assessment and comparison of these techniques at high field strength has not yet been performed. In this work, the TT, QA, and XC techniques were clinically tested at 3 Tesla and compared to each other. Methods Fifty cardiovascular patients and six volunteers were scanned to acquire the necessary images. The six volunteer scans were performed twice to test inter-scan reproducibility. Patient images were analyzed using the TT, XC, and QA methods to determine PWV. Two observers analyzed the images to determine inter-observer and intra-observer variabilities. The PWV measurements by the three methods were compared to each other to test inter-method variability. To illustrate the importance of PWV using CMR, the degree of aortic stiffness was assessed using PWV and related to LV dysfunction in five patients with diastolic heart failure patients and five matched volunteers. Results The inter-observer and intra-observer variability results showed no bias between the different techniques. The TT and XC results were more reproducible than the QA; the mean (SD inter-observer/intra-observer PWV differences were -0.12(1.3/-0.04(0.4 for TT, 0.2(1.3/0.09(0.9 for XC, and 0.6(1.6/0.2(1.4 m/s for QA methods, respectively. The correlation coefficients (r for the inter-observer/intra-observer comparisons were 0.94/0.99, 0.88/0.94, and 0.83/0.92 for the TT, XC, and QA methods, respectively. The inter-scan reproducibility results showed low variability between the repeated

  8. Compliance of the normal-sized aorta in adolescents with Marfan syndrome: comparison of MR measurements of aortic distensibility and pulse wave velocity

    International Nuclear Information System (INIS)

    Eichhorn, J.G.; Ruediger, H.J.; Gorenflo, M.; Khalil, M.; Ulmer, H.; Krissak, R.; Kauczor, H.U.; Ley, S.; Universitaetsklinik Heidelberg; Arnold, R.; Universitaetskinderklinik Freiburg; Boese, J.; Siemens AG, Medical Solutions, Forchheim; Krug, R.; Fink, C.

    2007-01-01

    Purpose: To compare the aortic compliance of the normal-sized aorta of adolescents with Marfan syndrome and healthy controls using MR measurements of the aortic distensibility and pulse wave velocity. Materials and Methods: Fourteen patients (median age: 15 [9-21] years) and 11 healthy subjects (23 [12-32] years) were examined at 1.5 T. The MR protocol included 2D steady-state free precession (SSFP)-CINE MRI of the aortic distensibility and PC-MRI of the pulse wave velocity. All measurements were positioned perpendicular to the descending aorta at the level of the diaphragm for assessing the changes in the aortic cross-sectional areas and additionally above and below this plane for assessing the pulse wave velocity. In addition contrast-enhanced 3D-MR angiography was performed in adolescents with Marfan syndrome to exclude morphologic changes and to prove normal-sized aorta. Results: Compared with control subjects, adolescents with Marfan syndrome had significantly decreased distensibility and significantly increased pulse wave velocity (χ 2 -test, p = 0.0002) using an age-related non-linear regression analysis. The related aortic compliance was significantly decreased (χ 2 -test, p = 0.0002). There was a good correlation between the two methods (r = 0.86). A low intraobserver variability was found for both methods (≤ 2 %). (orig.)

  9. Bilateral symmetry of radial pulse in high-level tennis players: implications for the validity of central aortic pulse wave analysis.

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    Gojanovic, Boris; Waeber, Bernard; Gremion, Gerald; Liaudet, Lucas; Feihl, François

    2009-08-01

    Reconstruction of the central aortic pressure wave from the noninvasive recording of the radial pulse with applanation tonometry has become a standard tool in the field of hypertension. It is not presently known whether recording the radial pulse on the dominant or the nondominant side has any effect on such reconstruction. We carried out radial applanation tonometry on both forearms in young, healthy, male volunteers, who were either sedentary (n = 11) or high-level tennis players (n = 10). The purpose of including tennis players was to investigate individuals with extreme asymmetry between the dominant and nondominant upper limb. In the sedentary individuals, forearm circumference and handgrip strength were slightly larger on the dominant (mean +/- SD respectively 27.9 +/- 1.5 cm and 53.8 +/- 10 kg) than on nondominant side (27.3 +/- 1.6 cm, P central aortic pressure waveforms, as well as derived indices of central pulsatility, were not dependent on the side where applanation tonometry was carried out. Evidence from individuals with maximal asymmetry of dominant vs. nondominant upper limb indicates that laterality of measurement is not a methodological issue for central pulse wave analysis carried out with radial applanation tonometry.

  10. Preliminary Evaluation of Aortic Aneurysm Screening Using Oscillometric Device Equipped With Novel Algorithm Analyzing Pulse Wave Transfer.

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    Ichihashi, Shigeo; Hashimoto, Tomoko; Iwakoshi, Shinichi; Obayashi, Kenji; Saeki, Keigo; Kichikawa, Kimihiko

    2018-01-25

    Detection of aortic aneurysm (AA) prior to rupture is crucial to decreasing its mortality. Towards this purpose, a novel detection algorithm was developed from pulse volume recording (PVR), analyzing the propagation loss of pulse waves caused by expansion of the aortic wall. The diagnostic ability of the algorithm was evaluated in this prospective study.Methods and Results:PVR were measured for 30 s using the oscillometric device designed for automatic measurement of the ankle-brachial index (ABI). The algorithm processed the data automatically and assessed whether the patient had an AA. CT angiography was used as the reference standard. Sensitivity and specificity of the algorithm were evaluated. A total of 152 AA patients, including 21 patients with thoracic AAs (TAA), and 64 non-aneurysm control subjects were enrolled. The mean diameter of all AAs was 47.2±10.3 mm. After measurements, 121 AA patients and 33 control subjects were judged by the algorithm as having or not having AAs, resulting in sensitivity of 80% and specificity of 52%. The sensitivity was higher for larger AAs. There was no sensitivity difference according to the location of the AA. The new diagnostic algorithm installed in the oscillometric device detected AAs with high sensitivity, especially larger aneurysms. For application as a screening tool, the specificity needs to be improved.

  11. Differential effects of vitamin D receptor activators on aortic calcification and pulse wave velocity in uraemic rats.

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    Noonan, William; Koch, Kristin; Nakane, Masaki; Ma, Junli; Dixon, Doug; Bolin, Antoinette; Reinhart, Glenn

    2008-12-01

    Vascular calcification is associated with an increase in cardiovascular mortality in stage 5 chronic kidney disease. To determine if vitamin D receptor activators (VDRAs) have differential effects in the pathogenesis of aortic calcification, we assessed the effects of paricalcitol and doxercalciferol in vivo using 5/6 nephrectomized (NX) rats. To quantify the functional consequences of vascular calcification, pulse wave velocity (PWV), an aortic compliance index, was measured. NX rats were fed a diet containing 0.9% phosphorous and 0.6% calcium 4 weeks prior to and throughout the study. On Day 0, rats received vehicle or VDRA (0.083, 0.167 and 0.333 microg/kg, i.p.) three times per week for 6 weeks. At Day 0 and Weeks 2 and 6, blood was drawn and PWV was measured by Doppler ultrasound. VDRAs (0.167 and 0.333 microg/kg) consistently lowered PTH at Weeks 2 and 6. All doses of paricalcitol increased serum calcium at Week 6 but not at Week 2, while the two higher doses of doxercalciferol increased serum calcium at both Weeks 2 and 6. Treatment with paricalcitol (0.333 microg/kg) increased serum phosphorus at Weeks 2 and 6; these changes were not different from those observed in 5/6 NX rats. All doses of doxercalciferol increased serum phosphorus at Week 6. Paricalcitol had no effect on Ca x P; however, the two highest doses of doxercalciferol increased Ca x P at Weeks 2 and 6 above that observed in the 5/6 NX vehicle-treated group. There were no differences in aortic calcium and phosphorus contents at the end of 6 weeks among SHAM-, 5/6 NX- and paricalcitol-treated rats. However, treatment with the two higher doses of doxercalciferol caused a significant elevation in aortic calcium and phosphorus contents. Measurements of PWV demonstrated differential effects of VDRAs on vascular compliance. Paricalcitol produced no effects on PWV, while the two highest doses of doxercalciferol increased PWV at Week 6. In uraemic rats with established secondary hyperparathyroidism, we

  12. Aortic distensibility measured by pulse-wave velocity is not modified in patients with Chagas' disease

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    Arteaga Edmundo

    2006-06-01

    Full Text Available Abstract Background Experimental studies demonstrate that infection with trypanosoma cruzi causes vasculitis. The inflammatory lesion process could hypothetically lead to decreased distensibility of large and small arteries in advanced Chagas' disease. We tested this hypothesis. Methods and results We evaluated carotid-femoral pulse-wave velocity (PWV in 53 Chagas' disease patients compared with 31 healthy volunteers (control group. The 53 patients were classified into 3 groups: 1 16 with indeterminate form of Chagas' disease; 2 18 with Chagas' disease, electrocardiographic abnormalities, and normal systolic function; 3 19 with Chagas' disease, systolic dysfunction, and mild-to-moderate congestive heart failure. No difference was noted between the 4 groups regarding carotid-femoral PWV (8.4 ± 1.1 vs 8.2 ± 1.5 vs 8.2 ± 1.4 vs 8.7 ± 1.6 m/s, P = 0.6 or pulse pressure (39.5 ± 7.6 vs 39.3 ± 8.1 vs 39.5 ± 7.4 vs 39.7 ± 6.9 mm Hg, P = 0.9. A positive, significant, similar correlation occurred between PWV and age in patients with Chagas' disease (r = 0.42, P = 0.002, in controls (r = 0.48, P = 0.006, and also between PWV and systolic blood pressure in both groups (patients with Chagas' disease, r = 0.38, P = 0.005; healthy subjects, r = 0.36, P = 0.043. Conclusion Carotid femoral pulse-wave velocity is not modified in patients with Chagas' disease, suggesting that elastic properties of large arteries are not affected in this disorder.

  13. Abdominal aortic pulsed wave Doppler patterns reliably reflect clinical severity in patients with coarctation of the aorta.

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    Silvilairat, Suchaya; Cetta, Frank; Biliciler-Denktas, Gurur; Ammash, Naser M; Cabalka, Allison K; Hagler, Donald J; O'Leary, Patrick W

    2008-01-01

    There are situations in which standard echocardiography does not adequately define the aortic arch. We sought to determine what additional information could be gained by analyzing abdominal aortic Doppler flows in coarctation. Previously recorded echocardiographic data were reviewed in 70 controls and 248 patients with coarctation, including abdominal aortic values for pulsatility indices, pulse delay, and presence of early diastolic reversal. Ability of these variables to distinguish controls from coarctation patients and to assess coarctation severity was assessed. Corrected maximum instantaneous gradient and all abdominal aortic flow variables were associated with severity of obstruction. Early diastolic reversal was universally absent in significant coarctation. Threshold values for other parameters associated with significant obstruction were: corrected pulse delay >or=3.4 msec(1/2), pulsatility index or=2.8 msec(1/2)) was found to be the best predictor of clinical coarctation status (positive predictive value = 93%, negative predictive value = 88%). In the absence of a ductus arteriosus, abdominal aortic Doppler parameters can reliably predict the presence of significant coarctation. When early diastolic reversal was present, obstruction was always absent. Lack of early diastolic reversal with a prolonged pulse delay was the best predictor of significant obstruction. Abdominal aortic Doppler evaluation should become a routine part of the evaluation of patients with known or suspected coarctation.

  14. A comparative study of the effect of coronary atherosclerosis and age on aortic and pulmonary arterial pulse wave velocity

    International Nuclear Information System (INIS)

    Hanya, Shizuo

    2008-01-01

    The effect of coronary artery disease (CAD) and age on aortic (AO-PWV) and pulmonary arterial pulse wave velocity (PA-PWV) was studied. Aortic and pulmonary arterial pressure were measured at two sites (ascending and abdominal aorta, and the main pulmonary trunk and one of its principle branches, respectively) using a catheter-tip micromanometer in 24 patients divided in two groups. Control group (n=12) consisted of patients with normal coronaries, while the CAD group (n=12) consisted of patients with coronary artery disease estimated by coronary angiography. The interval between these two sites was determined by measuring the withdrawal distance of the microtip-catheter. AO-PWV was significantly higher (p<0.02) in the CAD group (12.0±4.1 m/sec) than in the control group (8.2±2.7 m/sec). There was no significant difference between the two groups in PA-PWV. AO-PWV was significantly (r=0.731, p<0.01) increased with age in the control group, while no significant correlation between the two was observed in the CAD group. There was no significant correlation between PA-PWV and age in control group. The results of this study indicate that only coronary atherosclerosis and age have significant predictive value regarding AO-PWV, but there was no significant correlation with PA-PWV for any of these parameters. The PA-PWV invasively measured in the 12 control subjects in this study was 2.3±0.7 m/sec, which is very close to values reported in the recent literatures using MRI. (author)

  15. Pulse-wave morphology and pulse-wave velocity in healthy human volunteers

    DEFF Research Database (Denmark)

    Frimodt-Møller, M; Nielsen, A H; Kamper, A-L

    2006-01-01

    OBJECTIVE: Applanation tonometry for pulse-wave analysis (PWA) and determination of pulse-wave velocity (PWV) is a non-invasive method for assessment of the central aortic pressure waveform and indices of arterial stiffness. The objective of this study was to examine the influence of eating...

  16. Effects of Short-Term Exenatide Treatment on Regional Fat Distribution, Glycated Hemoglobin Levels, and Aortic Pulse Wave Velocity of Obese Type 2 Diabetes Mellitus Patients

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    Ju-Young Hong

    2016-03-01

    Full Text Available BackgroundMost type 2 diabetes mellitus patients are obese and have obesity related vascular complications. Exenatide treatment is well known for both decreasing glycated hemoglobin levels and reduction in body weight. So, this study aimed to determine the effects of exenatide on body composition, glycated hemoglobin levels, and vascular stiffness in obese type 2 diabetes mellitus patients.MethodsFor 1 month, 32 obese type 2 diabetes mellitus patients were administered 5 µg of exenatide twice daily. The dosage was then increased to 10 µg. Patients' height, body weight, glycated hemoglobin levels, lipid profile, pulse wave velocity (PWV, body mass index, fat mass, and muscle mass were measured by using Inbody at baseline and after 3 months of treatment.ResultsAfter 3 months of treatment, glycated hemoglobin levels decreased significantly (P=0.007. Triglyceride, total cholesterol, and low density lipoprotein levels decreased, while aspartate aminotransferase and alanine aminotransferase levels were no change. Body weight, and fat mass decreased significantly (P=0.002 and P=0.001, respectively, while interestingly, muscle mass did not decrease (P=0.289. In addition to, Waist-to-hip ratio and aortic PWV decreased significantly (P=0.006 and P=0.001, respectively.ConclusionEffects of short term exenatide use in obese type 2 diabetes mellitus with cardiometabolic high risk patients not only reduced body weight without muscle mass loss, body fat mass, and glycated hemoglobin levels but also improved aortic PWV in accordance with waist to hip ratio.

  17. Effects of Short-Term Exenatide Treatment on Regional Fat Distribution, Glycated Hemoglobin Levels, and Aortic Pulse Wave Velocity of Obese Type 2 Diabetes Mellitus Patients.

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    Hong, Ju Young; Park, Keun Young; Kim, Byung Joon; Hwang, Won Min; Kim, Dong Ho; Lim, Dong Mee

    2016-03-01

    Most type 2 diabetes mellitus patients are obese and have obesity related vascular complications. Exenatide treatment is well known for both decreasing glycated hemoglobin levels and reduction in body weight. So, this study aimed to determine the effects of exenatide on body composition, glycated hemoglobin levels, and vascular stiffness in obese type 2 diabetes mellitus patients. For 1 month, 32 obese type 2 diabetes mellitus patients were administered 5 μg of exenatide twice daily. The dosage was then increased to 10 μg. Patients' height, body weight, glycated hemoglobin levels, lipid profile, pulse wave velocity (PWV), body mass index, fat mass, and muscle mass were measured by using Inbody at baseline and after 3 months of treatment. After 3 months of treatment, glycated hemoglobin levels decreased significantly (P=0.007). Triglyceride, total cholesterol, and low density lipoprotein levels decreased, while aspartate aminotransferase and alanine aminotransferase levels were no change. Body weight, and fat mass decreased significantly (P=0.002 and P=0.001, respectively), while interestingly, muscle mass did not decrease (P=0.289). In addition to, Waist-to-hip ratio and aortic PWV decreased significantly (P=0.006 and P=0.001, respectively). Effects of short term exenatide use in obese type 2 diabetes mellitus with cardiometabolic high risk patients not only reduced body weight without muscle mass loss, body fat mass, and glycated hemoglobin levels but also improved aortic PWV in accordance with waist to hip ratio.

  18. Music decreases aortic stiffness and wave reflections.

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    Vlachopoulos, Charalambos; Aggelakas, Angelos; Ioakeimidis, Nikolaos; Xaplanteris, Panagiotis; Terentes-Printzios, Dimitrios; Abdelrasoul, Mahmoud; Lazaros, George; Tousoulis, Dimitris

    2015-05-01

    Music has been related to cardiovascular health and used as adjunct therapy in patients with cardiovascular disease. Aortic stiffness and wave reflections are predictors of cardiovascular risk. We investigated the short-term effect of classical and rock music on arterial stiffness and wave reflections. Twenty healthy individuals (22.5±2.5 years) were studied on three different occasions and listened to a 30-min music track compilation (classical, rock, or no music for the sham procedure). Both classical and rock music resulted in a decrease of carotid-femoral pulse wave velocity (PWV) immediately after the end of music listening (all pclassical or rock music in a more sustained way (nadir by 6.0% and 5.8%, respectively, at time zero post-music listening, all pmusic preference was taken into consideration, both classical and rock music had a more potent effect on PWV in classical aficionados (by 0.20 m/s, p=0.003 and 0.13 m/s, p=0.015, respectively), whereas there was no effect in rock aficionados (all p=NS). Regarding wave reflections, classical music led to a more potent response in classical aficionados (AIx decrease by 9.45%), whereas rock led to a more potent response to rock aficionados (by 10.7%, all pMusic, both classical and rock, decreases aortic stiffness and wave reflections. Effect on aortic stiffness lasts for as long as music is listened to, while classical music has a sustained effect on wave reflections. These findings may have important implications, extending the spectrum of lifestyle modifications that can ameliorate arterial function. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. Opposite predictive value of pulse pressure and aortic pulse wave velocity on heart failure with reduced left ventricular ejection fraction: insights from an Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (EPHESUS) substudy.

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    Regnault, Veronique; Lagrange, Jérémy; Pizard, Anne; Safar, Michel E; Fay, Renaud; Pitt, Bertram; Challande, Pascal; Rossignol, Patrick; Zannad, Faiez; Lacolley, Patrick

    2014-01-01

    Although hypertension contributes significantly to worsen cardiovascular risk, blood pressure increment in subjects with heart failure is paradoxically associated with lower risk. The objective was to determine whether pulse pressure and pulse wave velocity (PWV) remain prognostic markers, independent of treatment in heart failure with reduced left ventricular function. The investigation involved 6632 patients of the Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study. All subjects had acute myocardial infarction with left ventricular ejection fraction <40% and signs/symptoms of heart failure. Carotid-femoral PWV was measured in a subpopulation of 306 subjects. In the overall population, baseline mean arterial pressure <90 mm Hg was associated with higher all-cause death (hazard ratio, 1.14 [95% confidence interval, 1.00-1.30]; P<0.05), whereas higher left ventricular ejection fraction or pulse pressure was associated with lower rates of all-cause death, cardiovascular death/hospitalization, and cardiovascular death. In the subpopulation, increased baseline PWV was associated with worse outcomes (all-cause death: 1.16 [1.03-1.30]; P<0.05 and cardiovascular deaths: 1.16 [1.03-1.31]; P<0.05), independent of age and left ventricular ejection fraction. Using multiple regression analysis, systolic blood pressure and age were the main independent factors positively associated with pulse pressure or PWV, both in the entire population or in the PWV substudy. In heart failure and low ejection fraction, our results suggest that pulse pressure, being negatively associated with outcome, is more dependent on left ventricular function and thereby no longer a marker of aortic elasticity. In contrast, increased aortic stiffness, assessed by PWV, contributes significantly to cardiovascular death.

  20. Aortic pulse wave velocity improves cardiovascular event prediction: an individual participant meta-analysis of prospective observational data from 17,635 subjects.

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    Ben-Shlomo, Yoav; Spears, Melissa; Boustred, Chris; May, Margaret; Anderson, Simon G; Benjamin, Emelia J; Boutouyrie, Pierre; Cameron, James; Chen, Chen-Huan; Cruickshank, J Kennedy; Hwang, Shih-Jen; Lakatta, Edward G; Laurent, Stephane; Maldonado, João; Mitchell, Gary F; Najjar, Samer S; Newman, Anne B; Ohishi, Mitsuru; Pannier, Bruno; Pereira, Telmo; Vasan, Ramachandran S; Shokawa, Tomoki; Sutton-Tyrell, Kim; Verbeke, Francis; Wang, Kang-Ling; Webb, David J; Willum Hansen, Tine; Zoungas, Sophia; McEniery, Carmel M; Cockcroft, John R; Wilkinson, Ian B

    2014-02-25

    The goal of this study was to determine whether aortic pulse wave velocity (aPWV) improves prediction of cardiovascular disease (CVD) events beyond conventional risk factors. Several studies have shown that aPWV may be a useful risk factor for predicting CVD, but they have been underpowered to examine whether this is true for different subgroups. We undertook a systematic review and obtained individual participant data from 16 studies. Study-specific associations of aPWV with CVD outcomes were determined using Cox proportional hazard models and random effect models to estimate pooled effects. Of 17,635 participants, a total of 1,785 (10%) had a CVD event. The pooled age- and sex-adjusted hazard ratios (HRs) per 1-SD change in loge aPWV were 1.35 (95% confidence interval [CI]: 1.22 to 1.50; p 70 years, respectively; pinteraction prediction (13% for 10-year CVD risk for intermediate risk) for some subgroups. Consideration of aPWV improves model fit and reclassifies risk for future CVD events in models that include standard risk factors. aPWV may enable better identification of high-risk populations that might benefit from more aggressive CVD risk factor management. Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  1. Validity of the Water Hammer Formula for Determining Regional Aortic Pulse Wave Velocity: Comparison of One-Point and Two-Point (Foot-to-Foot) Measurements Using a Multisensor Catheter in Human.

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    Hanya, Shizuo

    2013-01-01

    Lack of high-fidelity simultaneous measurements of pressure and flow velocity in the aorta has impeded the direct validation of the water-hammer formula for estimating regional aortic pulse wave velocity (AO-PWV1) and has restricted the study of the change of beat-to-beat AO-PWV1 under varying physiological conditions in man. Aortic pulse wave velocity was derived using two methods in 15 normotensive subjects: 1) the conventional two-point (foot-to-foot) method (AO-PWV2) and 2) a one-point method (AO-PWV1) in which the pressure velocity-loop (PV-loop) was analyzed based on the water hammer formula using simultaneous measurements of flow velocity (Vm) and pressure (Pm) at the same site in the proximal aorta using a multisensor catheter. AO-PWV1 was calculated from the slope of the linear regression line between Pm and Vm where wave reflection (Pb) was at a minimum in early systole in the PV-loop using the water hammer formula, PWV1 = (Pm/Vm)/ρ, where ρ is the blood density. AO-PWV2 was calculated using the conventional two-point measurement method as the distance/traveling time of the wave between 2 sites for measuring P in the proximal aorta. Beat-to-beat alterations of AO-PWV1 in relationship to aortic pressure and linearity of the initial part of the PV-loop during a Valsalva maneuver were also assessed in one subject. The initial part of the loop became steeper in association with the beat-to-beat increase in diastolic pressure in phase 4 during the Valsalva maneuver. The linearity of the initial part of the PV-loop was maintained consistently during the maneuver. Flow velocity vs. pressure in the proximal aorta was highly linear during early systole, with Pearson's coefficients ranging from 0.9954 to 0.9998. The average values of AO-PWV1 and AO-PWV2 were 6.3 ± 1.2 and 6.7 ± 1.3 m/s, respectively. The regression line of AO-PWV1 on AO-PWV2 was y = 0.95x + 0.68 (r = 0.93, p hammer formula (one-point method) provides a reliable and conventional estimate of beat

  2. Compliance of the normal-sized aorta in adolescents with Marfan syndrome: comparison of MR measurements of aortic distensibility and pulse wave velocity; Compliance der morphologisch unauffaelligen Aorta bei Jugendlichen mit Marfan Syndrom: Vergleich von MR-Messungen der aortalen Dehnbarkeit und der Pulswellengeschwindigkeit

    Energy Technology Data Exchange (ETDEWEB)

    Eichhorn, J.G.; Ruediger, H.J.; Gorenflo, M.; Khalil, M.; Ulmer, H. [Universitaetskinderklinik Heidelberg (Germany). Kardiologie; Krissak, R.; Kauczor, H.U. [Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany). Radiologie; Ley, S. [Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany). Radiologie; Universitaetsklinik Heidelberg (Germany). Paediatrische Kardiologie; Arnold, R. [Universitaetskinderklinik Heidelberg (Germany). Kardiologie; Universitaetskinderklinik Freiburg (Germany). Paediatrische Kardiologie; Boese, J. [Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany). Medizinische Physik in der Radiologie; Siemens AG, Medical Solutions, Forchheim (Germany). Angiography, Fluoroscopic and Radiographic Systems; Krug, R. [Deutsches Krebsforschungszentrum (DKFZ), Heidelberg (Germany). Medizinische Physik in der Radiologie; Fink, C. [Medizinische Fakultaet Mannheim der Univ. Heidelberg, Mannheim (Germany). Inst. fuer Klinische Radiologie

    2007-08-15

    Purpose: To compare the aortic compliance of the normal-sized aorta of adolescents with Marfan syndrome and healthy controls using MR measurements of the aortic distensibility and pulse wave velocity. Materials and Methods: Fourteen patients (median age: 15 [9-21] years) and 11 healthy subjects (23 [12-32] years) were examined at 1.5 T. The MR protocol included 2D steady-state free precession (SSFP)-CINE MRI of the aortic distensibility and PC-MRI of the pulse wave velocity. All measurements were positioned perpendicular to the descending aorta at the level of the diaphragm for assessing the changes in the aortic cross-sectional areas and additionally above and below this plane for assessing the pulse wave velocity. In addition contrast-enhanced 3D-MR angiography was performed in adolescents with Marfan syndrome to exclude morphologic changes and to prove normal-sized aorta. Results: Compared with control subjects, adolescents with Marfan syndrome had significantly decreased distensibility and significantly increased pulse wave velocity ({chi}{sup 2}-test, p = 0.0002) using an age-related non-linear regression analysis. The related aortic compliance was significantly decreased ({chi}{sup 2}-test, p = 0.0002). There was a good correlation between the two methods (r = 0.86). A low intraobserver variability was found for both methods ({<=} 2 %). (orig.)

  3. Aortic stiffness and the balance between cardiac oxygen supply and demand: the Rotterdam Study

    NARCIS (Netherlands)

    Guelen, Ilja; Mattace-Raso, Francesco U. S.; van Popele, Nicole M.; Westerhof, Berend E.; Hofman, Albert; Witteman, Jacqueline C. M.; Bos, Willem Jan W.

    2008-01-01

    OBJECTIVES: Aortic stiffness is an independent predictor of cardiovascular morbidity and mortality. We investigated whether aortic stiffness, estimated as aortic pulse wave velocity, is associated with decreased perfusion pressure estimated as the cardiac oxygen supply potential. METHODS: Aortic

  4. Wave equations for pulse propagation

    Energy Technology Data Exchange (ETDEWEB)

    Shore, B.W.

    1987-06-24

    Theoretical discussions of the propagation of pulses of laser radiation through atomic or molecular vapor rely on a number of traditional approximations for idealizing the radiation and the molecules, and for quantifying their mutual interaction by various equations of propagation (for the radiation) and excitation (for the molecules). In treating short-pulse phenomena it is essential to consider coherent excitation phenomena of the sort that is manifest in Rabi oscillations of atomic or molecular populations. Such processes are not adequately treated by rate equations for excitation nor by rate equations for radiation. As part of a more comprehensive treatment of the coupled equations that describe propagation of short pulses, this memo presents background discussion of the equations that describe the field. This memo discusses the origin, in Maxwell's equations, of the wave equation used in the description of pulse propagation. It notes the separation into lamellar and solenoidal (or longitudinal and transverse) and positive and negative frequency parts. It mentions the possibility of separating the polarization field into linear and nonlinear parts, in order to define a susceptibility or index of refraction and, from these, a phase and group velocity. The memo discusses various ways of characterizing the polarization characteristics of plane waves, that is, of parameterizing a transverse unit vector, such as the Jones vector, the Stokes vector, and the Poincare sphere. It discusses the connection between macroscopically defined quantities, such as the intensity or, more generally, the Stokes parameters, and microscopic field amplitudes. The material presented here is a portion of a more extensive treatment of propagation to be presented separately. The equations presented here have been described in various books and articles. They are collected here as a summary and review of theory needed when treating pulse propagation.

  5. Angular (Gothic) aortic arch leads to enhanced systolic wave reflection, central aortic stiffness, and increased left ventricular mass late after aortic coarctation repair: evaluation with magnetic resonance flow mapping.

    Science.gov (United States)

    Ou, Phalla; Celermajer, David S; Raisky, Olivier; Jolivet, Odile; Buyens, Fanny; Herment, Alain; Sidi, Daniel; Bonnet, Damien; Mousseaux, Elie

    2008-01-01

    We sought to investigate the mechanism whereby a particular deformity of the aortic arch, an angulated Gothic shape, might lead to hypertension late after anatomically successful repair of aortic coarctation. Fifty-five normotensive patients with anatomically successful repair of aortic coarctation and either a Gothic (angulated) or a Romanesque (smooth and rounded) arch were studied with magnetic resonance angiography and flow mapping in both the ascending and descending aortas. Systolic waveforms, central aortic stiffness, and pulse velocity were measured. We hypothesized that arch angulation would result in enhanced systolic wave reflection with loss of energy across the aortic arch, as well as increased central aortic stiffness. Twenty patients were found to have a Gothic, and 35 a Romanesque, arch. Patients with a Gothic arch showed markedly augmented systolic wave reflection (12 +/- 6 vs 5 +/- 0.3 mL, P Gothic arch (5.6 +/- 1.1 vs 4.1 +/- 1 m/s, P Gothic aortic arch is associated with increased systolic wave reflection, as well as increased central aortic stiffness and left ventricular mass index. These findings explain (at least in part) the association between this pattern of arch geometry and late hypertension at rest and on exercise in subjects after coarctation repair.

  6. Arterial wave reflection and aortic valve calcification in an elderly community-based cohort.

    Science.gov (United States)

    Sera, Fusako; Russo, Cesare; Iwata, Shinichi; Jin, Zhezhen; Rundek, Tatjana; Elkind, Mitchell S V; Homma, Shunichi; Sacco, Ralph L; Di Tullio, Marco R

    2015-04-01

    Aortic valve calcification (AVC) without stenosis is common in the elderly, is associated with cardiovascular morbidity and mortality, and may progress to aortic valve stenosis. Arterial stiffness and pulse-wave reflection are important components of proximal aortic hemodynamics, but their relationship with AVC is not established. To investigate the relationship of arterial wave reflection and stiffness with AVC, pulse wave analysis and AVC evaluation by echocardiography were performed in 867 participants from the Cardiovascular Abnormalities and Brain Lesions study. Participants were divided into four categories on the basis of the severity and extent of AVC: (1) none or mild focal AVC, (2) mild diffuse AVC, (3) moderate to severe focal AVC, and (4) moderate to severe diffuse AVC. Central blood pressures and pulse pressure, total arterial compliance, augmentation index, and time to wave reflection were assessed using applanation tonometry. Indicators of arterial stiffness and wave reflection were significantly associated with AVC severity, except for central systolic and diastolic pressures and time to reflection. After adjustment for pertinent covariates (age, sex, race/ethnicity, and estimated glomerular filtration rate), only augmentation pressure (P = .02) and augmentation index (P = .002) were associated with the severity of AVC. Multivariate logistic regression analysis revealed that augmentation pressure (odds ratio per mm Hg, 1.14; 95% confidence interval, 1.02-1.27; P = .02) and augmentation index (odds ratio per percentage point, 1.07; 95% confidence interval, 1.01-1.13; P = .02) were associated with an increased risk for moderate to severe diffuse AVC, even when central blood pressure value was included in the same model. Arterial wave reflection is associated with AVC severity, independent of blood pressure values. Increased contribution of wave reflection to central blood pressure could be involved in the process leading to AVC. Copyright © 2015

  7. Prognostic significance of aortic pulse wave velocity

    DEFF Research Database (Denmark)

    Hansen, T.W.; Jeppesen, J.; Torp-Pedersen, Christian Tobias

    2008-01-01

    Om bogen Vascular Hemodynamics This is the only complete work on vascular hemodynamics. Recently, vascular hemodynamics has undergone major advances, resulting from increasingly sophisticated imaging, computational, and clinical research methodologies. The effects of these advances are likely...... to be profound at both the scientific and clinical levels. Now, "Vascular Hemodynamics" provides a self-contained treatment of this rapidly advancing topic as it relates to vascular disease and related pathologies in the human body. Utilizing a multidisciplinary approach encompassing engineering, vascular...

  8. Pulse wave imaging in normal, hypertensive and aneurysmal human aortas in vivo: a feasibility study

    Science.gov (United States)

    Li, Ronny X.; Luo, Jianwen; Balaram, Sandhya K.; Chaudhry, Farooq A.; Shahmirzadi, Danial; Konofagou, Elisa E.

    2013-07-01

    Arterial stiffness is a well-established biomarker for cardiovascular risk, especially in the case of hypertension. The progressive stages of an abdominal aortic aneurysm (AAA) have also been associated with varying arterial stiffness. Pulse wave imaging (PWI) is a noninvasive, ultrasound imaging-based technique that uses the pulse wave-induced arterial wall motion to map the propagation of the pulse wave and measure the regional pulse wave velocity (PWV) as an index of arterial stiffness. In this study, the clinical feasibility of PWI was evaluated in normal, hypertensive, and aneurysmal human aortas. Radiofrequency-based speckle tracking was used to estimate the pulse wave-induced displacements in the abdominal aortic walls of normal (N = 15, mean age 32.5 ± 10.2 years), hypertensive (N = 13, mean age 60.8 ± 15.8 years), and aneurysmal (N = 5, mean age 71.6 ± 11.8 years) human subjects. Linear regression of the spatio-temporal variation of the displacement waveform in the anterior aortic wall over a single cardiac cycle yielded the slope as the PWV and the coefficient of determination r2 as an approximate measure of the pulse wave propagation uniformity. The aortic PWV measurements in all normal, hypertensive, and AAA subjects were 6.03 ± 1.68, 6.69 ± 2.80, and 10.54 ± 6.52 m s-1, respectively. There was no significant difference (p = 0.15) between the PWVs of the normal and hypertensive subjects while the PWVs of the AAA subjects were significantly higher (p pathologies that regionally alter the arterial wall mechanics.

  9. The Relation Between Aortic Pulse Pressure and Coronary Artery Disease

    Directory of Open Access Journals (Sweden)

    Ali Metin Esen

    2011-08-01

    Full Text Available Objective: Pulse pressure (PP is a significant marker of cardiovascular morbidity.We investigated the relation between aortic PP and the presence and extent of coronary artery disease (CAD in patients undergoing diagnostic coronary angiography (CAG.Patients and Method: The study group consisted of 550 patients (363 men, 187 women.We evaluated patients in two different groups, PP < 60 mmHg and ≥ 60 mmHg.Results: In univariate analysis gender and presence of hyperlipidemia showed no statistically significant differences between both groups. However, the ratio of patients having diabetes mellitus, hypertension or smoking were significantly higher in ≥ 60 mmHg PP group. The mean age was 55.2 ±11.9 in < 60 mmHg PP group and 61.3±9.3 in the other group (p<0.01. Although systolic blood pressure level was higher in ≥ 60 mmHg PP group (160.4±21.1 vs. 126.4±13.5, p< 0.001, diastolic blood pressure level showed no significant differences between both groups (78.3±13.5 vs. 80.3±10.2, p= 0.32. In the <60 mmHg PP group, the ratio of normal CAG was significantly higher, and also, the critically CAD rate was lower than the other group. In multivariate analysis, smoking [odds ratios (OR 2.344, 95% confidence intervals (CI, 1.416-3.879], male gender (OR 5.858, 95% CI, 3.425-10.019 and PP ≥60 mmHg (OR 25.788, 95% CI, 14.001-47.498 were evaluated as an independent indicators of CAD.Conclusions: In our study, we demonstrate that, aortic PP ≥60 mmHg is related to the risk of critically CAD as an independent factor.

  10. Pulse Wave Velocity and Electroneurophysiological Evaluation in ...

    African Journals Online (AJOL)

    undetermined etiology involving the synovial membranes and articular structures of multiple joints and is also associated with carditis, pleuritis, hepatitis, peripheral neuropathy and vasculitis. The present study was undertaken to investigate arterial stiffness using carotid-radial and femoral-dorsalis pedis pulse wave velocity ...

  11. Aortic-Radial Pulse Wave Velocity Ratio in End-stage Renal Disease Patients: Association with Age, Body Tissue Hydration Status, Renal Failure Etiology and Five Years of Hemodialysis.

    Science.gov (United States)

    Bia, Daniel; Valtuille, Rodolfo; Galli, Cintia; Wray, Sandra; Armentano, Ricardo; Zócalo, Yanina; Cabrera-Fischer, Edmundo

    2017-03-01

    The etiology of the end-stage renal disease (ESRD) and the hydration status may be involved in the arterial stiffening process observed in hemodialyzed patients. The ratio between carotid-femoral and carotid-radial pulse wave velocity (PWV ratio) was recently proposed to characterize the patient-specific stiffening process. to analyze: (1) the PWV-ratio in healthy and hemodialyzed subjects, analyzing potential changes associated to etiologies of the ESRD, (2) the PWV-ratio and hydration status using multiple-frequency bioimpedance and, (3) the effects of hemodialysis on PWV-ratio in a 5-year follow-up. PWV-ratio was evaluated in 151 patients differentiated by the pathology determining their ESRD. Total body fluid (TBF), intra and extra cellular fluid (ICF, ECF) were measured in 65 of these patients using bioelectrical-impedance. The association between arterial, hemodynamic or fluid parameters was analyzed. PWV-ratio was evaluated in a group of patients (n = 25) 5 years later (follow-up study). PWV-ratio increased in the ESRD cohort with respect to the control group (1.03 ± 0.23 vs. 1.31 ± 0.37; p hydration status, but not with the blood pressure. PWV-ratio could be considered a blood pressure-independent parameter, associated with the age and hydration status of the patient.

  12. Bow Wave from Ultraintense Electromagnetic Pulses in Plasmas

    International Nuclear Information System (INIS)

    Esirkepov, T. Zh.; Bulanov, S. V.; Kato, Y.

    2008-01-01

    We show a new effect of the bow-wave excitation by an intense short laser pulse propagating in underdense plasma. Because of spreading of the laser pulse energy in transverse direction, the bow wave causes a large-scale transverse modulation of the electron density. This can significantly increase the electric potential of the wake wave since the wake wave is generated in the region much wider than the laser pulse waist

  13. Development of Coronary Pulse Wave Velocity: New Pathophysiological Insight Into Coronary Artery Disease.

    Science.gov (United States)

    Harbaoui, Brahim; Courand, Pierre-Yves; Cividjian, Andrei; Lantelme, Pierre

    2017-02-02

    Although aortic stiffness assessed by pulse wave velocity (PWV) is a strong predictor of coronary artery disease, the significance of local coronary stiffness has never been tackled. The first objective of this study was to describe a method of measuring coronary PWV (CoPWV) invasively and to describe its determinants. The second objective was to assess both CoPWV and aortic PWV in patients presenting with acute coronary syndromes or stable coronary artery disease. In 53 patients, CoPWV was measured from the delay in pressure wave and distance traveled as a pressure wire was withdrawn from the distal to the proximal coronary segment. Similarly, aortic PWV was measured invasively when the wire was pulled across the ascending aorta; carotid-femoral PWV was also measured noninvasively using the SphygmoCor system (AtCor Medical). Mean CoPWV was 10.3±6.1 m/s. Determinants of increased CoPWV were fractional flow reserve, diastolic blood pressure, and previous stent implantation in the recorded artery. CoPWV was lower in patients with acute coronary syndromes versus stable coronary artery disease (7.6±3 versus 11.5±6.4 m/s; P=0.02), and this persisted after adjustment for confounders. In contrast, aortic stiffness, assessed by aortic and carotid-femoral PWV, did not differ significantly. CoPWV seems associated with acute coronary events more closely than aortic PWV. High coronary compliance, whether per se or because it leads to a distal shift in compliance mismatch, may expose vulnerable plaques to high cyclic stretch. CoPWV is a new tool to assess local compliance at the coronary level; it paves the way for a new field of research. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  14. Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: 'establishing normal and reference values'

    DEFF Research Database (Denmark)

    Hansen, Tine Willum

    2010-01-01

    Carotid-femoral pulse wave velocity (PWV), a direct measure of aortic stiffness, has become increasingly important for total cardiovascular (CV) risk estimation. Its application as a routine tool for clinical patient evaluation has been hampered by the absence of reference values. The aim of the ...... of the present study is to establish reference and normal values for PWV based on a large European population.......Carotid-femoral pulse wave velocity (PWV), a direct measure of aortic stiffness, has become increasingly important for total cardiovascular (CV) risk estimation. Its application as a routine tool for clinical patient evaluation has been hampered by the absence of reference values. The aim...

  15. Pulsed-wave Doppler echocardiography in birds of prey.

    Science.gov (United States)

    Straub, J; Forbes, N A; Thielebein, J; Krautwald-Junghanns, M E

    2003-12-13

    Pulsed-wave spectral Doppler echocardiography was applied to 111 diurnal and nocturnal raptors of both sexes weighing between 190 and 4200 g. In the first stage, 40 birds were examined without special preparation; in the second stage, 15 birds were examined first when they were not anaesthetised and then when they were anaesthetised; in the third stage, 41 birds were examined after they had been fasted for different periods of time; and finally 15 birds, in which echocardiography had not been possible by using standard (dorsal) restraint and positioning, were examined after being placed in lateral and ventral recumbency. Doppler-derived diastolic inflow into the ventricles was detectable in approximately 80 per cent of the birds weighing between 190 and 2300 g independently of their weight, heart rate and whether they had been anaesthetised or fasted, and aortic blood flow was detected in about 50 per cent of them. It was possible to apply the technique under standard conditions of dorsal recumbency to only one of the birds weighing more than 3000 g and to about 80 per cent of those weighing between 190 and 2300 g. In 11 of 15 birds in which the technique could not be applied under standard conditions, blood flow could be detected in the ventricles and/or the aorta after the birds had been repositioned. No systolic blood flow through the pulmonary artery was detectable in any of the birds.

  16. Multiple pulse traveling wave excitation of neon-like germanium

    International Nuclear Information System (INIS)

    Moreno, J. C.; Nilsen, J.; Silva, L. B. da

    1995-01-01

    Traveling wave excitation has been shown to significantly increase the output intensity of the neon-like germanium x-ray laser. The driving laser pulse consisted of three 100 ps Gaussian laser pulses separated by 400 ps. Traveling wave excitation was employed by tilting the wave front of the driving laser by 45 degrees to match the propagation speed of the x-ray laser photons along the length of the target. We show results of experiments with the traveling wave, with no traveling wave, and against the traveling wave and comparisons to a numerical model. Gain was inferred from line intensity measurements at two lengths

  17. Acute effects of different aerobic exercise duration on pulse wave velocity in healthy young men.

    Science.gov (United States)

    Kobayashi, Ryota; Hatakeyama, Hiroyuki; Hashimoto, Yuto; Okamoto, Takanobu

    2017-12-01

    The purpose of present study was to determine the acute effects of different aerobic exercise duration on pulse wave velocity (PWV) in healthy young men. One week after measuring peak oxygen uptake to determine the duration of each exercise trial, 11 healthy males (age: 23.4±0.6 years, height: 172.5±2.3 cm, weight: 64.1±2.4 kg) cycled on an ergometer for 15 (15 min-EX), 30 (30 min-EX) and 45 minutes (45 min-EX) at 65% peak oxygen uptake in random order. After supine rest for at least 15 minutes, aortic (carotid-femoral) and leg (femoral-ankle) PWV were measured before and at 30, 60 and 90 minutes after each exercise trial. Compared with before exercise trials, aortic PWV decreased at 30 minutes after 15, 30 and 45 min-EX (Pexercise.

  18. Full Spectrum Conversion Using Traveling Pulse Wave Quantization

    Science.gov (United States)

    2017-03-01

    pulse width measurements that are continuously generated hence the name “traveling” pulse wave quantization. Our TPWQ-based ADC is composed of a...monitored with a comparator that generates a digital signal edge thereby coding the analog voltage into a pulse. The pulse is then passed to the TDC. It...is interesting to observe that while the VTC and TDC perform distinct functions, there is no need for a sample/hold function to pass a signal from

  19. Prognostic Significance of Aortic Pulse-Wave Velocity

    DEFF Research Database (Denmark)

    Hansen, Tine Willum; Jeppesen, Jørgen; Torp-Pedersen, Christian

    2008-01-01

    biology, vascular imaging, and clinical practice, the book provides a survey of the basic science and clinical research in hemodynamics of the vasculature.The topics presented involve sophisticated modeling, imaging, and measurement techniques. The text emphasizes both the technical and clinical aspects......, and the systematic vasculature. It brings together a range of imaging modalities related to hemodynamics. It includes both introductory-level and research-oriented material on each topic. "Vascular Hemodynamics" is the only single-text treatment of this important topic, making it a vital reference for researchers...

  20. Acute resistance exercise using free weights on aortic wave reflection characteristics.

    Science.gov (United States)

    Tai, Yu Lun; Gerhart, Hayden; Mayo, Xián; Kingsley, J Derek

    2018-01-01

    Aortic wave reflection characteristics such as the augmentation index (AIx), wasted left ventricular pressure energy (ΔE w ) and aortic haemodynamics, such as aortic systolic blood pressure (ASBP), strongly predict cardiovascular events. The effects of acute resistance exercise (ARE) using free-weight exercises on these characteristics are unknown. Therefore, we sought to determine the effects of acute free-weight resistance exercise on aortic wave reflection characteristics and aortic haemodynamics in resistance-trained individuals. Fifteen young, healthy resistance-trained (9 ± 3 years) individuals performed two randomized sessions consisting of an acute bout of free-weight resistance exercise (ARE) or a quiet control (CON). The ARE consisted of three sets of 10 repetitions at 75% one repetition maximum for squat, bench press and deadlift. In CON, the participants rested in the supine position for 30 min. Measurements were made at baseline before sessions and 10 min after sessions. A two-way ANOVA was used to compare the effects of condition across time. There were no significant interactions for aortic or brachial blood pressures. Compared to rest, there were significant increases in augmentation pressure (rest: 5·7 ± 3·0 mmHg; recovery: 10·4 ± 5·7 mmHg, P = 0·002), AIx (rest: 116·8 ± 4·2%; recovery: 123·2 ± 8·4%, P = 0·002), AIx normalized at 75 bpm (rest: 5·2 ± 7·6%; recovery: 27·3 ± 13·2%, P<0·0001), ΔE w (rest: 1215 ± 674 dynes s cm -2 ; recovery: 2096 ± 1182 dynes s cm -2 , P = 0·008), and there was a significant decrease in transit time of the reflected wave (rest: 150·7 ± 5·8 ms; recovery 145·5 ± 5·6 ms, P<0·001) during recovery from ARE compared to CON. These data suggest that ARE using free-weight exercises may have no effect on aortic and brachial blood pressure but may significantly alter aortic wave reflection characteristics. © 2016 Scandinavian Society of Clinical Physiology and

  1. Traveling waves of the regularized short pulse equation

    International Nuclear Information System (INIS)

    Shen, Y; Horikis, T P; Kevrekidis, P G; Frantzeskakis, D J

    2014-01-01

    The properties of the so-called regularized short pulse equation (RSPE) are explored with a particular focus on the traveling wave solutions of this model. We theoretically analyze and numerically evolve two sets of such solutions. First, using a fixed point iteration scheme, we numerically integrate the equation to find solitary waves. It is found that these solutions are well approximated by a finite sum of hyperbolic secants powers. The dependence of the soliton's parameters (height, width, etc) to the parameters of the equation is also investigated. Second, by developing a multiple scale reduction of the RSPE to the nonlinear Schrödinger equation, we are able to construct (both standing and traveling) envelope wave breather type solutions of the former, based on the solitary wave structures of the latter. Both the regular and the breathing traveling wave solutions identified are found to be robust and should thus be amenable to observations in the form of few optical cycle pulses. (paper)

  2. Influence of aerobic exercise training on post-exercise responses of aortic pulse pressure and augmentation pressure in postmenopausal women

    Directory of Open Access Journals (Sweden)

    Nobuhiko eAkazawa

    2015-10-01

    Full Text Available Central arterial blood pressure (BP is more predictive of future cardiovascular events than is brachial BP because it reflects the BP load imposed on the left ventricle with greater accuracy. However, little is known about the effects of exercise training on central hemodynamic response to acute exercise. The purpose of the present study was to determine the influence of an aerobic exercise regimen on the response of aortic BP after a single aerobic exercise in postmenopausal women. Nine healthy postmenopausal women (age: 61 ± 2 years participated in a 12-week aerobic exercise training regimen. Before and after the training, each subjects performed a single bout of cycling at ventilatory thresholds for 30 min. We evaluated the post-exercise aortic BP response, which was estimated via the general transfer function from applanation tonometry. After the initial pre-training aerobic exercise session, aortic BP did not change significantly: however, aortic pulse pressure and augmentation pressure were significantly attenuated after the single aerobic exercise session following the 12-week training regimen. The present study demonstrated that a regular aerobic exercise training regimen induced the post-exercise reduction of aortic pulse pressure and augmentation pressure. Regular aerobic exercise training may enhance post-exercise reduction in aortic BP.

  3. Shock waves in water at low energy pulsed electric discharges

    International Nuclear Information System (INIS)

    Pinchuk, M E; Kolikov, V A; Rutberg, Ph G; Leks, A G; Dolinovskaya, R V; Snetov, V N; Stogov, A Yu

    2012-01-01

    Experimental results of shock wave formation and propagation in water at low energy pulsed electric discharges are presented. To study the hydrodynamic structure of the shock waves, the direct shadow optical diagnostic device with time resolution of 5 ns and spatial resolution of 0.1 mm was designed and developed. Synchronization of the diagnostic and electrodischarge units by the fast optocouplers was carried out. The dependences of shock wave velocities after breakdown of interelectrode gap for various energy inputs (at range of ≤1 J) into discharge were obtained. Based on the experimental results the recommendations for the adjustment parameters of the power supply and load were suggested.

  4. Limited Diffraction Maps for Pulsed Wave Annular Arrays

    DEFF Research Database (Denmark)

    Fox, Paul D.

    2002-01-01

    A procedure is provided for decomposing the linear field of flat pulsed wave annular arrays into an equivalent set of known limited diffraction Bessel beams. Each Bessel beam propagates with known characteristics, enabling good insight into the propagation of annular fields to be obtained...

  5. Numerical continuation of travelling waves and pulses in neural fields

    NARCIS (Netherlands)

    Meijer, Hil Gaétan Ellart; Coombes, Stephen

    2013-01-01

    We study travelling waves and pulses in neural fields. Neural fields are a macroscopic description of the activity of brain tissue, which mathematically are formulated as integro-differential equations. While linear and weakly nonlinear analysis can describe instabilities and small amplitude

  6. Pulse mode operation of Love wave devices for biosensing applications.

    Science.gov (United States)

    Newton, M I; McHale, G; Martin, F; Gizeli, E; Melzak, K A

    2001-12-01

    In this work we present a novel pulse mode Love wave biosensor that monitors both changes in amplitude and phase. A series of concentrations of 3350 molecular weight poly(ethylene glycol) (PEG) solutions are used as a calibration sequence for the pulse mode system using a network analyzer and high frequency oscilloscope. The operation of the pulse mode system is then compared to the continuous wave network analyzer by showing a sequence of deposition and removal of a model mass layer of palmitoyl-oleoyl-sn-glycerophosphocholine (POPC) vesicles. This experimental apparatus has the potential for making many hundreds of measurements a minute and so allowing the dynamics of fast interactions to be observed.

  7. Wave fronts, pulses and wave trains in photoexcited superlattices behaving as excitable or oscillatory media

    International Nuclear Information System (INIS)

    Arana, J I; Bonilla, L L; Grahn, H T

    2011-01-01

    Undoped and strongly photoexcited semiconductor superlattices with field-dependent recombination behave as excitable or oscillatory media with spatially discrete nonlinear convection and diffusion. Infinitely long, dc-current-biased superlattices behaving as excitable media exhibit wave fronts with increasing or decreasing profiles, whose velocities can be calculated by means of asymptotic methods. These superlattices can also support pulses of the electric field. Pulses moving downstream with the flux of electrons can be constructed from their component wave fronts, whereas pulses advancing upstream do so slowly and experience saltatory motion: they change slowly in long intervals of time separated by fast transitions during which the pulses jump to the previous superlattice period. Photoexcited superlattices can also behave as oscillatory media and exhibit wave trains. (paper)

  8. Increasing vaccine production using pulsed ultrasound waves.

    Directory of Open Access Journals (Sweden)

    Jida Xing

    Full Text Available Vaccination is a safe and effective approach to prevent deadly diseases. To increase vaccine production, we propose that a mechanical stimulation can enhance protein production. In order to prove this hypothesis, Sf9 insect cells were used to evaluate the increase in the expression of a fusion protein from hepatitis B virus (HBV S1/S2. We discovered that the ultrasound stimulation at a frequency of 1.5 MHz, intensity of 60 mW/cm2, for a duration of 10 minutes per day increased HBV S1/S2 by 27%. We further derived a model for transport through a cell membrane under the effect of ultrasound waves, tested the key assumptions of the model through a molecular dynamics simulation package, NAMD (Nanoscale Molecular Dynamics program and utilized CHARMM force field in a steered molecular dynamics environment. The results show that ultrasound waves can increase cell permeability, which, in turn, can enhance nutrient / waste exchange thus leading to enhanced vaccine production. This finding is very meaningful in either shortening vaccine production time, or increasing the yield of proteins for use as vaccines.

  9. An Automated Algorithm for Fast Pulse Wave Detection

    Directory of Open Access Journals (Sweden)

    Bistra Nenova

    2010-12-01

    Full Text Available This study presents an automated algorithm for fast pulse wave detection, directed to establishing the presence of cardiac activity in an emergency. The method relies on real-time estimation of similarity of closely positioned rising edges of the waveform and decision logic. The algorithm was tested on a set of pressure pulse waves from the MGH/MF waveform database from PhysioNet. Our approach to assessing the algorithm performance was based on location and classification of suspicious 10 s signal epochs by means of detection of dissimilar peak-to-peak intervals. The detected epochs were visually inspected and compared to the corresponding ECG-based expert beat annotations. The main epoch and error types were summarized. The performance of the algorithm and the visual interpretation of the results were illustrated by means of examples. The review of the recordings showed that the proposed algorithm correctly identifies cardiac pulsations even under considerable artefacts. Our conclusion is that the algorithm reliably detects critical periods in cardiac activity and is applicable to fast pulse wave detection in real-time applications and ambulatory measurement setups.

  10. The Construction of Unsmooth Pulse Images in Traditional Chinese Medicine Based on Wave Intensity Technology.

    Science.gov (United States)

    Luo, Jie-Wei; Guo, Si-Wei; Cao, Shuang-Shuang; Lin, Ning; Ye, Zhen-Sheng; Wei, Shi-Chao; Zheng, Xing-Yu; Guo, Miao-Miao; Meng, Xiao-Rong; Huang, Fang-Meng

    2016-01-01

    Unsmooth pulse is one of the most important pulses in TCM diagnostics. We constructed the wave intensity (WI) images of unsmooth pulse based on the pressure wave ( P ), flow velocity wave ( U ), and WI [( dP / dt )( dU / dt )] by ALOKA Prosound α 10 Color Doppler. The characteristic of Cunkou normal pulse could be summarized as follows: compared to Renying pulse, its W 1 amplitude is smaller and NA wave is more obvious, while the W 2 wave is indistinct or even invisible, and the R -1st is longer than that of Renying pulse. The principal U wave of Renying pulse looks like "Λ" shape, while it looks like an arched blunt " ∩ " shape in Cunkou pulse, and the amplitude of U wave in Cunkou pulse is smaller. The direction of the principal U wave in Cunkou unsmooth pulse is up, which shows hoof boots "h" shape with high amplitude and a significant notch on declined branch; the amplitude of predicrotic wave in unsmooth pulse P wave is significantly higher, which could be even higher than that of h1, resulting in early appearance of h3 or integrating with h1, which forms a wide and blunt peak. Unsmooth pulse shows poorer vascular elasticity and greater vascular stiffness.

  11. Laser-supported detonation waves and pulsed laser propulsion

    International Nuclear Information System (INIS)

    Kare, J.

    1990-01-01

    A laser thermal rocket uses the energy of a large remote laser, possibly ground-based, to heat an inert propellant and generate thrust. Use of a pulsed laser allows the design of extremely simple thrusters with very high performance compared to chemical rockets. The temperatures, pressures, and fluxes involved in such thrusters (10 4 K, 10 2 atmospheres, 10 7 w/cm 2 ) typically result in the creation of laser-supported detonation (LSD) waves. The thrust cycle thus involves a complex set of transient shock phenomena, including laser-surface interactions in the ignition of the LSD wave, laser-plasma interactions in the LSD wave itself, and high-temperature nonequilibrium chemistry behind the LSD wave. The SDIO Laser Propulsion Program is investigating these phenomena as part of an overall effort to develop the technology for a low-cost Earth-to-orbit laser launch system. We will summarize the Program's approach to developing a high performance thruster, the double-pulse planar thruster, and present an overview of some results obtained to date, along with a discussion of the many research question still outstanding in this area

  12. Pulse energy evolution for high-resolution Lamb wave inspection

    International Nuclear Information System (INIS)

    Hua, Jiadong; Zeng, Liang; Gao, Fei; Lin, Jing

    2015-01-01

    Generally, tone burst excitation methods are used to reduce the effect of dispersion in Lamb wave inspection. In addition, algorithms for dispersion compensation are required to simplify responses, especially in long-range inspection. However, the resolution is always limited by the time duration of tone burst excitation. A pulse energy evolution method is established to overcome this limitation. In this method, a broadband signal with a long time (e.g. a chirp, white noise signal, or a pseudo-random sequence) is used as excitation to actuate Lamb waves. First of all, pulse compression is employed to estimate system impulse response with a high signal-to-noise ratio. Then, dispersion compensation is applied repeatedly with systemically varied compensation distances, obtaining a series of compensated signals. In these signals, amplitude (or energy) evolution associated with the change of compensation distance is utilized to estimate the actual propagation distance of the interested wave packet. Finally, the defect position is detected by an imaging algorithm. Several experiments are given to validate the proposed method. (paper)

  13. Optimization of arterial age prediction models based in pulse wave

    International Nuclear Information System (INIS)

    Scandurra, A G; Meschino, G J; Passoni, L I; Dai Pra, A L; Introzzi, A R; Clara, F M

    2007-01-01

    We propose the detection of early arterial ageing through a prediction model of arterial age based in the coherence assumption between the pulse wave morphology and the patient's chronological age. Whereas we evaluate several methods, a Sugeno fuzzy inference system is selected. Models optimization is approached using hybrid methods: parameter adaptation with Artificial Neural Networks and Genetic Algorithms. Features selection was performed according with their projection on main factors of the Principal Components Analysis. The model performance was tested using the bootstrap error type .632E. The model presented an error smaller than 8.5%. This result encourages including this process as a diagnosis module into the device for pulse analysis that has been developed by the Bioengineering Laboratory staff

  14. Optimization of arterial age prediction models based in pulse wave

    Energy Technology Data Exchange (ETDEWEB)

    Scandurra, A G [Bioengineering Laboratory, Electronic Department, Mar del Plata University (Argentina); Meschino, G J [Bioengineering Laboratory, Electronic Department, Mar del Plata University (Argentina); Passoni, L I [Bioengineering Laboratory, Electronic Department, Mar del Plata University (Argentina); Dai Pra, A L [Engineering Aplied Artificial Intelligence Group, Mathematics Department, Mar del Plata University (Argentina); Introzzi, A R [Bioengineering Laboratory, Electronic Department, Mar del Plata University (Argentina); Clara, F M [Bioengineering Laboratory, Electronic Department, Mar del Plata University (Argentina)

    2007-11-15

    We propose the detection of early arterial ageing through a prediction model of arterial age based in the coherence assumption between the pulse wave morphology and the patient's chronological age. Whereas we evaluate several methods, a Sugeno fuzzy inference system is selected. Models optimization is approached using hybrid methods: parameter adaptation with Artificial Neural Networks and Genetic Algorithms. Features selection was performed according with their projection on main factors of the Principal Components Analysis. The model performance was tested using the bootstrap error type .632E. The model presented an error smaller than 8.5%. This result encourages including this process as a diagnosis module into the device for pulse analysis that has been developed by the Bioengineering Laboratory staff.

  15. Wavelet brain angiography suggests arteriovenous pulse wave phase locking

    Science.gov (United States)

    2017-01-01

    When a stroke volume of arterial blood arrives to the brain, the total blood volume in the bony cranium must remain constant as the proportions of arterial and venous blood vary, and by the end of the cardiac cycle an equivalent volume of venous blood must have been ejected. I hypothesize the brain to support this process by an extraluminally mediated exchange of information between its arterial and venous circulations. To test this I introduce wavelet angiography methods to resolve single moving vascular pulse waves (PWs) in the brain while simultaneously measuring brain pulse motion. The wavelet methods require angiographic data acquired at significantly faster rate than cardiac frequency. I obtained these data in humans from brain surface optical angiograms at craniotomy and in piglets from ultrasound angiograms via cranial window. I exploit angiographic time of flight to resolve arterial from venous circulation. Initial wavelet reconstruction proved unsatisfactory because of angiographic motion alias from brain pulse motion. Testing with numerically simulated cerebral angiograms enabled the development of a vascular PW cine imaging method based on cross-correlated wavelets of mixed high frequency and high temporal resolution respectively to attenuate frequency and motion alias. Applied to the human and piglet data, the method resolves individual arterial and venous PWs and finds them to be phase locked each with separate phase relations to brain pulse motion. This is consistent with arterial and venous PW coordination mediated by pulse motion and points to a testable hypothesis of a function of cerebrospinal fluid in the ventricles of the brain. PMID:29140981

  16. Wavelet brain angiography suggests arteriovenous pulse wave phase locking.

    Directory of Open Access Journals (Sweden)

    William E Butler

    Full Text Available When a stroke volume of arterial blood arrives to the brain, the total blood volume in the bony cranium must remain constant as the proportions of arterial and venous blood vary, and by the end of the cardiac cycle an equivalent volume of venous blood must have been ejected. I hypothesize the brain to support this process by an extraluminally mediated exchange of information between its arterial and venous circulations. To test this I introduce wavelet angiography methods to resolve single moving vascular pulse waves (PWs in the brain while simultaneously measuring brain pulse motion. The wavelet methods require angiographic data acquired at significantly faster rate than cardiac frequency. I obtained these data in humans from brain surface optical angiograms at craniotomy and in piglets from ultrasound angiograms via cranial window. I exploit angiographic time of flight to resolve arterial from venous circulation. Initial wavelet reconstruction proved unsatisfactory because of angiographic motion alias from brain pulse motion. Testing with numerically simulated cerebral angiograms enabled the development of a vascular PW cine imaging method based on cross-correlated wavelets of mixed high frequency and high temporal resolution respectively to attenuate frequency and motion alias. Applied to the human and piglet data, the method resolves individual arterial and venous PWs and finds them to be phase locked each with separate phase relations to brain pulse motion. This is consistent with arterial and venous PW coordination mediated by pulse motion and points to a testable hypothesis of a function of cerebrospinal fluid in the ventricles of the brain.

  17. Stochastic electromagnetic plane-wave pulse with non-uniform correlation distribution

    International Nuclear Information System (INIS)

    Ding, Chaoliang; Cai, Yangjian; Zhang, Yongtao; Wang, Haixia; Zhao, Zhiguo; Pan, Liuzhan

    2013-01-01

    Stochastic electromagnetic plane-wave (SEPW) pulse with non-uniform correlation distribution is introduced. The realizability condition for such pulse is derived. It is found that the evolution properties of the intensity and the degree of polarization of an SEPW pulse with non-uniform correlation distribution in dispersive media are much different from those of an SEPW pulse with uniform correlation distribution.

  18. Bit rate and pulse width dependence of four-wave mixing of short optical pulses in semiconductor optical amplifiers

    DEFF Research Database (Denmark)

    Diez, S.; Mecozzi, A.; Mørk, Jesper

    1999-01-01

    We investigate the saturation properties of four-wave mixing of short optical pulses in a semiconductor optical amplifier. By varying the gain of the optical amplifier, we find a strong dependence of both conversion efficiency and signal-to-background ratio on pulse width and bit rate. In particu......We investigate the saturation properties of four-wave mixing of short optical pulses in a semiconductor optical amplifier. By varying the gain of the optical amplifier, we find a strong dependence of both conversion efficiency and signal-to-background ratio on pulse width and bit rate...

  19. Correlation of pulse wave velocity with left ventricular mass in patients with hypertension once blood pressure has been normalized

    Directory of Open Access Journals (Sweden)

    Siu H. Chan

    2012-02-01

    Full Text Available Vascular stiffness has been proposed as a simple method to assess arterial loading conditions of the heart which induce left ventricular hypertrophy (LVH. There is some controversy as to whether the relationship of vascular stiffness to LVH is independent of blood pressure, and which measurement of arterial stiffness, augmentation index (AI or pulse wave velocity (PWV is best. Carotid pulse wave contor and pulse wave velocity of patients (n=20 with hypertension whose blood pressure (BP was under control (<140/90 mmHg with antihypertensive drug treatment medications, and without valvular heart disease, were measured. Left ventricular mass, calculated from 2D echocardiogram, was adjusted for body size using two different methods: body surface area and height. There was a significant (P<0.05 linear correlation between LV mass index and pulse wave velocity. This was not explained by BP level or lower LV mass in women, as there was no significant difference in PWV according to gender (1140.1+67.8 vs 1110.6+57.7 cm/s. In contrast to PWV, there was no significant correlation between LV mass and AI. In summary, these data suggest that aortic vascular stiffness is an indicator of LV mass even when blood pressure is controlled to less than 140/90 mmHg in hypertensive patients. The data further suggest that PWV is a better proxy or surrogate marker for LV mass than AI and the measurement of PWV may be useful as a rapid and less expensive assessment of the presence of LVH in this patient population.

  20. Evaluation of arterial stiffness by finger-toe pulse wave velocity: optimization of signal processing and clinical validation.

    Science.gov (United States)

    Obeid, Hasan; Khettab, Hakim; Marais, Louise; Hallab, Magid; Laurent, Stéphane; Boutouyrie, Pierre

    2017-08-01

    Carotid-femoral pulse wave velocity (PWV) (cf-PWV) is the gold standard for measuring aortic stiffness. Finger-toe PWV (ft-PWV) is a simpler noninvasive method for measuring arterial stiffness. Although the validity of the method has been previously assessed, its accuracy can be improved. ft-PWV is determined on the basis of a patented height chart for the distance and the pulse transit time (PTT) between the finger and the toe pulpar arteries signals (ft-PTT). The objective of the first study, performed in 66 patients, was to compare different algorithms (intersecting tangents, maximum of the second derivative, 10% threshold and cross-correlation) for determining the foot of the arterial pulse wave, thus the ft-PTT. The objective of the second study, performed in 101 patients, was to investigate different signal processing chains to improve the concordance of ft-PWV with the gold-standard cf-PWV. Finger-toe PWV (ft-PWV) was calculated using the four algorithms. The best correlations relating ft-PWV and cf-PWV, and relating ft-PTT and carotid-femoral PTT were obtained with the maximum of the second derivative algorithm [PWV: r = 0.56, P signal processing chain. Selecting the maximum of the second derivative algorithm for detecting the foot of the pressure waveform, and combining it with an optimized signal processing chain, improved the accuracy of ft-PWV measurement in the current population sample. Thus, it makes ft-PWV very promising for the simple noninvasive determination of aortic stiffness in clinical practice.

  1. Arterial viscoelasticity: role in the dependency of pulse wave velocity on heart rate in conduit arteries.

    Science.gov (United States)

    Xiao, Hanguang; Tan, Isabella; Butlin, Mark; Li, Decai; Avolio, Alberto P

    2017-06-01

    Experimental investigations have established that the stiffness of large arteries has a dependency on acute heart rate (HR) changes. However, the possible underlying mechanisms inherent in this HR dependency have not been well established. This study aimed to explore a plausible viscoelastic mechanism by which HR exerts an influence on arterial stiffness. A multisegment transmission line model of the human arterial tree incorporating fractional viscoelastic components in each segment was used to investigate the effect of varying fractional order parameter (α) of viscoelasticity on the dependence of aortic arch to femoral artery pulse wave velocity (afPWV) on HR. HR was varied from 60 to 100 beats/min at a fixed mean flow of 100 ml/s. PWV was calculated by intersecting tangent method (afPWV Tan ) and by phase velocity from the transfer function (afPWV TF ) in the time and frequency domain, respectively. PWV was significantly and positively associated with HR for α ≥ 0.6; for α = 0.6, 0.8, and 1, HR-dependent changes in afPWV Tan were 0.01 ± 0.02, 0.07 ± 0.04, and 0.22 ± 0.09 m/s per 5 beats/min; HR-dependent changes in afPWV TF were 0.02 ± 0.01, 0.12 ± 0.00, and 0.34 ± 0.01 m/s per 5 beats/min, respectively. This crosses the range of previous physiological studies where the dependence of PWV on HR was found to be between 0.08 and 0.10 m/s per 5 beats/min. Therefore, viscoelasticity of the arterial wall could contribute to mechanisms through which large artery stiffness changes with changing HR. Physiological studies are required to confirm this mechanism. NEW & NOTEWORTHY This study used a transmission line model to elucidate the role of arterial viscoelasticity in the dependency of pulse wave velocity on heart rate. The model uses fractional viscoelasticity concepts, which provided novel insights into arterial hemodynamics. This study also provides a means of assessing the clinical manifestation of the association of pulse wave velocity and heart rate

  2. Central aortic reservoir-wave analysis improves prediction of cardiovascular events in elderly hypertensives.

    Science.gov (United States)

    Narayan, Om; Davies, Justin E; Hughes, Alun D; Dart, Anthony M; Parker, Kim H; Reid, Christopher; Cameron, James D

    2015-03-01

    Several morphological parameters based on the central aortic pressure waveform are proposed as cardiovascular risk markers, yet no study has definitively demonstrated the incremental value of any waveform parameter in addition to currently accepted biomarkers in elderly, hypertensive patients. The reservoir-wave concept combines elements of wave transmission and Windkessel models of arterial pressure generation, defining an excess pressure superimposed on a background reservoir pressure. The utility of pressure rate constants derived from reservoir-wave analysis in prediction of cardiovascular events is unknown. Carotid blood pressure waveforms were measured prerandomization in a subset of 838 patients in the Second Australian National Blood Pressure Study. Reservoir-wave analysis was performed and indices of arterial function, including the systolic and diastolic rate constants, were derived. Survival analysis was performed to determine the association between reservoir-wave parameters and cardiovascular events. The incremental utility of reservoir-wave parameters in addition to the Framingham Risk Score was assessed. Baseline values of the systolic rate constant were independently predictive of clinical outcome (hazard ratio, 0.33; 95% confidence interval, 0.13-0.82; P=0.016 for fatal and nonfatal stroke and myocardial infarction and hazard ratio, 0.38; 95% confidence interval, 0.20-0.74; P=0.004 for the composite end point, including all cardiovascular events). Addition of this parameter to the Framingham Risk Score was associated with an improvement in predictive accuracy for cardiovascular events as assessed by the integrated discrimination improvement and net reclassification improvement indices. This analysis demonstrates that baseline values of the systolic rate constant predict clinical outcomes in elderly patients with hypertension and incrementally improve prognostication of cardiovascular events. © 2014 American Heart Association, Inc.

  3. Full-wave reflection of lightning long-wave radio pulses from the ionospheric D- region

    Science.gov (United States)

    Jacobson, A. R.; Shao, X.; Holzworth, R.

    2008-12-01

    A model is developed for calculating ionospheric reflection of electromagnetic pulses emitted by lightning, with most energy in the long-wave spectral region (f = 3 - 100 kHz). The building-block of the calculation is a differential-equation full-wave solution of Maxwell's Equations for the complex reflection of individual plane waves incident from below, by the anisotropic, dissipative, diffuse dielectric profile of the lower ionosphere. This full-wave solution is then put into a summation over plane waves in an angular Direct Fourier Transform to obtain the reflection properties of curved wavefronts. This step models also the diffraction effects of long- wave ionospheric reflections observed at short or medium range (200 - 500 km). The calculation can be done with any arbitrary but smooth dielectric profile versus altitude. For an initial test, we use the classic D- region exponential profiles of electron density and collision rate given by Wait. With even these simple profiles, our model of full-wave reflection of curved wavefronts captures some of the basic attributes of observed reflected waveforms recorded with the Los Alamos Sferic Array.

  4. Pulse wave analysis for the prediction of preeclampsia.

    Science.gov (United States)

    Carty, D M; Neisius, U; Rooney, L K; Dominiczak, A F; Delles, C

    2014-02-01

    Preeclampsia is associated with a number of changes to maternal vascular function. Assessment of arterial stiffness using pulse wave analysis (PWA) has been proposed as a means of predicting preeclampsia before the onset of clinically detectable disease. One hundred and eighty women with 2 risk factors for preeclampsia were examined at gestational weeks 16 and 28, of whom 17 (9.4%) developed preeclampsia. To study the effects of pregnancy itself women were also examined at 6-9 months post-natally; an additional 30 healthy non-pregnant women were also examined. PWA was performed using SphygmoCor; augmentation index (AIx), a marker of arterial wave reflection, was also measured using EndoPAT-2000. Women who developed preeclampsia were more likely to be overweight and had a higher brachial and central diastolic BP at gestational week 16 than those who remained normotensive. There was no difference in any parameter of arterial wave reflection between non-pregnant and pregnant women, nor between those who developed preeclampsia and those who remained normotensive, when examined at weeks 16 and 28 or post-natally. In this cohort of women with risk factors for preeclampsia, PWA did not provide additional information beyond brachial blood pressure and maternal risk factor profile about the risk of future development of preeclampsia.

  5. Determinants of brachial-ankle pulse wave velocity and carotid-femoral pulse wave velocity in healthy Koreans.

    Science.gov (United States)

    Jang, Shin Yi; Ju, Eun Young; Huh, Eun Hee; Kim, Jung Hyun; Kim, Duk-Kyung

    2014-06-01

    The aim of this study was to determine the normal value of brachial-ankle pulse wave velocity (baPWV) and carotid-femoral pulse wave velocity (cfPWV) according to age group, gender, and the presence of cardiovascular risk factors in healthy Koreans, and to investigate the association between PWV and risk factors such as prehypertension, dyslipidemia, smoking, and obesity. We measured an arterial stiffness in 110 normal subjects who were 20 to 69 yr-old with no evidence of cardiovascular disease, cerebrovascular accident or diabetes mellitus. The mean values of baPWV and cfPWV were 12.6 (± 2.27) m/sec (13.1 ± 1.85 in men, 12.1 ± 2.51 in women; P=0.019) and 8.70 (± 1.99) m/sec (9.34 ± 2.13 in men, 8.15 ± 1.69 in women; P=0.001), respectively. The distribution of baPWV (Pgender showed an increase in the mean value with age. Men had higher baPWV and cfPWV than women (Pdifference in baPWV and cfPWV by age group on prehypertension, dyslipidemia, current smoking, or obesity (Pgender, and prehypertension in healthy Koreans.

  6. Estimated carotid-femoral pulse wave velocity has similar predictive value as measured carotid-femoral pulse wave velocity

    DEFF Research Database (Denmark)

    Greve, Sara V; Blicher, Marie K; Kruger, Ruan

    2016-01-01

    BACKGROUND: Carotid-femoral pulse wave velocity (cfPWV) adds significantly to traditional cardiovascular risk prediction, but is not widely available. Therefore, it would be helpful if cfPWV could be replaced by an estimated carotid-femoral pulse wave velocity (ePWV) using age and mean blood...... pressure, and previously published equations. The aim of this study was to investigate whether ePWV could predict cardiovascular events independently of traditional cardiovascular risk factors and/or cfPWV. METHOD: cfPWV was measured and ePWV was calculated in 2366 patients from four age groups...... healthy patients, ePWV and cfPWV (per SD) added independently to SCORE in prediction of combined endpoint [hazard ratio (95%CI) = 1.38(1.09-1.76) and hazard ratio (95%CI) = 1.18(1.01-1.38)] and to FRS [hazard ratio (95%CI) = 1.33(1.06-1.66) and hazard ratio (95%CI) = 1.16(0.99-1.37)]. If healthy patients...

  7. Estimated carotid-femoral pulse wave velocity has similar predictive value as measured carotid-femoral pulse wave velocity

    DEFF Research Database (Denmark)

    Olsen, Michael; Greve, Sara; Blicher, Marie

    2016-01-01

    OBJECTIVE: Carotid-femoral pulse wave velocity (cfPWV) adds significantly to traditional cardiovascular (CV) risk prediction, but is not widely available. Therefore, it would be helpful if cfPWV could be replaced by an estimated carotid-femoral pulse wave velocity (ePWV) using age and mean blood...... pressure and previously published equations. The aim of this study was to investigate whether ePWV could predict CV events independently of traditional cardiovascular risk factors and/or cfPWV. DESIGN AND METHOD: cfPWV was measured and ePWV calculated in 2366 apparently healthy subjects from four age......, ePVW and cfPWV (per standard deviation) added independently to SCORE in prediction of CEP (HR [95% CI] = 1.38[1.09-1.76] and HR [95% CI] = 1.18[1.01-1.38]) and to FRS (HR [95% CI] = 1.33[1.06-1.66] and HR [95% CI] = 1.16[0.99-1.37]). If healthy subjects with ePWV and/or cfPWV ≥ 10 m/s were...

  8. Determinants of aortic stiffness: 16-year follow-up of the Whitehall II study.

    Directory of Open Access Journals (Sweden)

    Nanna B Johansen

    Full Text Available Aortic stiffness is a strong predictor of cardiovascular disease endpoints. Cross-sectional studies have shown associations of various cardiovascular risk factors with aortic pulse wave velocity, a measure of aortic stiffness, but the long-term impact of these factors on aortic stiffness is unknown.In 3,769 men and women from the Whitehall II cohort, a wide range of traditional and novel cardiovascular risk factors were determined at baseline (1991-1993 and aortic pulse wave velocity was measured at follow-up (2007-2009. The prospective associations between each baseline risk factor and aortic pulse wave velocity at follow-up were assessed through sex stratified linear regression analysis adjusted for relevant confounders. Missing data on baseline determinants were imputed using the Multivariate Imputation by Chained Equations.Among men, the strongest predictors were waist circumference, waist-hip ratio, heart rate and interleukin 1 receptor antagonist, and among women, adiponectin, triglycerides, pulse pressure and waist-hip ratio. The impact of 10 centimeter increase in waist circumference on aortic pulse wave velocity was twice as large for men compared with women (men: 0.40 m/s (95%-CI: 0.24;0.56; women: 0.17 m/s (95%-CI: -0.01;0.35, whereas the opposite was true for the impact of a two-fold increase in adiponectin (men: -0.30 m/s (95%-CI: -0.51;-0.10; women: 0.61 m/s (95%-CI: -0.86;-0.35.In this large prospective study, central obesity was a strong predictor of aortic stiffness. Additionally, heart rate in men and adiponectin in women predicted aortic pulse wave velocity suggesting that strategies to prevent aortic stiffening should be focused differently by sex.

  9. Evanescent-wave proton postaccelerator driven by intense THz pulse

    Directory of Open Access Journals (Sweden)

    L. Pálfalvi

    2014-03-01

    Full Text Available Hadron therapy motivates research dealing with the production of particle beams with ∼100  MeV/nucleon energy and relative energy fluctuation on the order of 1%. Laser-driven accelerators produce ion beams with only tens of MeV/nucleon energy and an extremely broad spectra. Here, a novel method is proposed for postacceleration and monochromatization of particles, leaving the laser-driven accelerator, by using intense THz pulses. It is based on further developing the idea of using the evanescent field of electromagnetic waves between a pair of dielectric crystals. Simple model calculations show that the energy of a proton bunch can be increased from 40 to 56 MeV in five stages and its initially broad energy distribution can be significantly narrowed down.

  10. Reference values of brachial-ankle pulse wave velocity according to age and blood pressure in a central Asia population.

    Science.gov (United States)

    Yiming, Gulinuer; Zhou, Xianhui; Lv, Wenkui; Peng, Yi; Zhang, Wenhui; Cheng, Xinchun; Li, Yaodong; Xing, Qiang; Zhang, Jianghua; Zhou, Qina; Zhang, Ling; Lu, Yanmei; Wang, Hongli; Tang, Baopeng

    2017-01-01

    Brachial-ankle pulse wave velocity (baPWV), a direct measure of aortic stiffness, has increasingly become an important assessment for cardiovascular risk. The present study established the reference and normal values of baPWV in a Central Asia population in Xinjiang, China. We recruited participants from a central Asia population in Xinjiang, China. We performed multiple regression analysis to investigate the determinants of baPWV. The median and 10th-90th percentiles were calculated to establish the reference and normal values based on these categories. In total, 5,757 Han participants aged 15-88 years were included in the present study. Spearman correlation analysis showed that age (r = 0.587, p Central Asia population.

  11. Estimated Pulse Wave Velocity Calculated from Age and Mean Arterial Blood Pressure

    DEFF Research Database (Denmark)

    Greve, S. V.; Laurent, Stéphane; Olsen, M. H.

    2016-01-01

    In a recently published paper, Greve et al [J Hypertens 2016;34:1279-1289] investigate whether the estimated carotid-femoral pulse wave velocity (ePWV), calculated using an equation derived from the relationship between carotid-femoral pulse wave velocity (cfPWV), age, and blood pressure, predict...

  12. Self-similar propagation of Hermite-Gauss water-wave pulses.

    Science.gov (United States)

    Fu, Shenhe; Tsur, Yuval; Zhou, Jianying; Shemer, Lev; Arie, Ady

    2016-01-01

    We demonstrate both theoretically and experimentally propagation dynamics of surface gravity water-wave pulses, having Hermite-Gauss envelopes. We show that these waves propagate self-similarly along an 18-m wave tank, preserving their general Hermite-Gauss envelopes in both the linear and the nonlinear regimes. The measured surface elevation wave groups enable observing the envelope phase evolution of both nonchirped and linearly frequency chirped Hermite-Gauss pulses, hence allowing us to measure Gouy phase shifts of high-order Hermite-Gauss pulses for the first time. Finally, when increasing pulse amplitude, nonlinearity becomes essential and the second harmonic of Hermite-Gauss waves was observed. We further show that these generated second harmonic bound waves still exhibit self-similar Hermite-Gauss shapes along the tank.

  13. Pulse Wave Variation during the Menstrual Cycle in Women with Menstrual Pain

    Directory of Open Access Journals (Sweden)

    Soo Hyung Jeon

    2016-01-01

    Full Text Available Objective. This study is performed to obtain objective diagnostic indicators associated with menstrual pain using pulse wave analysis. Methods. Using a pulse diagnostic device, we measured the pulse waves of 541 women aged between 19 and 30 years, placed in either an experimental group with menstrual pain (n=329 or a control group with little or no menstrual pain (n=212. Measurements were taken during both the menstrual and nonmenstrual periods, and comparative analysis was performed. Results. During the nonmenstrual period, the experimental group showed a significantly higher value in the left radial artery for the radial augmentation index (RAI (p=0.050 but significantly lower values for pulse wave energy (p=0.021 and time to first peak from baseline (T1 (p=0.035 in the right radial artery. During the menstrual period, the experimental group showed significantly lower values in the left radial artery for cardiac diastole and pulse wave area during diastole and significantly higher values for pulse wave area during systole, ratio of systolic phase to the full heartbeat, and systolic-diastolic ratio. Conclusion. We obtained indicators of menstrual pain in women during the menstrual period, including prolonged systolic and shortened diastolic phases, increases in pulse wave energy and area of representative pulse wave, and increased blood vessel resistance.

  14. Quantum-state-preserving optical frequency conversion and pulse reshaping by four-wave mixing

    DEFF Research Database (Denmark)

    McKinstrie, C. J.; Andersen, Lasse Mejling; Raymer, M. G.

    2012-01-01

    Nondegenerate four-wave mixing driven by two pulsed pumps transfers the quantum state of an input signal pulse to an output idler pulse, which is a frequency-converted and reshaped version of the signal. By varying the pump shapes appropriately, one can connect signal and idler pulses with arbitr...... with arbitrary durations and shapes. This process enables a variety of functions required by quantum information networks....

  15. Central aortic blood pressure, augmentation index, and reflected wave transit time: reproducibility and repeatability of data obtained by oscillometry

    Directory of Open Access Journals (Sweden)

    Ageenkova O

    2011-11-01

    Full Text Available Olga A Ageenkova, Marina A Purygina Department of Therapy, Functional and Ultrasound Diagnostics, Postgraduate Training Faculty of Smolensk State Medical Academy, Smolensk, Russian Federation Background: The evidence suggests that arterial stiffness acts as an independent predictor of general as well as cardiovascular mortality, strokes in patients with arterial hypertension, type 2 diabetes mellitus in the elderly, and in the general population. The oscillometric method measures parameters of arterial stiffness by applying special methods of processing oscillograms. This is a study of the reproducibility and repeatability of central aortic systolic blood pressure (SBP, augmentation index, and reflected wave transit time measured by Vasotens® technology. Methods: Anthropometric and hemodynamic measurements for 90 volunteers were made by two observers using the 24-hour blood pressure monitoring system, BPLab®, with Vasotens technology in "office" mode, over a period of two days and always at the same time in the morning. Initialization of the device was performed prior to each measurement cycle for each participant. Results: Analysis of short-term repeatability and reproducibility data for central aortic systolic blood pressure, reflected wave transit time, and augmentation index did not reveal any statistically significant differences. For observer A, SBP was 0.11 ± 7.53 mmHg and aortic SBP was 0.26 ± 6.11 mmHg; for observer B, SBP was 0.14 ± 8.42 and aortic SBP was 0.2 ± 7.25 mmHg. Short-term reproducibility for the different observers with averaging of both measurements was 0.36 ± 5.69 mmHg for SBP and 0.37 ± 6.7 mmHg for aortic SBP; the next day, repeatability for observer A was 0.52 ± 10.7 mmHg for SBP and 0.73 ± 8.98 mmHg for aortic SBP. Conclusion: BPLab with Vasotens technology has good reproducibility and repeatability, and can be recommended for clinical vascular risk estimation. Keywords: arterial stiffness, central aortic

  16. Laboratory Model of the Cardiovascular System for Experimental Demonstration of Pulse Wave Propagation

    Science.gov (United States)

    Stojadinovic, Bojana; Nestorovic, Zorica; Djuric, Biljana; Tenne, Tamar; Zikich, Dragoslav; Žikic, Dejan

    2017-01-01

    The velocity by which a disturbance moves through the medium is the wave velocity. Pulse wave velocity is among the key parameters in hemodynamics. Investigation of wave propagation through the fluid-filled elastic tube has a great importance for the proper biophysical understanding of the nature of blood flow through the cardiovascular system.…

  17. Segmented Chirped-Pulse Millimeter-Wave Spectroscopy for Astrochemistry

    Science.gov (United States)

    Arenas, Benjamin E.; Steber, Amanda; Gruet, Sébastien; Schnell, Melanie

    2016-06-01

    The ability to detect molecules in the interstellar medium (ISM) is afforded to us by the collaboration of state-of-the-art observations, like from the Atacama Large Millimeter/submillimeter Array (ALMA), and high-resolution laboratory spectra. Here, we present our use of a commercial segmented chirped-pulse Fourier transform millimeter-wave rotational spectrometer to study simple oxygen-containing organic molecules. Our spectrometer operates in the region 75 - 110 GHz, providing an overlap with ALMA's Band 3 and allowing direct comparison of our laboratory spectra with observational data. We have measured rotational spectra of 1,2-propanediol[1, 2, 3] and methyl acetate[4, 5] in this spectral range at room temperature - both have been previously studied in the microwave and millimeter-wave regions. The rotational spectrum of the former in the 3 mm region shows eight different conformers to date. Spectral bandwidth overlap with ALMA Band 3 will allow for easier detection of new chemicals in the ISM. [1] Caminati, W., J. Mol. Spectrosc., 86(1), 193-201, 1981. [2] Lovas, F. J., Plusquellic, D. F., Pate, B. H., Neill, J. T., Muckle, M. T. and Remijan, A. J., J. Mol. Spectrosc., 257(1), 82-93, 2009. [3] Bossa, J. -B., Ordu, M. H., Müller, H. S. P., Lewen, F. and Schlemmer, S., Astron. Astrophys., 570, A12, 2014. [4] Tudorie, M., Kleiner, I., Hougen, J. T., Melandri, S., Sutikdja, L. W. and Stahl, W., J. Mol. Spectrosc., 269, 211-225, 2011. [5] Nguyen, H. V. L., Kleiner, I., Shipman, S. T., Mae, Y., Hirose, K., Hatanaka, S. and Kobayashi, K., J. Mol. Spectrosc., 299, 17-21, 2014.

  18. Modeling the Pulse Signal by Wave-Shape Function and Analyzing by Synchrosqueezing Transform.

    Directory of Open Access Journals (Sweden)

    Hau-Tieng Wu

    Full Text Available We apply the recently developed adaptive non-harmonic model based on the wave-shape function, as well as the time-frequency analysis tool called synchrosqueezing transform (SST to model and analyze oscillatory physiological signals. To demonstrate how the model and algorithm work, we apply them to study the pulse wave signal. By extracting features called the spectral pulse signature, and based on functional regression, we characterize the hemodynamics from the radial pulse wave signals recorded by the sphygmomanometer. Analysis results suggest the potential of the proposed signal processing approach to extract health-related hemodynamics features.

  19. Serial follow-up of an experimental bovine pericardial aortic bioprosthesis. Usefulness of pulsed Doppler echocardiography.

    Science.gov (United States)

    Salomon, N W; Okies, J E; Krause, A H; Page, U S; Bigelow, J C; Colburn, L Q

    1991-11-01

    Echocardiography was used in the serial evaluation of 50 patients at 1, 3, and 7 years after aortic valve replacement with a new bovine pericardial aortic bioprosthesis. For valve sizes of 19-27 mm, at 7 years of follow-up mean transvalvular gradients (xGrad) ranged from 15.2 to 8.0 mm Hg, and calculated mean valve areas (AVA) ranged from 1.06 to 1.79 cm2. Acceptable xGrad and AVA were directly related to valve size and did not change in 48 asymptomatic patients. One patient at 7 years had marked calcific stenosis and degeneration requiring explanation. Echocardiography is useful in the long-term evaluation of bioprosthetic function, yielding information equivalent to cardiac catheterization data. This bovine pericardial valve offers good clinical and hemodynamic results at 7 years and is a suitable alternative when a bioprosthesis is indicated.

  20. Prediction of Coronary Artery Disease Extent and Severity Using Pulse Wave Velocity.

    Science.gov (United States)

    Chiha, Joseph; Mitchell, Paul; Gopinath, Bamini; Burlutsky, George; Plant, Adam; Kovoor, Pramesh; Thiagalingam, Aravinda

    2016-01-01

    Pulse-wave velocity (PWV) measures aortic stiffness. It is an independent predictor of cardiovascular events and mortality, yet there is paucity in the literature on its association with the severity and extent of coronary artery disease (CAD). To examine the utility of PWV in predicting CAD burden in men and women the PWV was determined in 344 patients (Men = 266, Women = 78) presenting for invasive coronary angiography for the assessment of suspected CAD. Pearson correlations and multivariate analysis were used to evaluate the relationship between these coronary scores, PWV and traditional cardiovascular risk factors. Compared to men, women with chest pain had lower mean Extent scores (19.2 vs. 35.6; p = 0.0001) and Gensini scores (23.6 vs. 41.9; p = 0.0001). PWV was similar between men and women (12.35 ± 3.74 vs. 12.43 ± 4.58; p = 0.88) and correlated with Extent score (r = 0.21, p = 0.0001) but not Gensini or vessel score (r = 0.03, p = 0.64 and r = 0.06, p = 0.26, respectively). PWV was associated with Extent score in men (B = 2.25 ± 0.78, p = 0.004 for men and B = 1.50 ± 0.88, p = 0.09 for women). It was not a predictor of Gensini score (B = -0.10, P = 0.90). PWV correlates with the extent of CAD, as measured by the 'Extent' score in men more than women. However, it does not correlate with the severity of obstructive CAD in either gender.

  1. Ecocardiografia modo Doppler pulsado em gatos clinicamente sadios Pulsed wave Doppler echocardiography in clinically healthy cats

    Directory of Open Access Journals (Sweden)

    R.O. Carvalho

    2006-06-01

    Full Text Available Estudou-se o fluxo sangüíneo através das quatro valvas cardíacas em 30 gatos clinicamente sadios, com idade entre um e cinco anos e peso médio de 4,08kg, por meio da ecocardiografia modo Doppler pulsado. Foram medidas a velocidade máxima e a velocidade média dos fluxos, e realizou-se uma análise qualitativa dos seus perfis. Os animais foram sedados pela combinação de quetamina (12mg/kg e acepromazina (0,04mg/kg, aplicados por via intramuscular. Observou-se correlação positiva entre os parâmetros avaliados e a freqüência cardíaca, com exceção daqueles medidos no fluxo da valva aórtica. Não se observou correlação entre velocidades máxima e média e freqüência cardíaca e entre aquelas e peso corporal, e não houve diferença entre sexos.Pulsed wave Doppler echocardiography was used to study blood flow across the cardiac valves in 30 five-year-old cats (average body weight = 4.08kg. Animals were sedated using a combination of ketamin (12mg/kg, IM and acepromazin (0.04mg/kg, IM. Peak and mean velocities were determined, and blood flow patterns were recorded at the four cardiac valves. All variables, except those characterizing aortic valve flow, were positively correlated with heart rate. Blood flow variables were not correlated, however, with body weight; and there were no differences between males and females.

  2. Daily dialysis reduces pulse wave velocity in chronic hemodialysis patients.

    Science.gov (United States)

    Di Micco, Lucia; Torraca, Serena; Sirico, Maria Luisa; Tartaglia, Domenico; Di Iorio, Biagio

    2012-05-01

    Pulse wave velocity (PWV) is a predictor of morbidity and mortality in patients with end-stage renal disease (ESRD). Dialysis patients show cyclic changes in PWV related to their hydration status and blood pressure. Our aim is to assess the impact of daily dialysis on PWV. We performed a randomized crossover study of 60 patients who underwent standard hemodialysis (HD) three times per week for at least 6 months. Patients were classified into three groups according to their PWV values before (pre-) and after (post-) HD, with a cutoff value of 12 m s(-1), as follows: the low-low (LL) group had normal pre-HD and post-HD PWV; the high-low (HL) group had high pre-HD PWV and normal post-HD PWV; and the high-high (HH) group had high pre- and post-HD PWV. All patients continued standard HD for 2 weeks. A total of 10 patients from each group were randomly assigned to continue standard HD for 1 week and then underwent daily dialysis for 1 week. The remaining 10 patients underwent daily dialysis for 1 week and then underwent standard HD for 1 week. PWV values were measured before and 1 h after each dialysis session. With daily dialysis treatment, 2 of 20 patients (10%) moved from the PWV-HH group to the PWV-HL group, whereas 18 of 20 patients (90%) moved from the PWV-HL group to the PWV-LL group (P = 0.030). Daily dialysis reduces PWV in the ESRD patients. As PWV is a strong predictor of mortality in ESRD and has cyclic variations in patients who are on standard HD, we believe that daily dialysis may be used in patients with high PWV levels to reduce their mortality risk.

  3. High-power Yb-doped continuous-wave and pulsed fibre lasers

    Indian Academy of Sciences (India)

    2014-01-05

    wave fibre laser; Q-switched fibre laser; nonlinearity; thermal effects; selfpulsing; Yb-doped fibre; nanosecond pulse ... Solid State Laser Division, Raja Ramanna Centre for Advanced Technology, Indore 452 013, India ...

  4. Numerical Investigation of Detonation Combustion Wave in Pulse Detonation Combustor with Ejector

    OpenAIRE

    P. Debnath; K. M. Pandey

    2017-01-01

    Detonation combustion based engines are more efficient compared to conventional deflagration based engines. Pulse detonation engine is the new concept in propulsion technology for future propulsion system. In this contrast, an ejector was used to modify the detonation wave propagation structure in pulse detonation engine combustor. In this paper k-ε turbulence model was used for detonation wave shock pattern simulation in PDE with ejectors at Ansys 14 Fluent platform. The unsteady Euler equat...

  5. Wake-Field Wave Resonant Excitation in Magnetized Plasmas by Electromagnetic Pulse

    International Nuclear Information System (INIS)

    Milant'ev, V.P.; Turikov, V.A.

    2006-01-01

    In this paper the space charge wave excitation process at electromagnetic pulse propagation along external magnetic field in vicinity of electron cyclotron resonance. In hydrodynamic approach it is obtained an equation for plasma density under ponderomotive force action. With help of this equation we investigated a wake-field wave amplitude dependence from resonance detuning. The numerical simulation using a PIC method electromagnetic pulse propagation process in the resonant conditions was done

  6. Detailed characterization of CW- and pulsed-pump four-wave mixing in highly nonlinear fibers

    DEFF Research Database (Denmark)

    Lillieholm, Mads; Galili, Michael; Grüner-Nielsen, L.

    2016-01-01

    We present a quantitative comparison of continuouswave- (CW) and pulsed-pump four-wave mixing (FWM) in commercially available highly nonlinear fibers (HNLFs), and suggest properties for which the CW and pulsed FWM bandwidths are limited in practice. The CWand pulsed-pump parametric gain is charac......We present a quantitative comparison of continuouswave- (CW) and pulsed-pump four-wave mixing (FWM) in commercially available highly nonlinear fibers (HNLFs), and suggest properties for which the CW and pulsed FWM bandwidths are limited in practice. The CWand pulsed-pump parametric gain...... bandwidth. However, an inverse scaling of the TOD with the dispersion fluctuations, leads to different CW-optimized fibers, which depend only on the even dispersion-orders....

  7. Oscillatory pulses and wave trains in a bistable reaction-diffusion system with cross diffusion.

    Science.gov (United States)

    Zemskov, Evgeny P; Tsyganov, Mikhail A; Horsthemke, Werner

    2017-01-01

    We study waves with exponentially decaying oscillatory tails in a reaction-diffusion system with linear cross diffusion. To be specific, we consider a piecewise linear approximation of the FitzHugh-Nagumo model, also known as the Bonhoeffer-van der Pol model. We focus on two types of traveling waves, namely solitary pulses that correspond to a homoclinic solution, and sequences of pulses or wave trains, i.e., a periodic solution. The effect of cross diffusion on wave profiles and speed of propagation is analyzed. We find the intriguing result that both pulses and wave trains occur in the bistable cross-diffusive FitzHugh-Nagumo system, whereas only fronts exist in the standard bistable system without cross diffusion.

  8. Development of integrated photoplethysmographic recording circuit for trans-nail pulse-wave monitoring system

    Science.gov (United States)

    Qian, Zhengyang; Takezawa, Yoshiki; Shimokawa, Kenji; Kino, Hisashi; Fukushima, Takafumi; Kiyoyama, Koji; Tanaka, Tetsu

    2018-04-01

    Health monitoring and self-management have become increasingly more important because of health awareness improvement, the aging of population, and other reasons. In general, pulse waves are among the most useful physiological signals that can be used to calculate several parameters such as heart rate and blood pressure for health monitoring and self-management. To realize an automatic and real-time pulse-wave monitoring system that can be used in daily life, we have proposed a trans-nail pulse-wave monitoring system that was placed on the fingernail to detect photoplethysmographic (PPG) signals as pulse waves. In this study, we designed a PPG recording circuit that was composed of a 600 × 600 µm2 photodiode (PD), an LED driver with pulse wave modulation (PWM) and a low-frequency ring oscillator (RING), and a PPG signal readout circuit. The proposed circuit had a very small area of 2.2 × 1.1 mm2 designed with 0.18 µm CMOS technology. The proposed circuit was used to detect pulse waves on the human fingernail in both the reflection and transmission modes. Electrical characteristics of the prototype system were evaluated precisely and PPG waveforms were obtained successfully.

  9. [Research on the Method of Blood Pressure Monitoring Based on Multiple Parameters of Pulse Wave].

    Science.gov (United States)

    Miao, Changyun; Mu, Dianwei; Zhang, Cheng; Miao, Chunjiao; Li, Hongqiang

    2015-10-01

    In order to improve the accuracy of blood pressure measurement in wearable devices, this paper presents a method for detecting blood pressure based on multiple parameters of pulse wave. Based on regression analysis between blood pressure and the characteristic parameters of pulse wave, such as the pulse wave transit time (PWTT), cardiac output, coefficient of pulse wave, the average slope of the ascending branch, heart rate, etc. we established a model to calculate blood pressure. For overcoming the application deficiencies caused by measuring ECG in wearable device, such as replacing electrodes and ECG lead sets which are not convenient, we calculated the PWTT with heart sound as reference (PWTT(PCG)). We experimentally verified the detection of blood pressure based on PWTT(PCG) and based on multiple parameters of pulse wave. The experiment results showed that it was feasible to calculate the PWTT from PWTT(PCG). The mean measurement error of the systolic and diastolic blood pressure calculated by the model based on multiple parameters of pulse wave is 1.62 mm Hg and 1.12 mm Hg, increased by 57% and 53% compared to those of the model based on simple parameter. This method has more measurement accuracy.

  10. Alcohol Consumption in Relation to Aortic Stiffness and Aortic Wave Reflections: A Cross-Sectional Study in Healthy Postmenopausal Women

    NARCIS (Netherlands)

    Sierksma, A.; Lebrun, C.E.I.; Schouw, Y.T. van der; Grobbee, D.E.; Lamberts, S.W.J.; Hendriks, H.F.J.; Bots, M.L.

    2004-01-01

    Objective-Moderate alcohol consumption has been postulated to be cardioprotective. Such an effect might be reflected in large-artery properties, such as arterial stiffness and wave reflections. Methods and Results-Three hundred seventy-one healthy postmenopausal women aged 50 to 74 years were

  11. Ethnic Differences in and Childhood Influences on Early Adult Pulse Wave Velocity: The Determinants of Adolescent, Now Young Adult, Social Wellbeing, and Health Longitudinal Study.

    Science.gov (United States)

    Cruickshank, J Kennedy; Silva, Maria J; Molaodi, Oarabile R; Enayat, Zinat E; Cassidy, Aidan; Karamanos, Alexis; Read, Ursula M; Faconti, Luca; Dall, Philippa; Stansfield, Ben; Harding, Seeromanie

    2016-06-01

    Early determinants of aortic stiffness as pulse wave velocity are poorly understood. We tested how factors measured twice previously in childhood in a multiethnic cohort study, particularly body mass, blood pressure, and objectively assessed physical activity affected aortic stiffness in young adults. Of 6643 London children, aged 11 to 13 years, from 51 schools in samples stratified by 6 ethnic groups with different cardiovascular risk, 4785 (72%) were seen again at aged 14 to 16 years. In 2013, 666 (97% of invited) took part in a young adult (21-23 years) pilot follow-up. With psychosocial and anthropometric measures, aortic stiffness and blood pressure were recorded via an upper arm calibrated Arteriograph device. In a subsample (n=334), physical activity was measured >5 days via the ActivPal. Unadjusted pulse wave velocities in black Caribbean and white UK young men were similar (mean±SD 7.9±0.3 versus 7.6±0.4 m/s) and lower in other groups at similar systolic pressures (120 mm Hg) and body mass (24.6 kg/m(2)). In fully adjusted regression models, independent of pressure effects, black Caribbean (higher body mass/waists), black African, and Indian young women had lower stiffness (by 0.5-0.8; 95% confidence interval, 0.1-1.1 m/s) than did white British women (6.9±0.2 m/s). Values were separately increased by age, pressure, powerful impacts from waist/height, time spent sedentary, and a reported racism effect (+0.3 m/s). Time walking at >100 steps/min was associated with reduced stiffness (Ppressure, and psychosocial variables (eg, perceived racism) independently increase arterial stiffness, effects likely to increase with age. © 2016 The Authors.

  12. COMPARATIVE DISINFECTION EFFICIENCY OF PULSED AND CONTINUOUS-WAVE UV IRRADIATION TECHNOLOGIES

    Science.gov (United States)

    Pulsed UV (PUV) is novel UV irradiation system that is a non-mercury lamp based alternative to currently used continuous-wave systems for water disinfection. To compare the polychromatic PUV irradiation disinfection efficiency with that from continuous wave monochromatic low-pre...

  13. Ultrashort laser pulse filamentation from spontaneous X-Wave formation in air.

    Science.gov (United States)

    Faccio, Daniele; Averchi, Alessandro; Lotti, Antonio; Di Trapani, Paolo; Couairon, Arnaud; Papazoglou, Dimitris; Tzortzakis, Stelios

    2008-02-04

    The description of ultrashort laser pulse filamentation in condensed media as a spontaneous formation of X waves is shown to apply also to filaments generated in air. Within this framework, a simple explanation is brought for several features of the filament such as the subdiffractive propagation and the energy flux from the weakly localized tails of the X-waves to the intense core.

  14. Electromagnetic pulse measurement system based on optical fiber transmission under radiated-wave test

    International Nuclear Information System (INIS)

    Liu Shunkun; Nie Xin; Chen Xiangyue; Xiang Hui

    2010-01-01

    Radiated-wave Electromagnetic Pulse Simulator is an important device used to study Electromagnetic Pulse effect of large electronic equipment in test. On the characteristic of radiated-EMP simulator test and the needs to measurement system, Electromagnetic Pulse measurement system based on optical fiber transmission and its composition are introduced in the paper. Sort of measurement system and Calibration method of its are present. The expression of uncertainty in Electromagnetic Pulse measurement system is discussed also. The measurement results are analyzed which be gained by radiated field test. (authors)

  15. Studies of nanosecond pulse surface ionization wave discharges over solid and liquid dielectric surfaces

    International Nuclear Information System (INIS)

    Petrishchev, Vitaly; Leonov, Sergey; Adamovich, Igor V

    2014-01-01

    Surface ionization wave discharges generated by high-voltage nanosecond pulses, propagating over a planar quartz surface and over liquid surfaces (distilled water and 1-butanol) have been studied in a rectangular cross section test cell. The discharge was initiated using a custom-made, alternating polarity, high-voltage nanosecond pulse plasma generator, operated at a pulse repetition rate of 100–500 Hz, with a pulse peak voltage and current of 10–15 kV and 7–20 A, respectively, a pulse FWHM of ∼100 ns, and a coupled pulse energy of 2–9 mJ/pulse. Wave speed was measured using a capacitive probe. ICCD camera images demonstrated that the ionization wave propagated predominantly over the quartz wall or over the liquid surface adjacent to the grounded waveguide placed along the bottom wall of the test cell. Under all experimental conditions tested, the surface plasma ‘sheet’ was diffuse and fairly uniform, both for positive and negative polarities. The parameters of ionization wave discharge propagating over distilled water and 1-butanol surfaces were close to those of the discharge over a quartz wall. No perturbation of the liquid surface by the discharge was detected. In most cases, the positive polarity surface ionization wave propagated at a higher speed and over a longer distance compared to the negative polarity wave. For all three sets of experiments (surface ionization wave discharge over quartz, water and 1-butanol), wave speed and travel distance decreased with pressure. Diffuse, highly reproducible surface ionization wave discharge was also observed over the liquid butanol–saturated butanol vapor interface, as well as over the distilled water–saturated water vapor interface, without buffer gas flow. No significant difference was detected between surface ionization discharges sustained using single-polarity (positive or negative), or alternating polarity high-voltage pulses. Plasma emission images yielded preliminary evidence of charge

  16. Speed of Wave Pulses in Hooke's Law Media

    Science.gov (United States)

    Huggins, Elisha

    2008-01-01

    As students watched a compressional pulse bounce back and forth on the horizontally suspended Slinky[TM], shown in Fig. 1, we wrote down the formula for the speed of the pulse and promised that later in the course we would derive the formula. The problem is we did not keep our promise in the course. Here is where we are keeping the promise. As…

  17. Response of a chemical wave to local pulse irradiation in the ruthenium-catalyzed Belousov-Zhabotinsky reaction.

    Science.gov (United States)

    Nakata, Satoshi; Suzuki, Shogo; Ezaki, Takato; Kitahata, Hiroyuki; Nishi, Kei; Nishiura, Yasumasa

    2015-04-14

    The photo-sensitive Belousov-Zhabotinsky (BZ) reaction system was investigated to understand the response of wave propagation to local pulse stimulation in an excitable field. When the chemical wave was irradiated with a bright pulse or a dark pulse, the speed of wave propagation decreased or increased. The timing of pulse irradiation that significantly affected the speed of chemical wave propagation was different with the bright and dark pulses. That is, there is a sensitive point in the chemical wave. The experimental results were qualitatively reproduced by a numerical calculation based on a three-variable Oregonator model that was modified for the photosensitive BZ reaction. These results suggest that the chemical wave is sensitive to the timing of pulse irradiation due to the rates of production of an activator and an inhibitor in the photochemical reaction.

  18. Conversion of Radio-Frequency Pulses to Continuous-Wave Sinusoids by Fast Switching and Narrowband Filtering

    Science.gov (United States)

    2016-09-01

    ARL-TN-0783 ● SEP 2016 US Army Research Laboratory Conversion of Radio -Frequency Pulses to Continuous- Wave Sinusoids by Fast...ARL-TN-0783 ● SEP 2016 US Army Research Laboratory Conversion of Radio -Frequency Pulses to Continuous- Wave Sinusoids by Fast...08/2016 4. TITLE AND SUBTITLE Conversion of Radio -Frequency Pulses to Continuous- Wave Sinusoids by Fast Switching and Narrowband Filtering 5a

  19. Pulse Wave Velocity as Marker of Preclinical Arterial Disease: Reference Levels in a Uruguayan Population Considering Wave Detection Algorithms, Path Lengths, Aging, and Blood Pressure

    Directory of Open Access Journals (Sweden)

    Ignacio Farro

    2012-01-01

    Full Text Available Carotid-femoral pulse wave velocity (PWV has emerged as the gold standard for non-invasive evaluation of aortic stiffness; absence of standardized methodologies of study and lack of normal and reference values have limited a wider clinical implementation. This work was carried out in a Uruguayan (South American population in order to characterize normal, reference, and threshold levels of PWV considering normal age-related changes in PWV and the prevailing blood pressure level during the study. A conservative approach was used, and we excluded symptomatic subjects; subjects with history of cardiovascular (CV disease, diabetes mellitus or renal failure; subjects with traditional CV risk factors (other than age and gender; asymptomatic subjects with atherosclerotic plaques in carotid arteries; patients taking anti-hypertensives or lipid-lowering medications. The included subjects (n=429 were categorized according to the age decade and the blood pressure levels (at study time. All subjects represented the “reference population”; the group of subjects with optimal/normal blood pressures levels at study time represented the “normal population.” Results. Normal and reference PWV levels were obtained. Differences in PWV levels and aging-associated changes were obtained. The obtained data could be used to define vascular aging and abnormal or disease-related arterial changes.

  20. A sensitivity analysis of a personalized pulse wave propagation model for arteriovenous fistula surgery. Part A: Identification of most influential model parameters.

    Science.gov (United States)

    Huberts, W; de Jonge, C; van der Linden, W P M; Inda, M A; Tordoir, J H M; van de Vosse, F N; Bosboom, E M H

    2013-06-01

    Previously, a pulse wave propagation model was developed that has potential in supporting decision-making in arteriovenous fistula (AVF) surgery for hemodialysis. To adapt the wave propagation model to personalized conditions, patient-specific input parameters should be available. In clinics, the number of measurable input parameters is limited which results in sparse datasets. In addition, patient data are compromised with uncertainty. These uncertain and incomplete input datasets will result in model output uncertainties. By means of a sensitivity analysis the propagation of input uncertainties into output uncertainty can be studied which can give directions for input measurement improvement. In this study, a computational framework has been developed to perform such a sensitivity analysis with a variance-based method and Monte Carlo simulations. The framework was used to determine the influential parameters of our pulse wave propagation model applied to AVF surgery, with respect to parameter prioritization and parameter fixing. With this we were able to determine the model parameters that have the largest influence on the predicted mean brachial flow and systolic radial artery pressure after AVF surgery. Of all 73 parameters 51 could be fixed within their measurement uncertainty interval without significantly influencing the output, while 16 parameters importantly influence the output uncertainty. Measurement accuracy improvement should thus focus on these 16 influential parameters. The most rewarding are measurement improvements of the following parameters: the mean aortic flow, the aortic windkessel resistance, the parameters associated with the smallest arterial or venous diameters of the AVF in- and outflow tract and the radial artery windkessel compliance. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

  1. Steering dissociation of Br2 molecules with two femtosecond pulses via wave packet interference.

    Science.gov (United States)

    Han, Yong-Chang; Yuan, Kai-Jun; Hu, Wen-Hui; Yan, Tian-Min; Cong, Shu-Lin

    2008-04-07

    The dissociation dynamics of Br2 molecules induced by two femtosecond pump pulses are studied based on the calculation of time-dependent quantum wave packet. Perpendicular transition from X 1Sigma g+ to A 3Pi 1u+ and 1Pi 1u+ and parallel transition from X 1Sigma g+ to B 3Pi 0u+, involving two product channels Br (2P3/2)+Br (2P3/2) and Br (2P3/2)+Br* (2P1/2), respectively, are taken into account. Two pump pulses create dissociating wave packets interfering with each other. By varying laser parameters, the interference of dissociating wave packets can be controlled, and the dissociation probabilities of Br2 molecules on the three excited states can be changed to different degrees. The branching ratio of Br*/(Br+Br*) is calculated as a function of pulse delay time and phase difference.

  2. A pulsed electron gun for the Plane Wave Transformer Linac

    CERN Document Server

    Mahadevan, S; Nandedkar, R V

    2003-01-01

    A pulsed diode electron gun delivering 500 mA current at 40 kV is described. The gun geometry is optimized using the Electron Trajectory Program EGUN at higher scaling factors by choosing the closest converging starting surface. The effect of an annular gap between cathode and focusing electrode on beam behaviour is compensated by using a suitable focusing electrode. The estimated perveance is 0.065 mu perv and the normalized emittance is within 5 pi mm mrad. The variation in current density at the cathode has been limited to within 10% across the face of the cathode. Salient features of the pulsed power supply and an insight of its interconnection with the gun are presented. The current measured at the Faraday cup is in agreement with the designed perveance.

  3. Upconversion imaging using short-wave infrared picosecond pulses

    DEFF Research Database (Denmark)

    Mathez, Morgan David; Rodrigo, Peter John; Tidemand-Lichtenberg, Peter

    2017-01-01

    To the best of our knowledge, we present the first demonstration of short-wavelength infrared image upconversion that employs intense picosecond signal and pump beams. We use a fiber laser that emits a signal beam at 1877 nm and a pump beam at 1550 nm—both with a pulse width of 1 ps and a pulse...... by an improved model that considers the combined image blurring effect due to finite pump beam size, thick nonlinear crystal, and polychromatic infrared illumination....... beam diameter to upconvert a wider range of signal spatial frequencies in the crystal. The 1877 nm signal is converted into 849 nm—enabling an image to be acquired by a silicon CCD camera. The measured size of the smallest resolvable element of this imaging system is consistent with the value predicted...

  4. Pulse picker for synchrotron radiation driven by a surface acoustic wave.

    Science.gov (United States)

    Vadilonga, Simone; Zizak, Ivo; Roshchupkin, Dmitry; Petsiuk, Andrei; Dolbnya, Igor; Sawhney, Kawal; Erko, Alexei

    2017-05-15

    A functional test for a pulse picker for synchrotron radiation was performed at Diamond Light Source. The purpose of a pulse picker is to select which pulse from the synchrotron hybrid-mode bunch pattern reaches the experiment. In the present work, the Bragg reflection on a Si/B4C multilayer was modified using surface acoustic wave (SAW) trains. Diffraction on the SAW alters the direction of the x rays and it can be used to modulate the intensity of the x rays that reach the experimental chamber. Using electronic modulation of the SAW amplitude, it is possible to obtain different scattering conditions for different x-ray pulses. To isolate the single bunch, the state of the SAW must be changed in the short time gap between the pulses. To achieve the necessary time resolution, the measurements have been performed in conical diffraction geometry. The achieved time resolution was 120 ns.

  5. Coherent control of population and pulse propagation beyond the rotating wave approximation

    Energy Technology Data Exchange (ETDEWEB)

    Liu Jicai; FelicIssimo, Viviane Costa; Guimaraes, Freddy Fernandes; Wang Chuankui; Gel' mukhanov, Faris [Department of Theoretical Chemistry, School of Biotechnology, Royal Institute of Technology, S-106 91 Stockholm (Sweden)], E-mail: jicai@theochem.kth.se

    2008-04-14

    The dynamics of populations of the vibrational states in a NO molecule (one-photon absorption) and of the electronic states in a 4,4'-bis(dimethylamino) stilbene molecule (two-photon absorption) is studied versus the frequency, intensity and shape of the laser pulse. We show that specially designed infrared laser pulses can build selective populations of certain vibrational states. A detuning of light frequency from the vibrational resonance qualitatively changes the dynamics of populations. It is found out that the populations of the nonresonant levels follow the pulse shape adiabatically if the detuning significantly exceeds the inverse characteristic time of the change of the pulse. Depopulation of the nonresonant vibrational states leads to a high population of the resonant state at the end of the pulse. Complete breakdown of the standard rotating wave approximation for a two-photon absorption process is observed even for a rather small intensity of the laser pulse. An analytical solution for the interaction of a pulse with a three-level system beyond the rotating wave approximation is obtained, and it is in close agreement with the strict numerical solution of the amplitude equations. Special attention is paid to the population dynamics of randomly oriented molecules. The orientational disorder as well as the vibrations limit the coherent population transfer. Calculations show the strong role of the anisotropy of photoexcitation in the coherent control of populations which can affect the anisotropy of photobleaching.

  6. Coherent control of population and pulse propagation beyond the rotating wave approximation

    International Nuclear Information System (INIS)

    Liu Jicai; FelicIssimo, Viviane Costa; Guimaraes, Freddy Fernandes; Wang Chuankui; Gel'mukhanov, Faris

    2008-01-01

    The dynamics of populations of the vibrational states in a NO molecule (one-photon absorption) and of the electronic states in a 4,4'-bis(dimethylamino) stilbene molecule (two-photon absorption) is studied versus the frequency, intensity and shape of the laser pulse. We show that specially designed infrared laser pulses can build selective populations of certain vibrational states. A detuning of light frequency from the vibrational resonance qualitatively changes the dynamics of populations. It is found out that the populations of the nonresonant levels follow the pulse shape adiabatically if the detuning significantly exceeds the inverse characteristic time of the change of the pulse. Depopulation of the nonresonant vibrational states leads to a high population of the resonant state at the end of the pulse. Complete breakdown of the standard rotating wave approximation for a two-photon absorption process is observed even for a rather small intensity of the laser pulse. An analytical solution for the interaction of a pulse with a three-level system beyond the rotating wave approximation is obtained, and it is in close agreement with the strict numerical solution of the amplitude equations. Special attention is paid to the population dynamics of randomly oriented molecules. The orientational disorder as well as the vibrations limit the coherent population transfer. Calculations show the strong role of the anisotropy of photoexcitation in the coherent control of populations which can affect the anisotropy of photobleaching

  7. Beneficial effects on arterial stiffness and pulse-wave reflection of combined enalapril and candesartan in chronic kidney disease--a randomized trial.

    Directory of Open Access Journals (Sweden)

    Marie Frimodt-Møller

    Full Text Available Cardiovascular disease (CVD is highly prevalent in patients with chronic kidney disease (CKD. Inhibition of the renin-angiotensinsystem (RAS in hypertension causes differential effects on central and brachial blood pressure (BP, which has been translated into improved outcome. The objective was to examine if a more complete inhibition of RAS by combining an angiotensin converting enzyme inhibitor (ACEI and an angiotensin receptor antagonist (ARB compared to monotherapy has an additive effect on central BP and pulse-wave velocity (PWV, which are known markers of CVD.Sixty-seven CKD patients (mean GFR 30, range 13-59 ml/min/1.73 m(2 participated in an open randomized study of 16 weeks of monotherapy with either enalapril or candesartan followed by 8 weeks of dual blockade aiming at a total dose of 16 mg candesartan and 20 mg enalapril o.d. Pulse-wave measurements were performed at week 0, 8, 16 and 24 by the SphygmoCor device.Significant additive BP independent reductions were found after dual blockade in aortic PWV (-0.3 m/s, P<0.05 and in augmentation index (-2%, P<0.01 compared to monotherapy. Furthermore pulse pressure amplification was improved (P<0.05 and central systolic BP reduced (-6 mmHg, P<0.01.Dual blockade of the RAS resulted in an additive BP independent reduction in pulse-wave reflection and arterial stiffness compared to monotherapy in CKD patients.Clinical trial.gov NCT00235287.

  8. Two-dimensional analysis of beat wave current drive with intense microwave pulses

    International Nuclear Information System (INIS)

    Amin, M.R.; Cairns, R.A.

    1990-01-01

    Current drive in tokamak plasmas by a beat wave is considered in two-dimensional (2-D) geometry. The beat wave is excited by the non-linear interaction of two intense microwave pulses (free electron lasers) in the plasma. The three-wave non-linear interaction equations in steady state are solved numerically. The 2-D toroidal effect and the effect of finite spatial width of the pump microwave pulses are taken into account for the excitation of the beat mode. To illustrate the principle, two types of tokamak are considered: one is small, such as, typically, the Microwave Tokamak Experiment (MTX). and the other one is larger, such as the Joint European Torus (JET). In both cases, it is found that good beat wave coupling exists for a Langmuir beat wave with a phase velocity of around 2.0 to 4.0 times the thermal velocity of the electrons. The fraction of total input power of the right circularly polarized pump waves deposited in the beat mode can be as high as 29% in JET and 32% in MTX. In these cases, there is almost complete pump depletion of the higher frequency pump microwave. It is also found that, for the same input parameters, left circularly polarized pump waves are less efficient than right circularly polarized pump waves for depositing power in the beat mode. (author). 12 refs, 15 figs, 5 tabs

  9. Evanescent-wave proton postaccelerator driven by intense THz pulse

    OpenAIRE

    L. Pálfalvi; J. A. Fülöp; Gy. Tóth; J. Hebling

    2014-01-01

    Hadron therapy motivates research dealing with the production of particle beams with ∼100  MeV/nucleon energy and relative energy fluctuation on the order of 1%. Laser-driven accelerators produce ion beams with only tens of MeV/nucleon energy and an extremely broad spectra. Here, a novel method is proposed for postacceleration and monochromatization of particles, leaving the laser-driven accelerator, by using intense THz pulses. It is based on further developing the idea of using the evanesce...

  10. Propagation of pulsed waves in a magnetized chiroplasma

    International Nuclear Information System (INIS)

    Torres S, H.

    1998-01-01

    When subject to a constant magnetic field, chiroplasmas exhibit anisotropic constitutive parameters. For electronic chiroplasmas, the focus of this paper, this anisotropy must be described by using a permittivity tensor instead of the usual scalar permittivity. Each member of this tensor is also highly frequency dependent. This paper describes a finite difference time-domain formulation which incorporates both anisotropy and frequency dispersion at the same time , enabling the wide-band transient analysis of magnetoactive chiroplasma. Results are shown for the reflection and transmission through a magnetized chiroplasma layer which show the growing modes in the RCP chiro transverse wave. This stratified model can be scaled to solar photonic frequencies and plasma density to study the wave propagation in the ionosphere contaminated by aerosols and Cfc molecules. (Author)

  11. Phase and frequency structure of superradiance pulses generated by relativistic Ka-band backward-wave oscillator

    International Nuclear Information System (INIS)

    Rostov, V. V.; Romanchenko, I. V.; Elchaninov, A. A.; Sharypov, K. A.; Shunailov, S. A.; Ul'masculov, M. R.; Yalandin, M. I.

    2016-01-01

    Phase and frequency stability of electromagnetic oscillations in sub-gigawatt superradiance (SR) pulses generated by an extensive slow-wave structure of a relativistic Ka-band backward-wave oscillator were experimentally investigated. Data on the frequency tuning and radiation phase stability of SR pulses with a variation of the energy and current of electron beam were obtained.

  12. Full-wave reflection of lightning long-wave radio pulses from the ionospheric D region: Numerical model

    Science.gov (United States)

    Jacobson, Abram R.; Shao, Xuan-Min; Holzworth, Robert

    2009-03-01

    A model is developed for calculating ionospheric reflection of electromagnetic pulses emitted by lightning, with most energy in the long-wave spectral region (f ~ 3-100 kHz). The building block of the calculation is a differential equation full-wave solution of Maxwell's equations for the complex reflection of individual plane waves incident from below, by the anisotropic, dissipative, diffuse dielectric profile of the lower ionosphere. This full-wave solution is then put into a summation over plane waves in an angular direct Fourier transform to obtain the reflection properties of curved wavefronts. This step models also the diffraction effects of long-wave ionospheric reflections observed at short or medium range (~200-500 km). The calculation can be done with any arbitrary but smooth dielectric profile versus altitude. For an initial test, this article uses the classic D region exponential profiles of electron density and collision rate given by Volland. With even these simple profiles, our model of full-wave reflection of curved wavefronts captures some of the basic attributes of observed reflected waveforms recorded with the Los Alamos Sferic Array. A follow-on article will present a detailed comparison with data in order to retrieve ionospheric parameters.

  13. Theory of nondegenerate four-wave mixing between pulses in a semiconductor waveguide

    DEFF Research Database (Denmark)

    Mørk, Jesper; Mecozzi, A.

    1997-01-01

    We develop a perturbation theory for calculating the effects of saturation on nondegenerate four-wave mixing between short optical pulses in a semiconductor optical amplifier. Saturation due to ultrafast intraband dynamics like carrier heating and spectral hole burning is found to be important...

  14. Associations between plasma fibulin-1, pulse wave velocity and diabetes in patients with coronary heart disease

    DEFF Research Database (Denmark)

    Hansen, Maria Lyck; Rasmussen, Lars Melholt

    2015-01-01

    BACKGROUND: Diabetes is related to increased risk of cardiovascular disease, and arterial stiffness and its consequences may be the factor connecting the two. Arterial stiffness is often measured by carotid-femoral pulse wave velocity (cf-PWV), but no plasma biomarker reflecting arterial stiffnes...

  15. Pulsed-wave transmitral Doppler do not diagnose moderate acute rejection after heart transplantation

    NARCIS (Netherlands)

    Mannaerts, H. F.; Simoons, M. L.; Balk, A. H.; Tijssen, J.; van der Borden, S. G.; Zondervan, P. E.; Mochtar, B.; Weimar, W.; Roelandt, J. R.

    1993-01-01

    The value of pulsed-wave transmitral Doppler for the diagnosis of moderate acute rejection was examined in a total of 347 Doppler recordings obtained in 32 consecutive cardiac allograft recipients. Serial Doppler examinations (median, 11 per patient; range, 1 to 23) were performed simultaneously

  16. PULSED-WAVE TRANSMITRAL DOPPLER DO NOT DIAGNOSE MODERATE ACUTE REJECTION AFTER HEART-TRANSPLANTATION

    NARCIS (Netherlands)

    MANNAERTS, HF; SIMOONS, ML; BALK, AH; TIJSSEN, J; VANDERBORDEN, SG; ZONDERVAN, PE; MOCHTAR, B; WEIMAR, W; ROELANDT, [No Value

    1993-01-01

    The value of pulsed-wave transmitral Doppler for the diagnosis of moderate acute rejection was examined in a total of 347 Doppler recordings obtained in 32 consecutive cardiac allograft recipients. Serial Doppler examinations (median, 11 per patient; range, 1 to 23) were performed simultaneously

  17. Electrochemical Oxidation by Square-Wave Potential Pulses in the Imitation of Oxidative Drug Metabolism

    NARCIS (Netherlands)

    Nouri-Nigjeh, Eslam; Permentier, Hjalmar P.; Bischoff, Rainer; Bruins, Andries P.

    2011-01-01

    Electrochemistry combined with mass spectrometry (EC-MS) is an emerging analytical technique in the imitation of oxidative drug metabolism at the early stages of new drug development. Here, we present the benefits of electrochemical oxidation by square-wave potential pulses for the oxidation of

  18. High-power Yb-doped continuous-wave and pulsed fibre lasers

    Indian Academy of Sciences (India)

    2014-01-05

    Jan 5, 2014 ... Continuous-wave fibre laser; Q-switched fibre laser; nonlinearity; thermal effects; selfpulsing; Yb-doped fibre; nanosecond pulse ... intracore fibre Bragg gratings, low thermal problems due to large surface to volume ratio, diffraction-limited beam quality, compactness, reliability and fibre-optic beam delivery.

  19. Thermoacoustic waves in pulsed Pirani sensor MEMS. Numerical Investigation

    Directory of Open Access Journals (Sweden)

    Gospodinov Peter

    2018-01-01

    Full Text Available The transient heat transfer process is studied in rarefied gas confined between two stationary concentric cylinders. The inner cylinder (filament is subjected to a periodically heating-cooling cycle. The energy transfer is modeled with continuous model based on Navier-Sockes Fourier equations of motion and energy transfer and with a statistical DSMC model. Numerical results for the temperature, thermodynamic pressure and pressure difference between thermodynamic pressure and radial stress tensor component are obtained for different circular frequencies of heating cooling cycle of filament and for different filament radii. The pressure variation at the end of any local heating stage of heating-cooling cycle is close to the value of equilibrium thermodynamic pressure. The results are applicable in designing the pulsed Pirani sensors.

  20. Attosecond electromagnetic pulse generation due to the interaction of a relativistic soliton with a breaking-wake plasma wave

    International Nuclear Information System (INIS)

    Isanin, A.V.; Kamenets, F.F.; Bulanov, S.S.; Pegoraro, F.

    2005-01-01

    During the interaction of a low-frequency relativistic soliton with the electron density modulations of a wake plasma wave, part of the electromagnetic energy of the soliton is reflected in the form of an extremely short and ultraintense electromagnetic pulse. We calculate the spectra of the reflected and of the transmitted electromagnetic pulses analytically. The reflected wave has the form of a single cycle attosecond pulse

  1. 24-hour central aortic systolic pressure and 24-hour central pulse pressure are related to diabetic complications in type 1 diabetes - a cross-sectional study

    DEFF Research Database (Denmark)

    Theilade, Simone; Lajer, Maria Stenkil; Hansen, Tine Willum

    2013-01-01

    BACKGROUND: Non-invasive measurements of 24 hour ambulatory central aortic systolic pressure (24 h-CASP) and central pulse pressure (24 h-CPP) are now feasible. We evaluate the relationship between 24 h central blood pressure and diabetes-related complications in patients with type 1 diabetes....... METHODS: The study was cross-sectional, including 715 subjects: 86 controls (C), 69 patients with short diabetes duration (treatment (SN), 211 with longstanding diabetes (≥ 10 years) and normoalbuminuria (LN), 163...... ± 13, 121 ± 13, 119 ± 16 and 121 ± 13 mmHg (p diabetes, albuminuria degree, previous...

  2. Quantum-state-preserving optical pulse reshaping and multiplexing by four-wave mixing in a fiber

    DEFF Research Database (Denmark)

    McKinstrie, C. J.; Andersen, Lasse Mejling; Rottwitt, Karsten

    2012-01-01

    Nondegenerate four-wave mixing driven by two pulsed pumps transfers the quantum state of an input signal pulse to an output idler pulse, which is a frequency-translated and reshaped version of the signal. By varying the pump shapes appropriately, one can connect signal and idler pulses with arbit...... with arbitrary durations and shapes. This process enables a variety of functions required by quantum information networks....

  3. Evaluation of arterial propagation velocity based on the automated analysis of the Pulse Wave Shape

    International Nuclear Information System (INIS)

    Clara, F M; Scandurra, A G; Meschino, G J; Passoni, L I

    2011-01-01

    This paper proposes the automatic estimation of the arterial propagation velocity from the pulse wave raw records measured in the region of the radial artery. A fully automatic process is proposed to select and analyze typical pulse cycles from the raw data. An adaptive neuro-fuzzy inference system, together with a heuristic search is used to find a functional approximation of the pulse wave. The estimation of the propagation velocity is carried out via the analysis of the functional approximation obtained with the fuzzy model. The analysis of the pulse wave records with the proposed methodology showed small differences compared with the method used so far, based on a strong interaction with the user. To evaluate the proposed methodology, we estimated the propagation velocity in a population of healthy men from a wide range of ages. It has been found in these studies that propagation velocity increases linearly with age and it presents a considerable dispersion of values in healthy individuals. We conclude that this process could be used to evaluate indirectly the propagation velocity of the aorta, which is related to physiological age in healthy individuals and with the expectation of life in cardiovascular patients.

  4. Mechanisms of amplification of ultrashort electromagnetic pulses in gyrotron traveling wave tube with helically corrugated waveguide

    International Nuclear Information System (INIS)

    Ginzburg, N. S.; Zaslavsky, V. Yu.; Zotova, I. V.; Sergeev, A. S.; Zheleznov, I. V.; Samsonov, S. V.; Mishakin, S. V.

    2015-01-01

    A time-domain self consistent theory of a gyrotron traveling wave tube with a helically corrugated operating waveguide has been developed. Based on this model, the process of short pulse amplification was studied in regimes of grazing and intersection of the dispersion curves of the electromagnetic wave and the electron beam. In the first case, the possibility of amplification without pulse form distortion was demonstrated for the pulse spectrum width of the order of the gain bandwidth. In the second case, when the electrons' axial velocity was smaller than the wave's group velocity, it was shown that the slippage of the incident signal with respect to the electron beam provides feeding of the signal by “fresh” electrons without initial modulation. As a result, the amplitude of the output pulse can exceed the amplitude of its saturated value for the case of the grazing regime, and, for optimal parameters, the peak output power can be even larger than the kinetic power of the electron beam

  5. Influence of laser-supported detonation waves on metal drilling with pulsed CO2 lasers

    International Nuclear Information System (INIS)

    Stuermer, E.; von Allmen, M.

    1978-01-01

    Drilling of highly reflective metals in an ambient atmosphere with single TEA-CO 2 -laser pulses of fluences between 300 and 6000 J/cm 2 is reported. The drilling process was investigated by measuring the time-resolved laser power reflected specularly from the targets during the interaction and by analyzing the craters produced. Experiments were performed in ambient air, argon, and helium. Target damage was found to be strongly influenced by a laser-supported detonation (LSD) wave in the ambient gas. If the laser fluence exceeded a material-dependent damage threshold (copper: 300 J/cm 2 ), drilling occurred, but the efficiency was inversely related to the duration of the LSD wave. Efficient material removal is possible if the LSD wave can be dissipated within a small fraction of the laser pulse duration. This was achieved by small-F-number focusing of TEM 00 laser pulses of 5-μs duration. Replacing the ambient air at the target by a gas of lower density results in a further significant reduction of LSD-wave lifetime, and a correlated increase of the drilling yield. On copper targets a maximum drilling yield of 10 -5 cm 3 /J was observed in ambient helium at a laser fluence of 1 kJ/cm 2

  6. New method of analyzing wave processes in pulse generators based on lines with distributed parameters

    CERN Document Server

    Gordeev, V S

    2001-01-01

    A new method of theoretical analysis of wave processes in high-current pulse generators through the relations between integral values reflecting regularities of energy transfer in ideal lines with distributed parameters is described. The use of the method developed considerably simplifies the procedure of searching for an optimal - from the point of view of getting maximal efficiency - relation of impedances for pulse facilities on stepped lines including those with arbitrary number of cascades. High efficiency of the method is demonstrated by several examples.

  7. [Metabolic syndrome and aortic stiffness].

    Science.gov (United States)

    Simková, A; Bulas, J; Murín, J; Kozlíková, K; Janiga, I

    2010-09-01

    The metabolic syndrome (MS) is a cluster of risk factors that move the patient into higher level of risk category of cardiovascular disease and the probability of type 2 diabetes mellitus manifestation. Definition of MS is s based on the presence of selected risk factors as: abdominal obesity (lager waist circumpherence), atherogenic dyslipidemia (low value of HDL-cholesterol and increased level of triglycerides), increased fasting blood glucose (or type 2 DM diagnosis), higher blood pressure or antihypertensive therapy. In 2009 there were created harmonizing criteria for MS definition; the condition for assignment of MS is the presence of any 3 criteria of 5 mentioned above. The underlying disorder of MS is an insulin resistance or prediabetes. The patients with MS more frequently have subclinical (preclinical) target organ disease (TOD) which is the early sings of atherosclerosis. Increased aortic stiffness is one of the preclinical diseases and is defined by pathologically increased carotidofemoral pulse wave velocity in aorta (PWV Ao). With the aim to assess the influence of MS on aortic stiffness we examined the group of women with arterial hypertension and MS and compare them with the group of women without MS. The aortic stiffness was examined by Arteriograph--Tensiomed, the equipment working on the oscillometric principle in detection of pulsations of brachial artery. This method determines the global aortic stiffness based on the analysis of the shape of pulse curve of brachial artery. From the cohort of 49 pts 31 had MS, the subgroups did not differ in age or blood pressure level. The mean number of risk factors per person in MS was 3.7 comparing with 1.7 in those without MS. In the MS group there was more frequently abdominal obesity present (87% vs 44%), increased fasting blood glucose (81% vs 22%) and low HDL-cholesterol level. The pulse wave velocity in aorta, PWV Ao, was significantly higher in patients with MS (mean value 10,19 m/s vs 8,96 m

  8. Effects of Thoratec pulsatile ventricular assist device timing on the abdominal aortic wave intensity pattern.

    Science.gov (United States)

    Jahren, Silje Ekroll; Amacher, Raffael; Weber, Alberto; Most, Henriette; Flammer, Shannon Axiak; Traupe, Tobias; Stoller, Michael; de Marchi, Stefano; Vandenberghe, Stijn

    2014-10-15

    Arterial waves are seen as possible independent mediators of cardiovascular risks, and the wave intensity analysis (WIA) has therefore been proposed as a method for patient selection for ventricular assist device (VAD) implantation. Interpreting measured wave intensity (WI) is challenging, and complexity is increased by the implantation of a VAD. The waves generated by the VAD interact with the waves generated by the native heart, and this interaction varies with changing VAD settings. Eight sheep were implanted with a pulsatile VAD (PVAD) through ventriculoaortic cannulation. The start of PVAD ejection was synchronized to the native R wave and delayed between 0 and 90% of the cardiac cycle in 10% steps or phase shifts (PS). Pressure and velocity signals were registered, with the use of a combined Doppler and pressure wire positioned in the abdominal aorta, and used to calculate the WI. Depending on the PS, different wave interference phenomena occurred. Maximum unloading of the left ventricle (LV) coincided with constructive interference and maximum blood flow pulsatility, and maximum loading of the LV coincided with destructive interference and minimum blood flow pulsatility. We believe that noninvasive WIA could potentially be used clinically to assess the mechanical load of the LV and to monitor the peripheral hemodynamics such as blood flow pulsatility and risk of intestinal bleeding. Copyright © 2014 the American Physiological Society.

  9. Paired-pulse magnetic stimulation of the human motor cortex: differences among I waves

    Science.gov (United States)

    Hanajima, Ritsuko; Ugawa, Yoshikazu; Terao, Yasuo; Sakai, Katsuyuki; Furubayashi, Toshiaki; Machii, Katsuyuki; Kanazawa, Ichiro

    1998-01-01

    In paired-pulse cortical stimulation experiments, conditioning subthreshold stimuli suppress the electromyographic (EMG) responses of relaxed muscles to suprathreshold magnetic test stimuli at short interstimulus intervals (ISIs) (1-5 ms) and facilitate them at long ISIs (8-15 ms). We made paired-pulse magnetic stimulation studies on the response of the first dorsal interosseous muscle (FDI) produced by I1 or I3 waves using our previously reported method which preferentially elicits one group of I waves when subjects make a slight voluntary contraction. In some experiments the conditioning and test stimuli were oppositely directed, in the others they were oriented in the same direction. Single motor unit responses were recorded with a concentric needle electrode, and surface EMG responses with cup electrodes. In post-stimulus time histograms (PSTHs) of the firing probability of motor units, the peaks produced by I3 waves were decreased by a subthreshold conditioning stimulus that preferentially elicited I1 or I3 waves at an ISI of 4 ms. The amount of decrement depended on the intensity of the conditioning stimulus. The stronger the conditioning stimulus, the greater the suppression. In contrast, the peaks produced by I1 waves were little affected by any type of subthreshold conditioning stimulus, given 4 ms prior to the test stimulus. At an ISI of 10 ms, a subthreshold conditioning stimulus slightly decreased the size of the peak produced by the I3 waves, but did not affect the peaks evoked by I1 waves. Surface EMGs showed that a subthreshold conditioning stimulus suppressed the responses produced by I3 waves irrespective of its current direction (anterior or posterior). Both the amount and duration of suppression depended on the intensity of the conditioning stimulus, but not on its current direction. Both parameters increased when the intensity increased. At a high intensity conditioning stimulus, suppression was evoked at ISIs of 1-20 ms, compatible with the

  10. Hardware system of X-wave generator with simple driving pulses

    Science.gov (United States)

    Li, Xu; Li, Yaqin; Xiao, Feng; Ding, Mingyue; Yuchi, Ming

    2013-03-01

    The limited diffraction beams such as X-wave have the properties of larger depth of field. Thus, it has the potential to generate ultra-high frame rate ultrasound images. However, in practice, the real-time generation of X-wave ultrasonic field requires complex and high-cost system, especially the precise and specific voltage time distribution part for the excitation of each distinct array element. In order to simplify the hardware realization of X-wave, based on the previous works, X-wave excitation signals were decomposed and expressed as the superposition of a group of simple driving pulses, such as rectangular and triangular waves. The hardware system for the X-wave generator was also designed. The generator consists of a computer for communication with the circuit, universal serial bus (USB) based micro-controller unit (MCU) for data transmission, field programmable gate array (FPGA) based Direct Digital Synthesizer(DDS), 12-bit digital-to-analog (D/A) converter and a two stage amplifier.The hardware simulation results show that the designed system can generate the waveforms at different radius approximating the theoretical X-wave excitations with a maximum error of 0.49% triggered by the quantification of amplitude data.

  11. Decreased memory loss associated with right unilateral ultra-brief pulse wave ECT.

    Science.gov (United States)

    Kim, Suck Won; Grant, Jon E; Rittberg, Barry R; Simon, John E; Vine, Craig J; Schulz, S Charles

    2007-01-01

    The purpose of this brief article is to share with our colleagues in the psychiatric community and other physicians information about the efficacy of an emerging new method of electroconvulsive therapy (ECT) that shows advantages over existing treatments for depression. Patients treated with the method, ultra-brief pulse wave ECT, have less memory loss and confusion than those treated with longer-duration ECT.

  12. Electrochemical oxidation by square-wave potential pulses in the imitation of oxidative drug metabolism.

    Science.gov (United States)

    Nouri-Nigjeh, Eslam; Permentier, Hjalmar P; Bischoff, Rainer; Bruins, Andries P

    2011-07-15

    Electrochemistry combined with mass spectrometry (EC-MS) is an emerging analytical technique in the imitation of oxidative drug metabolism at the early stages of new drug development. Here, we present the benefits of electrochemical oxidation by square-wave potential pulses for the oxidation of lidocaine, a test drug compound, on a platinum electrode. Lidocaine was oxidized at constant potential and by square-wave potential pulses with different cycle times, and the reaction products were analyzed by liquid chromatography-mass spectrometry [LC-MS(/MS)]. Application of constant potentials of up to +5.0 V resulted in relatively low yields of N-dealkylation and 4-hydroxylation products, while oxidation by square-wave potential pulses generated up to 50 times more of the 4-hydroxylation product at cycle times between 0.2 and 12 s (estimated yield of 10%). The highest yield of the N-dealkylation product was obtained at cycle times shorter than 0.2 s. Tuning of the cycle time is thus an important parameter to modulate the selectivity of electrochemical oxidation reactions. The N-oxidation product was only obtained by electrochemical oxidation under air atmosphere due to reaction with electrogenerated hydrogen peroxide. Square-wave potential pulses may also be applicable to modulate the selectivity of electrochemical reactions with other drug compounds in order to generate oxidation products with greater selectivity and higher yield based on the optimization of cycle times and potentials. This considerably widens the scope of direct electrochemistry-based oxidation reactions for the imitation of in vivo oxidative drug metabolism.

  13. Dynamics of multilevel molecules and pulse propagation beyond rotating wave approximation near two-photon resonance

    International Nuclear Information System (INIS)

    Liu Jicai; Wang Chuankui; Gel'mukhanov, Faris

    2007-01-01

    Dynamics of multilevel molecules and pulse propagation is studied near the two-photon resonance. We have found a strict solution of this problem beyond the rotating wave approximation. Our analytical solution is in close agreement with the strict numerical solution for the 4,4 ' -bis(dimethylamino) stilbene molecule. The compensation of the dynamical Stark shift is studied for fixed-in-space molecules. It is shown that the orientational disorder does not allow complete compensation of the dynamical Stark shift

  14. Electric field measurements in a nanosecond pulse discharge by picosecond CARS/4-wave mixing

    Science.gov (United States)

    Goldberg, Ben; Shkurenkov, Ivan; Adamovich, Igor; Lempert, Walter

    2014-10-01

    Time-resolved electric field measurements in hydrogen by picosecond CARS/4-wave mixing are presented. Measurements are carried out in a high voltage nanosecond pulse discharge in hydrogen in plane-to-plane geometry, at pressures of up to several hundred Torr, and with a time resolution of 0.2 ns. Absolute calibration of the diagnostics is done using a sub-breakdown high voltage pulse of 12 kV/cm. A diffuse discharge is obtained by applying a peak high voltage pulse of 40 kV/cm between the electrodes. It is found that breakdown occurs at a lower field, 15--20 kV/cm, after which the field in the plasma is reduced rapidly due to plasma self shielding The experimental results are compared with kinetic modeling calculations, showing good agreement between the measured and the predicted electric field.

  15. Effect of intradialytic resistance training on pulse wave velocity and associated cardiovascular disease biomarkers in end stage renal disease.

    Science.gov (United States)

    Chan, Danwin; Green, Simon; Fiatarone Singh, Maria A; Barnard, Robert; Bonder, Claudine S; Cheema, Birinder S

    2017-12-19

    Cardiovascular disease (CVD) is the leading cause of mortality in patients with end-stage renal disease (ESRD) receiving maintenance hemodialysis treatment. This study investigated the effect of a 12-week intradialytic progressive resistance training (PRT) intervention on pulse wave velocity (PWV) and associated hemodynamic, anthropometric, and hematologic outcomes in patients with ESRD. Twenty-two patients with ESRD (59% men, 71.3 ± 11.0 years) were recruited. Supervised PRT (3 sets of 11 exercises) was prescribed three times per week during routine dialysis. The primary outcome was brachial-ankle PWV via applanation tonometry. Secondary outcomes included augmentation index, brachial and aortic blood pressures, endothelial progenitor cells, C-reactive protein, blood lipids and anthropometrics. The intradialytic PRT regimen resulted in no significant change in PWV between control and intervention periods [mean difference = 0 (95% CI = -0.1 to 0.1); P=0.58]. Similarly, no significant change was noted in any secondary outcome measures between the control and intervention periods. Post-hoc analyses limited to high adherers (≥75% attendance; n=11) did not differ from the primary analysis, indicating no dose-response effect of our intervention. Our 12-week PRT intervention did not change PWV or any secondary outcomes. Future studies should determine if higher dosages of intradialytic PRT (i.e. longer duration and/or higher intensity) can be applied as a method improve arterial stiffness to potentially reduce cardiovascular disease and associated mortality this cohort. This article is protected by copyright. All rights reserved.

  16. Generation of spin waves by a train of fs-laser pulses: a novel approach for tuning magnon wavelength

    OpenAIRE

    Savochkin, I. V.; J?ckl, M.; Belotelov, V. I.; Akimov, I. A.; Kozhaev, M. A.; Sylgacheva, D. A.; Chernov, A. I.; Shaposhnikov, A. N.; Prokopov, A. R.; Berzhansky, V. N.; Yakovlev, D. R.; Zvezdin, A. K.; Bayer, M.

    2017-01-01

    Currently spin waves are considered for computation and data processing as an alternative to charge currents. Generation of spin waves by ultrashort laser pulses provides several important advances with respect to conventional approaches using microwaves. In particular, focused laser spot works as a point source for spin waves and allows for directional control of spin waves and switching between their different types. For further progress in this direction it is important to manipulate with ...

  17. Measurements of Electric Field in a Nanosecond Pulse Discharge by 4-WAVE Mixing

    Science.gov (United States)

    Baratte, Edmond; Adamovich, Igor V.; Simeni Simeni, Marien; Frederickson, Kraig

    2017-06-01

    Picosecond four-wave mixing is used to measure temporally and Picosecond four-wave mixing is used to measure temporally and spatially resolved electric field in a nanosecond pulse dielectric discharge sustained in room air and in an atmospheric pressure hydrogen diffusion flame. Measurements of the electric field, and more precisely the reduced electric field (E/N) in the plasma is critical for determination rate coefficients of electron impact processes in the plasma, as well as for quantifying energy partition in the electric discharge among different molecular energy modes. The four-wave mixing measurements are performed using a collinear phase matching geometry, with nitrogen used as the probe species, at temporal resolution of about 2 ns . Absolute calibration is performed by measurement of a known electrostatic electric field. In the present experiments, the discharge is sustained between two stainless steel plate electrodes, each placed in a quartz sleeve, which greatly improves plasma uniformity. Our previous measurements of electric field in a nanosecond pulse dielectric barrier discharge by picosecond 4-wave mixing have been done in air at room temperature, in a discharge sustained between a razor edge high-voltage electrode and a plane grounded electrode (a quartz plate or a layer of distilled water). Electric field measurements in a flame, which is a high-temperature environment, are more challenging because the four-wave mixing signal is proportional to the to square root of the difference betwen the populations of N2 ground vibrational level (v=0) and first excited vibrational level (v=1). At high temperatures, the total number density is reduced, thus reducing absolute vibrational level populations of N2. Also, the signal is reduced further due to a wider distribution of N2 molecules over multiple rotational levels at higher temperatures, while the present four-wave mixing diagnostics is using spectrally narrow output of a ps laser and a high

  18. [A quick algorithm of dynamic spectrum photoelectric pulse wave detection based on LabVIEW].

    Science.gov (United States)

    Lin, Ling; Li, Na; Li, Gang

    2010-02-01

    Dynamic spectrum (DS) detection is attractive among the numerous noninvasive blood component detection methods because of the elimination of the main interference of the individual discrepancy and measure conditions. DS is a kind of spectrum extracted from the photoelectric pulse wave and closely relative to the artery blood. It can be used in a noninvasive blood component concentration examination. The key issues in DS detection are high detection precision and high operation speed. The precision of measure can be advanced by making use of over-sampling and lock-in amplifying on the pick-up of photoelectric pulse wave in DS detection. In the present paper, the theory expression formula of the over-sampling and lock-in amplifying method was deduced firstly. Then in order to overcome the problems of great data and excessive operation brought on by this technology, a quick algorithm based on LabVIEW and a method of using external C code applied in the pick-up of photoelectric pulse wave were presented. Experimental verification was conducted in the environment of LabVIEW. The results show that by the method pres ented, the speed of operation was promoted rapidly and the data memory was reduced largely.

  19. HIV infection and aortic stiffness.

    Science.gov (United States)

    Leite, Luisa Helena Maia; Cohen, Ariel; Boccara, Franck

    People living with human immunodeficiency virus (HIV) infection and receiving antiretroviral therapy now have the same life expectancy as the general population. However, they have a higher risk of atherosclerotic cardiovascular events because of a complex and polyfactorial vasculopathy, combining the effects of antiretroviral therapy, the HIV virus itself, immune activation, chronic inflammation and metabolic disturbances. Whether people living with HIV infection experience increased vascular aging compared with the general population remains controversial. To summarize current knowledge of the association between HIV infection and aortic stiffness as a marker of vascular aging. This review included 18 clinical studies in adult populations, published between 2009 and 2016, and identified on PubMed/MEDLINE or other databases. Search terms were aortic stiffness, arterial stiffness, vascular aging, pulse wave velocity and HIV. All 18 studies were observational, and compared groups infected (HIV+) and not infected (HIV-) with HIV. Ten studies (55%) reported no significant differences in aortic stiffness between HIV+ groups and age-matched HIV- control groups. The main reported determinants of aortic stiffness were age, blood pressure, smoking, metabolic syndrome and HIV-related variables, including CD4/CD8 ratio, current T-CD4 count CD4+ count < 200/mm 3 . We found discordant results regarding whether HIV+ patients had increased aortic stiffness compared with HIV- controls. However, HIV-related conditions were associated with vascular health. This association has been confirmed in recent prospective studies. There is emerging evidence that HIV itself and immune activity affect vascular health and the large arteries. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  20. Weight reduction and aortic stiffness in obese children and adolescents

    DEFF Research Database (Denmark)

    Hvidt, K. N.; Olsen, M. H.; Ibsen, H.

    2015-01-01

    Little is known about the effect of weight reduction on aortic stiffness and especially so in the young. The present study investigates whether weight reduction influences aortic stiffness in obese children and adolescents. Carotid-femoral pulse wave velocity (cfPWV) and augmentation index at heart...... rate 75 (AIx@HR75) were measured in 72 obese patients aged 10-18 years at baseline and after 1-year of lifestyle intervention (follow-up). We found that although the degree of obesity decreased (Delta body mass index z-score: -0.24 +/- 0.45, P ....27 +/- 0.47 ms(-1), P obesity measures. No significant change...

  1. Cascading pulse tubes on a large diaphragm pressure wave generator to increase liquefaction potential

    Science.gov (United States)

    Caughley, A.; Meier, J.; Nation, M.; Reynolds, H.; Boyle, C.; Tanchon, J.

    2017-12-01

    Fabrum Solutions, in collaboration with Absolut System and Callaghan Innovation, produce a range of large pulse tube cryocoolers based on metal diaphragm pressure wave generator technology (DPWG). The largest cryocooler consists of three in-line pulse tubes working in parallel on a 1000 cm3 swept volume DPWG. It has demonstrated 1280 W of refrigeration at 77 K, from 24 kW of input power and was subsequently incorporated into a liquefaction plant to produce liquid nitrogen for an industrial customer. The pulse tubes on the large cryocooler each produced 426 W of refrigeration at 77 K. However, pulse tubes can produce more refrigeration with higher efficiency at higher temperatures. This paper presents the results from experiments to increase overall liquefaction throughput by operating one or more pulse tubes at a higher temperature to pre-cool the incoming gas. The experiments showed that the effective cooling increased to 1500 W resulting in an increase in liquefaction rate from 13 to 16 l/hour.

  2. Detection of cerebral ischemia using the power spectrum of the pulse wave measured by near-infrared spectroscopy.

    Science.gov (United States)

    Ebihara, Akira; Tanaka, Yuichi; Konno, Takehiko; Kawasaki, Shingo; Fujiwara, Michiyuki; Watanabe, Eiju

    2013-10-01

    The diagnosis and medical treatment of cerebral ischemia are becoming more important due to the increase in the prevalence of cerebrovascular disease. However, conventional methods of evaluating cerebral perfusion have several drawbacks: they are invasive, require physical restraint, and the equipment is not portable, which makes repeated measurements at the bedside difficult. An alternative method is developed using near-infrared spectroscopy (NIRS). NIRS signals are measured at 44 positions (22 on each side) on the fronto-temporal areas in 20 patients with cerebral ischemia. In order to extract the pulse-wave component, the raw total hemoglobin data recorded from each position are band-pass filtered (0.8 to 2.0 Hz) and subjected to a fast Fourier transform to obtain the power spectrum of the pulse wave. The ischemic region is determined by single-photon emission computed tomography. The pulse-wave power in the ischemic region is compared with that in the symmetrical region on the contralateral side. In 17 cases (85%), the pulse-wave power on the ischemic side is significantly lower than that on the contralateral side, which indicates that the transmission of the pulse wave is attenuated in the region with reduced blood flow. Pulse-wave power might be useful as a noninvasive marker of cerebral ischemia.

  3. LASER APPLICATIONS: Laser air-jet engine: the action of shock waves at low laser pulse repetition rates

    Science.gov (United States)

    Apollonov, V. V.; Tishchenko, V. N.

    2007-08-01

    The impact and thermal action of laser sparks on the reflector of a laser engine in which the propulsion is produced by repetitively pulsed radiation is estimated. It is shown that for a low pulse repetition rate, the thermal contact of a plasma with the reflector and strong dynamic resonance loads are inevitable. These difficulties can be surmounted by using the method based on the merging of shock waves at a high pulse repetition rate.

  4. Pulmonary artery pulse pressure and wave reflection in chronic pulmonary thromboembolism and primary pulmonary hypertension.

    Science.gov (United States)

    Castelain, V; Hervé, P; Lecarpentier, Y; Duroux, P; Simonneau, G; Chemla, D

    2001-03-15

    The purpose of this time-domain study was to compare pulmonary artery (PA) pulse pressure and wave reflection in chronic pulmonary thromboembolism (CPTE) and primary pulmonary hypertension (PPH). Pulmonary artery pressure waveform analysis provides a simple and accurate estimation of right ventricular afterload in the time-domain. Chronic pulmonary thromboembolism and PPH are both responsible for severe pulmonary hypertension. Chronic pulmonary thromboembolism and PPH predominantly involve proximal and distal arteries, respectively, and may lead to differences in PA pressure waveform. High-fidelity PA pressure was recorded in 14 patients (7 men/7 women, 46 +/- 14 years) with CPTE (n = 7) and PPH (n = 7). We measured thermodilution cardiac output, mean PA pressure (MPAP), PA pulse pressure (PAPP = systolic - diastolic PAP) and normalized PAPP (nPAPP = PPAP/MPAP). Wave reflection was quantified by measuring Ti, that is, the time between pressure upstroke and the systolic inflection point (Pi), deltaP, that is, the systolic PAP minus Pi difference, and the augmentation index (deltaP/PPAP). At baseline, CPTE and PPH had similar cardiac index (2.4 +/- 0.4 vs. 2.5 +/- 0.5 l/min/m2), mean PAP (59 +/- 9 vs. 59 +/- 10 mm Hg), PPAP (57 +/- 13 vs. 53 +/- 13 mm Hg) and nPPAP (0.97 +/- 0.16 vs. 0.89 +/- 0.13). Chronic pulmonary thromboembolism had shorter Ti (90 +/- 17 vs. 126 +/- 16 ms, p PPAP (0.26 +/- 0.01 vs. 0.09 +/- 0.07, p < 0.01). Our study indicated that: 1) CPTE and PPH with severe pulmonary hypertension had similar PA pulse pressure, and 2) wave reflection is elevated in both groups, and CPTE had increased and anticipated wave reflection as compared with PPH, thus suggesting differences in the pulsatile component of right ventricular afterload.

  5. Effect of viscosity on the wave propagation: Experimental determination of compression and expansion pulse wave velocity in fluid-fill elastic tube.

    Science.gov (United States)

    Stojadinović, Bojana; Tenne, Tamar; Zikich, Dragoslav; Rajković, Nemanja; Milošević, Nebojša; Lazović, Biljana; Žikić, Dejan

    2015-11-26

    The velocity by which the disturbance travels through the medium is the wave velocity. Pulse wave velocity is one of the main parameters in hemodynamics. The study of wave propagation through the fluid-fill elastic tube is of great importance for the proper biophysical understanding of the nature of blood flow through of cardiovascular system. The effect of viscosity on the pulse wave velocity is generally ignored. In this paper we present the results of experimental measurements of pulse wave velocity (PWV) of compression and expansion waves in elastic tube. The solutions with different density and viscosity were used in the experiment. Biophysical model of the circulatory flow is designed to perform measurements. Experimental results show that the PWV of the expansion waves is higher than the compression waves during the same experimental conditions. It was found that the change in viscosity causes a change of PWV for both waves. We found a relationship between PWV, fluid density and viscosity. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Superluminal reflection and transmission of light pulses via resonant four-wave mixing in cesium vapor.

    Science.gov (United States)

    Jiang, Qichang; Zhang, Yan; Wang, Dan; Ahrens, Sven; Zhang, Junxiang; Zhu, Shiyao

    2016-10-17

    We report the experimental manipulation of the group velocities of reflected and transmitted light pulses in a degenerate two-level atomic system driven by a standing wave, which is created by two counter-propagating light beams of equal frequencies but variable amplitudes. It is shown that the light pulse is reflected with superluminal group velocity while the transmitted pulse propagates from subluminal to superluminal velocities via changing the power of the backward coupling field. We find that the simultaneous superluminal light reflection and transmission can be reached when the power of the backward field becomes closer or equal to the forward power, in this case the periodical absorption modulation for photonic structure is established in atoms. The theoretical discussion shows that the anomalous dispersion associated with a resonant absorption dip within the gain peak due to four-wave mixing leads to the superluminal reflection, while the varying dispersion from normal to anomalous at transparency, transparency within absorption, and electromagnetically induced absorption windows leads to the subluminal to superluminal transmission.

  7. Noncontact sphygmomanometer based on pulse-wave transit time between the face and hand

    Science.gov (United States)

    Nakano, Kazuya; Ohnishi, Takashi; Nishidate, Izumi; Haneishi, Hideaki

    2018-02-01

    Systolic blood pressure (SBP) is highly sensitive to various factors such as psychological stress, and hence its continuous monitoring is essential to evaluate different health conditions. However, conventional sphygmomanometers cannot continuously measure SBP given the time-consuming setup based on a pressure cuff. Moreover, continuous biological signal monitoring is more comfortable when no sensors are attached. A solution for continuous SBP estimation is based on pulse transit time (PTT), which determines the time difference between two pulse waves at different body parts. In previous studies, we successfully measured the PTT using a contactless setup composed by two digital color cameras recording the face and hand of subjects. Then, the acquired images were transformed into blood volume by combining multiple regression analysis and a Monte Carlo method. As a result, the delay among images allowed to determine the PPT from pulse waves. In this study, we simultaneously measured SBP and PTT by using a sphygmomanometer and the two cameras, respectively. We evaluated SBP increases (i.e., stressful situations) and the corresponding PPT by asking participants to either grasp a handgrip or momentarily interrupting breath. We also determined the SBP and PTT without asking for such exercises. Comparison results show that the mean PTT under stress was significantly lower than that without stress, which is consistent with an increased SBP. Finally, we related the SBP and PTT by a nonlinear formula with a coefficient of determination of 0.59, thus confirming the effectiveness of the proposed system.

  8. Generation of spin waves by a train of fs-laser pulses: a novel approach for tuning magnon wavelength.

    Science.gov (United States)

    Savochkin, I V; Jäckl, M; Belotelov, V I; Akimov, I A; Kozhaev, M A; Sylgacheva, D A; Chernov, A I; Shaposhnikov, A N; Prokopov, A R; Berzhansky, V N; Yakovlev, D R; Zvezdin, A K; Bayer, M

    2017-07-18

    Currently spin waves are considered for computation and data processing as an alternative to charge currents. Generation of spin waves by ultrashort laser pulses provides several important advances with respect to conventional approaches using microwaves. In particular, focused laser spot works as a point source for spin waves and allows for directional control of spin waves and switching between their different types. For further progress in this direction it is important to manipulate with the spectrum of the optically generated spin waves. Here we tackle this problem by launching spin waves by a sequence of femtosecond laser pulses with pulse interval much shorter than the relaxation time of the magnetization oscillations. This leads to the cumulative phenomenon and allows us to generate magnons in a specific narrow range of wavenumbers. The wavelength of spin waves can be tuned from 15 μm to hundreds of microns by sweeping the external magnetic field by only 10 Oe or by slight variation of the pulse repetition rate. Our findings expand the capabilities of the optical spin pump-probe technique and provide a new method for the spin wave generation and control.

  9. Numerical Investigation of Pulse Wave Propagation in Arteries Using Fluid Structure Interaction Capabilities

    Directory of Open Access Journals (Sweden)

    Hisham Elkenani

    2017-01-01

    Full Text Available The aim of this study is to present a reliable computational scheme to serve in pulse wave velocity (PWV assessment in large arteries. Clinicians considered it as an indication of human blood vessels’ stiffness. The simulation of PWV was conducted using a 3D elastic tube representing an artery. The constitutive material model specific for vascular applications was applied to the tube material. The fluid was defined with an equation of state representing the blood material. The onset of a velocity pulse was applied at the tube inlet to produce wave propagation. The Coupled Eulerian-Lagrangian (CEL modeling technique with fluid structure interaction (FSI was implemented. The scaling of sound speed and its effect on results and computing time is discussed and concluded that a value of 60 m/s was suitable for simulating vascular biomechanical problems. Two methods were used: foot-to-foot measurement of velocity waveforms and slope of the regression line of the wall radial deflection wave peaks throughout a contour plot. Both methods showed coincident results. Results were approximately 6% less than those calculated from the Moens-Korteweg equation. The proposed method was able to describe the increase in the stiffness of the walls of large human arteries via the PWV estimates.

  10. Influence of aerobic exercise training on post-exercise responses of aortic pulse pressure and augmentation pressure in postmenopausal women

    OpenAIRE

    Akazawa, Nobuhiko; Ra, Song-Gyu; Sugawara, Jun; Maeda, Seiji

    2015-01-01

    Central arterial blood pressure (BP) is more predictive of future cardiovascular events than is brachial BP because it reflects the BP load imposed on the left ventricle with greater accuracy. However, little is known about the effects of exercise training on central hemodynamic response to acute exercise. The purpose of the present study was to determine the influence of an aerobic exercise regimen on the response of aortic BP after a single aerobic exercise in postmenopausal women. Nine hea...

  11. Detection and Characterization of Flaws in Sprayed on Foam Insulation with Pulsed Terahertz Frequency Electromagnetic Waves

    Science.gov (United States)

    Winfree, William P.; Madaras, Eric I.

    2005-01-01

    The detection and repair of flaws such as voids and delaminations in the sprayed on foam insulation of the external tank reduces the probability of foam debris during shuttle ascent. The low density of sprayed on foam insulation along with it other physical properties makes detection of flaws difficult with conventional techniques. An emerging technology that has application for quantitative evaluation of flaws in the foam is pulsed electromagnetic waves at terahertz frequencies. The short wavelengths of these terahertz pulses make them ideal for imaging flaws in the foam. This paper examines the application of terahertz pulses for flaw detection in foam characteristic of the foam insulation of the external tank. Of particular interest is the detection of voids and delaminations, encapsulated in the foam or at the interface between the foam and a metal backing. The technique is shown to be capable of imaging small voids and delaminations through as much as 20 cm of foam. Methods for reducing the temporal responses of the terahertz pulses to improve flaw detection and yield quantitative characterizations of the size and location of the flaws are discussed.

  12. Detection of leak-defective fuel rods using the circumferential Lamb waves excited by the resonance backscattering of ultrasonic pulses

    International Nuclear Information System (INIS)

    Choi, M.S.; Yang, M.S.; Kim, H.C.

    1992-01-01

    A new ultrasonic technique for detecting the infiltrated water in leaked fuel rods is developed. Propagation characteristics of the circumferential Lamb waves in the cladding tubes are estimated by the resonance scattering theory. The Lamb waves are excited by the resonance backscattering of ultrasonic pulses. In sound fuel rods, the existence of the Lamb waves is revealed by a series of periodic echoes. In leaked fuel rods, however, the Lamb waves are perturbed strongly by the scattered waves from the surface of fuel pellets, thus the periodic echoes are not observed. (author)

  13. Arterial stiffness and pulse wave reflection are increased in patients suffering from severe periodontitis.

    Directory of Open Access Journals (Sweden)

    Yvonne Jockel-Schneider

    Full Text Available AIM: This single blind cross-sectional study compared the vascular health of subjects suffering from severe chronic periodontitis, severe aggressive periodontitis and periodontal healthy controls by evaluating pulse wave velocity (PWV, augmentation index (AIx and pulse pressure amplification (PPA. MATERIAL AND METHODS: In a total of 158 subjects, 92 suffering from severe periodontitis and 66 matched periodontal healthy controls, PWV, AIx, central and peripheral blood pressure were recorded using an oscillometric device (Arteriograph. RESULTS: Subjects suffering from severe chronic or aggressive periodontitis exhibited significantly higher PWV (p = 0.00004, higher AIx (p = 0.0049 and lower PPA (p = 0.028 than matched periodontal healthy controls. CONCLUSIONS: The results of this study confirm the association between periodontal inflammation and increased cardiovascular risk shown by impaired vascular health in case of severe periodontitis. As impaired vascular health is a common finding in patients suffering from severe periodontal disease a concomitant routine cardiovascular evaluation may be advised.

  14. Effect of Shock Waves Generated by Pulsed Electric Discharges in Water on Yeast Cells and Virus Particles

    Science.gov (United States)

    Girdyuk, A. E.; Gorshkov, A. N.; Egorov, V. V.; Kolikov, V. A.; Snetov, V. N.; Shneerson, G. A.

    2018-02-01

    The aim of this study is to determine the optimal parameters of the electric pulses and shock waves generated by them for the soft destruction of the virus and yeast envelopes with no changes in the structure of antigenic surface albumin and in the cell morphology in order to use them to produce antivirus vaccines and in biotechnology. The pulse electric discharges in water have been studied for different values of amplitude, pulse duration and the rate of the rise in the current. A mathematical model has been developed to estimate the optimal parameters of pulsed electric charges and shock waves for the complete destruction of the yeast cell envelopes and virus particles at a minimum of pulses.

  15. New pulse wave measurement method using different hold-down wrist pressures according to individual patient characteristics.

    Science.gov (United States)

    Yoo, Seong Ki; Shin, Ki Young; Lee, Tae Bum; Jin, Seung Oh

    2013-01-01

    In traditional Chinese and Korean medicine, doctors first observe a patient's pulse by gently and strongly pressing their fingers onto the wrist, and then make a diagnosis based on the observed pulse waves. The most common method to implement this diagnostic technique is to mechanically extract the pulse waves by applying a fixed range of pressures for all patients. However, this method does not consider the patients individual characteristics such as age, sex, and skin thickness. In the present study, we propose a new method of pulse wave extraction that incorporates the personal characteristics of the patients. This method measures the pulse wave signal at varying hold-down pressures, rather than applying a fixed hold-down pressure for all patients. To compare this new technique with existing methods, we extracted pulse waves from 20 subjects, and then determined the actual applied pressure at each step, the coefficient of floating and sinking pulse (CFS), and the distinction of floating/sinking pulse for each group. Consequently, each subject had a different pressure range in our proposed method, whereas all subjects had a similar pressure range in the existing method. Four of 20 subjects exhibited different floating/sinking pulse patterns due to the value of the first pressure step and the range of hold-down pressures. These four subjects were categorized as overweight based on BMI. In addition, the moving distance of the proposed method was longer than the existing method (p = 0.003, paired t-test), and the correlation coefficient between CFS values of two different methods was 0.321, indicating that there was no correlation.

  16. The association of 25(OH)D with blood pressure, pulse pressure and carotid-radial pulse wave velocity in African women.

    NARCIS (Netherlands)

    Kruger, I.M.; Kruger, M.C.; Doak, C.M.; Schutte, A.E.; Huisman, H.W.; van Rooyen, J.M.; Schutte, R.; Malan, L.; Malan, N.T.; Fourie, C.M.; Kruger, A.

    2013-01-01

    High susceptibility of the African population to develop cardiovascular disease obliges us to investigate possible contributing risk factors. Our aim was to determine whether low 25(OH)D status is associated with increased blood pressure and carotid-radial pulse wave velocity in black South African

  17. Soliton radiation beat analysis of optical pulses generated from two continuous-wave lasers

    Science.gov (United States)

    Zajnulina, M.; Böhm, M.; Blow, K.; Rieznik, A. A.; Giannone, D.; Haynes, R.; Roth, M. M.

    2015-10-01

    We propose a fibre-based approach for generation of optical frequency combs (OFCs) with the aim of calibration of astronomical spectrographs in the low and medium-resolution range. This approach includes two steps: in the first step, an appropriate state of optical pulses is generated and subsequently moulded in the second step delivering the desired OFC. More precisely, the first step is realised by injection of two continuous-wave (CW) lasers into a conventional single-mode fibre, whereas the second step generates a broad OFC by using the optical solitons generated in step one as initial condition. We investigate the conversion of a bichromatic input wave produced by two initial CW lasers into a train of optical solitons, which happens in the fibre used as step one. Especially, we are interested in the soliton content of the pulses created in this fibre. For that, we study different initial conditions (a single cosine-hump, an Akhmediev breather, and a deeply modulated bichromatic wave) by means of soliton radiation beat analysis and compare the results to draw conclusion about the soliton content of the state generated in the first step. In case of a deeply modulated bichromatic wave, we observed the formation of a collective soliton crystal for low input powers and the appearance of separated solitons for high input powers. An intermediate state showing the features of both, the soliton crystal and the separated solitons, turned out to be most suitable for the generation of OFC for the purpose of calibration of astronomical spectrographs.

  18. Soliton radiation beat analysis of optical pulses generated from two continuous-wave lasers.

    Science.gov (United States)

    Zajnulina, M; Böhm, M; Blow, K; Rieznik, A A; Giannone, D; Haynes, R; Roth, M M

    2015-10-01

    We propose a fibre-based approach for generation of optical frequency combs (OFCs) with the aim of calibration of astronomical spectrographs in the low and medium-resolution range. This approach includes two steps: in the first step, an appropriate state of optical pulses is generated and subsequently moulded in the second step delivering the desired OFC. More precisely, the first step is realised by injection of two continuous-wave (CW) lasers into a conventional single-mode fibre, whereas the second step generates a broad OFC by using the optical solitons generated in step one as initial condition. We investigate the conversion of a bichromatic input wave produced by two initial CW lasers into a train of optical solitons, which happens in the fibre used as step one. Especially, we are interested in the soliton content of the pulses created in this fibre. For that, we study different initial conditions (a single cosine-hump, an Akhmediev breather, and a deeply modulated bichromatic wave) by means of soliton radiation beat analysis and compare the results to draw conclusion about the soliton content of the state generated in the first step. In case of a deeply modulated bichromatic wave, we observed the formation of a collective soliton crystal for low input powers and the appearance of separated solitons for high input powers. An intermediate state showing the features of both, the soliton crystal and the separated solitons, turned out to be most suitable for the generation of OFC for the purpose of calibration of astronomical spectrographs.

  19. Arterial blood pressure measurement and pulse wave analysis—their role in enhancing cardiovascular assessment

    International Nuclear Information System (INIS)

    Avolio, Alberto P; Butlin, Mark; Walsh, Andrew

    2010-01-01

    The most common method of clinical measurement of arterial blood pressure is by means of the cuff sphygmomanometer. This instrument has provided fundamental quantitative information on arterial pressure in individual subjects and in populations and facilitated estimation of cardiovascular risk related to levels of blood pressure obtained from the brachial cuff. Although the measurement is taken in a peripheral limb, the values are generally assumed to reflect the pressure throughout the arterial tree in large conduit arteries. Since the arterial pressure pulse becomes modified as it travels away from the heart towards the periphery, this is generally true for mean and diastolic pressure, but not for systolic pressure, and so pulse pressure. The relationship between central and peripheral pulse pressure depends on propagation characteristics of arteries. Hence, while the sphygmomanometer gives values of two single points on the pressure wave (systolic and diastolic pressure), there is additional information that can be obtained from the time-varying pulse waveform that enables an improved quantification of the systolic load on the heart and other central organs. This topical review will assess techniques of pressure measurement that relate to the use of the cuff sphygmomanometer and to the non-invasive registration and analysis of the peripheral and central arterial pressure waveform. Improved assessment of cardiovascular function in relation to treatment and management of high blood pressure will result from future developments in the indirect measurement of arterial blood pressure that involve the conventional cuff sphygmomanometer with the addition of information derived from the peripheral arterial pulse. (topical review)

  20. Research of the elastic waves generated by a pulse laser. Excitation mechanism of elastic waves and application to nondestructive testing; Pulse laser de reikishita danseiha ni kansuru kenkyu. Danseiha reiki no mechanism to hihakai kensa eno oyo

    Energy Technology Data Exchange (ETDEWEB)

    Cho, H.; Takemoto, M. [Aoyama Gakuin University, Tokyo (Japan). College of Science and Engineering

    1994-07-20

    A bulk wave is generated when a pulse laser is irradiated to the material, and the characteristics of a Young`s modulus and Poisson`s ratio can be nondestructively estimated from the bulk wave. The generation mechanism of laser ultrasonic waves must be first clarified for such application. In this paper, fundamental research was conducted to study the generation mechanism of the elastic waves excited by a Q-switched Nd-YAG laser, and the generation method and characteristics of Rayleigh waves. The following result was obtained. A bulk wave is generated by the disk-like adiabatic expansion near the surface if the laser power is small when a spot-shape pulse laser was irradiated. A bulk wave is generated by the thin disk-like adiabatic expansion beneath the surface due to the thermal diffusion in the depth direction of a base material when the laser power becomes large. Moreover, a bulk wave is generated by the impact force due to abrasion and plasma when the power becomes still larger. The information on the bulk wave characteristics and Rayleigh wave was also obtained. 25 refs., 15 figs., 1 tab.

  1. A pulse coding and decoding strategy to perform Lamb wave inspections using simultaneously multiple actuators

    Science.gov (United States)

    De Marchi, Luca; Marzani, Alessandro; Moll, Jochen; Kudela, Paweł; Radzieński, Maciej; Ostachowicz, Wiesław

    2017-07-01

    The performance of Lamb wave based monitoring systems, both in terms of diagnosis time and data complexity, can be enhanced by increasing the number of transducers used to actuate simultaneously the guided waves in the inspected medium. However, in case of multiple simultaneously-operated actuators the interference among the excited wave modes within the acquired signals has to be considered for the further processing. To this aim, in this work a code division strategy based on the Warped Frequency Transform is presented. At first, the proposed procedure encodes actuation pulses using Gold sequences. Next, for each considered actuator the acquired signals are compensated from dispersion by cross correlating the warped version of the actuated and received signals. Compensated signals form the base for a final wavenumber imaging meant at emphasizing defects and or anomalies by removing incident wavefield and edge reflections. The proposed strategy is tested numerically, and validated through an experiment in which guided waves are actuated in a plate by four piezoelectric transducers operating simultaneously.

  2. Experimental and numerical study of shock wave propagation in water generated by pulsed arc electrohydraulic discharges

    Science.gov (United States)

    Chen, Wen; Maurel, Olivier; La Borderie, Christian; Reess, Thierry; De Ferron, Antoine; Matallah, Mohammed; Pijaudier-Cabot, Gilles; Jacques, Antoine; Rey-Bethbeder, Frank

    2014-05-01

    The objective of this study is to simulate the propagation of the shock wave in water due to an explosion. The study is part of a global research program on the development of an alternative stimulation technique to conventional hydraulic fracturing in tight gas reservoirs aimed at inducing a distributed state of microcracking of rocks instead of localized fracture. We consider the possibility of increasing the permeability of rocks with dynamic blasts. The blast is a shock wave generated in water by pulsed arc electrohydraulic discharges. The amplitude of these shock waves is prescribed by the electrohydraulic discharges which generate high pressures of several kilobars within microseconds. A simplified method has been used to simulate the injected electrical energy as augmentation of enthalpy in water locally. The finite element code EUROPLEXUS is used to perform fluid fast dynamic computation. The predicted pressure is consistent with the experimental results. In addition, shock wave propagation characteristics predicted with simulation can be valuable reference for design of underwater structural elements and engineering of underwater explosion.

  3. Aortic dissection

    Science.gov (United States)

    ... made in the chest or abdomen. Endovascular aortic repair. This surgery is done without any major surgical ... needed. If the heart arteries are involved, a coronary bypass is also performed. Outlook ... aneurysm - dissecting; Chest pain - aortic dissection; Thoracic aortic aneurysm - ...

  4. Human Heart Pulse Wave Responses Measured Simultaneously at Several Sensor Placements by Two MR-Compatible Fibre Optic Methods

    Directory of Open Access Journals (Sweden)

    Teemu Myllylä

    2012-01-01

    Full Text Available This paper presents experimental measurements conducted using two noninvasive fibre optic methods for detecting heart pulse waves in the human body. Both methods can be used in conjunction with magnetic resonance imaging (MRI. For comparison, the paper also performs an MRI-compatible electrocardiogram (ECG measurement. By the simultaneous use of different measurement methods, the propagation of pressure waves generated by each heart pulse can be sensed extensively in different areas of the human body and at different depths, for example, on the chest and forehead and at the fingertip. An accurate determination of a pulse wave allows calculating the pulse transit time (PTT of a particular heart pulse in different parts of the human body. This result can then be used to estimate the pulse wave velocity of blood flow in different places. Both measurement methods are realized using magnetic resonance-compatible fibres, which makes the methods applicable to the MRI environment. One of the developed sensors is an extraordinary accelerometer sensor, while the other one is a more common sensor based on photoplethysmography. All measurements, involving several test patients, were performed both inside and outside an MRI room. Measurements inside the MRI room were conducted using a 3-Tesla strength closed MRI scanner in the Department of Diagnostic Radiology at the Oulu University Hospital.

  5. Spectral broadening measurement of the lower hybrid waves during long pulse operation in Tore Supra

    Science.gov (United States)

    Berger-By, G.; Decampy, J.; Antar, G. Y.; Goniche, M.; Ekedahl, A.; Delpech, L.; Leroux, F.; Tore Supra Team

    2014-02-01

    On many tokamaks (C-Mod, EAST, FTU, JET, HT-7, TS), a decrease in current drive efficiency of the Lower Hybrid (LH) waves is observed in high electron density plasmas. The cause of this behaviour is believed to be: Parametric Instabilities (PI) and Scattering from Density Fluctuations (SDF). For the ITER LH system, our knowledge must be improved to avoid such effects and to maintain the LH current drive efficiency at high density. The ITPA IOS group coordinates this effort [1] and all experimental data are essential to validate the numerical codes in progress. Usually the broadening of the LH wave frequency spectrum is measured by a probe located in the plasma edge. For this study, the frequency spectrum of a reflected power signal from the LH antenna was used. In addition, the spectrum measurements are compared with the density fluctuations observed on RF probes located at the antenna mouth. Several plasma currents (0.6 to 1.4 MA) and densities up to 5.2 × 1019 m-3 have been realised on Tore Supra (TS) long pulses and with high injected RF power, up to 5.4 MW-30s. This allowed using a spectrum analyser to make several measurements during the plasma pulse. The side lobe amplitude, shifted by 20-30MHz with respect to the main peak, grows with increasing density. Furthermore, for an increase of plasma current at the same density, the spectra broaden and become asymmetric. Some parametric dependencies are shown in this paper.

  6. Pulse wave velocity is associated with cognitive impairment in hemodialysis patients.

    Science.gov (United States)

    Angermann, Susanne; Baumann, Marcus; Wassertheurer, Siegfried; Mayer, Christopher Clemens; Steubl, Dominik; Hauser, Christine; Suttmann, Yana; Reichelt, Anna-Lena; Satanovskij, Robin; Lorenz, Georg; Lukas, Moritz; Haller, Bernhard; Heemann, Uwe; Grimmer, Timo; Schmaderer, Christoph

    2017-07-01

    Cognitive impairment in hemodialysis patients is common and associated with adverse outcomes. So far, the underlying pathogenesis remains unclear. Therefore, we examined the potential relationship between cognitive impairment and three different categories of risk factors with particular focus on arterial stiffness measured by pulse wave velocity (PWV). A total of 201 chronic hemodialysis patients underwent cognitive testing under standardized conditions using the Montreal Cognitive Assessment (MoCA). Demographic data including cardiovascular risk factors, dialysis-associated factors as well as factors related to chronic kidney disease (CKD) were analyzed. To account for arterial stiffness, PWV was measured by ambulatory blood pressure monitoried with an oscillometric device that records brachial blood pressure along with pulse waves. In our cohort, 60.2% of patients showed pathological MoCA test results indicating cognitive impairment. PWV was significantly associated with cognitive impairment apart from age, educational level, diabetes, and hypercholesterolemia. High prevalence of cognitive impairment in hemodialysis patients was confirmed. For the first time, an association between cognitive impairment and arterial stiffness was detected in a larger cohort of hemodialysis patients. Concerning the underlying pathogenesis of cognitive impairment, current results revealed a potential involvement of arterial stiffness, which has to be further evaluated in future studies. © 2017 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.

  7. Pulsed-wave tissue Doppler echocardiography for the analysis of fetal cardiac arrhythmias.

    Science.gov (United States)

    Tutschek, B; Schmidt, K G

    2011-10-01

    Rhythm analysis of the fetal heart is hampered by the inability to routinely obtain electrocardiographic recordings of the fetus. Doppler studies of fetal cardiac tissue movements, assessing cardiac movements both qualitatively and quantitatively, have recently been described. We used a conventional high-resolution ultrasound system to obtain rhythm data from pulsed-wave tissue Doppler signals of the fetal heart in normal cardiac rhythm and in a variety of fetal cardiac arrhythmias. Fifty-five fetuses with normal (sinus) rhythm, 45 fetuses with rhythm disturbances and two neonates (one with arrhythmia and one with normal sinus rhythm) were studied. Using a conventional high-resolution ultrasound system equipped for fetal studies, but without specific tissue Doppler hardware or software, we performed pulsed-wave tissue Doppler echocardiography (PW-TDE) of atrioventricular valve ring excursions to study the atrial and ventricular mechanical actions. In the neonates, electrocardiograms were also recorded. PW-TDE in normal fetuses shows a typical pattern of tissue motion parallel to the long axis of the heart and in the opposite direction to the blood flow, both in systole and diastole. This pattern is easily obtained from the tricuspid valve annulus in normal sinus rhythm and shows characteristic changes in various fetal arrhythmias. PW-TDE of atrioventricular valve annulus movement patterns may prove to be a valuable additional tool for assessing fetal cardiac arrhythmias. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.

  8. Control of propagation characteristics of spin wave pulses via elastic and thermal effects

    Energy Technology Data Exchange (ETDEWEB)

    Gómez-Arista, Ivan [Centro de Ciencias Aplicadas y Desarrollo Tecnológico, Universidad Nacional Autónoma de México, CU, 04510 D.F., México (Mexico); Kolokoltsev, O., E-mail: oleg.kolokoltsev@ccadet.unam.mx [Centro de Ciencias Aplicadas y Desarrollo Tecnológico, Universidad Nacional Autónoma de México, CU, 04510 D.F., México (Mexico); Acevedo, A.; Qureshi, N. [Centro de Ciencias Aplicadas y Desarrollo Tecnológico, Universidad Nacional Autónoma de México, CU, 04510 D.F., México (Mexico); Ordóñez-Romero, César L. [Instituto de Física, Universidad Nacional Autónoma de México, CU, 04510 D.F., México (Mexico)

    2017-05-01

    A study of the magnetoelastic (ME) and thermal effects governing the phase (φ) and amplitude of magnetostatic surface spin wave (MSSW) pulses propagating in Ga:YIG/GGG and permalloy magnonic waveguides is presented. The ME effects were studied in a flexural configuration, under punctual mechanical force (F). Thermally induced ME and demagnetization phenomena were controlled by optically injected thermal power P{sub th}. It was determined that in an unclamped Ga:YIG waveguide, the force F that induces the phase shift Δφ=π, decreases by a quadratic law in the range from 1 mN to nN, and the P{sub th} at which Δφ=π decreases linearly from mW to μW as the waveguide volume decreases from mm{sup 3} to nm{sup 3}. For nano-volume waveguides the ME control energy (E{sub me}) can be of order of aJ, and the thermal control energy (ΔE{sub th}) can be as small as 50 fJ. The response time of these effects lies in the ns time scale. Both the mechanical and the thermo-magnetic forces provide an effective control of MSSW pulse amplitude, in addition to its phase shift. The thermo-magnetic effect allows one to realize variable delays of a MSSW pulse. - Highlights: • The Magneto-elastic (ME) and optically induced thermal effects governing the phase and amplitude of magnetostatic surface spin wave (MSSW) pulses propagating in Ga:YIG/GGG and permalloy magnonic waveguides are presented. • A mechanical force that causes phase shift Δφ=π for spin waves in the waveguides decreases by a quadratic law in the range from 1 mN to nN, and the optical power that induces the phase shift Δφ=π, decreases linearly from mW to μW as the waveguide volume decreases from mm{sup 3} to nm{sup 3}. • The response time of these effects can lie in the ns time scale.

  9. Control of propagation characteristics of spin wave pulses via elastic and thermal effects

    Science.gov (United States)

    Gómez-Arista, Ivan; Kolokoltsev, O.; Acevedo, A.; Qureshi, N.; Ordóñez-Romero, César L.

    2017-05-01

    A study of the magnetoelastic (ME) and thermal effects governing the phase (φ) and amplitude of magnetostatic surface spin wave (MSSW) pulses propagating in Ga:YIG/GGG and permalloy magnonic waveguides is presented. The ME effects were studied in a flexural configuration, under punctual mechanical force (F). Thermally induced ME and demagnetization phenomena were controlled by optically injected thermal power Pth. It was determined that in an unclamped Ga:YIG waveguide, the force F that induces the phase shift Δφ=π, decreases by a quadratic law in the range from 1 mN to nN, and the Pth at which Δφ=π decreases linearly from mW to μW as the waveguide volume decreases from mm3 to nm3. For nano-volume waveguides the ME control energy (Eme) can be of order of aJ, and the thermal control energy (ΔEth) can be as small as 50 fJ. The response time of these effects lies in the ns time scale. Both the mechanical and the thermo-magnetic forces provide an effective control of MSSW pulse amplitude, in addition to its phase shift. The thermo-magnetic effect allows one to realize variable delays of a MSSW pulse.

  10. Enhancement of Lamb Wave Imaging Resolution by Step Pulse Excitation and Prewarping

    Directory of Open Access Journals (Sweden)

    Shangchen Fu

    2015-01-01

    Full Text Available For the purpose of improving the damage localization accuracy, a prewarping technology is combined with step pulse excitation and this method is used in Lamb wave imaging of plate structures with adjacent damages. Based on the step pulse excitation, various narrowband or burst response can be derived by signal processing technology and this method provides flexibility for further prewarping approach. A narrowband signal warped with a preselected distance is then designed, and the dispersion in the response of this prewarping signal will be greatly reduced. However, in order to calculate the distance for prewarping, the first arrival needs to be estimated from the burst response. From the step-pulse response, narrowband responses at different central frequencies can be obtained, and by averaging peak-value time of their first arrivals, a more accurate estimation can be calculated. By using the prewarping method to the damage scattering signals before imaging, the imaging resolution of the delay-and-sum method can be highly enhanced. The experiment carried out in an aluminum plate with adjacent damages proves the efficiency of this method.

  11. Effects of bee venom acupuncture on heart rate variability, pulse wave, and cerebral blood flow for types of Sasang Constitution

    Directory of Open Access Journals (Sweden)

    Lee Sang-min

    2009-03-01

    Full Text Available 1. Objectives: To evaluate effects of bee venom acupuncture on cardiovascular system and differences according to each constitution. 2. Methods: Heart rate variability, pulse wave and the velocity of cerebral blood flow were measured before bee venom acupuncture(BVA, right after and after 30 minuets, had been applied to 20 subjects. 3. Results: 1. BVA did not have effects on measurement variables of heart rate variability. 2. BVA had effects on pulse wave, showing total time, radial augmentation index up and height of percussion wave, time to percussion wave, sum of pulse pressure down. 3. BVA did not have effects on the cerebral blood flow velocity when considering not Sasang Constitution 4. Considering Sasang Constitution, BVA demonstrates different responses in time to preincisura wave, mean blood flow velocity, peak systolic velocity and end diastolic velocity. 4.Conclusion: From those results, the following conclusions are obtained. Cause BVA alters pulse wave and makes differences in the cerebral blood flow velocity according to Sasang Constitution. Various methods of BVA treatment are needed considering Sasang Constitution.

  12. Arterial pulse wave velocity, inflammatory markers, pathological GH and IGF states, cardiovascular and cerebrovascular disease

    Directory of Open Access Journals (Sweden)

    Michael R Graham

    2008-12-01

    Full Text Available Michael R Graham1, Peter Evans2, Bruce Davies1, Julien S Baker11Health and Exercise Science Research Unit, Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, United Kingdom; 2Royal Gwent Hospital, Newport, Gwent, United KingdomAbstract: Blood pressure (BP measurements provide information regarding risk factors associated with cardiovascular disease, but only in a specific artery. Arterial stiffness (AS can be determined by measurement of arterial pulse wave velocity (APWV. Separate from any role as a surrogate marker, AS is an important determinant of pulse pressure, left ventricular function and coronary artery perfusion pressure. Proximal elastic arteries and peripheral muscular arteries respond differently to aging and to medication. Endogenous human growth hormone (hGH, secreted by the anterior pituitary, peaks during early adulthood, declining at 14% per decade. Levels of insulin-like growth factor-I (IGF-I are at their peak during late adolescence and decline throughout adulthood, mirror imaging GH. Arterial endothelial dysfunction, an accepted cause of increased APWV in GH deficiency (GHD is reversed by recombinant human (rh GH therapy, favorably influencing the risk for atherogenesis. APWV is a noninvasive method for measuring atherosclerotic and hypertensive vascular changes increases with age and atherosclerosis leading to increased systolic blood pressure and increased left ventricular hypertrophy. Aerobic exercise training increases arterial compliance and reduces systolic blood pressure. Whole body arterial compliance is lowered in strength-trained individuals. Homocysteine and C-reactive protein are two infl ammatory markers directly linked with arterial endothelial dysfunction. Reviews of GH in the somatopause have not been favorable and side effects of treatment have marred its use except in classical GHD. Is it possible that we should be assessing the combined effects of therapy with rhGH and rh

  13. Propagation of a strong x-ray pulse: Pulse compression, stimulated Raman scattering, amplified spontaneous emission, lasing without inversion, and four-wave mixing

    International Nuclear Information System (INIS)

    Sun Yuping; Wang Chuankui; Liu Jicai; Gel'mukhanov, Faris

    2010-01-01

    We study the compression of strong x-ray pulses from x-ray free-electron lasers (XFELs) propagating through the resonant medium of atomic argon. The simulations are based on the three-level model with the frequency of the incident x-ray pulse tuned in the 2p 3/2 -4s resonance. The pulse propagation is accompanied by the self-seeded stimulated resonant Raman scattering (SRRS). The SRRS starts from two channels of amplified spontaneous emission (ASE), 4s-2p 3/2 and 3s-2p 3/2 , which form the extensive ringing pattern and widen the power spectrum. The produced seed field triggers the Stokes ASE channel 3s-2p 3/2 . The population inversion is quenched for longer propagation distances where the ASE is followed by the lasing without inversion (LWI), which amplifies the Stokes component. Both ASE and LWI reshape the input pulse: The compressed front part of the pulse (up to 100 as) is followed by the long tail of the ringing and beating between the pump and Stokes frequencies. The pump pulse also generates weaker Stokes and anti-Stokes fields caused by four-wave mixing. These four spectral bands have fine structures caused by the dynamical Stark effect. A slowdown of the XFEL pulse up to 78% of the speed of light in vacuum is found because of a large nonlinear refractive index.

  14. The association between pulse wave velocity and cognitive function: the Sydney Memory and Ageing Study.

    Directory of Open Access Journals (Sweden)

    Joel Singer

    Full Text Available OBJECTIVES: Pulse wave velocity (PWV is a measure of arterial stiffness and its increase with ageing has been associated with damage to cerebral microvessels and cognitive impairment. This study examined the relationship between carotid-femoral PWV and specific domains of cognitive function in a non-demented elderly sample. METHOD: Data were drawn from the Sydney Memory and Ageing Study, a cohort study of non-demented community-dwelling individuals aged 70-90 years, assessed in successive waves two years apart. In Wave 2, PWV and cognitive function were measured in 319 participants. Linear regression was used to analyse the cross-sectional relationship between arterial stiffness and cognitive function in the whole sample, and separately for men and women. Analysis of covariance was used to assess potential differences in cognition between subjects with PWV measurements in the top and bottom tertiles of the cohort. Covariates were age, education, body mass index, pulse rate, systolic blood pressure, cholesterol, depression, alcohol, smoking, hormone replacement therapy, apolipoprotein E ε4 genotype, use of anti-hypertensive medications, history of stroke, transient ischemic attack, myocardial infarction, angina, diabetes, and also sex for the whole sample analyses. RESULTS: There was no association between PWV and cognition after Bonferroni correction for multiple testing. When examining this association for males and females separately, an association was found in males, with higher PWV being associated with lower global cognition and memory, however, a significant difference between PWV and cognition between males and females was not found. CONCLUSION: A higher level of PWV was not associated with lower cognitive function in the whole sample.

  15. Steering wave packet dynamics and population transfer between electronic states of the Na2 molecule by femtosecond laser pulses

    International Nuclear Information System (INIS)

    Yuan Kaijun; Sun Zhigang; Cong Shulin; Wang Senming; Yu Jie; Lou Nanquan

    2005-01-01

    An approach used for steering the wave packet dynamics and the population transfer between electronic states of the Na 2 molecule by a pair of femtosecond laser pulses is demonstrated. Four controlling schemes, i.e., four different combinations of time delays (intuitive and counterintuitive sequences) and frequency detunings (positive and negative detunings), are discussed in detail. The light-induced potentials are used to describe the wave packet dynamics and population transfer. The numerical results show that the wave packet excited by femtosecond laser pulses oscillates drastically on 2 1 Π g state with time. The efficiency of controlling population transfer from the X 1 Σ g + to2 1 Π g states of Na 2 is nearly 100% for the schemes of the counterintuitive sequence pulses with positive and negative detunings

  16. Ionospheric cusp flows pulsed by solar wind Alfvén waves

    Directory of Open Access Journals (Sweden)

    P. Prikryl

    2002-02-01

    Full Text Available Pulsed ionospheric flows (PIFs in the cusp foot-print have been observed by the SuperDARN radars with periods between a few minutes and several tens of minutes. PIFs are believed to be a consequence of the interplanetary magnetic field (IMF reconnection with the magnetospheric magnetic field on the dayside magnetopause, ionospheric signatures of flux transfer events (FTEs. The quasiperiodic PIFs are correlated with Alfvénic fluctuations observed in the upstream solar wind. It is concluded that on these occasions, the FTEs were driven by Alfvén waves coupling to the day-side magnetosphere. Case studies are presented in which the dawn-dusk component of the Alfvén wave electric field modulates the reconnection rate as evidenced by the radar observations of the ionospheric cusp flows. The arrival of the IMF southward turning at the magnetopause is determined from multipoint solar wind magnetic field and/or plasma measurements, assuming plane phase fronts in solar wind. The cross-correlation lag between the solar wind data and ground magnetograms that were obtained near the cusp footprint exceeded the estimated spacecraft-to-magnetopause propagation time by up to several minutes. The difference can account for and/or exceeds the Alfvén propagation time between the magnetopause and ionosphere. For the case of short period ( < 13 min PIFs, the onset times of the flow transients appear to be further delayed by at most a few more minutes after the IMF southward turning arrived at the magnetopause. For the case of long period (30 – 40 min PIFs, the observed additional delays were 10–20 min. We interpret the excess delay in terms of an intrinsic time scale for reconnection (Russell et al., 1997 which can be explained by the surface-wave induced magnetic reconnection mechanism (Uberoi et al., 1999. Here, surface waves with wavelengths larger than the thickness of the neutral layer induce a tearing-mode instability whose rise time explains the

  17. Ionospheric cusp flows pulsed by solar wind Alfvén waves

    Directory of Open Access Journals (Sweden)

    P. Prikryl

    Full Text Available Pulsed ionospheric flows (PIFs in the cusp foot-print have been observed by the SuperDARN radars with periods between a few minutes and several tens of minutes. PIFs are believed to be a consequence of the interplanetary magnetic field (IMF reconnection with the magnetospheric magnetic field on the dayside magnetopause, ionospheric signatures of flux transfer events (FTEs. The quasiperiodic PIFs are correlated with Alfvénic fluctuations observed in the upstream solar wind. It is concluded that on these occasions, the FTEs were driven by Alfvén waves coupling to the day-side magnetosphere. Case studies are presented in which the dawn-dusk component of the Alfvén wave electric field modulates the reconnection rate as evidenced by the radar observations of the ionospheric cusp flows. The arrival of the IMF southward turning at the magnetopause is determined from multipoint solar wind magnetic field and/or plasma measurements, assuming plane phase fronts in solar wind. The cross-correlation lag between the solar wind data and ground magnetograms that were obtained near the cusp footprint exceeded the estimated spacecraft-to-magnetopause propagation time by up to several minutes. The difference can account for and/or exceeds the Alfvén propagation time between the magnetopause and ionosphere. For the case of short period ( < 13 min PIFs, the onset times of the flow transients appear to be further delayed by at most a few more minutes after the IMF southward turning arrived at the magnetopause. For the case of long period (30 – 40 min PIFs, the observed additional delays were 10–20 min. We interpret the excess delay in terms of an intrinsic time scale for reconnection (Russell et al., 1997 which can be explained by the surface-wave induced magnetic reconnection mechanism (Uberoi et al., 1999. Here, surface waves with wavelengths larger than the thickness of the neutral layer induce a tearing-mode instability whose rise time explains the

  18. Effect of pulse-wave factors in Middle Aged Women by Mountain Cultivated Ginseng Pharmacopuncture Original Articles

    Directory of Open Access Journals (Sweden)

    Park Sang Wook

    2011-03-01

    Full Text Available Objectives: The aim of this experiment is to know about Effect of pulse-wave factors in Middle Aged Women by Mountain Cultivated Ginseng Pharmacopuncture. Methods: First 20 Middle Aged women are diagnosed by pulse diagnosis, and then Mountain Cultivated Ginseng Pharmacopuncture(1 injection 20cc were injected. 30 minutes later, pulse diagnosis again performed. As a result, method of one-group pretest-posttes design were used for evaluation. Results: T(Total pulse cycle time statistically significant increased on both left and right chon, kwan,cheok. T4 time statistically significant increased on both left and right chon, kwan, cheok. T4-T1/T indexs except left cheokmaek, Right cheokmaek observation area decreased significantly in four sites.Wm(indicating high pressure retention time indexs increased significantly in the five sites were observed except right chon maek. Conclusions: Effect of pulse-wave factors in Middle Aged Women by Mountain Cultivated Ginseng Pharmacopuncture increased T, T4, Wm and decreased T4-T1/T indexs. The results of this experiment,Mountain Cultivated Ginseng Pharmacopuncture induced to increase the Pulse-wave's stability and strength.

  19. Dietary Sodium Restriction and Association with Urinary Marinobufagenin, Blood Pressure, and Aortic Stiffness

    Science.gov (United States)

    Fedorova, Olga V.; Racine, Matthew L.; Geolfos, Candace J.; Gates, Phillip E.; Chonchol, Michel; Fleenor, Bradley S.; Lakatta, Edward G.; Bagrov, Alexei Y.; Seals, Douglas R.

    2013-01-01

    Summary Background and objectives Systolic BP and large elastic artery stiffness both increase with age and are reduced by dietary sodium restriction. Production of the natriuretic hormone marinobufagenin, an endogenous α1 Na+,K+-ATPase inhibitor, is increased in salt-sensitive hypertension and contributes to the rise in systolic BP during sodium loading. Design, setting, participants, & measurements The hypothesis was that dietary sodium restriction performed in middle-aged/older adults (eight men and three women; 60±2 years) with moderately elevated systolic BP (139±2/83±2 mmHg) would reduce urinary marinobufagenin excretion as well as systolic BP and aortic pulse-wave velocity (randomized, placebo-controlled, and crossover design). This study also explored the associations among marinobufagenin excretion with systolic BP and aortic pulse-wave velocity across conditions of 5 weeks of a low-sodium (77±9 mmol/d) and 5 weeks of a normal-sodium (144±7 mmol/d) diet. Results Urinary marinobufagenin excretion (weekly measurements; 25.4±1.8 versus 30.7±2.1 pmol/kg per day), systolic BP (127±3 versus 138±5 mmHg), and aortic pulse-wave velocity (700±40 versus 843±36 cm/s) were lower during the low- versus normal-sodium condition (all Psodium excretion (slope=0.46, Psodium condition (both Psodium restriction reduces urinary marinobufagenin excretion and that urinary marinobufagenin excretion is positively associated with systolic BP, aortic stiffness (aortic pulse-wave velocity), and endothelial cell expression of the oxidant enzyme NAD(P)H oxidase. Importantly, marinobufagenin excretion is positively related to systolic BP over ranges of sodium intake typical of an American diet, extending previous observations in rodents and humans fed experimentally high-sodium diets. PMID:23929930

  20. Aortic compliance in patients with aortic regurgitation. Evaluation with magnetic resonance imaging

    International Nuclear Information System (INIS)

    Murai, Sachiko; Hamada, Seiki; Ueguchi, Takashi

    2005-01-01

    The purpose of this study was to assess by means of cine magnetic resonance imaging (MRI) aortic compliance before and after aortic valve replacement (AVR with SJM (St. Jude Medical, St paul, MN) valve) in patients with aortic regurgitation (AR). Two groups (healthy controls and patients with severe isolated AR) of 10 subjects each were included in this study. Cine MRI was performed at three locations of the aorta, and aortic compliance was calculated by dividing the maximum change in the aortic area by pulse pressure. Cine MRI is useful to assess abnormalities of aortic compliance in patients with AR. Compared with the control group, aortic compliance in the AR group was significantly less in the ascending aorta (p<0.05), decreasing in order of aortic location. After AVR, aortic compliance improved for all locations. Cine MRI enables assessment of aortic biophysical properties such as a compliance for evaluating the progression of AR and the efficacy of treatment. (author)

  1. Evaluation of agreement between temporal series obtained from electrocardiogram and pulse wave.

    Science.gov (United States)

    Leikan, GM; Rossi, E.; Sanz, MCuadra; Delisle Rodríguez, D.; Mántaras, MC; Nicolet, J.; Zapata, D.; Lapyckyj, I.; Siri, L. Nicola; Perrone, MS

    2016-04-01

    Heart rate variability allows to study the cardiovascular autonomic nervous system modulation. Usually, this signal is obtained from the electrocardiogram (ECG). A simpler method for recording the pulse wave (PW) is by means of finger photoplethysmography (PPG), which also provides information about the duration of the cardiac cycle. In this study, the correlation and agreement between the time series of the intervals between heartbeats obtained from the ECG with those obtained from the PPG, were studied. Signals analyzed were obtained from young, healthy and resting subjects. For statistical analysis, the Pearson correlation coefficient and the Bland and Altman limits of agreement were used. Results show that the time series constructed from the PW would not replace the ones obtained from ECG.

  2. Spin effects in nonlinear Compton scattering in a plane-wave laser pulse

    International Nuclear Information System (INIS)

    Boca, Madalina; Dinu, Victor; Florescu, Viorica

    2012-01-01

    We study theoretically the electron angular and energy distribution in the non-linear Compton effect in a finite plane-wave laser pulse. We first present analytical and numerical results for unpolarized electrons (described by a Volkov solution of the Dirac equation), in comparison with those corresponding to a spinless particle (obeying the Klein–Gordon equation). Then, in the spin 1/2 case, we include results for the spin flip probability. The regime in which the spin effects are negligible, i.e. the results for the unpolarized spin 1/2 particle coincide practically with those for the spinless particle, is the same as the regime in which the emitted radiation is well described by classical electrodynamics.

  3. Artificial Intelligence Estimation of Carotid-Femoral Pulse Wave Velocity using Carotid Waveform.

    Science.gov (United States)

    Tavallali, Peyman; Razavi, Marianne; Pahlevan, Niema M

    2018-01-17

    In this article, we offer an artificial intelligence method to estimate the carotid-femoral Pulse Wave Velocity (PWV) non-invasively from one uncalibrated carotid waveform measured by tonometry and few routine clinical variables. Since the signal processing inputs to this machine learning algorithm are sensor agnostic, the presented method can accompany any medical instrument that provides a calibrated or uncalibrated carotid pressure waveform. Our results show that, for an unseen hold back test set population in the age range of 20 to 69, our model can estimate PWV with a Root-Mean-Square Error (RMSE) of 1.12 m/sec compared to the reference method. The results convey the fact that this model is a reliable surrogate of PWV. Our study also showed that estimated PWV was significantly associated with an increased risk of CVDs.

  4. High Definition Oscillometry: Non-invasive Blood Pressure Measurement and Pulse Wave Analysis.

    Science.gov (United States)

    Egner, Beate

    2015-01-01

    Non-invasive monitoring of blood pressure has become increasingly important in research. High-Definition Oscillometry (HDO) delivers not only accurate, reproducible and thus reliable blood pressure but also visualises the pulse waves on screen. This allows for on-screen feedback in real time on data validity but even more on additional parameters like systemic vascular resistance (SVR), stroke volume (SV), stroke volume variances (SVV), rhythm and dysrhythmia. Since complex information on drug effects are delivered within a short period of time, almost stress-free and visible in real time, it makes HDO a valuable technology in safety pharmacology and toxicology within a variety of fields like but not limited to cardiovascular, renal or metabolic research.

  5. A physics based approach to the pulse wave velocity prediction in compliant arterial segments.

    Science.gov (United States)

    Liberson, Alexander S; Lillie, Jeffrey S; Day, Steven W; Borkholder, David A

    2016-10-03

    Pulse wave velocity (PWV) quantification commonly serves as a highly robust prognostic parameter being used in a preventative cardiovascular therapy. Being dependent on arterial elastance, it can serve as a marker of cardiovascular risk. Since it is influenced by a blood pressure (BP), the pertaining theory can lay the foundation in developing a technique for noninvasive blood pressure measurement. Previous studies have reported application of PWV, measured noninvasively, for both the estimation of arterial compliance and blood pressure, based on simplified physical or statistical models. A new theoretical model for pulse wave propagation in a compliant arterial segment is presented within the framework of pseudo-elastic deformation of biological tissue undergoing finite deformation. An essential ingredient is the dependence of results on nonlinear aspects of the model: convective fluid phenomena, hyperelastic constitutive relation, large deformation and a longitudinal pre-stress load. An exact analytical solution for PWV is presented as a function of pressure, flow and pseudo-elastic orthotropic parameters. Results from our model are compared with published in-vivo PWV measurements under diverse physiological conditions. Contributions of each of the nonlinearities are analyzed. It was found that the totally nonlinear model achieves the best match with the experimental data. To retrieve individual vascular information of a patient, the inverse problem of hemodynamics is presented, calculating local orthotropic hyperelastic properties of the arterial wall. The proposed technique can be used for non-invasive assessment of arterial elastance, and blood pressure using direct measurement of PWV, with account of hyperelastic orthotropic properties. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Photon statistics of pulse-pumped four-wave mixing in fiber with weak signal injection

    Science.gov (United States)

    Nan-Nan, Liu; Yu-Hong, Liu; Jia-Min, Li; Xiao-Ying, Li

    2016-07-01

    We study the photon statistics of pulse-pumped four-wave mixing in fibers with weak coherent signal injection by measuring the intensity correlation functions of individual signal and idler fields. The experimental results show that the intensity correlation function of individual signal (idler) field decreases with the intensity of signal injection. After applying narrow band filter in signal (idler) band, the value of decreases from 1.9 ± 0.02 (1.9 ± 0.02) to 1.03 ± 0.02 (1.05 ± 0.02) when the intensity of signal injection varies from 0 to 120 photons/pulse. The results indicate that the photon statistics changes from Bose-Einstein distribution to Poisson distribution. We calculate the intensity correlation functions by using the multi-mode theory of four-wave mixing in fibers. The theoretical curves well fit the experimental results. Our investigation will be useful for mitigating the crosstalk between quantum and classical channels in a dense wavelength division multiplexing network. Project supported by the National Natural Science Foundation of China (Grant No. 11527808), the State Key Development Program for Basic Research of China (Grant No. 2014CB340103), the Specialized Research Fund for the Doctoral Program of Higher Education of China (Grant No. 20120032110055), the Natural Science Foundation of Tianjin, China (Grant No. 14JCQNJC02300), the Program for Changjiang Scholars and Innovative Research Team in University, China, and the Program of Introducing Talents of Discipline to Universities, China (Grant No. B07014).

  7. Study on ultrastructural changes in thyroid gland of rats exposed to pulsed electromagnetic wave

    International Nuclear Information System (INIS)

    Zhou Xiaoguang; Zeng Guiying; Ren Dongqing; Fang Henghu; Su Xiaoming; Huang Xiaofeng

    2006-01-01

    The work is to observe effects of PEMW (pulse electromagnetic wave) exposure on function and morphology of thyroid gland of rats. At different time points (24, 48, 96 and 192 h) after exposure to PEMW (E=115 kV m -1 , 12000 pulses), radioimmunoassay was performed to observe the levels of thyroid-stimulating hormone (TSH), thyroxine (T 4 ) and triiodo- thyronine (T 3 ) in sera of the male Sparague-Dawley rats. Optic microscopy and transmission electron microscopy (TEM) were used to observe structural changes of the thyroid gland at the time points. The T 3 , T 4 and TSH in sera increased significantly, reaching a peak at 24 h and decreasing gradually then. Although no obvious changes in the thyroid gland were observed under the optic microscope, some ultrastructural changes in the thyroid gland were found under the TEM. The ultrastructures were obviously changed at 12 h and aggravated until 48 h. In the experimented rats, dilatated endoplasmic reticulum gathered with lots of protein excretion, lipid droplet and heterochromatin gathered under the nucleus membranes were observed in follicular epithelial cells. These changes were palliated at 96 h but not recovered. PEMW can affect levels of hormones in sera and the hazard ultrastructural changes of thyroid gland. Endoplasmic reticulum is the main injured organelle. (authors)

  8. First Electromagnetic Pulse Associated with a Gravitational-wave Event: Profile, Duration, and Delay

    Science.gov (United States)

    Lin, Da-Bin; Liu, Tong; Lin, Jie; Wang, Xiang-Gao; Gu, Wei-Min; Liang, En-Wei

    2018-04-01

    We study the first electromagnetic (EM) pulse after the gravitational-wave (GW) chirp signal, focusing on its profile and duration. It is found that the light curve, especially the steep decay (SD) phase, can be very different by adopting different viewing angles θ view of the jet shell. For an on-axis jet with a power-law radiation spectrum, the observed flux in the SD is proportional to {t}obs}-2-β with β being the spectral index and t obs being the observer time. Here, t obs = 0 is set at the time we observe the jet being ejected from the central engine. The SD may become steep by increasing θ view. We also study the bolometric luminosity L from a jet shell with a non-power-law radiation spectrum. For an on-axis jet, L ∝ t obs ‑3 is found in the SD. However, the SD is steeper than L\\propto {t}obs}-3 for radiation from an off-axis jet. The higher value of the θ view is, the steeper SD would be. Then, we suggest that the SD phase can be used to discriminate an off-axis jet from an on-axis jet. The reason for the above behaviors is discussed. In addition, we find that the duration of first EM pulse is close to its peak time, especially for θ view ∼ 20°. This result is consistent with that found in GW 170817/GRB 170817A. Thus, the jet corresponding to the prompt emission of GRB 170817A should be ejected immediately after the merger. Our results also reveal that the duration of the first EM pulse can provide information on the time to search for GWs.

  9. Pulsed-laser-activated impulse response encoder: Sensitive detection of surface elastic waves on biomimetic microsized gel spheres

    Science.gov (United States)

    Yasukuni, Ryohei; Fukushima, Ryosuke; Iino, Takanori; Hosokawa, Yoichiroh

    2017-11-01

    A femtosecond-laser-induced impulsive force was applied to microsized calcium alginate (CaAlg) gel spheres as an external force to excite elastic waves. To evaluate elasticity, atomic force microscopy (AFM) was applied to detect vibration propagation. The sphere size dependence of the vibration was well reproduced by finite element method (FEM) simulation for pressure waves and surface acoustic waves. The obtained results indicate that the pulsed-laser-activated impulse response encoder (PLAIRE) enables the sensitive detection of elasticities, not only on inside but also on the surface.

  10. Improved Blood Pressure Prediction Using Systolic Flow Correction of Pulse Wave Velocity.

    Science.gov (United States)

    Lillie, Jeffrey S; Liberson, Alexander S; Borkholder, David A

    2016-12-01

    Hypertension is a significant worldwide health issue. Continuous blood pressure monitoring is important for early detection of hypertension, and for improving treatment efficacy and compliance. Pulse wave velocity (PWV) has the potential to allow for a continuous blood pressure monitoring device; however published studies demonstrate significant variability in this correlation. In a recently presented physics-based mathematical model of PWV, flow velocity is additive to the classic pressure wave as estimated by arterial material properties, suggesting flow velocity correction may be important for cuff-less non-invasive blood pressure measures. The present study examined the impact of systolic flow correction of a measured PWV on blood pressure prediction accuracy using data from two published in vivo studies. Both studies examined the relationship between PWV and blood pressure under pharmacological manipulation, one in mongrel dogs and the other in healthy adult males. Systolic flow correction of the measured PWV improves the R 2 correlation to blood pressure from 0.51 to 0.75 for the mongrel dog study, and 0.05 to 0.70 for the human subjects study. The results support the hypothesis that systolic flow correction is an essential element of non-invasive, cuff-less blood pressure estimation based on PWV measures.

  11. Determination of thermal wave reflection coefficient to better estimate defect depth using pulsed thermography

    Science.gov (United States)

    Sirikham, Adisorn; Zhao, Yifan; Mehnen, Jörn

    2017-11-01

    Thermography is a promising method for detecting subsurface defects, but accurate measurement of defect depth is still a big challenge because thermographic signals are typically corrupted by imaging noise and affected by 3D heat conduction. Existing methods based on numerical models are susceptible to signal noise and methods based on analytical models require rigorous assumptions that usually cannot be satisfied in practical applications. This paper presents a new method to improve the measurement accuracy of subsurface defect depth through determining the thermal wave reflection coefficient directly from observed data that is usually assumed to be pre-known. This target is achieved through introducing a new heat transfer model that includes multiple physical parameters to better describe the observed thermal behaviour in pulsed thermographic inspection. Numerical simulations are used to evaluate the performance of the proposed method against four selected state-of-the-art methods. Results show that the accuracy of depth measurement has been improved up to 10% when noise level is high and thermal wave reflection coefficients is low. The feasibility of the proposed method in real data is also validated through a case study on characterising flat-bottom holes in carbon fibre reinforced polymer (CFRP) laminates which has a wide application in various sectors of industry.

  12. Experiment and analysis of shock waves radiated from pulse laser focusing in a gelatin gel

    Science.gov (United States)

    Nakamura, Nobuyuki; Ando, Keita

    2017-11-01

    A fundamental understanding of shock and bubble dynamics in human tissues is essential to laser application for medical purposes. Here, we experimentally study the dynamics of shock waves in viscoelastic media. A nanosecond laser pulse of wavelength at 532 nm and of energy up to 2.66 +/- 0.09 mJ was focused through a microscope objective lens (10 x, NA = 0.30) into a gel of gelatin concentration at 3 and 10 wt%; a shock wave and a bubble can be generated, respectively, by rapid expansion of the laser-induced plasma and local heat deposition after the plasma recombines. The shock propagation and the bubble growth were recorded by a ultra-high-speed camera at 100 Mfps. The shock evolution was determined by image analysis of the recording and the shock pressure in the near field was computed according to the Rankine-Hugoniot relation. The far-field pressure was measured by a hydrophone. In the poster, we will present the decay rate of the shock pressure in the near and far fields and examine viscous effects on the shock dynamics. The Research Grant of Keio Leading-edge Laboratory of Science & Technology.

  13. Localization of a half-cycle pulse-induced Rydberg wave packet in phase space: An analytical description

    International Nuclear Information System (INIS)

    Parzynski, R.; Kopyciuk, T.; Sobczak, M.

    2006-01-01

    We calculate analytically the position-momentum uncertainty product for a freely evolving wave packet produced by a unidirectional half-cycle pulse (HCP) or a pair of HCP's in a one-dimensional (1D) hydrogen atom. Our analytical treatment is shown to be a convenient and competitive alternative to fully numerical large-basis calculations

  14. Traveling waves in a spatially-distributed Wilson-Cowan model of cortex: From fronts to pulses

    Science.gov (United States)

    Harris, Jeremy D.; Ermentrout, Bard

    2018-04-01

    Wave propagation in excitable media has been studied in various biological, chemical, and physical systems. Waves are among the most common evoked and spontaneous organized activity seen in cortical networks. In this paper, we study traveling fronts and pulses in a spatially-extended version of the Wilson-Cowan equations, a neural firing rate model of sensory cortex having two population types: Excitatory and inhibitory. We are primarily interested in the case when the local or space-clamped dynamics has three fixed points: (1) a stable down state; (2) a saddle point with stable manifold that acts as a threshold for firing; (3) an up state having stability that depends on the time scale of the inhibition. In the case when the up state is stable, we look for wave fronts, which transition the media from a down to up state, and when the up state is unstable, we are interested in pulses, a transient increase in firing that returns to the down state. We explore the behavior of these waves as the time and space scales of the inhibitory population vary. Some interesting findings include bistability between a traveling front and pulse, fronts that join the down state to an oscillation or spatiotemporal pattern, and pulses which go through an oscillatory instability.

  15. Pulse wave analysis in a 180-degree curved artery model: Implications under physiological and non-physiological inflows

    Science.gov (United States)

    Bulusu, Kartik V.; Plesniak, Michael W.

    2013-11-01

    Systolic and diastolic blood pressures, pulse pressures, and left ventricular hypertrophy contribute to cardiovascular risks. Increase of arterial stiffness due to aging and hypertension is an important factor in cardiovascular, chronic kidney and end-stage-renal-diseases. Pulse wave analysis (PWA) based on arterial pressure wave characteristics, is well established in clinical practice for evaluation of arterial distensibility and hypertension. The objective of our exploratory study in a rigid 180-degree curved artery model was to evaluate arterial pressure waveforms. Bend upstream conditions were measured using a two-component, two-dimensional, particle image velocimeter (2C-2D PIV). An ultrasonic transit-time flow meter and a catheter with a MEMS-based solid state pressure sensor, capable of measuring up to 20 harmonics of the observed pressure waveform, monitored flow conditions downstream of the bend. Our novel continuous wavelet transform algorithm (PIVlet 1.2), in addition to detecting coherent secondary flow structures is used to evaluate arterial pulse wave characteristics subjected to physiological and non-physiological inflows. Results of this study will elucidate the utility of wavelet transforms in arterial function evaluation and pulse wave speed. Supported by NSF Grant No. CBET- 0828903 and GW Center for Biomimetics and Bioinspired Engineering.

  16. Stunning effectiveness of broiler chickens using a two-phase stunner: pulsed direct current followed by sine wave alternating current

    NARCIS (Netherlands)

    Prinz, S.; Coenen, A.M.L.; Ehinger, F.; Oijen, G.B.M. van; Bessei, W.

    2012-01-01

    Stunning efficiency of male and female broiler chickens was analysed in response to the two-phase Simmons step-up stunner. In Phase I, a pulsed DC of 550 Hz is applied in a shallow waterbath. This is immediately followed by Phase II, consisting of a metal plate with sine wave AC of 50 Hz. 120 male

  17. Left atrium volume index is influenced by aortic stiffness and central pulse pressure in type 2 diabetes mellitus patients: a hemodynamic and echocardiographic study.

    Science.gov (United States)

    Zapolski, Tomasz; Wysokiński, Andrzej

    2013-03-04

    Left atrial volume index (LAVI) has recently emerged as a useful biomarker for risk stratification and risk monitoring in many clinical settings. Many hemodynamic factors such as preload and afterload have an effect on evaluating left atrium function. This study was performed to investigate the relationship between LAVI and aortic stiffness index (ASI) and selected markers characterizing hemodynamic state in patients with type 2 diabetes mellitus (DM2). The study population consisted of 100 patients (56 men, 44 women), 67.2 (±10.9) years old DM2, scheduled for routine coronary angiography. Standard transthoracic echocardiography was used to measure parameters needed for calculation of LAVI and ASI. During invasive procedures, central pulse pressure (CPP) in the ascendens aorta and left ventricle end-diastolic pressure (LVEDP) were recorded. Selected laboratory parameters were obtained, including lipidogram, serum uric acid, hs-CRP, fibrinogen, cTnT, myoglobin, BNP, HbA1C, creatinine, and GFR. Both LAVI and ASI were greater and CPP and LVEDP were markedly elevated in DM2 patients compared to controls. The independent predictors of LAVI were ASI (ß=0.331; p=0.011), CPP (ß=0.312; p=0.020), LVEDP (ß=0.381; p=0.006), HbA1C (ß=0.379; p=0.008), and BNP (ß=0,423; pDM2 patients.

  18. [Pilot study of echocardiographic studies using color- and pulsed-wave spectral Doppler methods in blue-crowned amazons (Amazona ventralis) and blue-fronted amazons (Amazona a. aestiva)].

    Science.gov (United States)

    Pees, M; Straub, J; Schumacher, J; Gompf, R; Krautwald-Junghanns, M E

    2005-02-01

    Colour-flow and pulsed-wave spectral Doppler echocardiography was performed on 6 healthy, adult Hispaniolan amazon parrots (Amazona ventralis) and 6 blue-fronted amazon parrots (Amazona a. aestiva) to establish normal reference values. Birds were anesthetized with isoflurane in oxygen and placed in dorsal recumbency. An electrocardiogram was recorded continuously and birds were imaged with a micro-phased-array scanner with a frequency of 7.0 MHz. After assessment of cardiac function in 2-D-echocardiography, blood flow across the left and the right atrioventricular valve and across the aortic valve was determined using color-flow and pulsed-wave spectral Doppler echocardiography. Diastolic inflow (mean value +/- standard deviation) into the left ventricle was 0.17 +/- 0.02 m/s (Hispaniolan amazons) and 0.18 +/- 0.03 m/s (Blue fronted amazons). Diastolic inflow into the right ventricle was 0.22 +/- 0.05 m/s (Hispaniolan amazons) and 0.22 +/- 0.04 m/s (Blue fronted amazons). Velocity across the aortic valve was 0.84 +/- 0.07 m/s (Hispaniolan amazons) and 0.83 +/- 0.08 m/s (Blue fronted amazons). Systolic pulmonary flow could not be detected in any of the birds in this study. No significant differences were evident between the two species examined. Results of this study indicate that Doppler echocardiography is a promising technique to determine blood flow in the avian heart. Further studies in other avian species are needed to establish reference values for assessment of cardiac function in diseased birds.

  19. Characterization of an electrochemical mercury sensor using alternating current, cyclic, square wave and differential pulse voltammetry

    Energy Technology Data Exchange (ETDEWEB)

    Guerreiro, Gabriela V.; Zaitouna, Anita J.; Lai, Rebecca Y., E-mail: rlai2@unl.edu

    2014-01-31

    Graphical abstract: -- Highlights: •An electrochemical Hg(II) sensor based on T–Hg(II)–T sensing motif was fabricated. •A methylene blue-modified DNA probe was used to fabricate the sensor. •Sensor performance was evaluated using ACV, CV, SWV, and DPV. •The sensor behaves as a “signal-off” sensor in ACV and CV. •The sensor behaves as either a “signal-on” or “signal-off” sensor in SWV and DPV. -- Abstract: Here we report the characterization of an electrochemical mercury (Hg{sup 2+}) sensor constructed with a methylene blue (MB)-modified and thymine-containing linear DNA probe. Similar to the linear probe electrochemical DNA sensor, the resultant sensor behaved as a “signal-off” sensor in alternating current voltammetry and cyclic voltammetry. However, depending on the applied frequency or pulse width, the sensor can behave as either a “signal-off” or “signal-on” sensor in square wave voltammetry (SWV) and differential pulse voltammetry (DPV). In SWV, the sensor showed “signal-on” behavior at low frequencies and “signal-off” behavior at high frequencies. In DPV, the sensor showed “signal-off” behavior at short pulse widths and “signal-on” behavior at long pulse widths. Independent of the sensor interrogation technique, the limit of detection was found to be 10 nM, with a linear dynamic range between 10 nM and 500 nM. In addition, the sensor responded to Hg{sup 2+} rather rapidly; majority of the signal change occurred in <20 min. Overall, the sensor retains all the characteristics of this class of sensors; it is reagentless, reusable, sensitive, specific and selective. This study also highlights the feasibility of using a MB-modified probe for real-time sensing of Hg{sup 2+}, which has not been previously reported. More importantly, the observed “switching” behavior in SWV and DPV is potentially generalizable and should be applicable to most sensors in this class of dynamics-based electrochemical biosensors.

  20. Numerical study of the wave-break in the vacuum-plasma interface during the interaction of an intense laser pulse

    Directory of Open Access Journals (Sweden)

    Amir Chakhmachi

    2017-08-01

    Full Text Available In this paper, the wave break in the plasma-vacuum interface during the intense laser interaction is investigated. Since the nonlinear wave breaking is a non-adiabatic process, the fully kinetic 1D-3V Particle-In-Cell (PIC simulation experiments are performed to identify whether that the origin of this mechanism is electromagnetic or electrostatic. Our simulation results show that the nonlinear wave breaking on the vacuum-plasma interface has electrostatic origin. In addition, it is found that for pulse lengths exceeding the plasma wavelength this electrostatic phenomenon comes in conjunction with some active electromagnetic effects having the same impact on the electron acceleration. In these regards, we conduct sophisticated simulations isolating these electromagnetic effects and study the effects of the pulse parameters such as the pulse rise time, pulse length, and pulse shape on the boundary nonlinear wave breaking. The study of the pulse rise-time variation effects shows that as the rise time of the laser pulse decreases, the number of the electrons involved in the nonlinear wave breaking, maximum energy of the trapped electrons and the path length of the accelerated electrons in the phase space are increased. Also, the study of phase space and field patterns in our simulation indicates that the reduction of the pulse flat top duration time causes that the smaller part of the electrons and the smaller portion of the wake wave involve in the nonlinear wave breaking.

  1. Supervised learning methods for pathological arterial pulse wave differentiation: A SVM and neural networks approach.

    Science.gov (United States)

    Paiva, Joana S; Cardoso, João; Pereira, Tânia

    2018-01-01

    The main goal of this study was to develop an automatic method based on supervised learning methods, able to distinguish healthy from pathologic arterial pulse wave (APW), and those two from noisy waveforms (non-relevant segments of the signal), from the data acquired during a clinical examination with a novel optical system. The APW dataset analysed was composed by signals acquired in a clinical environment from a total of 213 subjects, including healthy volunteers and non-healthy patients. The signals were parameterised by means of 39pulse features: morphologic, time domain statistics, cross-correlation features, wavelet features. Multiclass Support Vector Machine Recursive Feature Elimination (SVM RFE) method was used to select the most relevant features. A comparative study was performed in order to evaluate the performance of the two classifiers: Support Vector Machine (SVM) and Artificial Neural Network (ANN). SVM achieved a statistically significant better performance for this problem with an average accuracy of 0.9917±0.0024 and a F-Measure of 0.9925±0.0019, in comparison with ANN, which reached the values of 0.9847±0.0032 and 0.9852±0.0031 for Accuracy and F-Measure, respectively. A significant difference was observed between the performances obtained with SVM classifier using a different number of features from the original set available. The comparison between SVM and NN allowed reassert the higher performance of SVM. The results obtained in this study showed the potential of the proposed method to differentiate those three important signal outcomes (healthy, pathologic and noise) and to reduce bias associated with clinical diagnosis of cardiovascular disease using APW. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Relationship between serum albumin and pulse wave velocity in patients on continuous ambulatory peritoneal dialysis

    Directory of Open Access Journals (Sweden)

    Li-Tao Cheng

    2008-08-01

    Full Text Available Li-Tao Cheng1, Li-Jun Tang1,2, Hui-Min Chen1,3, Wen Tang1, Tao Wang11Division of Nephrology, Peking University Third Hospital, Beijing, China; 2Division of Nephrology, Qilu Hospital of Shandong University, Ji’nan, China; 3Division of Cardiology, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, ChinaBackground: Hypoalbuminemia is a risk factor for cardiovascular events and mortality in dialysis patients, but the underlying mechanism remains unclear. Meanwhile, increased pulse wave velocity (PWV, the marker of arterial stiffness, has been proved to be an independent predictor of cardiovascular disease. The relationship between serum albumin and PWV in continuous ambulatory peritoneal dialysis patients (CAPD was studied.Methods: Sixty-two CAPD patients were studied. The average age was 63 ± 12 years and dialysis duration was 23 ± 22 months. Serum albumin, C-reactive protein (CRP, and carotid-femoral PWV were measured.Results: Among these patients, 43.5% were men. The mean serum albumin concentration was 37 ± 4 g/L and PWV was 11.9 ± 2.3 m/s. PWV positively correlated with age (r = 0.35, P < 0.01, diabetes (yes = 1, no = 0; r = 0.292, P < 0.05, systolic blood pressure (SBP; r = 0.493, P < 0.001 and CRP (r = 0.295, P < 0.05, but negatively correlated with serum albumin (r = −0.357, P < 0.01. In multiple regression analysis, SBP (β = 0.615, P < 0.001, age (β = 0.414, P < 0.01, albumin (β = −0.315, P < 0.05 and total cholesterol (β = 0.275, P < 0.05 were independent determinants of PWV. In a non-inflamed subgroup (CRP < 3 mg/L, n = 30, albumin still negatively correlated with PWV (r = −0.66, P < 0.001.Conclusion: Serum albumin inversely correlated with increased PWV in CAPD patients, suggesting that increased arterial stiffness might be the link between hypoalbuminemia and increased cardiovascular mortality in dialysis patients.Keywords: hypoalbuminemia, cardiovascular events, pulse wave velocity, arterial

  3. Pulse wave analysis reproducibility with the Complior Analyse device: a methodological study.

    Science.gov (United States)

    Pereira, Telmo; Maldonado, João

    2018-03-13

    The aim of this study was to assess the interobserver and intraobserver reproducibility, as well as the temporal variability of the new Complior Analyse assessing central arterial hemodynamic parameters through carotid pulse wave analysis (PWA). Eighty-seven (60% men) participants, with a mean age of 34.26±16.58 years, were enrolled in a cross-sectional study. All patients were subjected to sequential measures of carotid PWA by two experienced operators. In a group of 27 patients, PWA was also determined 1 month after the first evaluation to address the temporal stability of the PWA estimations with the device. The analysis of concordance revealed a very good agreement for paired PWA values, regarding both intraobserver variability and interobserver variability and also the temporal variability. Intraclass correlation coefficients above 0.9 were calculated for central systolic blood pressure, central pulse pressure, and the augmentation index, in all three conditions. Small mean differences for intraobserver, interobserver, and temporal reproducibility were also observed for the three major parameters: -0.5 mmHg [limits of agreement (LOA): 9.1;8.1], 0.1 mmHg (LOA: 6.6;6.8), and -0.3 mmHg (LOA: 10.2;9.6), respectively, for central systolic blood pressure; 0.4 mmHg (LOA: 6.2;6.9), 1.0 mmHg (LOA: 6.0;8.1), and -0.4 mmHg (LOA: 6.7;6.1), respectively, for central pulse pressure; and 0.8% (LOA: 14.0;15.5), 0.1% (LOA: 15.6;15.9), and -0.1% (LOA: 16.2;16.1), respectively, for the augmentation index. The observed correlations were independent of sex, age, arterial pressure, heart rate, and BMI. The data demonstrated an excellent reproducibility of the Complior Analyse for the assessment of central hemodynamic parameters, when used in ideal conditions and by experienced observers. The results demonstrates that this device is suitable for the inclusion in integrated clinical follow-up programs, particularly regarding central arterial pressure estimations.

  4. Arterial pulse attenuation prediction using the decaying rate of a pressure wave in a viscoelastic material model.

    Science.gov (United States)

    Menacho, J; Rotllant, L; Molins, J J; Reyes, G; García-Granada, A A; Balcells, M; Martorell, J

    2018-04-01

    The present study examines the possibility of attenuating blood pulses by means of introducing prosthetic viscoelastic materials able to absorb energy and damp such pulses. Vascular prostheses made of polymeric materials modify the mechanical properties of blood vessels. The effect of these materials on the blood pulse propagation remains to be fully understood. Several materials for medical applications, such as medical polydimethylsiloxane or polytetrafluoroethylene, show viscoelastic behavior, modifying the original vessel stiffness and affecting the propagation of blood pulses. This study focuses on the propagation of pressure waves along a pipe with viscoelastic materials using the Maxwell and the Zener models. An expression of exponential decay has been obtained for the Maxwell material model and also for low viscous coefficient values in the Zener model. For relatively high values of the viscous term in the Zener model, the steepest part of the pulse can be damped quickly, leaving a smooth, slowly decaying wave. These mathematical models are critical to tailor those materials used in cardiovascular implants to the mechanical environment they are confronted with to repair or improve blood vessel function.

  5. Parametric uncertainty analysis of pulse wave propagation in a model of a human arterial network

    Science.gov (United States)

    Xiu, Dongbin; Sherwin, Spencer J.

    2007-10-01

    Reduced models of human arterial networks are an efficient approach to analyze quantitative macroscopic features of human arterial flows. The justification for such models typically arise due to the significantly long wavelength associated with the system in comparison to the lengths of arteries in the networks. Although these types of models have been employed extensively and many issues associated with their implementations have been widely researched, the issue of data uncertainty has received comparatively little attention. Similar to many biological systems, a large amount of uncertainty exists in the value of the parameters associated with the models. Clearly reliable assessment of the system behaviour cannot be made unless the effect of such data uncertainty is quantified. In this paper we present a study of parametric data uncertainty in reduced modelling of human arterial networks which is governed by a hyperbolic system. The uncertain parameters are modelled as random variables and the governing equations for the arterial network therefore become stochastic. This type stochastic hyperbolic systems have not been previously systematically studied due to the difficulties introduced by the uncertainty such as a potential change in the mathematical character of the system and imposing boundary conditions. We demonstrate how the application of a high-order stochastic collocation method based on the generalized polynomial chaos expansion, combined with a discontinuous Galerkin spectral/hp element discretization in physical space, can successfully simulate this type of hyperbolic system subject to uncertain inputs with bounds. Building upon a numerical study of propagation of uncertainty and sensitivity in a simplified model with a single bifurcation, a systematical parameter sensitivity analysis is conducted on the wave dynamics in a multiple bifurcating human arterial network. Using the physical understanding of the dynamics of pulse waves in these types of

  6. Aortic stiffness is associated with cardiac function and cerebral small vessel disease in patients with type 1 diabetes mellitus: assessment by magnetic resonance imaging

    Energy Technology Data Exchange (ETDEWEB)

    Elderen, Saskia G.C. van; Brandts, A.; Westenberg, J.J.M.; Grond, J. van der; Buchem, M.A. van; Kroft, L.J.M.; Roos, A. de [Leiden University Medical Center, Department of Radiology, Leiden (Netherlands); Tamsma, J.T.; Romijn, J.A.; Smit, J.W.A. [Leiden University Medical Center, Department of Endocrinology, Leiden (Netherlands)

    2010-05-15

    To evaluate, with the use of magnetic resonance imaging (MRI), whether aortic pulse wave velocity (PWV) is associated with cardiac left ventricular (LV) function and mass as well as with cerebral small vessel disease in patients with type 1 diabetes mellitus (DM). We included 86 consecutive type 1 DM patients (49 male, mean age 46.9 {+-} 11.7 years) in a prospective, cross-sectional study. Exclusion criteria included aortic/heart disease and general MRI contra-indications. MRI of the aorta, heart and brain was performed for assessment of aortic PWV, as a marker of aortic stiffness, systolic LV function and mass, as well as for the presence of cerebral white matter hyperintensities (WMHs), microbleeds and lacunar infarcts. Multivariate linear or logistic regression was performed to analyse the association between aortic PWV and outcome parameters, with covariates defined as age, gender, mean arterial pressure, heart rate, BMI, smoking, DM duration and hypertension. Mean aortic PWV was 7.1 {+-} 2.5 m/s. Aortic PWV was independently associated with LV ejection fraction (ss= -0.406, P = 0.006), LV stroke volume (ss=-0.407, P = 0.001), LV cardiac output (ss= -0.458, P = 0.001), and with cerebral WMHs (P < 0.05). There were no independent associations between aortic stiffness and LV mass, cerebral microbleeds or lacunar infarcts. Aortic stiffness is independently associated with systolic LV function and cerebral WMHs in patients with type 1 DM. (orig.)

  7. Effects of contrast administration on cardiac MRI volumetric, flow and pulse wave velocity quantification using manual and software-based analysis.

    Science.gov (United States)

    Fathi, Amir; Weir-McCall, Jonathan R; Struthers, Allan D; Lipworth, Brian J; Houston, Graeme

    2018-01-19

    The aim of the current study was to determine the effects of gadolinium contrast agent on right (RV) and left ventricular (LV) volumetric, aortic flow and pulse wave velocity (PWV) quantification using manual, semi-automatic and fully automatic analysis techniques. 61 participants free from known cardiovascular disease were recruited. Cardiac MR was performed on a 3 T scanner. A balanced steady-state free precession stack was acquired of the ventricles with phase contrast imaging of the aorta performed pre- and post-administration of 10 ml 0.5 mmol ml -1 gadoterate meglumine. The images were analysed manually, and using a semi-automated and a fully automated technique. 54 completed the study. Gadolinium-based contrast administration significantly increase the signal-to-noise ratio (pre: 830 ± 398 vs post: 1028 ± 540, p = 0.003) with no significant change in contrast-to-noise ratio (pre: 583 ± 302 vs post: 559 ± 346, p = 0.54). On LV analysis, post-contrast analysis yielded significantly higher end systolic volume (54 ± 20 vs 57 ± 18 ml, p = 0.04), and lower ejection fraction (59 ± 9 vs 57 ± 8%, p = 0.023). On RV analysis, gadolinium contrast resulted in no significant differences. Similar results were seen using the semi-automated and fully-automated techniques but with a larger magnitude of difference. Conversely, using both manual and software analysis aortic flow and PWV quantification proved robust to the effects of contrast agent producing only small non-significant differences. Gadolinium contrast administration significantly alters LV endocardial contour detection with this effect amplified when using semi-automated analysis techniques. In comparison, RV and PWV analysis is robust to these effects. Advances in knowledge: Contrast administration alters LV quantification but not flow analysis. However, these differences are small.

  8. [PULSE WAVE TRANSIT TIME - ONE MORE ATTEMPT OF NON-INVASIVE CARDIAC OUTPUT MEASUREMENT.

    Science.gov (United States)

    Akselrod, B A; Tolstova, L A; Pshenichniy, T A; Fedulova, S V

    2017-09-01

    Estimated continuous cardiac output (esCCOTM) based on pulse wave transit time is one of alternative non-invasive CO measurement techniques. Randomized study included 23 scheduled patients operated upon due to cardiovascular diseases. Cardiac index (CI) was measured Comparative analyses of esCCO and others CO measurement methods used intraoperative was carried out. In the first group (n = 9) esCCO was compared with transpulmonary thermodilution (PiCCO-plus); in the second group (n = 8) - with pulmonary artery thermodilution; in the third group (n = 6) - with transoesophageal echocardiography (velocity-time integral). In the 1st group direct correlation was found (r = 0,773, p measurements were out of reference interval (more than ? 15%). Blend- Altman method showed the dispersion of results in all groups. 1. Estimated continuous cardiac output measurement technique based on PWTT has a direct correla- tion with prepulmonary thermodilution and transoesophageal echocardiography, medium and high power respectively. 2. esCCO has significant differences with the referential techniques during general anesthesia in cardiac surgery pa- tients. 3. Calibration based on invasive blood pressure and outside cardiac output measurement does not increase the accuracy of measurements. 4. esCCO has a negative diagnostic value and cannot be recommendedfor the cardiac out- put evaluation during cardiac surgery. 5. This method can be useful for analyze general effectiveness of perioperative hemodynamics.

  9. Effects of beam steering in pulsed-wave ultrasound velocity estimation.

    Science.gov (United States)

    Steinman, Aaron H; Yu, Alfred C H; Johnston, K Wayne; Cobbold, Richard S C

    2005-08-01

    Experimental and computer simulation methods have been used to investigate the significance of beam steering as a potential source of error in pulsed-wave flow velocity estimation. By simulating a typical linear-array transducer system as used for spectral flow estimation, it is shown that beam steering can cause an angle offset resulting in a change in the effective beam-flow angle. This offset primarily depends on the F-number and the nominal steering angle. For example, at an F-number of 3 and a beam-flow angle of 70 degrees , the velocity error changed from -5% to + 5% when the steering angle changed from -20 degrees to + 20 degrees . Much higher errors can occur at higher beam-flow angles, with smaller F-numbers and greater steering. Our experimental study used a clinical ultrasound system, a tissue-mimicking phantom and a pulsatile waveform to determine peak flow velocity errors for various steering and beam-flow angles. These errors were found to be consistent with our simulation results.

  10. Prediction of coronary artery disease using pulse wave velocity and retinal artery lesions.

    Science.gov (United States)

    Wang, De-Zhao; Tang, Qing; Hua, Qi

    2011-09-01

    Coronary artery disease (CAD) is the leading cause of death worldwide. The prevention and early diagnosis of CAD is important for the treatment of this disease. Since the coronary angiographic examination is not available for every hospital, the convenient, quick and cheap prediction marker is needed for the screening of the suspected CAD patients. The aim of this study was to assess whether the combination of brachial-ankle pulse wave velocity (baPWV) and staging of retinal artery lesions could be a useful approach to predict CAD in symptomatic patients, including atypical chest pain. To prove this question, 472 Chinese patients with suspected CAD underwent coronary angiography, the eye fundus examination and measurement of baPWV. The results show that the frequency of baPWV of 1,400 cm/s or retinal artery atherosclerosis of ≥ Stage 2 is higher in patients with CAD (n = 312) than those without CAD (n = 160, p predict the presence of CAD even with atypical chest pain. The combination of the two non-invasive methods is also useful for predicting CAD in symptomatic Chinese patients.

  11. Prediction of all-cause death in hemodialysis patients using elevated postdialysis pulse wave velocity.

    Science.gov (United States)

    Fu, Xiaohong; Yang, Jihong; Fan, Zhaoxin; Chen, Xianguang; Wu, Jie; Li, Jie; Wu, Hua

    2016-02-01

    To identify the relationship between predialysis pulse wave velocity (PWV), postdialysis PWV during 1 hemodialysis (HD) session, and deaths in maintenance HD patients. 43 patients were recruited. PWV was measured before and after one HD session and dialysis- related data were recorded. Clinical data such as blood pressure, blood lipids, and blood glucose, were carefully observed and managed in a 5-year follow-up. The association between all-cause death, predialysis PWV, postdialysis PWV, change of PWV (ΔPWV), and other related variables were analyzed. After 5 years, 17 patients (39.5%) died. Univariate Cox regression analysis showed that all-cause death of the patients significantly correlated with age, postdialysis PWV, and ΔPWV. Multivariate Cox regression analysis revealed that postdialysis PWV was an independent predictor for all-cause death in these patients (HR: 1.377, 95% CI: 1.146 - 1.656, p = 0.001). Elevated postdialysis PWV significantly correlated with and was an independent predictor for all-cause death in maintenance HD patients.

  12. Square wave and differential pulse voltammetric methods for the analysis of olivetol at gold electrode

    Directory of Open Access Journals (Sweden)

    Jyoti T. Bagalkoti

    2017-06-01

    Full Text Available Few electrochemical techniques have been employed for the determination of the powerful antitumor agent olivetol (OLV in real samples at gold electrode. An intense and well pronounced oxidation peak was obtained at 1.04 V in the phosphate buffer pH 5.0 as the supporting electrolyte. The effects of pH and scan rate on the oxidation peak were studied. The electrochemical behavior of OLV was investigated using cyclic voltammetric (CV, square wave voltammetric (SWV and differential pulse voltammetric (DPV techniques. In DPV and SWV, the gold electrode showed a good sensitivity for OLV in a linear range of 0.1-1.5 µM and 0.1-1.3 µM and detection limits of 1.936×10-9 M and 4.754×10-9 M, respectively. A plausible mechanism involving an adsorption controlled oxidation reaction was deduced. The effect of various excipients was also studied and the method was successfully applied for the determination of OLV in human biological samples.

  13. Pulse propagation dynamics in the presence of a continuous-wave field

    International Nuclear Information System (INIS)

    Dimitrijević, Jelena; Arsenović, Dušan; Jelenković, Branislav M

    2013-01-01

    We present theoretical results for the propagation dynamics of an electromagnetic field pulse through rubidium vapor, while another field, a continuous-wave electromagnetic field, is present. The frequencies of both electromagnetic fields are resonant with the transition between the ground and excited state hyperfine levels of Rb, F g  → F e  = F g  ± 1. Detuning from resonance is done by the magnetic field oriented along the light propagation direction (Hanle configuration). When both the electromagnetic fields are simultaneously interacting with Rb atoms, either electromagnetically induced transparency or absorption is induced. Propagation dynamics was obtained solving the set of Maxwell–Bloch equations for the interacting atoms with two electromagnetic fields. Motivated by recent results (Brazhnikov et al 2011 Eur. Phys. J. D 63 315–25; Brazhnikov et al 2010 JETP Lett. 91 625–9; Kou et al 2011 Phys. Rev. A 84 063807), we have analyzed the influence of experimental parameters, laser polarization, and mutual phases between lasers, which can lead to optical switching, i.e. the transformation from electromagnetically induced absorption to transparency and vice versa. (paper)

  14. A 1D pulse wave propagation model of the hemodynamics of calf muscle pump function.

    Science.gov (United States)

    Keijsers, J M T; Leguy, C A D; Huberts, W; Narracott, A J; Rittweger, J; van de Vosse, F N

    2015-07-01

    The calf muscle pump is a mechanism which increases venous return and thereby compensates for the fluid shift towards the lower body during standing. During a muscle contraction, the embedded deep veins collapse and venous return increases. In the subsequent relaxation phase, muscle perfusion increases due to increased perfusion pressure, as the proximal venous valves temporarily reduce the distal venous pressure (shielding). The superficial and deep veins are connected via perforators, which contain valves allowing flow in the superficial-to-deep direction. The aim of this study is to investigate and quantify the physiological mechanisms of the calf muscle pump, including the effect of venous valves, hydrostatic pressure, and the superficial venous system. Using a one-dimensional pulse wave propagation model, a muscle contraction is simulated by increasing the extravascular pressure in the deep venous segments. The hemodynamics are studied in three different configurations: a single artery-vein configuration with and without valves and a more detailed configuration including a superficial vein. Proximal venous valves increase effective venous return by 53% by preventing reflux. Furthermore, the proximal valves shielding function increases perfusion following contraction. Finally, the superficial system aids in maintaining the perfusion during the contraction phase and reduces the refilling time by 37%. © 2015 The Authors. International Journal for Numerical Methods in Biomedical Engineering published by John Wiley & Sons Ltd.

  15. ABCA1-dependent serum cholesterol efflux capacity inversely correlates with pulse wave velocity in healthy subjects.

    Science.gov (United States)

    Favari, Elda; Ronda, Nicoletta; Adorni, Maria Pia; Zimetti, Francesca; Salvi, Paolo; Manfredini, Matteo; Bernini, Franco; Borghi, Claudio; Cicero, Arrigo F G

    2013-01-01

    The capacity of HDL to induce cell cholesterol efflux is considered one of its main antiatherogenic properties. Little is known about the impact of such HDL function on vascular physiology. We investigated the relationship between ABCA1-dependent serum cholesterol efflux capacity (CEC), an HDL functionality indicator, and pulse wave velocity (PWV), an indicator of arterial stiffness. Serum of 167 healthy subjects was used to conduct CEC measurement, and carotid-femoral PWV was measured with a high-fidelity tonometer. J774 macrophages, labeled with [(3)H]cholesterol and stimulated to express ABCA1, were exposed to sera; the difference between cholesterol efflux from stimulated and unstimulated cells provided specific ABCA1-mediated CEC. PWV is inversely correlated with ABCA1-dependent CEC (r = -0.183; P = 0.018). Moreover, controlling for age, sex, body mass index, mean arterial pressure, serum LDL, HDL-cholesterol, and fasting plasma glucose, PWV displays a significant negative regression on ABCA1-dependent CEC (β = -0.204; 95% confidence interval, -0.371 to -0.037). The finding that ABCA1-dependent CEC, but not serum HDL cholesterol level (r = -0.002; P = 0.985), is a significant predictor of PWV in healthy subjects points to the relevance of HDL function in vascular physiology and arterial stiffness prevention.

  16. Effects of Obesity and Hypertension on Pulse Wave Velocity in Children.

    Science.gov (United States)

    Kulsum-Mecci, Nazia; Goss, Charles; Kozel, Beth A; Garbutt, Jane M; Schechtman, Kenneth B; Dharnidharka, Vikas R

    2017-03-01

    Pulse wave velocity (PWV) is a biomarker of arterial stiffness. Findings from prior studies are conflicting regarding the impact of obesity on PWV in children. The authors measured carotid-femoral PWV in 159 children aged 4 to 18 years, of whom 95 were healthy, 25 were obese, 15 had hypertension (HTN), and 24 were both obese and hypertensive. Mean PWV increased with age but did not differ by race or sex. In adjusted analyses in children 10 years and older (n=102), PWV was significantly higher in children with hypertension (PWV±standard deviation, 4.9±0.7 m/s), obesity (5.0±0.9 m/s), and combined obesity-hypertension (5.2±0.6 m/s) vs healthy children (4.3±0.7 m/s) (each group, Pobesity and HTN both significantly and independently increased PWV, while African American children did not have a higher PWV than Caucasian children. ©2016 Wiley Periodicals, Inc.

  17. Brachial-ankle pulse wave velocity and metabolic syndrome in general population: the APAC study.

    Science.gov (United States)

    Wang, Anxin; Su, Zhaoping; Liu, Xiaoxue; Yang, Yuling; Chen, Shuohua; Wang, Suzhen; Luo, Yanxia; Guo, Xiuhua; Zhao, Xingquan; Wu, Shouling

    2016-11-18

    Metabolic syndrome (MetS) is correlated with arterial stiffness and can be evaluated by brachial-ankle pulse wave velocity (baPWV). We investigated potential associations between MetS and baPWV in a Chinese community population. The community-based Asymptomatic Polyvascular Abnormalities in Community study examined asymptomatic polyvascular abnormalities in a Chinese population aged ≥40 years. The relationship between MetS and its components and baPWV was analyzed by multivariate logistic and linear regression models. Out of 5181 study participants, 1271 subjects (24.53%) had MetS. Mean values of baPWV in subjects with 0, 1, 2,3, 4, and 5 components of MetS were 1430, 1526, 1647, 1676,1740, and 1860 cm/s, respectively (p < 0.001 for trend). After adjusting for confounding risk factors, MetS was significantly associated with baPWV (odds ratio [OR]: 2.74; 95% CI: 2.28, 3.30). Among the five components of MetS, elevated blood pressure was the most important factor for baPWV. All models of multivariate linear regression analysis showed a significant positive correlation between the increasing numbers of MetS components and baPWV (p < 0.0001). baPWV was associated with MetS and was greater with increasing numbers of MetS components. Elevated blood pressure was the most important factor for baPWV.

  18. Self-organization of waves and pulse trains by molecular motors in cellular protrusions

    Science.gov (United States)

    Yochelis, A.; Ebrahim, S.; Millis, B.; Cui, R.; Kachar, B.; Naoz, M.; Gov, N. S.

    2015-01-01

    Actin-based cellular protrusions are an ubiquitous feature of cells, performing a variety of critical functions ranging from cell-cell communication to cell motility. The formation and maintenance of these protrusions relies on the transport of proteins via myosin motors, to the protrusion tip. While tip-directed motion leads to accumulation of motors (and their molecular cargo) at the protrusion tip, it is observed that motors also form rearward moving, periodic and isolated aggregates. The origins and mechanisms of these aggregates, and whether they are important for the recycling of motors, remain open puzzles. Motivated by novel myosin-XV experiments, a mass conserving reaction-diffusion-advection model is proposed. The model incorporates a non-linear cooperative interaction between motors, which converts them between an active and an inactive state. Specifically, the type of aggregate formed (traveling waves or pulse-trains) is linked to the kinetics of motors at the protrusion tip which is introduced by a boundary condition. These pattern selection mechanisms are found not only to qualitatively agree with empirical observations but open new vistas to the transport phenomena by molecular motors in general. PMID:26335545

  19. Proximal aortic stiffening in Turner patients may be present before dilation can be detected: a segmental functional MRI study.

    Science.gov (United States)

    Devos, Daniel G H; De Groote, Katya; Babin, Danilo; Demulier, Laurent; Taeymans, Yves; Westenberg, Jos J; Van Bortel, Luc; Segers, Patrick; Achten, Eric; De Schepper, Jean; Rietzschel, Ernst

    2017-02-13

    To study segmental structural and functional aortic properties in Turner syndrome (TS) patients. Aortic abnormalities contribute to increased morbidity and mortality of women with Turner syndrome. Cardiovascular magnetic resonance (CMR) allows segmental study of aortic elastic properties. We performed Pulse Wave Velocity (PWV) and distensibility measurements using CMR of the thoracic and abdominal aorta in 55 TS-patients, aged 13-59y, and in a control population (n = 38;12-58y). We investigated the contribution of TS on aortic stiffness in our entire cohort, in bicuspid (BAV) versus tricuspid (TAV) aortic valve-morphology subgroups, and in the younger and older subgroups. Differences in aortic properties were only seen at the most proximal aortic level. BAV Turner patients had significantly higher PWV, compared to TAV Turner (p = 0.014), who in turn had significantly higher PWV compared to controls (p = 0.010). BAV Turner patients had significantly larger ascending aortic (AA) luminal area and lower AA distensibility compared to both controls (all p Turner patients. TAV Turner had similar AA luminal areas and AA distensibility compared to Controls. Functional changes are present in younger and older Turner subjects, whereas ascending aortic dilation is prominent in older Turner patients. Clinically relevant dilatation (TAV and BAV) was associated with reduced distensibility. Aortic stiffening and dilation in TS affects the proximal aorta, and is more pronounced, although not exclusively, in BAV TS patients. Functional abnormalities are present at an early age, suggesting an aortic wall disease inherent to the TS. Whether this increased stiffness at young age can predict later dilatation needs to be studied longitudinally.

  20. ABCA1-dependent serum cholesterol efflux capacity inversely correlates with pulse wave velocity in healthy subjects[S

    OpenAIRE

    Favari, Elda; Ronda, Nicoletta; Adorni, Maria Pia; Zimetti, Francesca; Salvi, Paolo; Manfredini, Matteo; Bernini, Franco; Borghi, Claudio; Cicero, Arrigo F. G.

    2013-01-01

    The capacity of HDL to induce cell cholesterol efflux is considered one of its main antiatherogenic properties. Little is known about the impact of such HDL function on vascular physiology. We investigated the relationship between ABCA1-dependent serum cholesterol efflux capacity (CEC), an HDL functionality indicator, and pulse wave velocity (PWV), an indicator of arterial stiffness. Serum of 167 healthy subjects was used to conduct CEC measurement, and carotid-femoral PWV was measured with a...

  1. Judgment value of brachial-ankle pulse wave velocity for lesion severity in hypertension patients with coronary arteriosclerosis

    Directory of Open Access Journals (Sweden)

    Zhong Zhao

    2016-07-01

    Full Text Available Objective: To analyze the judgment value of brachial-ankle pulse wave velocity for lesion severity in hypertension patients with coronary arteriosclerosis. Methods: A total of 100 cases of hypertension patients with coronary arteriosclerosis who received physical examination in Physical Examination Centre of our hospital were collected as research subjects of observation group, 100 cases patients with primary hypertension alone who received treatment in our hospital during the same period were selected as control group, brachial-ankle pulse wave velocity and ultrasound coronary area were detected, serum was collected to detect the levels of coronary arteriosclerosis illness-related indicators in it, and the judgment value of brachialankle pulse wave velocity for coronary arteriosclerosis severity was further analyzed. Results: PWV value of observation group was higher than that of control group while ABI value was lower than that of control group; intravascular ultrasound inspection showed that blood vessel volume, lumen volume and plaque volume of observation group were larger than those of control group; serum Hcy, Ox-LDL and ApoB/ApoA1 values of observation group were higher than those of control group while APN value was lower than that of control group; serum Lp-PLA2, sTWEAK, CML and bFGF values of observation group were higher than those of control group while secKlotho, Chrelin and MPO values were lower than those of control group; PWV and ABI values were directly correlated with disease severity-related factors. Conclusions: Brachial-ankle pulse wave velocity can effectively judge the lesion severity of hypertension patients with coronary arteriosclerosis, can be used as one of the accurate indicators to guide treatment and judge prognosis in clinical practice, and has important clinical value.

  2. Circumferential ascending aortic strain and aortic stenosis.

    Science.gov (United States)

    Teixeira, Rogério; Moreira, Nádia; Baptista, Rui; Barbosa, António; Martins, Rui; Castro, Graça; Providência, Luís

    2013-07-01

    Two-dimensional speckle tracking (2D-ST) echocardiography for the measurement of circumferential ascending thoracic aortic strain (CAAS) in the context of aortic stenosis (AS) is not elucidated. Purpose This study assesses the thoracic ascending aortic deformation using 2D-ST echocardiography in AS patients. Population and methods Forty-five consecutive patients with an aortic valvular area (AVA) ≤0.85 cm(2)/m(2) were included. Regarding aortic deformation, the global peak CAAS was the parameter used, and an average of six segments of arterial wall deformation was calculated. The corrected CAAS was calculated as the global CAAS/pulse pressure (PP). Aortic stiffness (β2) index was assessed according to ln(Ps/Pd)/CAAS. The sample was stratified according to the stroke volume index (SVI) as: Group A (low flow, SVI ≤35 mL/m(2); n = 19) and Group B (normal flow, SVI >35 mL/m(2); n = 26). The mean age was 76.8 ± 10.3 years, 53.3% were male, the mean indexed AVA was 0.43 ± 0.15 cm(2)/m(2), and the mean CAAS was 6.3 ± 3.0%. The CAAS was predicted by SVI (β = 0.31, P < 0.01) and by valvulo-arterial impedance (Zva). The corrected CAAS was correlated with the M-mode guided aortic stiffness index (β1) (r = -0.39, P < 0.01), and was predicted by SVI, Zva, and systemic arterial compliance (β = 0.15, P < 0.01). The β2 index was significantly higher for the low-flow patients (16.1 ± 4.8 vs. 9.8 ± 5.3, P < 0.01), and was predicted by SVI (β -0.58, P < 0.01) and PP (β = 0.17, P < 0.01). Global CAAS was more accurate to predict low flow than Zva, systolic function and systemic vascular resistance. In patients with moderate-to-severe aortic stenosis, SVI and LV afterload-related variables were the most important determinants of 2S-ST global CAAS.

  3. Influence of High Speed Repetition of Pulsed Streamer Discharge Produced by Polarity-Reversed Traveling Wave on NO Oxidation

    Science.gov (United States)

    Matsuda, Eiji; Kadowaki, Kazunori; Nishimoto, Sakae; Kitani, Isamu

    This paper describes experimental results of NO removal from a simulated exhausted gas using a barrier-type plasma reactor subjected to reciprocal traveling wave voltage pulses. A pulse-forming cable was charged and then grounded at one end without any resistance, so that a traveling wave reciprocated along the cable with a change in its polarity because the traveling wave was negatively reflected at the grounded-end. Transient discharge light between point-plane electrodes with a glass barrier was observed using a gated image-intensifier. Photographs of the transient discharge light indicated that many streamer channels extended widely in the gap at the initial stage in the voltage oscillation, while only an intense discharge channel was observed at the latter stage. NO removal tests were carried out using the reciprocal pulse generator and a coaxial plasma reactor with a cylindrical glass-barrier. Results indicated that the discharges at the first and the second polarity reversals contributed largely to the oxidation reaction from NO into NO2, whereas the contribution of the subsequent discharges in the latter stage to NO removal was small.

  4. Ultrashort pulse propagation in near-field periodic diffractive structures by use of rigorous coupled-wave analysis.

    Science.gov (United States)

    Nakagawa, W; Tyan, R C; Sun, P C; Xu, F; Fainman, Y

    2001-05-01

    We present a method for near-field analysis of ultrashort optical pulse propagation in periodic structures-including subwavelength and resonant grating structures-based on the integration of Fourier spectrum decomposition and rigorous coupled-wave analysis (RCWA). We discuss the spectral decomposition, including considerations for computational efficiency, the application of the RCWA method to compute the internal and external fields of the structure, and the synthesis of the resulting fields to obtain the time-domain solution. We apply this tool to the analysis of two photonic structures: (1) a nanostructured polarization-selective mirror that exhibits the desired broadband performance characteristics when operated at the design wavelength but yields strongly diminished polarization selectivity and modulation of the pulse envelope at an offset wave-length and (2) a two-mode coupled waveguide structure that produces from one incident pulse two transmitted pulses whose temporal separation depends on the waveguide geometry. In both examples, we apply our new modeling tool to investigate the near fields and find that near-field effects are critical in determining the performance characteristics of nanostructured devices. Furthermore, detailed observation and understanding of near-field phenomena in nanostructures may be applied to the design of novel photonic devices.

  5. Pulse wave velocity and cognitive decline in elders: the Health, Aging, and Body Composition study.

    Science.gov (United States)

    Zeki Al Hazzouri, Adina; Newman, Anne B; Simonsick, Eleanor; Sink, Kaycee M; Sutton Tyrrell, Kim; Watson, Nora; Satterfield, Suzanne; Harris, Tamara; Yaffe, Kristine

    2013-02-01

    Arterial stiffness is a measure of subclinical cardiovascular disease and increases with age. This study examines the association between arterial stiffness and cognitive decline in a cohort of older adults. A total of 2488 subjects with baseline measure of arterial stiffness (mean age, 74.2 years; 52.3% women) were prospectively followed over 9 years in the Health, Aging, and Body Composition Study. Arterial stiffness was measured as pulse wave velocity (PWV) and analyzed in tertiles. Cognitive function was assessed using the Modified Mini-Mental State examination at baseline and repeated at years 3, 5, 8, and 10. Lower Modified Mini-Mental State examination scores indicate worse function. We fit linear mixed models to examine longitudinal changes in cognitive function over the 9 years of follow-up and logistic regression models, restricted to 1331 participants, to examine cognitive impairment defined as a decrease of ≥5 points after 9 years. We adjusted for sociodemographics, Apoe4, and cardiovascular disease risk factors. The annual decrease in Modified Mini-Mental State examination scores was 0.30 points at low PWV (95% confidence interval [CI], -0.37 to -0.22), 0.46 points at middle PWV (95% CI, -0.54 to -0.39), and 0.45 points at high PWV (95% CI, -0.53 to -0.38), from fully adjusted linear mixed models. In fully adjusted models, the odds of cognitive impairment after 9 years of follow-up was 40% greater for subjects with middle PWV (odds ratio [OR], 1.40; 95% CI, 1.03-1.92) and 59% greater for subjects with high PWV (OR, 1.59; 95% CI, 1.16-2.18), compared with low PWV. High arterial stiffness was modestly associated with cognitive decline and impairment. Interventions to prevent arterial stiffness may be effective in delaying cognitive decline.

  6. Pulsed laser deposition of piezoelectric ZnO thin films for bulk acoustic wave devices

    Energy Technology Data Exchange (ETDEWEB)

    Serhane, Rafik, E-mail: rserhane@cdta.dz [Centre for Development of Advanced Technologies, Cité 20 Août 1956, Baba Hassen, BP: 17, DZ-16303 Algiers (Algeria); Abdelli-Messaci, Samira; Lafane, Slimane; Khales, Hammouche; Aouimeur, Walid [Centre for Development of Advanced Technologies, Cité 20 Août 1956, Baba Hassen, BP: 17, DZ-16303 Algiers (Algeria); Hassein-Bey, Abdelkadder [Centre for Development of Advanced Technologies, Cité 20 Août 1956, Baba Hassen, BP: 17, DZ-16303 Algiers (Algeria); Micro and Nano Physics Group, Faculty of Sciences, University Saad Dahlab of Blida (USDB), BP. 270, DZ-09000 Blida (Algeria); Boutkedjirt, Tarek [Equipe de Recherche Physique des Ultrasons, Faculté de Physique, Université des Sciences et de la Technologie Houari Boumediene (USTHB), BP 32, El-Alia, Bab-Ezzouar, DZ-16111 Algiers (Algeria)

    2014-01-01

    Piezoelectric properties of ZnO thin films have been investigated for micro-electro-mechanical systems (MEMS). Wurtzite ZnO structure was prepared on different substrates (Si (1 0 0), Pt (1 1 1)/Ti/SiO{sub 2}/Si and Al (1 1 1)/SiO{sub 2}/Si) at different substrate temperatures (from 100 to 500 °C) by a pulsed laser deposition (PLD) technique. X-ray diffraction (XRD) characterization showed that the ZnO films were highly c-axis (0 0 2) oriented, which is of interest for various piezoelectric applications. Scanning electron microscopy (SEM) showed evidence of honeycomb-like structure on the surface and columnar structure on the cross-section. In the case of ZnO on Al, ZnO exhibited an amorphous phase at the ZnO/Al interface. The XRD measurements indicated that the substrate temperature of 300 °C was the optimum condition to obtain high quality (strongest (0 0 2) peak with the biggest associated grain size) of crystalline ZnO on Pt and on Al and that 400 °C was the optimum one on Si. ZnO on Al exhibits smallest rocking curve width than on Pt, leading to better crystalline quality. The ZnO films were used in bulk acoustic wave (BAW) transducer. Electrical measurements of the input impedance and S-Parameters showed evidence of piezoelectric response. The electromechanical coupling coefficient was evaluated as K{sub eff}{sup 2}=5.09%, with a quality factor Q{sub r} = 1001.4.

  7. Carotid-femoral pulse wave velocity in a healthy adult sample: The ELSA-Brasil study.

    Science.gov (United States)

    Baldo, Marcelo Perim; Cunha, Roberto S; Molina, Maria Del Carmen B; Chór, Dora; Griep, Rosane H; Duncan, Bruce B; Schmidt, Maria Inês; Ribeiro, Antonio L P; Barreto, Sandhi M; Lotufo, Paulo A; Bensenor, Isabela M; Pereira, Alexandre C; Mill, José Geraldo

    2018-01-15

    Aging declines essential physiological functions, and the vascular system is strongly affected by artery stiffening. We intended to define the age- and sex-specific reference values for carotid-to-femoral pulse wave velocity (cf-PWV) in a sample free of major risk factors. The ELSA-Brasil study enrolled 15,105 participants aged 35-74years. The healthy sample was achieved by excluding diabetics, those over the optimal and normal blood pressure levels, body mass index ≤18.5 or ≥25kg/m 2 , current and former smokers, and those with self-report of previous cardiovascular disease. After exclusions, the sample consisted of 2158 healthy adults (1412 women). Although cf-PWV predictors were similar between sex (age, mean arterial pressure (MAP) and heart rate), cf-PWV was higher in men (8.74±1.15 vs. 8.31±1.13m/s; adjusted for age and MAP, PBrasil population (n=15,105) increased by twice the age-related slope of cf-PWV growth, regardless of sex (0.0919±0.182 vs. 0.0504±0.153m/s per year for men, 0.0960±0.173 vs. 0.0606±0.139m/s per year for women). cf-PWV is different between men and women and even in an optimal and normal range of MAP and free of other classical risk factors for arterial stiffness, reference values for cf-PWV should take into account MAP levels. Also, the presence of major risk factors in the general population doubles the age-related rise in cf-PWV. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Commissioning of the long-pulse fast wave current drive antennas for DIII-D

    International Nuclear Information System (INIS)

    Baity, F.W.; Barber, G.C.; Goulding, R.H.; Hoffman, D.J.; DeGrassie, J.S.; Pinsker, R.I.; Petty, C.C.; Cary, W.

    1995-01-01

    Two new four-element fast wave current drive antennas have been installed on DIII-D. These antennas are designed for 10-s pulses at 2 MW each in the frequency range of 30 to 120 MHz. Each element comprises two poloidal segments fed in parallel in order to optimize plasma coupling at the upper end of the frequency range. The antennas are mounted on opposite sides of the vacuum vessel, in ports designated 0 degrees and 180 degrees after their toroidal angle. Each antenna array is fed by a single transmitter. The power is first split two ways by means of a 3-dB hybrid coupler, then each of these lines feeds a resonant loop connecting a pair of array elements. The power transfer during asymmetric phasing is shunted between resonant loops by a decoupler. The resonant loops are fitted with line stretchers so that multiple frequencies of operation are possible without reconfiguring the transmission line. Commissioning of these antennas has been underway since June 1994. Several deficiencies in the transmission line system were uncovered during initial vacuum conditioning, including problems with the transmission line insulators and with the drive rods for the variable elements. The former was solved by replacing the original alumina insulators, and the latter has been avoided during operation to date by positioning the tuners to avoid high voltage appearing on the drive rods. A modified design for the drive rods will be implemented before RF operations resume operation June 1995. New transmitters were procured from ABB for the new antennas and were installed in parallel with the antenna installation. During initial vacuum conditioning of the antenna in the 180 degree port a fast digital oscilloscope was used to try to pinpoint the location of arcing by a time-of-flight technique and to develop an understanding of the typical arc signature in the system

  9. Relationships between Brachial-Ankle Pulse Wave Velocity and Peripheral Neuropathy in Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Byung Kil Ha

    2012-12-01

    Full Text Available BackgroundBrachial-ankle pulse wave velocity (baPWV is known to be a good surrogate marker of clinical atherosclerosis. Atherosclerosis is a major predictor for developing neuropathy. The goal of this study was to determine the relationship between baPWV and diabetic peripheral neuropathy (DPN in patients with type 2 diabetes.MethodsA retrospective cross-sectional study was conducted involving 692 patients with type 2 diabetes. The correlation between increased baPWV and DPN, neurological symptoms, and neurological assessment was analyzed. DPN was examined using the total symptom score (TSS, ankle reflexes, the vibration test, and the 10-g monofilament test. DPN was defined as TSS ≥2 and an abnormal neurological assessment. Data were expressed as means±standard deviation for normally distributed data and as median (interquartile range for non-normally distributed data. Independent t-tests or chi-square tests were used to make comparisons between groups, and a multiple logistic regression test was used to evaluate independent predictors of DPN. The Mantel-Haenszel chi-square test was used to adjust for age.ResultsPatients with DPN had higher baPWV and systolic blood pressure, and were more likely to be older and female, when compared to the control group. According to univariate analysis of risk factors for DPN, the odds ratio of the baPWV ≥1,600 cm/sec was 1.611 (95% confidence interval [CI], 1.072 to 2.422; P=0.021 and the odds ratio in female was 1.816 (95% CI, 1.195 to 2.760; P=0.005.ConclusionIncreased baPWV was significantly correlated with peripheral neuropathy in patients with type 2 diabetes.

  10. The energy and temporal characteristics of orthogonal polarized waves generated by a transversely-excited pulsed CO/sub 2/ laser

    Energy Technology Data Exchange (ETDEWEB)

    Bertel, I.M.; Churakov, V.V.; Petukhov, V.O.; Prokopov, A.P.; Trushin, S.A.; Voitovich, A.P.

    1980-01-01

    The competition of orthogonally-polarized waves with various differences in the wave Q-factors and active medium pressures is studied. The possibility of controlling the parameters of a pulsed CO/sub 2/ laser by changing the value of the amplitude anisotropy of the cavity is demonstrated. The duration of the emission pulse for one of two orthogonal polarizations was reduced by virtually 50%.

  11. Picosecond pulses of coherent MM-wave radiation in a photoinjector-driven waveguide free-selected laser

    Energy Technology Data Exchange (ETDEWEB)

    Fochs, S.N.; Le Sage, G.P.; Feng, L. [Univ. of California, Davis, CA (United States)] [and others

    1995-12-31

    A 5 MeV, high repetition rate (2.142 GHz in burst mode), high brightness, tabletop photoinjector is currently under construction at the UC Davis Department of Applied Science, on the LLNL site. Ultrashort pulses of coherent synchrotron radiation can be generated by transversally accelerating the electron beam with a wiggler in either metallic or dielectric-loaded waveguide FEL structures. This interaction is investigated theoretically and experimentally. Subpicosecond photoelectron bunches will be produced in the photoinjector by irradiating a high quantum efficiency Cs{sub 2}Te (Cesium Telluride) photocathode with a train of 100 UV (210 nm), ultra-short (250 fs) laser pulses. These bunches will be accelerated in a 1-1/2 cell {pi}-mode X-band RF gun e energized by a 20 MW, 8,568 GHz SLAC klystron. The peak current is 0.25 kA (0.25 nC, 1 ps), with a normalized beam emittance {epsilon}{sub n}<2.5 {pi} mm-mrad. This prebunched electron beam is then transversally accelerated in a cylindrical waveguide by a 30-mm period, 10 period long helical wiggler. The peak wiggler field is adjusted to 8.5 kG, so that the group velocity of the radiated electromagnetic waves matches the axial velocity of the electron bunch (grazing condition, zero slippage). Chirped output pulses in excess of 2 MW power are predicted, with an instantaneous bandwidth extending from 125 GHz to 225 GHz and a pulse duration of 15 ps (HWHM). To produce even shorter pulses, a dielectric-loaded waveguide can be used. The dispersion relation of this waveguide structure has an inflection point (zero group velocity dispersion). If the grazing condition is satisfied at this point, the final output pulse duration is no longer determined by slippage, or by group velocity dispersion and bandwidth, but by higher-order dispersive effects yielding transform-limited pulses.

  12. NO Removal with Repetitive Discharges Caused by Reciprocal Traveling Wave Voltage Pulse in a Coaxial Cable

    Science.gov (United States)

    Yamaga, Keisuke; Kadowaki, Kazunori; Nishimoto, Sakae; Kitani, Isamu

    This paper describes experimental results of NO removal using barrier discharges produced by a reciprocal pulse generator. When a coaxial cable is charged and then grounded at one end of the cable without any resistance, a reciprocal traveling voltage pulse is repeatedly applied to a barrier-type reactor at the opposite end with a change in its polarity. 50% streamer initiation voltage for the reciprocal pulse generator was much smaller than that with the self-matched pulse generator having a matching resistance. The reason for the low initiation voltage in the reciprocal pulse was that space charges which accumulated on the barrier surface during cable charging had an effect on field enhancement in the reactor after the first polarity reversal. High speed photographs of discharge light produced by the reciprocal pulse showed that the voltage oscillation caused by one switching induced alternate propagation of positive and negative streamers with a very high frequency. In measurements of NO concentration, the reciprocal pulse generator gave a better performance for NO removal ratio than the self-matched pulse generator even though the stored energy in the recipocal pulse generator was very low.

  13. Non-Destructive Evaluation of Materials Using Pulsed Microwave Interrogating Signals and Acoustic Wave Induced Reflections

    National Research Council Canada - National Science Library

    Albanese, R

    2002-01-01

    A class of inverse problems is formulated for the estimation of material dielectric parameters using reflections of pulsed microwave interrogating signals from moving acoustic interfaces in the dielectric...

  14. Reflection of Microwave Pulses From Acoustic Waves: Summary of Experimental and Computational Studies

    National Research Council Canada - National Science Library

    Kepler, G. M; Albanese, R. A; Banks, H. T; Bokil, V. A

    2005-01-01

    .... It is by now well accepted (e.g., see [2, 7, 11, 14]) that acoustic pressure waves will interact with electromagnetic signals in ways that often mimic interfacial partial reflection/partial transmission for the electromagnetic waves...

  15. Pulse-wave encephalopathy: a comparative study of the hydrodynamics of leukoaraiosis and normal-pressure hydrocephalus

    Energy Technology Data Exchange (ETDEWEB)

    Bateman, G.A. [Department of Medical Imaging, John Hunter Hospital, Newcastle (Australia)

    2002-09-01

    There is a strong association between the occurrence of leukoaraiosis and normal-pressure hydrocephalus (NPH). Venous compression secondary to alterations in craniospinal compliance is implicated in the pathogenesis of NPH, and venous pathology has also been implicated in leukoaraiosis. The purpose of this paper is to compare and contrast the blood-flow and fluid-pulsatility characteristics of these conditions. I initially studied 18 subjects without pathology, with MRI flow-quantification studies of the cerebral arteries and veins, to define the range of normality. The main study involved 10 patients with idiopathic dementia but no leukoaraiosis who served as controls, 50 with idiopathic dementia with varying degrees of leukoaraiosis and 18 with NPH. I compared blood-flow volumes, vascular pulse-wave amplitudes and velocities. There was no significant difference in blood flow across the dementia patients. In patients with moderate leukoaraiosis, arterial pulsatility was 69%, cerebrospinal fluid (CSF) pulsation 104%, sagittal sinus pulsatility 48% and cortical vein pulsatility 34% higher than in demented patients without leukoaraiosis. Patients with NPH showed similar results with arterial pulsatility increased by 56% and sagittal sinus pulsatility by 70%. By contrast, the NPH patients' CSF pulse was 42% and the pulse wave delay at the sagittal sinus 50% less than in moderate leukoaraiosis. Thus, leukoaraiosis and NPH share increased arterial and sinus pulsatility. In leukoaraiosis cortical vein compliance is initially increased but in severe leukoaraiosis and NPH it is reduced. (orig.)

  16. Evaluation of cellular effects of pulsed and continuous wave radiofrequency radiation

    International Nuclear Information System (INIS)

    Pavicic, Ivan; Trosic, Ivancica

    2008-01-01

    Full text: In less than twenty years, the mobile telephone has gone from being rare, expensive equipment of the business elite to a pervasive, low-cost personal item. Since the introduction of mobile phones, concerns have been raised about the potential detrimental impacts on living beings from regular use. The first 'modern' network technology on second generation cellular technology was launched in 1991 in Finland on the Global System for Mobile Communications (GSM) standard. This study evaluates cellular effects of, both, continuous (CW) and pulsed GSM modulated waves (PW). Continuous cell culture of Chinese hamster lung cells, line V79, was used in this study. Cell growth and colony forming ability (CFA) was analyzed after 1, 2 and 3 hours of exposure to the both frequency fields, 935 MHz CW and 915 MHz PW. Selected frequency fields were generated inside gigahertz transversal electromagnetic mode cell (GTEM) equipped with the signal generators. Hewlett Packard HP8657A signal generator was used to generate CW 935 MHz frequency field. Anritzu MS2711B spectrum analyzer with tracking generator and Micro devices RF 3146 power amplifier module generated PW radiofrequency field of 915 MHz. Averaged specific absorption rate (SAR) belonging to the CW 935 MHz frequency field was calculated to be 0.12 W/kg, and for GSM modulated 915 MHz field was 0.23 W/kg. Cell samples were irradiated in triplicate. The sham exposed control cell samples were included in the study. The temperature inside the exposure set-up was recorded in ten-minute intervals through the irradiation treatment. Both, sham-exposed and exposed cell samples were kept in the same condition, except in the time of irradiation for experimental samples when signal generator was switched on. To determine cell growth, V79 samples were plated in concentration of 1x10 4 cells/mL. Cells were maintained in the standard laboratory conditions, which are humidified atmosphere, 37 C degrees, and 5% CO 2 . Cell

  17. [Relationship between brachial-ankle pulse wave velocity and metabolic syndrome].

    Science.gov (United States)

    Liu, Miao; He, Yao; Jiang, Bin; Wu, Lei; Wang, Jian-hua; Yang, Shan-shan; Wang, Yi-yan; Li, Xiao-ying

    2014-06-18

    To evaluate the association between brachial-ankle pulse wave velocity (ba-PWV) and metabolic syndrome (MetS) among the Chinese elderly and the gender difference. We conducted a population-based cross-sectional study in a representative urban area of Beijing, China. A sample of 2 102 community elderly (848 males, and 1 254 females) aged 60 to 95 years were included in the study. MetS was defined according to the 2009 harmonizing definition. The prevalence of MetS was 59.1% (50.1% in males and 65.2% in females, P<0.001). The baPWV value was between 8.2 to 45.6 (20.0 ± 4.4) m/s, and showed an increasing trend with age (P<0.001). The partial correlation showed baPWV was positively associated with BMI (r=0.076, P=0.037), systolic blood pressure (r=0.380, P<0.001), diastolic blood pressure (r=0.276, P<0.001), triglyceride (r=0.040, P=0.046), fasting blood glucose (r=0.140, P<0.001), 2-hour post-meal blood glucose (r=0.121, P<0.001), and negatively associated with HDL-C (r=-0.128, P=0.048). There was a strong association between baPWV and prevalence of MetS and its component number in females but not in males. Compared with the lowest quartile of baPWV, the adjusted ORs were 1.22 (95%CI 0.83-1.79), 1.32 (95%CI 0.90-1.93), 1.46(95%CI 1.00-2.14) in males and 1.28 (95%CI 0.93-1.77), 1.55 (95%CI 1.12-2.16), 1.86(95%CI 1.32-2.61) in females for the second, third and top quartiles. The prevalence of MetS increases substantially with increasing levels of baPWV among the Chinese elderly, especially in females.

  18. Propagation Dynamics of Nonspreading Cosine-Gauss Water-Wave Pulses.

    Science.gov (United States)

    Fu, Shenhe; Tsur, Yuval; Zhou, Jianying; Shemer, Lev; Arie, Ady

    2015-12-18

    Linear gravity water waves are highly dispersive; therefore, the spreading of initially short wave trains characterizes water surface waves, and is a universal property of a dispersive medium. Only if there is sufficient nonlinearity does this envelope admit solitary solutions which do not spread and remain in fixed forms. Here, in contrast to the nonlinear localized wave packets, we present both theoretically and experimentally a new type of linearly nondispersive water wave, having a cosine-Gauss envelope, as well as its higher-order Hermite cosine-Gauss variations. We show that these waves preserve their width despite the inherent dispersion while propagating in an 18-m wave tank, accompanied by a slowly varying carrier-envelope phase. These wave packets exhibit self-healing; i.e., they are restored after bypassing an obstacle. We further demonstrate that these nondispersive waves are robust to weakly nonlinear perturbations. In the strong nonlinear regime, symmetry breaking of these waves is observed, but their cosine-Gauss shapes are still approximately preserved during propagation.

  19. Abnormalities of aortic arch shape, central aortic flow dynamics, and distensibility predispose to hypertension after successful repair of aortic coarctation.

    Science.gov (United States)

    Donazzan, Luca; Crepaz, Robert; Stuefer, Josef; Stellin, Giovanni

    2014-10-01

    Systemic hypertension (HT) is a major long-term complication even after successful repair of aortic coarctation (CoA), and many factors are involved in this pathophysiology. To investigate the role of abnormalities in the aortic arch shape, central aortic flow dynamics, and distensibility in developing HT after successful repair of CoA. We selected a group of 26 normotensive patients (mean age 16.9±7.3 years, range 9-32 years) with anatomically successful repair of CoA among 140 patients regularly followed after repair of CoA and analyzed their last clinical and echocardiographic data. Bicycle exercise test and ambulatory blood pressure monitoring (ABPM) were also obtained. Mean age at surgical repair was 3.2±3.9 years (range 10 days-15 years); 12 patients underwent surgical correction during the first year of life. Repair of CoA was performed by end-to-end anastomosis (TT) in 23 patients (extended TT in 6 patients with arch hypoplasia), patch aortoplasty in 2, and subcalvian flap aortoplasty in 1. The postsurgical follow-up was 13.8±7.2 years (range 3.5-29.4 years). The shape of the aortic arch was defined by magnetic resonance imaging (MRI) on this global geometry (normal-gothic-crenel), ratio of the height-transverse diameter (A/T), percentage of residual stenosis, and growth index of the transverse arch segments. Flow mapping by phase-contrast imaging in the ascending and descending aorta was performed in order to measure the systolic waveforms and central aortic distensibility. Twenty normal age-matched patients submitted to the same MRI protocol were used as controls. Six patients were found to have a gothic and 20 a normal aortic arch shape. Patients with gothic aortic arch shape had an increased A/T ratio (0.80±0.07 vs 0.58±0.05, P135 mm Hg on ABPM were higher in the gothic than in the normal arch group. There was a correlation between nocturnal SBP, 24 hours pulse pressure on ABPM in the whole group, and different MRI variables (A/T, distensibility of

  20. Pulse wave velocity, pulse pressure and number of carotid or femoral plaques improve prediction of cardiovascular death in a population at low risk.

    Science.gov (United States)

    Bérard, E; Bongard, V; Ruidavets, J-B; Amar, J; Ferrières, J

    2013-09-01

    The assessment of cardiovascular risk is uniformly recommended as a decision-support for therapies aimed at preventing cardiovascular diseases. Our objective was to determine the prognostic significance of vascular markers in apparently healthy subjects. Analyses were based on the Third Toulouse MONICA Survey (1995-1997) carried out in participants aged 35-64, from the general population of South-western France. Causes of death were obtained 14 years after inclusion. There were 1132 participants (51% men). Over the 14-year follow-up period, 61 deaths were recorded, 20% due to a cardiovascular cause. Adding pulse wave velocity (PWV) to Framingham Risk Score (FRS) improved the accuracy of the risk prediction model. The C-statistic increased from 0.76 (95% confidence interval (CI): 0.64-0.89) (FRS alone) to 0.79 (95% CI: 0.64-0.95) (FRS+PWV). The Integrated Discrimination Improvement (IDI) reached 3.81% (P-valueprediction was also improved by integrating pulse pressure (PP) in the model (C-statistic=0.81 (95% CI: 0.66-0.96); IDI=4.99% (P-valueprediction.

  1. Pulse Pressure, Instead of Brachium-Ankle Pulse Wave Velocity, is Associated with Reduced Kidney Function in a Chinese Han Population

    Directory of Open Access Journals (Sweden)

    Linpei Jia

    2017-03-01

    Full Text Available Background/Aims: In this study, we aim to investigate the association between renal function and arterial stiffness in a Chinese Han population, and further to discuss the effects of smoking on renal function. Methods: We collected the data of the brachium-ankle pulse wave velocity (baPWV, blood pressure, blood chemistry and smoking status. Then, the multiple linear regression was done to explore the relationship between estimated glomerular filtration (eGFR and baPWV. Further, the parameters were compared among the four groups divided according to the quartiles of baPWV. Finally, the baPWV, eGFR and albuminuria values were compared between smokers and non-smokers. Results: baPWV is associated with eGFR in the correlation analysis and univariate linear regression model. After adjustment, the pulse pressure (PP instead of baPWV showed a significant association with eGFR. Nevertheless, the eGFR values differed among the four baPWV groups; the baPWV values were significantly higher in the subjects at the CKD (eGFR<60 mL/min/1.73 m2 and the early CKD stage (eGFR60–80 mL/min/1.73 m2. The baPWV values and the ratio of proteinuria were significantly increased in smokers. Conclusion: PP but not baPWV is a predictor of declined renal function. Smokers have worse arterial stiffness and worse renal function.

  2. Beat wave current drive with intense pulsed free-electron lasers

    International Nuclear Information System (INIS)

    Cohen, B.I.; Cohen, R.H.; Logan, B.G.; McCay Nevins, W.; Smith, G.R.; Kluge, A.V.; Kritz, A.H.

    1988-01-01

    High power free-electron lasers make possible new methods for driving current in toroidal devices with electromagnetic waves. Earlier considerations of beat wave current drive are applied to a hot magnetized plasma and an arbitrary beat wave. Here the beating of two electromagnetic waves resonantly excites a low frequency beat wave that accelerates and heats electrons and leads to a current. The absolute current drive efficiency depends non-linearly on the two pump wave intensities and is constrained by the Manley-Rowe relations. Accessibility at high plasma densities is not a difficulty, but a degree of frequency tunability of the wave sources is required. Particle simulations indicate that there is a good coupling to an electron velocity tail for a Langmuir beat wave with a phase velocity 1.5 to 3 times (T e /m e ) 1/2 , so that all of the high frequency wave source is absorbed and the beat wave damps completely on the electrons. A novel diagnostic, based on an analytical solution for the linearized Fokker-Planck equation describing electron scattering and slowing down, is added to the particle code. This permits the computation of the current drive efficiency, including both the non-linear beat wave coupling and the collisional relaxation of the electron distribution. A realistic scenario for a beat wave current drive experiment in the Livermore Microwave Tokamak Experiment is calculated using the TORAY toroidal ray tracing code, and the scaling to an engineering test reactor plasma is described. (author). 23 refs, 8 figs

  3. Measurements of the plasma density in the FTU tokamak by a pulsed time-of-flight X-wave refractometer

    International Nuclear Information System (INIS)

    Petrov, V. G.; Petrov, A. A.; Malyshev, A. Yu.; De Benedetti, M.; Tudisco, O.

    2008-01-01

    On-line control over the plasma density in tokamaks (especially, in long-term discharges) requires reliable measurements of the averaged plasma density. For this purpose, a new method of density measurements-a pulsed time-of-flight plasma refractometry-was developed and tested in the T-11M tokamak. This method allows one to determine the averaged density from the measured time delay of nanosecond microwave pulses propagating through the plasma. For an O-wave, the measured time delay is proportional to the line-averaged density and is independent of the density profile (f>>f p ) τ o ∼ k o 1/f 2 ∫ l N(x)dx. Here, f is the frequency of the probing wave, f p is the plasma frequency, l= 4 a is the path length for two-pass probing in the equatorial plane, a is the plasma minor radius, k O and k X are numerical factors, f c is the electron-cyclotron frequency at the axis of the plasma column, and f p >>f c , f. Measurements of the time delay provide the same information as plasma interferometry, though they do no employ the effect of interference. When the conditions f p >>f c , f are not satisfied, the measured time delay depends on the shape of the density profile. In this case, in order to determine the average density regardless of the density profile, it is necessary to perform simultaneous measurements at several probing frequencies in order to determine the average density. In ITER (Bt ∼ 5T), a spectral window between the lower and upper cutoff frequencies in the range of 50-100 GHz can be used for pulsed time-of-flight X-wave refractometry. This appreciably simplifies the diagnostics and eliminates the problem of the first mirror. In this paper, the first results obtained in the FTU tokamak with a prototype of the ITER pulsed time-of-flight refractometer are presented. The geometry and layout of experiments similar to the planned ITER experiments are described. The density measured by pulsed time-of-flight refractometry is shown to agree well with the

  4. Lack of difference between nebivolol/hydrochlorothiazide and metoprolol/hydrochlorothiazide on aortic wave augmentation and central blood pressure

    NARCIS (Netherlands)

    Eeftinck Schattenkerk, Daan W.; van den Bogaard, Bas; Cammenga, Marianne; Westerhof, Berend E.; Stroes, Erik S. G.; van den Born, Bert-Jan H.

    2013-01-01

    The vasodilating beta-blocker nebivolol is thought to be superior in lowering wave reflection and central blood pressure (BP) compared to nonvasodilating beta-blockers. The results from studies comparing nebivolol with either metoprolol or atenolol, with or without hydrochlorothiazide (HCTZ), are

  5. High-power Yb-doped continuous-wave and pulsed fibre lasers

    Indian Academy of Sciences (India)

    2014-01-05

    Jan 5, 2014 ... becomes a critical issue in scaling high output power from Yb-doped double clad fibres. Since polymer coating is used to .... Techniques to exploit self-pulsing to achieve reg- ular narrow pulses with .... a single order if the beam is incident at an angle equal to the Bragg angle (θB) given by sin θB = λ0. 2n0.

  6. Aortic coarctation diagnosed by renal Doppler flow patterns in a hypertensive young patient: a case report

    International Nuclear Information System (INIS)

    Sari, S.; Kara, K.; Verim, S.

    2012-01-01

    Full text: Introduction: Aortic coarctation is a congenital malformation, which can cause systemic hypertension and subsequent complications, and causes of secondary hypertension, affecting in differential pressures in the upper and lower extremities. Because hypertension is caused by aortic coarctation, tends to be resistant to medical therapy, early recognition and surgical rectification are important. Objectives and tasks: In this article, we aimed to point out that renal Doppler sonography is a beneficial and frequently used to evaluate secondary hypertension, if there are bilateral tardus-parvus wave patterns are detected. Thus, bilateral renal artery stenosis, aortic stenosis, and coarctation should be considered in this condition. Materials and methods: A 23-year-old male who has six-month history of hypertension. He was referred by a cardiologist for investigation of his secondary hypertension. There was an ascending aortic dilatation, left ventricular hypertrophy in his echocardiography. Results: The patient's blood pressure was measured as 160/90 mm Hg in his both arms. Renal Doppler sonography was performed to identify the potential cause of secondary hypertension, specifically renal artery stenosis, after tardus-parvus pulse waves were noted in both renal intralobar-arteries. Aortic coarctation is suspected and then a chest computed tomography (CT) was performed to evaluate supra-diaphragmatic vessel abnormalities. The CT exposed a stenotic lesion in the isthmus of the aorta. The patient was transferred to cardiovascular surgery department for treatment. Conclusion: Careful physical examination should be performed in all hypertensive patients. If bilateral tardus-parvus wave pattern are seen in patients who has been referred for Doppler evaluation on suspicion of renovascular hypertension, aortic coarctation should be considered as differential diagnosis

  7. Experimental study on the pressure and pulse wave propagation in viscoelastic vessel tubes-effects of liquid viscosity and tube stiffness.

    Science.gov (United States)

    Ikenaga, Yuki; Nishi, Shohei; Komagata, Yuka; Saito, Masashi; Lagrée, Pierre-Yves; Asada, Takaaki; Matsukawa, Mami

    2013-11-01

    A pulse wave is the displacement wave which arises because of ejection of blood from the heart and reflection at vascular bed and distal point. The investigation of pressure waves leads to understanding the propagation characteristics of a pulse wave. To investigate the pulse wave behavior, an experimental study was performed using an artificial polymer tube and viscous liquid. A polyurethane tube and glycerin solution were used to simulate a blood vessel and blood, respectively. In the case of the 40 wt% glycerin solution, which corresponds to the viscosity of ordinary blood, the attenuation coefficient of a pressure wave in the tube decreased from 4.3 to 1.6 dB/m because of the tube stiffness (Young's modulus: 60 to 200 kPa). When the viscosity of liquid increased from approximately 4 to 10 mPa·s (the range of human blood viscosity) in the stiff tube, the attenuation coefficient of the pressure wave changed from 1.6 to 3.2 dB/m. The hardening of the blood vessel caused by aging and the increase of blood viscosity caused by illness possibly have opposite effects on the intravascular pressure wave. The effect of the viscosity of a liquid on the amplitude of a pressure wave was then considered using a phantom simulating human blood vessels. As a result, in the typical range of blood viscosity, the amplitude ratio of the waves obtained by the experiments with water and glycerin solution became 1:0.83. In comparison with clinical data, this value is much smaller than that seen from blood vessel hardening. Thus, it can be concluded that the blood viscosity seldom affects the attenuation of a pulse wave.

  8. [The effect of low-intensity pulsed sound waves delivered by the Exogen device on Staphylococcus aureus morphology and genetics].

    Science.gov (United States)

    Ayan, Irfan; Aslan, Gönül; Cömelekoğlu, Ulkü; Yilmaz, Nejat; Colak, Mehmet

    2008-01-01

    We investigated the effect of low-intensity pulsed sound waves delivered by the Exogen device, which is recommended for the treatment of delayed union and nonunion in orthopedic surgery, on the colony number, antimicrobial susceptibility, bacterial morphology, and genetics of Staphylococcus aureus, which is a frequent pathogen in orthopedic infections. Thirty tubes containing 0.5 McFarland suspensions of S. aureus (ATCC 25923) were used. Fifteen tubes forming the test group were subjected to low-intensity sound waves by the Exogen device for 20 minutes. The remaining 15 tubes were untreated as controls. The two groups were then compared with respect to colony number, antibiotic susceptibility, and genotypic properties. The tubes were examined histologically by electron microscopy. The test tubes treated with sound waves showed a significantly lower number of bacteria colonies compared to the control tubes (psound waves may be beneficial as a prophylactic measure to prevent infections in primary orthopedic operations and as an adjuvant therapy for infected nonunions.

  9. Effects of shock waves, ultraviolet light, and electric fields from pulsed discharges in water on inactivation of Escherichia coli.

    Science.gov (United States)

    Sun, Bing; Xin, Yanbin; Zhu, Xiaomei; Gao, Zhiying; Yan, Zhiyu; Ohshima, Takayuki

    2018-04-01

    In this work, the bacterial inactivation effects of shock waves, ultraviolet (UV) light, and electric field produced by high-voltage pulsed discharge in liquid with needle-plate configurations were studied. The contributions of each effect on the bacterial killing ratio in the discharge process were obtained individually by modifying reactor type and usage of glass, quartz, and black balloons. The results showed that the location from the discharge center axis significantly influenced the effects of shock waves and electric fields, although the effect of UV light was not affected by the location in the reactor. The effects of shock waves and electric fields were improved by decreasing the distance from the discharge center axis. Under this experimental condition, the effects of shock waves, UV light, and electric fields produced by discharges on bacterial inactivation were approximately 36.1%, 30.8%, 12.7%, respectively. Other contributions seemed to be due to activated species. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Bilateral symmetry of radial pulse in high-level tennis players : implications for the validity of central aortic pulse wave analysis

    OpenAIRE

    Gojanovic, B.

    2010-01-01

    Rapport de synthèse Ce travail de thèse s'articule autour de l'importance de l'évaluation de la fonction vasculaire et des répercussions au niveau central, cardiaque, des perturbations du réseau vasculaire. Les maladies cardiovasculaires sont prédominantes dans notre société et causes de morbidité et mortalité importante. La mesure de la pression artérielle classique reste le moyen le plus utilisé pour suivre la santé des vaisseaux, mais ne reflète pas directement ce qui se passe au niveau...

  11. Pulsed TV holography measurement and digital reconstruction of compression acoustic wave fields: application to nondestructive testing of thick metallic samples

    International Nuclear Information System (INIS)

    Trillo, C; Doval, A F; Deán-Ben, X L; López-Vázquez, J C; Fernández, J L; Hernández-Montes, S

    2011-01-01

    This paper describes a technique that numerically reconstructs the complex acoustic amplitude (i.e. the acoustic amplitude and phase) of a compression acoustic wave in the interior volume of a specimen from a set of full-field optical measurements of the instantaneous displacement of the surface. The volume of a thick specimen is probed in transmission mode by short bursts of narrowband compression acoustic waves generated at one of its faces. The temporal evolution of the displacement field induced by the bursts emerging at the opposite surface is measured by pulsed digital holographic interferometry (pulsed TV holography). A spatio-temporal 3D Fourier transform processing of the measured data yields the complex acoustic amplitude at the plane of the surface as a sequence of 2D complex-valued maps. Finally, a numerical implementation of the Rayleigh–Sommerfeld diffraction formula is employed to reconstruct the complex acoustic amplitude at other planes in the interior volume of the specimen. The whole procedure can be regarded as a combination of optical digital holography and acoustical holography methods. The technique was successfully tested on aluminium specimens with and without an internal artificial defect and sample results are presented. In particular, information about the shape and position of the defect was retrieved in the experiment performed on the flawed specimen, which indicates the potential applicability of the technique for the nondestructive testing of materials

  12. Train of high-power femtosecond pulses: Probe wave in a gas of prepared atoms

    Science.gov (United States)

    Muradyan, Gevorg; Muradyan, Atom Zh.

    2009-09-01

    We present a method for generating a regular train of ultrashort optical pulses in a prepared two-level medium. The train develops from incident monochromatic probe radiation traveling in a medium of atoms, which are in a quantum mechanical superposition of dressed internal states. In the frame of linear theory for the probe radiation, the energy of individual pulses is an exponentially growing function of atom density and of interaction cross section. Pulse repetition rate is determined by the pump field’s generalized Rabi frequency and can be around 1 THz and greater. We also show that the terms, extra to the dipole approximation, endow the gas by a new property: nonsaturating dependence of refractive index on dressing monochromatic field intensity. Contribution of these nonsaturating terms can be compatible with the main dipole approximation term contribution in the wavelength region of about ten micrometers (the range of CO2 laser) or larger.

  13. Dynamics of Solitary Wave Pulses Near the Zero-Dispersion Wavelength in Optical Fibers

    National Research Council Canada - National Science Library

    Akylas, Triantaphyllos

    1998-01-01

    .... Near the zero-dispersion wavelength (ZDW), the borderline between normal and anomalous dispersion, however, dispersive effects are relatively weak and it would seem most efficient to operate there, assuming that one can launch solitary wave...

  14. Isomer-specific detection in the UV photodissociation of the propargyl radical by chirped-pulse mm-wave spectroscopy in a pulsed quasi-uniform flow.

    Science.gov (United States)

    Broderick, Bernadette M; Suas-David, Nicolas; Dias, Nureshan; Suits, Arthur G

    2018-02-21

    Isomer-specific detection and product branching fractions in the UV photodissociation of the propargyl radical is achieved through the use of chirped-pulse Fourier-transform mm-wave spectroscopy in a pulsed quasi-uniform flow (CPUF). Propargyl radicals are produced in the 193 nm photodissociation of 1,2-butadiene. Absorption of a second photon leads to H atom elimination giving three possible C 3 H 2 isomers: singlets cyclopropenylidene (c-C 3 H 2 ) and propadienylidene (l-C 3 H 2 ), and triplet propargylene ( 3 HCCCH). The singlet products and their appearance kinetics in the flow are directly determined by rotational spectroscopy, but due to the negligible dipole moment of propargylene, it is not directly monitored. However, we exploit the time-dependent kinetics of H-atom catalyzed isomerization to infer the branching to propargylene as well. We obtain the overall branching among H loss channels to be 2.9% (+1.1/-0.5) l-C 3 H 2 + H, 16.8% (+3.2/-1.3) c-C 3 H 2 + H, and 80.2 (+1.8/-4.2) 3 HCCCH + H. Our findings are qualitatively consistent with earlier RRKM calculations in that the major channel in the photodissociation of the propargyl radical at 193 nm is to 3 HCCCH + H; however, a greater contribution to the energetically most favorable isomer, c-C 3 H 2 + H is observed in this work. We do not detect the predicted HCCC + H 2 channel, but place an upper bound on its yield of 1%.

  15. Pulse Pressure, Instead of Brachium-Ankle Pulse Wave Velocity, is Associated with Reduced Kidney Function in a Chinese Han Population.

    Science.gov (United States)

    Jia, Linpei; Zhang, Weiguang; Ma, Jie; Chen, Xizhao; Chen, Lei; Li, Zuoxiang; Cai, Guangyan; Huang, Jing; Zhang, Jinping; Bai, Xiaojuan; Feng, Zhe; Sun, Xuefeng; Chen, Xiangmei

    2017-01-01

    In this study, we aim to investigate the association between renal function and arterial stiffness in a Chinese Han population, and further to discuss the effects of smoking on renal function. We collected the data of the brachium-ankle pulse wave velocity (baPWV), blood pressure, blood chemistry and smoking status. Then, the multiple linear regression was done to explore the relationship between estimated glomerular filtration (eGFR) and baPWV. Further, the parameters were compared among the four groups divided according to the quartiles of baPWV. Finally, the baPWV, eGFR and albuminuria values were compared between smokers and non-smokers. baPWV is associated with eGFR in the correlation analysis and univariate linear regression model. After adjustment, the pulse pressure (PP) instead of baPWV showed a significant association with eGFR. Nevertheless, the eGFR values differed among the four baPWV groups; the baPWV values were significantly higher in the subjects at the CKD (eGFR<60 mL/min/1.73 m2) and the early CKD stage (eGFR60-80 mL/min/1.73 m2). The baPWV values and the ratio of proteinuria were significantly increased in smokers. PP but not baPWV is a predictor of declined renal function. Smokers have worse arterial stiffness and worse renal function. © 2017 The Author(s)Published by S. Karger AG, Basel.

  16. Suppression of parasitic noise by strong Langmuir wave damping in quasitransient regimes of backward Raman amplification of intense laser pulses in plasmas.

    Science.gov (United States)

    Malkin, Vladimir; Fisch, Nathaniel

    2009-11-01

    Currently built powerful soft x-ray sources may be able to access intensities needed for backward Raman amplification (BRA) of x-ray pulses in plasmas. However, high plasma densities, needed to provide enough coupling between the pump and seed x-ray pulsed, cause strong damping of the Langmuir wave that mediates energy transfer from the pump to the seed pulse. Such damping could reduce the coupling, thus making efficient BRA impossible. This work shows that efficient BRA can survive despite the Langmuir wave damping significantly exceeding the linear BRA growth rate. Moreover, the strong Langmuir wave damping can suppress deleterious instabilities of BRA seeded by the thermal noise. This shows that it may be feasible to observe x-ray BRA for the first time soon.

  17. Crystal Growth of High-Quality Protein Crystals under the Presence of an Alternant Electric Field in Pulse-Wave Mode, and a Strong Magnetic Field with Radio Frequency Pulses Characterized by X-ray Diffraction

    Directory of Open Access Journals (Sweden)

    Adela Rodríguez-Romero

    2017-06-01

    Full Text Available The first part of this research was devoted to investigating the effect of alternate current (AC using four different types of wave modes (pulse-wave at 2 Hz on the crystal growth of lysozyme in solution. The best results, in terms of size and crystal quality, were obtained when protein crystals were grown under the influence of electric fields in a very specific wave mode (“breathing” wave, giving the highest resolution up to 1.34 Å in X-ray diffraction analysis compared with controls and with those crystals grown in gel. In the second part, we evaluated the effect of a strong magnetic field of 16.5 Tesla combined with radiofrequency pulses of 0.43 μs on the crystal growth in gels of tetragonal hen egg white (HEW lysozyme. The lysozyme crystals grown, both in solution applying breathing-wave and in gel under the influence of this strong magnetic field with pulses of radio frequencies, produced the larger-in-size crystals and the highest resolution structures. Data processing and refinement statistics are very good in terms of the resolution, mosaicity and Wilson B factor obtained for each crystal. Besides, electron density maps show well-defined and distinctly separated atoms at several selected tryptophan residues for the crystal grown using the “breathing wave pulses”.

  18. Aortic stiffness is associated with white matter integrity in patients with type 1 diabetes

    Energy Technology Data Exchange (ETDEWEB)

    Tjeerdema, Nathanja; Schinkel, Linda D. van [Leiden University Medical Center, Department of Endocrinology and General Internal Medicine (C7-Q), Albinusdreef 2, PO Box 9600, Leiden (Netherlands); Westenberg, Jos J.; Elderen, Saskia G. van; Buchem, Mark A. van; Grond, Jeroen van der; Roos, Albert de [Leiden University Medical Center, Department of Radiology, Leiden (Netherlands); Smit, Johannes W. [Leiden University Medical Center, Department of Endocrinology and General Internal Medicine (C7-Q), Albinusdreef 2, PO Box 9600, Leiden (Netherlands); University Medical Center Nijmegen, Department of General Internal Medicine, Nijmegen (Netherlands)

    2014-09-15

    To assess the association between aortic pulse wave velocity (PWV) as a marker of arterial stiffness and diffusion tensor imaging of brain white matter integrity in patients with type 1 diabetes using advanced magnetic resonance imaging (MRI) technology. Forty-one patients with type 1 diabetes (23 men, mean age 44 ± 12 years, mean diabetes duration 24 ± 13 years) were included. Aortic PWV was assessed using through-plane velocity-encoded MRI. Brain diffusion tensor imaging (DTI) measurements were performed on 3-T MRI. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were calculated for white and grey matter integrity. Pearson correlation and multivariable linear regression analyses including cardiovascular risk factors as covariates were assessed. Multivariable linear regression analyses revealed that aortic PWV is independently associated with white matter integrity FA (β = -0.777, p = 0.008) in patients with type 1 diabetes. This effect was independent of age, gender, mean arterial pressure, body mass index, smoking, duration of diabetes and glycated haemoglobin levels. Aortic PWV was not significantly related to grey matter integrity. Our data suggest that aortic stiffness is independently associated with reduced white matter integrity in patients with type 1 diabetes. (orig.)

  19. Generation of high-power Cherenkov superradiance pulses using 2D periodic slow-wave structures based on oversized cylindrical waveguides

    Science.gov (United States)

    Ginzburg, N. S.; Zaslavskii, V. Yu.; Malkin, A. M.; Sergeev, A. S.

    2017-08-01

    We propose to stabilize the azimuthal structure of superradiance pulses using two-dimensional (2D) periodic Bragg structures that simultaneously play the role of a slow-wave system. Analysis performed in the framework of a quasi-optical approach is confirmed by the results of 3D particle-in-cell modeling that demonstrates the possibility of using the proposed system for generating multi-GW nanosecond radiation pulses in the millimeter waveband.

  20. Aortic Function's Adaptation in Response to Exercise-Induced Stress Assessing by 1.5T MRI: A Pilot Study in Healthy Volunteers.

    Directory of Open Access Journals (Sweden)

    Laurence Bal-Theoleyre

    Full Text Available Evaluation of the aortic "elastic reserve" might be a relevant marker to assess the risk of aortic event. Our aim was to compare regional aortic elasticity at rest and during supine bicycle exercise at 1.5 T MRI in healthy individuals.Fifteen volunteers (8 men, with a mean age of 29 (23-41 years, completed the entire protocol. Images were acquired immediately following maximal exercise. Retrospective cine sequences were acquired to assess compliance, distensibility, maximum rates of systolic distension and diastolic recoil at four different locations: ascending aorta, proximal descending aorta, distal descending aorta and aorta above the coeliac trunk level. Segmental aortic pulse wave velocity (PWV was assessed by through plane velocity-encoded MRI.Exercise induced a significant decrease of aortic compliance and distensibility, and a significant increase of the absolute values of maximum rates of systolic distension and diastolic recoil at all sites (p<10-3. At rest and during stress, ascending aortic compliance was statistically higher compared to the whole descending aorta (p≤0.0007. We found a strong correlation between the rate pressure product and aortic distensibility at all sites (r = - 0.6 to -0.75 according to the site, p<10-4. PWV measured at the proximal and distal descending aorta increased significantly during stress (p = 0.02 and p = 0.008, respectively.Assessment of regional aortic function during exercise is feasible using MRI. During stress, aortic elasticity decreases significantly in correlation with an increase of the PWV. Further studies are required to create thresholds for ascending aorta dysfunction among patients with aneurysms, and to monitor the impact of medication on aortic remodeling.

  1. 5B.05: MARFAN SYNDROME: ASSESSMENT OF AORTIC DISSECTION RISK BY ANALYSIS OF AORTIC VISCOELASTIC PROPERTIES.

    Science.gov (United States)

    Grillo, A; Pini, A; Marelli, S; Gan, L; Giuliano, A; Trifirò, G; Santini, F; Salvi, L; Salvi, P; Viecca, F; Carretta, R; Parati, G

    2015-06-01

    Marfan syndrome is an autosomal dominant genetic disorder characterized by an abnormal fibrillin-1 synthesis. Aortic root dilation and dissection are the main problems affecting patients prognosis in these patients. Their pharmacological prophylaxis with losartan or with a beta-blocker counteracts the aortic root dilation, but a close follow-up is required to assess therapeutic response rate and to identify non-responders. Unfortunately genotype-phenotype studies do not allow to determine the exact risk profile in these patients and there is no reliable method to accurately predict their risk of aortic dissection. Aim of this study was to evaluate non-invasive markers for identification of Marfan patients at higher risk of aortic complications. We studied 187 Marfan patients (identified according to 2010 Revised Ghent Criteria and positive genetic analysis), age 32.3 ± 16.5 yrs (mean ± SD). 52 patients (27.8%) had undergone surgical ascending aorta replacement (David or Bentall procedure). Central pressure curves were recorded by PulsePen tonometer, and the aortic viscoelastic aortic properties were studied by determination of carotid-femoral pulse wave velocity (PWV). With reference to the age related distribution of PWV values in a normal population, defined according to Arterial-Stiffness-Collaboration, PWV mean values in Marfan patients corresponded to 60th percentile in non- operated patients and to the 67th percentile in those operated. Adult Marfan patients (n = 146) generally displayed a low blood pressure, because of the pharmacological prophylaxis, and were compared with a population of 189 adult healthy subjects (81 males), matched by age (38 ± 13 vs 38 ± 16 yrs.), heart rate (64 ± 9 bpm vs 64 ± 11 bpm) and blood pressure (mean BP = 78 ± 9 mmHg vs 79 ± 4 mmHg) values. Average PWV value was higher than in healthy controls (PWV = 7.0 ± 1.7) both in not operated (PWV = 7.6 ± 1.6; p = 0

  2. Metabolic syndrome and its effect on aortic stiffness in premenopausal women.

    Science.gov (United States)

    Simkova, A; Bulas, J; Balogova, S; Reptova, A; Kisa, B; Luha, J; Kinova, S

    2013-01-01

    Metabolic syndrome (MS) is a cluster of proatherogenic risk factors (RF) (abdominal obesity, atherogenic dyslipidemia, impaired fasting glucose or type 2 diabetes mellitus, higher blood pressure or antihypertensive therapy) that move patients into a higher risk for development of cardiovascular disease (CVD) and type 2 diabetes. The preclinical (subclinical) target organ diseases (SOD) are early signs of atherosclerosis. An increased aortic stiffness characterised by an increased pulse wave velocity in aorta (PWV Ao) is one of SOD.The aim of the present study was to assess the impact of metabolic syndrome (MS) on aortic wall stiffness and the risk profile in premenopausal women. The aortic stiffness was measured using Arteriograph-Tensiomed, based on oscillometric measurement and analysis of the shape of brachial pulse wave, giving the PWV Ao. The results of measurements characterise a global aortic stiffness. We examined 81 premenopausal women (without history of CVD). The MS (according to the 2009 "harmonizing" definition) was present in 31 women (mean age 41.5 y), in the control group, there were 50 women (39 y). The most frequent components of MS were abdominal obesity (93 % vs 42%), arterial hypertension (68 % vs 10 %) and dyslipidemia (29 % vs 8 %). The PWV Ao was significantly higher in women with MS (9.26 m/s) compared to the control group (7.44 m/s). The aortic stiffness in women with MS compared to controls was significantly higher despite a presumed general protective hormonal effect on cardiovascular system in women with child-bearing potential (Tab. 4, Ref. 25).

  3. Nonlinear self-focus of pulsed-wave beams in Kerr media

    Energy Technology Data Exchange (ETDEWEB)

    Judkins, Justin Boyd [Univ. of Arizona, Tucson, AZ (United States)

    1992-01-01

    A modified finite-difference time-domain method for solving Maxwell`s equations in nonlinear media is presented. This method allows for a finite response time to be incorporated in the medium, physically creating dispersion and absorption mechanisms. The technique models electromagnetic fields in two space dimensions and time and encompasses both the TEz and TMz set of decoupled field equations. Aspects of an ultra-short pulsed Gaussian beam are studied in a variety of linear and nonlinear environments to demonstrate that the methods developed here can be used efficaciously in the modeling of pulses in complex problem space geometries even when nonlinearities are present.

  4. Asymmetric Ultrasonic Pulse Radiation Using Electromagnetic-Induction Transducer and PZT(Pb(Zr-Ti)O3) Transducer with Wave Synthesis Method

    Science.gov (United States)

    Endoh, Nobuyuki; Yamamoto, Koji

    1993-05-01

    In medical applications, especially in urology, we use a fragmentation calculus technique with shock waves. This technique is very profitable because of no abdominal surgery for a human being. Large negative sound amplitude pulses, however, can cause problems such as internal hemorrhage or pain in the human body. The final goal of this study is to develop a means to project an intense positive unipolar pulse without negative sound pressure. We improved a composite transducer consisting of an electromagnetic-induction-type (EMI) transducer and PZT (Pb(Zr-Ti)O3) transducers. An EMI transducer consisting of a metal coil and vibration membrane can project intense sound pulses into water. In order to suppress its negative sound pressure, we project a compensation pulse with PZT transducers using an inverse filtering method. An asymmetric pulse whose P+ to P- amplitude ratio was very high was projected in water.

  5. Vector Flow Imaging Compared with Pulse Wave Doppler for Estimation of Peak Velocity in the Portal Vein

    DEFF Research Database (Denmark)

    Brandt, Andreas Hjelm; Moshavegh, Ramin; Hansen, Kristoffer Lindskov

    2018-01-01

    The study described here investigated whether angle-independent vector flow imaging (VFI) technique estimates peak velocities in the portal vein comparably to pulsed wave Doppler (PWD). Furthermore, intra- and inter-observer agreement was assessed in a substudy. VFI and PWD peak velocities were...... estimated with from intercostal and subcostal views for 32 healthy volunteers, and precision analyses were conducted. Blinded to estimates, three physicians rescanned 10 volunteers for intra- and inter-observer agreement analyses. The precision of VFI and PWD was 18% and 28% from an intercostal view and 23......% and 77% from a subcostal view, respectively. Bias between VFI and PWD was 0.57 cm/s (p = 0.38) with an intercostal view and 9.89 cm/s (p ...

  6. Theory and experiment of Fourier-Bessel field calculation and tuning of a pulsed wave annular array

    DEFF Research Database (Denmark)

    Fox, Paul D.; Jiqi, Cheng; Jian-yu, Lu

    2003-01-01

    A one-dimensional (1D) Fourier-Bessel series method for computing and tuning (beamforming) the linear lossless field of flat pulsed wave annular arrays is developed and supported with both numerical simulation and experimental verification. The technique represents a new method for modeling...... and tuning the propagated field by linking the quantized surface pressure profile to a known set of limited diffraction Bessel beams propagating into the medium. This enables derivation of an analytic expression for the field at any point in space and time in terms of the transducer surface pressure profile....... Tuning of the field then also follows by formulating a least-squares design for the transducer surface pressure with respect to a given desired field in space and time. Simulated and experimental results for both field computation and tuning are presented in the context of a 10-ring annular array...

  7. Correlation between the arterial pulse wave of the cerebral microcirculation and CBF during breath holding and hyperventilation in human.

    Science.gov (United States)

    Viola, S; Viola, P; Litterio, P; Buongarzone, M P; Fiorelli, L

    2012-10-01

    To evaluate if relative changes in the amplitude of the arterial pulse wave of the cerebral microcirculation (APWCM) measured by near-infrared spectroscopy (NIRS) may provide information about relative changes of cerebral blood flow (CBF) in cerebral cortex. In 10 healthy human volunteers, through simultaneous recording of the APWCM amplitude by means of NIRS and the mean blood flow velocity (MBFV) of middle cerebral artery by means of transcranial Doppler (TCD) at rest and during breath holding and hyperventilation, we evaluate a possible correlation between relative changes of the mean APWCM amplitude and relative changes of MBFV. We found a significant linear correlation: breath holding: R(2) 0.84, p breath holding and hyperventilation. APWCM detected by NIRS, a safe, repeatable, inexpensive technology and at the bedside may improve the study of cerebral cortex microcirculation in neurological diseases. Copyright © 2012 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  8. High efficiency transfection of embryonic limb mesenchyme with plasmid DNA using square wave pulse electroporation and sucrose buffer.

    Science.gov (United States)

    Bobick, Brent E; Alexander, Peter G; Tuan, Rocky S

    2014-01-01

    Micromass cultures of primary embryonic limb mesenchyme are a valuable model system for studying cartilage formation in vitro. However, high efficiency introduction of plasmid DNA into this hard-to-transfect cell type typically results in considerable cell death and significantly impeded chondrogenesis when the cells are subsequently plated in high density micromass. Here, we describe a novel method in which square wave pulse electroporation of chick embryo wing bud mesenchyme suspended in protective sucrose buffer results in high efficiency transfection without substantially affecting micromass culture cell viability or chondrogenic differentiation potential. Furthermore, we show that this protocol can be employed, along with effector gene expression vectors, to generate observable changes in the amount of cartilage tissue formed in micromass, unlike lower efficiency, higher cytotoxicity techniques that require co-transfection of reporter plasmids to monitor changes in the extent of chondrogenesis and correct for differences in cell viability.

  9. Dynamics of shock waves and cavitation bubbles in bilinear elastic-plastic media, and the implications to short-pulsed laser surgery

    Science.gov (United States)

    Brujan, E.-A.

    2005-01-01

    The dynamics of shock waves and cavitation bubbles generated by short laser pulses in water and elastic-plastic media were investigated theoretically in order to get a better understanding of their role in short-pulsed laser surgery. Numerical simulations were performed using a spherical model of bubble dynamics which include the elastic-plastic behaviour of the medium surrounding the bubble, compressibility, viscosity, density and surface tension. Breakdown in water produces a monopolar acoustic signal characterized by a compressive wave. Breakdown in an elastic-plastic medium produces a bipolar acoustic signal, with a leading positive compression wave and a trailing negative tensile wave. The calculations revealed that consideration of the tissue elasticity is essential to describe the bipolar shape of the shock wave emitted during optical breakdown. The elastic-plastic response of the medium surrounding the bubble leads to a significant decrease of the maximum size of the cavitation bubble and pressure amplitude of the shock wave emitted during bubble collapse, and shortening of the oscillation period of the bubble. The results are discussed with respect to collateral damage in short-pulsed laser surgery.

  10. Karakteristik Aliran Darah pada Katup Semilunar Aorta Anjing Kampung yang Dinilai dengan Pulsed Wave Doppler Ekhokardiografi (CHARACTERISTICS OF BLOOD FLOW IN SEMILUNAR AORTA VALVE OF MONGREL DOG ASSESSED BY PULSED WAVE DOPPLER ECHOCARDIOGRAPHY

    Directory of Open Access Journals (Sweden)

    Deni Noviana

    2014-04-01

    Full Text Available The purpose of this study was to determine the characteristics of blood flow which passed through theaortic valve of normal Indonesian mongrel dogs using trans-thoracic Pulsed Wave Doppler (PWDechocardiography. Eight (8 adult dogs (three male dogs and 5 female dogs with an average age 3.31 ± 0.59years and average body weight 12.45 ± 1.30 kg were used in the study. Trans-thoracic PWD echocardiographyexaminations were performed in conscious/unsedated animals at the left lateral recumbence position. Theinstruments used in this study were: i two dimensional ultrasound device and ii phased array transducersmall foot print with 3.7 – 5.0 MHz frequency. Six elements of PWD were measured: i heart rate (HR; iipeak velocity (Vpeak; iii velocity time integral (VTI; iv mean pressure gradient (MPG; v pulsatilityindex (PI; and vi ratio of systole-diastole (S/D. Results showed the typically characteristics of blood flowin semilunar aorta valve is demonstrated by the only one peak wave (peak velocity = Vpeak upon examinationby placing the Doppler scan volume right on the aorta valve. In general, all six elements of PWD measuredwere found to be higher in female dogs compared to male dogs. However, these differences were notstatistically significant (P>0.05.

  11. Effect of Intensive Multifactorial Treatment Compared With Routine Care on Aortic Stiffness and Central Blood Pressure Among Individuals With Screen-Detected Type 2 Diabetes

    DEFF Research Database (Denmark)

    Johansen, Nanna Borup; Charles, Morten; Vistisen, Dorte

    2012-01-01

    OBJECTIVEDiabetes is associated with increased brachial and central blood pressure and aortic stiffness. We examined the effect of intensive multifactorial treatment in general practice on indices of peripheral and central hemodynamics among patients with screen-detected diabetes.RESEARCH DESIGN.......2 years, an unselected subsample of 456 patients underwent central hemodynamic assessments by applanation tonometry. Central pressure was derived from the radial pulse wave. Aortic stiffness was assessed as carotid-femoral pulse wave velocity (aPWV). The intervention effect on each index of central...... hemodynamics was analyzed by mixed-effects models adjusted for heart rate, cluster randomization, age, and sex.RESULTSAt screening, median age was 59.2 years (interquartile range 55.2-64.6); 289 patients (63%) were in the intensive treatment group, and 278 patients (61%) were men. Patients in the intensive...

  12. Endotoxin-induced and vaccine-induced systemic inflammation both impair endothelium-dependent vasodilation, but not pulse wave reflection

    Directory of Open Access Journals (Sweden)

    Lind L

    2012-07-01

    Full Text Available Lars Lind,1 Johannes Hulthe,2,3 Annika Johansson,3 Ewa Hedner31Department of Medicine, University Hospital, Uppsala, 2Sahlgrenska Hospital, Gothenburg, 3AstraZeneca Research and Development, Mölndal, SwedenBackground: Inflammation induced by either endotoxin or vaccination has previously been shown to impair endothelium-dependent vasodilation (EDV in healthy young individuals. However, the vascular effects of these two mechanisms of inducing inflammation have not been compared in the same individuals.Methods: Twelve young healthy males were studied at the same time of the day on three occasions in a random order; on one occasion 4 hours following an endotoxin injection (Escherichia coli endotoxin, 20 IU/kg, on another occasion 8 hours following vaccination against Salmonella typhi, and on a third occasion 4 hours following a saline control injection. EDV and endothelium-independent vasodilation (EIDV were evaluated by local infusions of acetylcholine and sodium nitroprusside in the brachial artery, and forearm blood flow was measured with venous occlusion plethysmography. The augmentation index was determined by pulse wave analysis as an index of pulse wave reflection.Results: Both endotoxin and vaccination impaired EDV to a similar degree compared with the saline control (P = 0.005 and P = 0.014, respectively. EIDV was not significantly affected by inflammation. Endotoxin, but not vaccination, increased body temperature and circulating levels of intracellular adhesion molecule-1 and interleukin-6. Augmentation index was not affected by the interventions.Conclusion: Despite the fact that endotoxin induced a more pronounced degree of inflammation than vaccination, both inflammatory challenges impaired EDV to a similar degree, supporting the view that different inflammatory stimuli could induce harmful effects on the vasculature.Keywords: endothelium, endotoxin, vaccination, vasodilation, inflammation

  13. Portable indices for sarcopenia are associated with pressure wave reflection and central pulse pressure: the J-SHIPP study.

    Science.gov (United States)

    Ohara, Maya; Kohara, Katsuhiko; Tabara, Yasuharu; Igase, Michiya; Miki, Tetsuro

    2015-02-01

    We recently reported that thigh muscle sarcopenia measured by computed tomography is related to arterial stiffness, pressure wave reflection, and central pulse pressure (PP). However, it remains to be determined whether more straightforward and simple techniques such as hand grip strength and the bio-impedance method are also useful for the clinical evaluation of sarcopenia. A total of 1593 middle-aged to older patients participated in this cross-sectional study. Brachial-to-ankle pulse wave velocity (baPWV) was measured as an index of arterial stiffness. Second PP (PP2) at the second peak of radial SBP was used to estimate central PP. Radial augmentation index was calculated as PP2/PP. Thigh muscle cross-sectional area and abdominal visceral fat area were quantified by computed tomography. Patients were classified as sarcopenic if their hand grip strength or skeletal muscle mass (measured by bioelectrical impedance) was more than 1 SD lower than the mean of those in a reference group aged below 50 years, or in the lowest 20% of the studied population. Visceral obesity was defined as visceral fat area greater than 100 cm. Antidyslipidemia drug and antidiabetic drug were significantly associated with lower hand grip strength. Both sarcopenic indices were significantly and independently associated with baPWV, radial augmentation index, and PP2. Sarcopenia defined by either criterion was significantly associated with higher baPWV, radial augmentation index, and PP2. Visceral obesity was significantly associated only with baPWV. These findings indicate the clinical usefulness of noninvasive methods for assessment of sarcopenia, which is a risk factor for cardiovascular disease.

  14. Aortic and Cardiac Structure and Function Using High-Resolution Echocardiography and Optical Coherence Tomography in a Mouse Model of Marfan Syndrome.

    Directory of Open Access Journals (Sweden)

    Ling Lee

    Full Text Available Marfan syndrome (MFS is an autosomal-dominant disorder of connective tissue caused by mutations in the fibrillin-1 (FBN1 gene. Mortality is often due to aortic dissection and rupture. We investigated the structural and functional properties of the heart and aorta in a [Fbn1C1039G/+] MFS mouse using high-resolution ultrasound (echo and optical coherence tomography (OCT. Echo was performed on 6- and 12-month old wild type (WT and MFS mice (n = 8. In vivo pulse wave velocity (PWV, aortic root diameter, ejection fraction, stroke volume, left ventricular (LV wall thickness, LV mass and mitral valve early and atrial velocities (E/A ratio were measured by high resolution echocardiography. OCT was performed on 12-month old WT and MFS fixed mouse hearts to measure ventricular volume and mass. The PWV was significantly increased in 6-mo MFS vs. WT (366.6 ± 19.9 vs. 205.2 ± 18.1 cm/s; p = 0.003 and 12-mo MFS vs. WT (459.5 ± 42.3 vs. 205.3 ± 30.3 cm/s; p< 0.0001. PWV increased with age in MFS mice only. We also found a significantly enlarged aortic root and decreased E/A ratio in MFS mice compared with WT for both age groups. The [Fbn1C1039G/+] mouse model of MFS replicates many of the anomalies of Marfan patients including significant aortic dilation, central aortic stiffness, LV systolic and diastolic dysfunction. This is the first demonstration of the direct measurement in vivo of pulse wave velocity non-invasively in the aortic arch of MFS mice, a robust measure of aortic stiffness and a critical clinical parameter for the assessment of pathology in the Marfan syndrome.

  15. Relationship between dietary patterns and brachial-ankle pulse wave velocity among middle-aged adults in Japan.

    Science.gov (United States)

    Moyama, Shota; Minami, Kazuhiro; Yano, Mihiro; Okumura, Masumi; Hayashi, Susumu; Takayama, Hiroshi; Yorimoto, Akira

    2017-05-01

    Arterial stiffness is a leading cause of cardiovascular disease (CVD), and it is considered to be affected by dietary intake. However, few studies have examined the relationship between major dietary patterns and brachial-ankle pulse wave velocity (baPWV) among Japanese middle-aged subjects. We studied whether major dietary patterns were associated with baPWV in this population. Between 2009 and 2012, 70 Japanese middle-aged subjects (39 men and 31 women) with no history of stroke, coronary heart disease, or cancer were studied. Dietary intake was documented using a validated food-frequency questionnaire, and dietary patterns were generated using factor analysis. Correlational analyses were performed between baPWV and identified dietary patterns and between baPWV and individual risk factors (total cholesterol, triglyceride, low-density lipoprotein cholesterol [LDL-C], high-density lipoprotein cholesterol [HDL-C], non- HDL-C, LDL/HDL ratio, and augmentation index). Two dietary patterns were identified: a rice-rich pattern (high in rice, breads, oils and fats, meats, and confectionery) and a vegetable-rich pattern (high in vegetables, fruit, fish, and seaweed). The rice-rich pattern was not associated with baPWVor other risk factors. A significant inverse correlation was found between baPWV and the vegetable-rich dietary pattern (pvegetables, seafood, seaweed, fruit, and pulse is inversely associated with arterial stiffness measured by baPWV. This diet offers an additional nutritional approach to the prevention and treatment of arterial stiffness.

  16. Annealing of ion-implanted SiC by laser-pulse-exposure-generated shock-waves

    Science.gov (United States)

    Mulpuri, K. B.; Qadri, S. B.; Grun, J.; Manka, C. K.; Ridgway, M. C.

    2006-06-01

    Athermal annealing in phosphorus, boron, and aluminum/boron implanted 4H-SiC is explored by launching mechanical shock waves, induced by exposure to a laser pulse. Annealing is observed in a 3.2 mm outer diameter donut-shaped area surrounding the laser exposed spot. The minimum sheet-resistance within this area in phosphorus-implanted sample is close to the thermally annealed value of 400 Ω/□. Unlike thermal annealing, shock annealing did not cause any redistribution of the implant, including boron, a known transient enhanced diffuser in SiC. Optimization of parameters like laser power and/or pulse duration or investigation of an alternate mechanical shockwave launching method is required to achieve athermal annealing far away from the center of the exposed region and similar to that of the thermal annealed material. Results of this study might help in the manufacturing of silicon carbide high-power, high-temperature, and radiation hardened devices in the future.

  17. Performance of a reflectometer at continuous wave and pulsed neutron sources

    International Nuclear Information System (INIS)

    Fitzsimmons, M.R.

    1995-01-01

    The Monte-Carlo simulations presented here involve simulations of reflectivity measurements of one sample using a reflectometer of traditional geometry at different neutron sources. The same reflectometer was used in all simulations. Only the characteristics of the neutron source, and the technique used to measure neutron wavelength were changed. In the case of the CW simulation, a monochromating crystal was used to select a nearly monochromatic beam (MB) from the neutron spectrum. In the simulations of the pulse sources, the time needed to traverse a fixed distance was measured, from which neutron wavelength is deduced

  18. Continuous-wave to pulse regimes for a family of passively mode-locked lasers with saturable nonlinearity

    Science.gov (United States)

    Dikandé, Alain M.; Voma Titafan, J.; Essimbi, B. Z.

    2017-10-01

    The transition dynamics from continuous-wave to pulse regimes of operation for a generic model of passively mode-locked lasers with saturable absorbers, characterized by an active medium with non-Kerr nonlinearity, are investigated analytically and numerically. The system is described by a complex Ginzburg-Landau equation with a general m:n saturable nonlinearity (i.e {I}m/{(1+{{Γ }}I)}n, where I is the field intensity and m and n are two positive numbers), coupled to a two-level gain equation. An analysis of stability of continuous waves, following the modulational instability approach, provides a global picture of the self-starting dynamics in the system. The analysis reveals two distinct routes depending on values of the couple (m, n), and on the dispersion regime: in the normal dispersion regime, when m = 2 and n is arbitrary, the self-starting requires positive values of the fast saturable absorber and nonlinearity coefficients, but negative values of these two parameters for the family with m = 0. However, when the spectral filter is negative, the laser can self-start for certain values of the input field and the nonlinearity saturation coefficient Γ. The present work provides a general map for the self-starting mechanisms of rare-earth doped figure-eight fiber lasers, as well as Kerr-lens mode-locked solid-state lasers.

  19. Mechanical Stimulation (Pulsed Electromagnetic Fields "PEMF" and Extracorporeal Shock Wave Therapy "ESWT") and Tendon Regeneration: A Possible Alternative.

    Science.gov (United States)

    Rosso, Federica; Bonasia, Davide E; Marmotti, Antonio; Cottino, Umberto; Rossi, Roberto

    2015-01-01

    The pathogenesis of tendon degeneration and tendinopathy is still partially unclear. However, an active role of metalloproteinases (MMP), growth factors, such as vascular endothelial growth factor (VEGF) and a crucial role of inflammatory elements and cytokines was demonstrated. Mechanical stimulation may play a role in regulation of inflammation. In vitro studies demonstrated that both pulsed electromagnetic fields (PEMF) and extracorporeal shock wave therapy (ESWT) increased the expression of pro-inflammatory cytokine such as interleukin (IL-6 and IL-10). Moreover, ESWT increases the expression of growth factors, such as transforming growth factor β(TGF-β), (VEGF), and insulin-like growth factor 1 (IGF1), as well as the synthesis of collagen I fibers. These pre-clinical results, in association with several clinical studies, suggest a potential effectiveness of ESWT for tendinopathy treatment. Recently PEMF gained popularity as adjuvant for fracture healing and bone regeneration. Similarly to ESWT, the mechanical stimulation obtained using PEMFs may play a role for treatment of tendinopathy and for tendon regeneration, increasing in vitro TGF-β production, as well as scleraxis and collagen I gene expression. In this manuscript the rational of mechanical stimulations and the clinical studies on the efficacy of extracorporeal shock wave (ESW) and PEMF will be discussed. However, no clear evidence of a clinical value of ESW and PEMF has been found in literature with regards to the treatment of tendinopathy in human, so further clinical trials are needed to confirm the promising hypotheses concerning the effectiveness of ESWT and PEMF mechanical stimulation.

  20. Spectral pulsed-wave tissue Doppler imaging lateral-to-septal delay fails to predict clinical or echocardiographic outcome after cardiac resynchronization therapy

    NARCIS (Netherlands)

    O.I.I. Soliman (Osama Ibrahim Ibrahim); D.A.M.J. Theuns (Dominic); M.L. Geleijnse (Marcel); A. Nemes (Attila); K. Caliskan (Kadir); W.B. Vletter (Wim); L.J.L.M. Jordaens (Luc); F.J. ten Cate (Folkert)

    2007-01-01

    textabstractAims: The current study sought to assess if pre-implantation lateral-to-septal delay (LSD) ≥60 ms assessed by spectral pulsed-wave myocardial tissue Doppler imaging (PW-TDI) could predict successful long-term outcome after cardiac resynchronization therapy (CRT). Methods and results

  1. Aortic Dissection

    Science.gov (United States)

    ... Follow a low-salt diet with plenty of fruits, vegetables and whole grains and exercise regularly. Wear a seat belt. This reduces the risk of traumatic injury to your chest area. Work with your doctor. If you have a family history of aortic dissection, a connective tissue disorder or ...

  2. Coupling electromagnetic pulse-shaped waves into wire-like interconnection structures with a non-linear protection – Time domain calculations by the PEEC method

    Directory of Open Access Journals (Sweden)

    G. Wollenberg

    2004-01-01

    Full Text Available An interconnection system whose loads protected by a voltage suppressor and a low-pass filter against overvoltages caused by coupling pulse-shaped electromagnetic waves is analyzed. The external wave influencing the system is assumed as a plane wave with HPM form. The computation is provided by a full-wave PEEC model for the interconnection structure incorporated in the SPICE code. Thus, nonlinear elements of the protection circuit can be included in the calculation. The analysis shows intermodulation distortions and penetrations of low frequency interferences caused by intermodulations through the protection circuits. The example examined shows the necessity of using full-wave models for interconnections together with non-linear circuit solvers for simulation of noise immunity in systems protected by nonlinear devices.

  3. Pulse Wave Velocity Prediction and Compliance Assessment in Elastic Arterial Segments.

    Science.gov (United States)

    Lillie, Jeffrey S; Liberson, Alexander S; Mix, Doran; Schwarz, Karl Q; Chandra, Ankur; Phillips, Daniel B; Day, Steven W; Borkholder, David A

    2015-03-01

    Pressure wave velocity (PWV) is commonly used as a clinical marker of vascular elasticity. Recent studies have increased clinical interest in also analyzing the impact of heart rate, blood pressure, and left ventricular ejection time on PWV. In this article we focus on the development of a theoretical one-dimensional model and validation via direct measurement of the impact of ejection time and peak pressure on PWV using an in vitro hemodynamic simulator. A simple nonlinear traveling wave model was developed for a compliant thin-walled elastic tube filled with an incompressible fluid. This model accounts for the convective fluid phenomena, elastic vessel deformation, radial motion, and inertia of the wall. An exact analytical solution for PWV is presented which incorporates peak pressure, ejection time, ejection volume, and modulus of elasticity. To assess arterial compliance, the solution is introduced in an alternative form, explicitly determining compliance of the wall as a function of the other variables. The model predicts PWV in good agreement with the measured values with a maximum difference of 3.0%. The results indicate an inverse quadratic relationship ([Formula: see text]) between ejection time and PWV, with ejection time dominating the PWV shifts (12%) over those observed with changes in peak pressure (2%). Our modeling and validation results both explain and support the emerging evidence that, both in clinical practice and clinical research, cardiac systolic function related variables should be regularly taken into account when interpreting arterial function indices, namely PWV.

  4. Combined effect of pulsed electromagnetic field and sound wave on In vitro and In vivo neural differentiation of human mesenchymal stem cells.

    Science.gov (United States)

    Choi, Yun-Kyong; Urnukhsaikhan, Enerelt; Yoon, Hee-Hoon; Seo, Young-Kwon; Cho, Hyunjin; Jeong, Jong-Seob; Kim, Soo-Chan; Park, Jung-Keug

    2017-01-01

    Biophysical wave stimulus has been used as an effective tool to promote cellular maturation and differentiation in the construction of engineered tissue. Pulsed electromagnetic fields (PEMFs) and sound waves have been selected as effective stimuli that can promote neural differentiation. The aim of this study was to investigate the synergistic effect of PEMFs and sound waves on the neural differentiation potential in vitro and in vivo using human bone marrow mesenchymal stem cells (hBM-MSCs). In vitro, neural-related genes in hBM-MSCs were accelerated by the combined exposure to both waves more than by individual exposure to PEMFs or sound waves. The combined wave also up-regulated the expression of neural and synaptic-related proteins in a three-dimensional (3-D) culture system through the phosphorylation of extracellular signal-related kinase. In a mouse model of photochemically induced ischemia, exposure to the combined wave reduced the infarction volume and improved post-injury behavioral activity. These results indicate that a combined stimulus of biophysical waves, PEMFs and sound can enhance and possibly affect the differentiation of MSCs into neural cells. Our study is meaningful for highlighting the potential of combined wave for neurogenic effects and providing new therapeutic approaches for neural cell therapy. © 2016 American Institute of Chemical Engineers Biotechnol. Prog., 33:201-211, 2017. © 2016 American Institute of Chemical Engineers.

  5. A 4 MA, 500 ns pulsed power generator CQ-4 for characterization of material behaviors under ramp wave loading.

    Science.gov (United States)

    Wang, Guiji; Luo, Binqiang; Zhang, Xuping; Zhao, Jianheng; Sun, Chengwei; Tan, Fuli; Chong, Tao; Mo, Jianjun; Wu, Gang; Tao, Yanhui

    2013-01-01

    A pulsed power generator CQ-4 was developed to characterize dynamic behaviors of materials under ramp wave loading, and to launch high velocity flyer plates for shock compression and hypervelocity impact experiments of materials and structures at Institute of Fluid Physics, China Academy of Engineering Physics. CQ-4 is composed of twenty capacitor and primary discharge switch modules with total capacitance of 32 μF and rated charging voltage of 100 kV, and the storage energy is transmitted by two top and bottom parallel aluminum plates insulated by twelve layers of polyester film with total thickness of 1.2 mm. Between capacitor bank and chamber, there are 72 peaking capacitors with total capacitance of 7.2 μF and rated voltage of 120 kV in parallel, which are connected with the capacitor bank in parallel. Before the load, there is a group of seven secondary self-breaking down switches connected with the total circuit in series. The peaking capacitors and secondary switches are used to shape the discharging current waveforms. For short-circuit, the peak current of discharging can be up to 3 ~ 4 MA and rise time varies from 470 ns to 600 ns when the charging voltages of the generator are from 75 kV to 85 kV. With CQ-4 generator, some quasi-isentropic compression experiments under ramp wave loadings are done to demonstrate the ability of CQ-4 generator. And some experiments of launching high velocity flyer plates are also done on CQ-4. The experimental results show that ramp wave loading pressure of several tens of GPa on copper and aluminum samples can be realized and the velocity of aluminum flyer plate with size of 10 mm × 6 mm × 0.35 mm can be accelerated to about 11 km/s and the velocity of aluminum flyer plate with size of 10 mm × 6 mm × 0.6 mm can be up to about 9 km/s, which show that CQ-4 is a good and versatile tool to realize ramp wave loading and shock compression for shock physics.

  6. A 4 MA, 500 ns pulsed power generator CQ-4 for characterization of material behaviors under ramp wave loading

    Science.gov (United States)

    Wang, Guiji; Luo, Binqiang; Zhang, Xuping; Zhao, Jianheng; Sun, Chengwei; Tan, Fuli; Chong, Tao; Mo, Jianjun; Wu, Gang; Tao, Yanhui

    2013-01-01

    A pulsed power generator CQ-4 was developed to characterize dynamic behaviors of materials under ramp wave loading, and to launch high velocity flyer plates for shock compression and hypervelocity impact experiments of materials and structures at Institute of Fluid Physics, China Academy of Engineering Physics. CQ-4 is composed of twenty capacitor and primary discharge switch modules with total capacitance of 32μF and rated charging voltage of 100 kV, and the storage energy is transmitted by two top and bottom parallel aluminum plates insulated by twelve layers of polyester film with total thickness of 1.2 mm. Between capacitor bank and chamber, there are 72 peaking capacitors with total capacitance of 7.2 μF and rated voltage of 120 kV in parallel, which are connected with the capacitor bank in parallel. Before the load, there is a group of seven secondary self-breaking down switches connected with the total circuit in series. The peaking capacitors and secondary switches are used to shape the discharging current waveforms. For short-circuit, the peak current of discharging can be up to 3 ˜ 4 MA and rise time varies from 470 ns to 600 ns when the charging voltages of the generator are from 75 kV to 85 kV. With CQ-4 generator, some quasi-isentropic compression experiments under ramp wave loadings are done to demonstrate the ability of CQ-4 generator. And some experiments of launching high velocity flyer plates are also done on CQ-4. The experimental results show that ramp wave loading pressure of several tens of GPa on copper and aluminum samples can be realized and the velocity of aluminum flyer plate with size of 10 mm × 6 mm × 0.35 mm can be accelerated to about 11 km/s and the velocity of aluminum flyer plate with size of 10 mm × 6 mm × 0.6 mm can be up to about 9 km/s, which show that CQ-4 is a good and versatile tool to realize ramp wave loading and shock compression for shock physics.

  7. Transcatheter aortic valve replacement

    Science.gov (United States)

    ... gov/ency/article/007684.htm Transcatheter aortic valve replacement To use the sharing features on this page, please enable JavaScript. Transcatheter aortic valve replacement (TAVR) is surgery to replace the aortic valve. ...

  8. Aortic Valve Regurgitation

    Science.gov (United States)

    ... correct direction. These valves include the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each valve has ... Causes of aortic valve regurgitation include: Congenital heart valve disease. You may have been born with an aortic ...

  9. A study on micro hydroforming using shock wave of 355 nm UV-pulsed laser

    Science.gov (United States)

    Je, Gyeongju; Malka, Dror; Kim, Hyesu; Hong, Sungmoo; Shin, Bosung

    2017-09-01

    In this paper, we proposed a new manufacturing technology of micro hydroforming using 355 nm ultraviolet(UV)-pulsed laser. Hydroforming is known as a well-established technology to manufacture metallic parts, in particular for mass production of sheet metal, for several industrial applications such as automobiles, battery and military products. In addition laser shock processing(LSP) has been developed as the expanded applications of electrical and mechatronic devices. When the material was exposed to laser beam, multiple phenomena like the photochemical, the photothermal and the photomechanical effect are simultaneously occurred at the spot area. Especially, the photothermal effect due to laser heat transfer makes it hard to improve the accuracy of laser processing. To reduce the thermal effect and to enhance the photomechanical effect, the laser was irradiated under water in this paper. Strong forming pressure of LSP was provided by the higher density of water than air, which could help directly manufacture the thin sheet metal materials like as laser direct writing. We also conducted computer simulation using finite element method(FEM) to demonstrate its deformation behaviour with and without the strain rate effect of 104-105 (sec-1). Compared with conventional processing technology, this new method can provide high selectivity, excellent hydroforming efficiency and lower cost to achieve micro grooving pattern on the surface of thin metal sheet.

  10. A 10-TW Pulsed Facility "PIRIT" for Investigation of Short-Wave Radiation Generation.

    Science.gov (United States)

    Popkov, N F; Ryaslov, E A; Kargin, V I; Pikar', A S; Kotel'nikov, D V; Melkozerov, A V

    1995-01-01

    The results of experiments with a plasma x-ray source in the PIRIT-2000 facility are presented in this paper. The facility is designed with module capacitive energy storage energizing vacuum inductive storage. The formation of a rapidly growing current pulse as well as its commutation on a load was carried out by a plasma opening switch. A vacuum diode as well as various types of plasma loads can be used for the generation of a high-power x-ray flux. The storage energy of a 54-module capacitive storage is up to 2 MJ, its inductance is 15 nH, and its output voltage is 500 kV. The peak current in the plasma load constituted 4 MA with a 150-ns rise time. The maximum integral energy output of x radiation measured by an open thermocouple calorimeter was as high as 100 kJ, while the primary storage energy was 1 MJ. The plasma load usage at a current of 4 MA ensured a 100-kJ generation in x-ray radiation and the density of the radiation flux at a distance of 1 m from the source was as much as 0.8 J/cm2, while near the source it was 10 J/cm2.

  11. High-efficiency generation of pulsed Lyman-α radiation by resonant laser wave mixing in low pressure Kr-Ar mixture.

    Science.gov (United States)

    Saito, Norihito; Oishi, Yu; Miyazaki, Koji; Okamura, Kotaro; Nakamura, Jumpei; Louchev, Oleg A; Iwasaki, Masahiko; Wada, Satoshi

    2016-04-04

    We report an experimental generation of ns pulsed 121.568 nm Lyman-α radiation by the resonant nonlinear four-wave mixing of 212.556 nm and 845.015 nm radiation pulses providing a high conversion efficiency 1.7x10-3 with the output pulse energy 3.6 μJ achieved using a low pressure Kr-Ar mixture. Theoretical analysis shows that this efficiency is achieved due to the advantage of using (i) the high input laser intensities in combination with (ii) the low gas pressure allowing us to avoid the onset of full-scale discharge in the laser focus. In particular, under our experimental conditions the main mechanism of photoionization caused by the resonant 2-photon 212.556 nm radiation excitation of Kr atoms followed by the 1-photon ionization leads to ≈17% loss of Kr atoms and efficiency loss only by the end of the pulse. The energy of free electrons, generated by 212.556 nm radiation via (2 + 1)-photon ionization and accelerated mainly by 845.015 nm radiation, remains during the pulse below the level sufficient for the onset of full-scale discharge by the electron avalanche. Our analysis also suggests that ≈30-fold increase of 845.015 nm pulse energy can allow one to scale up the L-α radiation pulse energy towards the level of ≈100 μJ.

  12. CSF in the ventricles of the brain behaves as a relay medium for arteriovenous pulse wave phase coupling.

    Directory of Open Access Journals (Sweden)

    William E Butler

    Full Text Available The ventricles of the brain remain perhaps the largest anatomic structure in the human body without established primary purpose, even though their existence has been known at least since described by Aristotle. We hypothesize that the ventricles help match a stroke volume of arterial blood that arrives into the rigid cranium with an equivalent volume of ejected venous blood by spatially configuring cerebrospinal fluid (CSF to act as a low viscosity relay medium for arteriovenous pulse wave (PW phase coupling. We probe the hypothesis by comparing the spatiotemporal behavior of vascular PW about the ventricular surfaces in piglets to internal observations of ventricle wall motions and adjacent CSF pressure variations in humans. With wavelet brain angiography data obtained from piglets, we map the travel relative to brain pulse motion of arterial and venous PWs over the ventricle surfaces. We find that arterial PWs differ in CF phase from venous PWs over the surfaces of the ventricles consistent with arteriovenous PW phase coupling. We find a spatiotemporal difference in vascular PW phase between the ventral and dorsal ventricular surfaces, with the PWs arriving slightly sooner to the ventral surfaces. In humans undergoing neuroendoscopic surgery for hydrocephalus, we measure directly ventricle wall motions and the adjacent internal CSF pressure variations. We find that CSF pressure peaks slightly earlier in the ventral Third Ventricle than the dorsal Lateral Ventricle. When matched anatomically, the peri-ventricular vascular PW phase distribution in piglets complements the endo-ventricular CSF PW phase distribution in humans. This is consistent with a role for the ventricles in arteriovenous PW coupling and may add a framework for understanding hydrocephalus and other disturbances of intracranial pressure.

  13. LH pulse frequency and the emergence and growth of ovarian antral follicular waves in the ewe during the luteal phase of the estrous cycle

    Directory of Open Access Journals (Sweden)

    Rawlings Norman C

    2009-07-01

    Full Text Available Abstract Background In the ewe, ovarian antral follicles emerge or grow from a pool of 2–3 mm follicles in a wave like pattern, reaching greater than or equal to 5 mm in diameter before regression or ovulation. There are 3 or 4 such follicular waves during each estrous cycle. Each wave is preceded by a peak in serum FSH concentrations. The role of pulsatile LH in ovarian antral follicular emergence and growth is unclear; therefore, the purpose of the present study was to further define this role. Methods Ewes (n = 7 were given 200 ng of GnRH (IV every hour for 96 h from Day 7 of the estrous cycle, to increase LH pulse frequency. Controls (n = 6 received saline. In a second study, ewes (n = 6 received subcutaneous progesterone-releasing implants for 10 days starting on Day 4 of the cycle, to decrease LH pulse frequency. Controls (n = 6 underwent sham surgery. Daily transrectal ovarian ultrasonography and blood sampling was performed on all ewes from the day of estrus to the day of ovulation at the end of the cycle of the study. At appropriate times, additional blood samples were taken every 12 minutes for 6 h and 36 min or 6 h in studies 1 and 2 respectively. Results The largest follicle of the follicular wave growing when GnRH treatment started, grew to a larger diameter than the equivalent wave in control ewes (P Conclusion We concluded that waves of ovarian follicular growth can occur at LH pulse frequencies lower than those seen in the luteal phase of the estrous cycle but frequencies seen in the follicular phase, when applied during the mid-luteal phase, in the presence of progesterone, do enhance follicular growth to resemble an ovulatory follicle, blocking the emergence of the next wave.

  14. Association of Aortic Stiffness With Cognition and Brain Aging in Young and Middle-Aged Adults: The Framingham Third Generation Cohort Study.

    Science.gov (United States)

    Pase, Matthew P; Himali, Jayandra J; Mitchell, Gary F; Beiser, Alexa; Maillard, Pauline; Tsao, Connie; Larson, Martin G; DeCarli, Charles; Vasan, Ramachandran S; Seshadri, Sudha

    2016-03-01

    Aortic stiffness is associated with cognitive decline and cerebrovascular disease late in life, although these associations have not been examined in young adults. Understanding the effects of aortic stiffness on the brain at a young age is important both from a pathophysiological and public health perspective. The aim of this study was to examine the cross-sectional associations of aortic stiffness with cognitive function and brain aging in the Framingham Heart Study Third Generation cohort (47% men; mean age, 46 years). Participants completed the assessment of aortic stiffness (carotid-femoral pulse wave velocity), a neuropsychological test battery assessing multiple domains of cognitive performance and magnetic resonance imaging to examine subclinical markers of brain injury. In adjusted regression models, higher aortic stiffness was associated with poorer processing speed and executive function (Trail Making B-A; β±SE, -0.08±0.03; Pbrain injury in young to middle-aged adults. Prospective studies are needed to examine whether aortic stiffening in young adulthood is associated with vascular cognitive impairment later in life. © 2016 American Heart Association, Inc.

  15. Determination of aortic compliance from magnetic resonance images using an automatic active contour model

    International Nuclear Information System (INIS)

    Krug, Roland; Boese, Jan M; Schad, Lothar R

    2003-01-01

    The possibility of monitoring changes in aortic elasticity in humans has important applications for clinical trials because it estimates the efficacy of plaque-reducing therapies. The elasticity is usually quantified by compliance measurements. Therefore, the relative temporal change in the vessel cross-sectional area throughout the cardiac cycle has to be determined. In this work we determined and compared the compliance between three magnetic resonance (MR) methods (FLASH, TrueFISP and pulse-wave). Since manual outlining of the aortic wall area is a very time-consuming process and depends on an operator's variability, an algorithm for the automatic segmentation of the artery wall from MR images through the entire heart cycle is presented. The reliable detection of the artery cross-sectional area over the whole heart cycle was possible with a relative error of about 1%. Optimizing the temporal resolution to 60 ms we obtained a relative error in compliance of about 7% from TrueFISP (1.0 x 1.0 x 10 mm 3 , signal-to-noise ratio (SNR) > 12) and FLASH (0.7 x 0.7 x 10 mm 3 , SNR > 12) measurements in volunteers. Pulse-wave measurements yielded an error of more than 9%. In a study of ten volunteers, a compliance between C = 3 x 10 -5 Pa -1 and C = 8 x 10 -5 Pa -1 was determined, depending on age. The results of the TrueFISP and the pulse-wave measurements agreed very well with one another (confidence interval of 1 x 10 -5 Pa -1 ) while the results of the FLASH method more clearly deviated from the TrueFISP and pulse-wave (confidence interval of more than 2 x 10 -5 Pa -1 )

  16. The venous manifestations of pulse wave encephalopathy: windkessel dysfunction in normal aging and senile dementia

    Energy Technology Data Exchange (ETDEWEB)

    Bateman, Grant A. [Locked Bag 1, Newcastle Region Mail Center, Department of Medical Imaging, John Hunter Hospital, Newcastle (Australia); Levi, Christopher R.; Wang, Yang; Lovett, Elizabeth C. [Hunter Medical Research Institute, Clinical Neurosciences Program, Newcastle (Australia); Schofield, Peter [James Fletcher Hospital, Neuropsychiatry Unit, Newcastle (Australia)

    2008-06-15

    Cerebral arterial, venous and cerebrospinal fluid (CSF) pulsations are closely coupled and this produces pulsation dampening or the windkessel effect. Normal pressure hydrocephalus is a manifestation of the breakdown of this windkessel effect with altered CSF and venous pulsations being noted. The aim of this study was to show that dysfunction of the windkessel mechanism is also a component of normal aging and senile dementia. The study group comprised 24 patients classified as either early senile dementia of Alzheimer's type (SDAT) or vascular dementia (VaD). The patients with dementia were compared with 12 age-matched non-cognitively impaired subjects, and 12 normal young individuals were compared with the normal aging group. MRI flow quantification was used to measure the nonpulsatile and pulsatile components of blood flow as well as the pulsation at the tentorial incisura. With normal aging blood flow decreased but arterial pulsations increased in volume by 49% (P = 0.003). The CSF vented via the tentorial incisura does not change significantly with age and therefore increased venous pulsation is necessary. In patients with VaD the arterial pulse volume was higher by 24% and the straight sinus pulsation was higher by 57% than in normal aging subjects (P = 0.05 and P = 0.03, respectively). In patients with SDAT the total venous pulsation volumes were similar to those in normal aging subjects but there was less basal sinus pulsation. Normal aging, SDAT and VaD are associated with alterations in venous pulsation due to a breakdown of the windkessel effect. (orig.)

  17. Mechanical stimulation (pulsed electromagnetic fields "PEMF" and extracorporeal shock wave therapy "ESWT" and tendon regeneration: a possible alternative.

    Directory of Open Access Journals (Sweden)

    Federica eRosso

    2015-11-01

    Full Text Available The pathogenesis of tendon degeneration and tendinopathy is still partially unclear. However, an active role of metalloproteinases (MMP, growth factors, such as vascular endothelial growth factor (VEGF and a crucial role of inflammatory elements and cytokines was demonstrated. Mechanical stimulation may play a role in regulation of inflammation. In vitro studies demonstrated that both pulsed electromagnetic fields (PEMF and extracorporeal shock wave therapy (ESWT increased the expression of pro-inflammatory cytokine such as interleukin (IL-6 and IL-10. Moreover ESWT increases the expression of growth factors, such as transforming growth factor beta (TGF-beta, Vascular Endothelial Growth Factor (VEGF, and insulin-like growth factor 1 (IGF1, as well as the synthesis of collagen I fibers. These pre-clinical results, in association with several clinical studies, suggest a potential effectiveness of ESWT for tendinopathy treatment. Recently PEMF gained popularity as adjuvant for fracture healing and bone regeneration. Similarly to ESWT, the mechanical stimulation obtained using PEMFs may play a role for treatment of tendinopathy and for tendon regeneration, increasing in-vitro TGF-beta production, as well as scleraxis and collagen I gene expression. In this manuscript the rational of mechanical stimulations and the clinical studies on the efficacy of extracorporeal shock wave (ESW and PEMF will be discussed. However, no clear evidence of a clinical value of ESW and PEMF has been found in literature with regards to the treatment of tendinopathy in human, so further clinical trials are needed to confirm the promising hypotheses concerning the effectiveness of ESWT and PEMF mechanical stimulation.

  18. LH pulse frequency and the emergence and growth of ovarian antral follicular waves in the ewe during the luteal phase of the estrous cycle

    Science.gov (United States)

    Seekallu, Srinivas V; Toosi, Behzad M; Rawlings, Norman C

    2009-01-01

    Background In the ewe, ovarian antral follicles emerge or grow from a pool of 2–3 mm follicles in a wave like pattern, reaching greater than or equal to 5 mm in diameter before regression or ovulation. There are 3 or 4 such follicular waves during each estrous cycle. Each wave is preceded by a peak in serum FSH concentrations. The role of pulsatile LH in ovarian antral follicular emergence and growth is unclear; therefore, the purpose of the present study was to further define this role. Methods Ewes (n = 7) were given 200 ng of GnRH (IV) every hour for 96 h from Day 7 of the estrous cycle, to increase LH pulse frequency. Controls (n = 6) received saline. In a second study, ewes (n = 6) received subcutaneous progesterone-releasing implants for 10 days starting on Day 4 of the cycle, to decrease LH pulse frequency. Controls (n = 6) underwent sham surgery. Daily transrectal ovarian ultrasonography and blood sampling was performed on all ewes from the day of estrus to the day of ovulation at the end of the cycle of the study. At appropriate times, additional blood samples were taken every 12 minutes for 6 h and 36 min or 6 h in studies 1 and 2 respectively. Results The largest follicle of the follicular wave growing when GnRH treatment started, grew to a larger diameter than the equivalent wave in control ewes (P ewes (P ewes, suppressed a peak in serum concentrations of FSH, causing a follicular wave to be missed. Treatment with progesterone decreased the frequency of LH pulses but did not have any influence on serum FSH concentrations or follicular waves. Conclusion We concluded that waves of ovarian follicular growth can occur at LH pulse frequencies lower than those seen in the luteal phase of the estrous cycle but frequencies seen in the follicular phase, when applied during the mid-luteal phase, in the presence of progesterone, do enhance follicular growth to resemble an ovulatory follicle, blocking the emergence of the next wave. PMID:19638235

  19. Aortic Root Diameter and Longitudinal Blood Pressure Tracking

    OpenAIRE

    Ingelsson, Erik; Pencina, Michael J.; Levy, Daniel; Aragam, Jayashri; Mitchell, Gary F.; Benjamin, Emelia J.; Vasan, Ramachandran S.

    2008-01-01

    Proximal aortic diameter, including aortic root (AoR) diameter, has been inversely related to pulse pressure (PP) in cross-sectional studies. So, investigators have hypothesized that a smaller AoR diameter may increase risk of developing hypertension. Prospective studies are lacking to test this hypothesis.

  20. The effect of venous pulsation on the forehead pulse oximeter wave form as a possible source of error in Spo2 calculation.

    Science.gov (United States)

    Shelley, Kirk H; Tamai, Doris; Jablonka, Denis; Gesquiere, Michael; Stout, Robert G; Silverman, David G

    2005-03-01

    Reflective forehead pulse oximeter sensors have recently been introduced into clinical practice. They reportedly have the advantage of faster response times and immunity to the effects of vasoconstriction. Of concern are reports of signal instability and erroneously low Spo(2) values with some of these new sensors. During a study of the plethysmographic wave forms from various sites (finger, ear, and forehead) it was noted that in some cases the forehead wave form became unexpectedly complex in configuration. The plethysmographic signals from 25 general anesthetic cases were obtained, which revealed the complex forehead wave form during 5 cases. We hypothesized that the complex wave form was attributable to an underlying venous signal. It was determined that the use of a pressure dressing over the sensor resulted in a return of a normal plethysmographic wave form. Further examination of the complex forehead wave form reveal a morphology consistent with a central venous trace with atrial, cuspidal, and venous waves. It is speculated that the presence of the venous signal is the source of the problems reported with the forehead sensors. It is believed that the venous wave form is a result of the method of attachment rather than the use of reflective plethysmographic sensors.

  1. Estimated Aortic Stiffness is Independently Associated with Cardiac Baroreflex Sensitivity in Humans: Role of Aging and Habitual Endurance Exercise

    Science.gov (United States)

    Pierce, Gary L.; Harris, Stephen A.; Seals, Douglas R.; Casey, Darren P.; Barlow, Patrick B.; Stauss, Harald M.

    2016-01-01

    We hypothesized that differences in cardiac baroreflex sensitivity (BRS) would be independently associated with aortic stiffness and augmentation index (AI), clinical biomarkers of cardiovascular disease (CVD) risk, among young sedentary and middle-aged/older sedentary and endurance-trained adults. A total of 36 healthy middle-aged/older (age 55-76 years, n=22 sedentary; n=14 endurance-trained) and 5 young sedentary (age 18-31 years) adults were included in a cross-sectional study. A subset of the middle-aged/older sedentary adults (n=12) completed an 8-week aerobic exercise intervention. Invasive brachial artery blood pressure waveforms were used to compute spontaneous cardiac BRS (via sequence technique) and estimated aortic pulse wave velocity (PWV) and AI (AI, via brachial-aortic transfer function and wave separation analysis). In the cross-sectional study, cardiac BRS was 71% lower in older compared with young sedentary adults (Pbaroreflex and aortic stiffness with age and exercise. PMID:26911535

  2. Brachial-ankle pulse wave velocity for the prediction of the presence and severity of coronary artery disease.

    Science.gov (United States)

    Kim, Ji-Hyun; Rhee, Moo-Yong; Kim, Yong-Seok; Bae, Jun-Ho; Nah, Deuk-Young; Kim, Young-Kwon; Lee, Myoung-Mook; Lim, ChiYeon; Kim, Chan-Joo

    2014-01-01

    The predictability of brachial-ankle pulse wave velocity (baPWV) for the presence and severity of coronary artery disease (CAD) was investigated by measuring baPWV in 501 subjects scheduled for coronary angiography. Severity of CAD was measured using modified Gensini stenosis score (GSS) and classified as a vessel disease score (VDS) of 0-3. The presence of CAD was defined as diameter stenosis>50%. Subjects were grouped in tertile by level of baPWV (17 m/s). Subjects with CAD showed higher mean age, prevalence of men and diabetes, and systolic blood pressure. The prevalence of hypertension, use of antihypertensive medications and use of statin was not different. Subjects with CAD had higher baPWV than subjects without CAD (16.70 ± 3.46 versus 15.21 ± 3.19 m/s, ppredictive power of highest tertile of baPWV for the presence of CAD was 3.600 [95% confidence interval (CI) 1.884-6.881, p17 m/s may be a threshold value for the presence and severity of CAD.

  3. Superluminal pulse propagation and amplification without inversion of microwave radiation via four-wave mixing in superconducting phase quantum circuits

    International Nuclear Information System (INIS)

    Amini Sabegh, Z; Vafafard, A; Maleki, M A; Mahmoudi, M

    2015-01-01

    We study the interaction of the microwave fields with an array of superconducting phase quantum circuits. It is shown that the different four-level configurations i.e. cascade, N-type, diamond, Y-type and inverted Y-type systems can be obtained in the superconducting phase quantum circuits by keeping the third order of the Josephson junction potential expansion whereas by dropping the third order term, just the cascade configuration can be established. We study the propagation and amplification of a microwave field in a four-level cascade quantum system, which is realized in an array of superconducting phase quantum circuits. We find that by increasing the microwave pump tones feeding the system, the normal dispersion switches to the anomalous and the gain-assisted superluminal microwave propagation is obtained in an array of many superconducting phase quantum circuits. Moreover, it is demonstrated that the stimulated microwave field is generated via four-wave mixing without any inversion population in the energy levels of the system (amplification without inversion) and the group velocity of the generated pulse can be controlled by the external oscillating magnetic fluxes. We also show that in some special set of parameters, the absorption-free superluminal generated microwave propagation is obtained in superconducting phase quantum circuit system. (letter)

  4. Data on the clinical usefulness of brachial-ankle pulse wave velocity in patients with suspected coronary artery disease

    Directory of Open Access Journals (Sweden)

    In-Chang Hwang

    2018-02-01

    Full Text Available Brachial-artery pulse wave velocity (baPWV is a simple and reliable tool for measurement of arterial stiffness. Our previous studies suggested that baPWV is associated with the presence and severity of coronary artery disease (CAD and the risk of cardiovascular events. In the present data article, we provided supplementary data supporting the independent prognostic value of arterial stiffness, assessed by baPWV, in patients with suspected CAD (Hwang et al., 2017 [1]. The data was obtained from 523 patients undergoing coronary CT angiography (CCTA, and baPWV was measured at the time of CCTA. Patients with vulnerable coronary plaque or obstructive CAD on CCTA had higher age, more cardiovascular risk factors, and higher baPWV values. Given the significant association between high baPWV and the presence of vulnerable plaque or obstructive CAD as shown in this data article, the prognostic value of baPWV was further assessed in subgroups divided according to the CCTA findings (vulnerable plaque or obstructive CAD. In each subgroup by CCTA findings, multivariable Cox proportional hazard model analysis showed that high baPWV was an independent risk factor for cardiovascular events even after adjusting for clinical risk factors.

  5. Extensional flow of low-viscosity fluids in capillary bridges formed by pulsed surface acoustic wave jetting

    Energy Technology Data Exchange (ETDEWEB)

    Bhattacharjee, P K; McDonnell, A G; Prabhakar, R; Yeo, L Y; Friend, J, E-mail: james.friend@monash.edu.au [MicroNanophysics Research Laboratory, Department of Mechanical and Aerospace Engineering, Monash University, Melbourne, VIC 3800 (Australia); Melbourne Centre for Nanofabrication, Melbourne, VIC 3800 (Australia)

    2011-02-15

    Forming capillary bridges of low-viscosity ({approx}<10 mPa s) fluids is difficult, making the study of their capillary-thinning behavior and the measurement of the fluid's extensional viscosity difficult as well. Current techniques require some time to form a liquid bridge from the stretching of a droplet. Rapidly stretching a liquid bridge using these methods can cause its breakup if the viscosity is too low. Stretching more slowly allows the bridge to thin and break up before a suitable bridge geometry can be established to provide reliable and accurate rheological data. Using a pulsed surface acoustic wave to eject a jet from a sessile droplet, a capillary bridge may be formed in about 7.5 ms, about seven times quicker than current methods. With this approach, capillary bridges may be formed from Newtonian and non-Newtonian fluids having much lower viscosities-water, 0.04% by weight solution of high-molecular-weight (7 MDa) polystyrene in dioctyl phthalate and 0.25% fibrinogen solution in demineralized water, for example. Details of the relatively simple system used to achieve these results are provided, as are experimental results indicating deviations from a Newtonian response by the low-viscosity non-Newtonian fluids used in our study.

  6. ABCA1-dependent serum cholesterol efflux capacity inversely correlates with pulse wave velocity in healthy subjects[S

    Science.gov (United States)

    Favari, Elda; Ronda, Nicoletta; Adorni, Maria Pia; Zimetti, Francesca; Salvi, Paolo; Manfredini, Matteo; Bernini, Franco; Borghi, Claudio; Cicero, Arrigo F. G.

    2013-01-01

    The capacity of HDL to induce cell cholesterol efflux is considered one of its main antiatherogenic properties. Little is known about the impact of such HDL function on vascular physiology. We investigated the relationship between ABCA1-dependent serum cholesterol efflux capacity (CEC), an HDL functionality indicator, and pulse wave velocity (PWV), an indicator of arterial stiffness. Serum of 167 healthy subjects was used to conduct CEC measurement, and carotid-femoral PWV was measured with a high-fidelity tonometer. J774 macrophages, labeled with [3H]cholesterol and stimulated to express ABCA1, were exposed to sera; the difference between cholesterol efflux from stimulated and unstimulated cells provided specific ABCA1-mediated CEC. PWV is inversely correlated with ABCA1-dependent CEC (r = −0.183; P = 0.018). Moreover, controlling for age, sex, body mass index, mean arterial pressure, serum LDL, HDL-cholesterol, and fasting plasma glucose, PWV displays a significant negative regression on ABCA1-dependent CEC (β = −0.204; 95% confidence interval, −0.371 to −0.037). The finding that ABCA1-dependent CEC, but not serum HDL cholesterol level (r = −0.002; P = 0.985), is a significant predictor of PWV in healthy subjects points to the relevance of HDL function in vascular physiology and arterial stiffness prevention. PMID:23103472

  7. The relationship between microvascular endothelial function and carotid-radial pulse wave velocity in patients with mild hypertension.

    Science.gov (United States)

    McCall, Damian O; McGartland, Claire P; Woodside, Jayne V; Sharpe, Peter; McCance, David R; Young, Ian S

    2010-01-01

    Carotid-radial pulse wave velocity (CRPWV) can be measured rapidly using applanation tonometry and significantly higher values have been reported among patients with risk factors for vascular disease. Forearm blood flow responses to intrabrachial infusion of acetylcholine independently predict cardiovascular morbidity among hypertensive patients. We aimed to examine the relationship between CRPWV, a potentially informative, noninvasive measure and this more established parameter of arterial health. One hundred and fifteen mildly hypertensive individuals (67% men, mean (± SD) age 54 ± 8 years, mean (± SD) blood pressure (BP) 143 ± 16/83 ± 12 mmHg) were recruited from a weekly medical outpatient clinic. Each volunteer had CRPWV measured using sequential tonometry before forearm blood flow responses to intra-arterial, endothelium-dependent (acetylcholine) and independent (sodium nitroprusside) vasodilators were assessed. There was a significant negative correlation between CRPWV and maximum forearm blood flow response to acetylcholine (r = -0.225, p = 0.016). This association remained significant in a multiple regression analysis (β = -0.213, p = 0.034). Mean arterial pressure and weight were additional independent predictors of CRPWV in this model. There was no such relationship between CRPWV and response to sodium nitroprusside (r = 0.088, p = 0.349). In patients with mild hypertension, a poor forearm blood flow response to acetylcholine independently predicted faster CRPWV, thus linking an established measure of microvascular endothelial function with a noninvasive index of conduit vessel stiffness.

  8. A comparative study of the plasmon effect in nanoelectrode THz emitters: Pulse vs. continuous-wave radiation

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Kiwon; Lee, Eui Su; Lee, Il-Min; Han, Sang-Pil; Kim, Hyun-Soo; Park, Kyung Hyun, E-mail: khp@etri.re.kr [Terahertz Basic Research Section, Electronics and Telecommunications Research Institute (ETRI), Daejeon 305-700 (Korea, Republic of); Choi, Jeongyong [Metal-Insulator Transition Research Section, Electronics and Telecommunications Research Institute (ETRI), Daejeon 305-700 (Korea, Republic of); Lee, Donghun [Optical Internet Components Research Section, Electronics and Telecommunications Research Institute (ETRI), Daejeon 305-700 (Korea, Republic of)

    2016-08-15

    Plasmonic field enhancement in terahertz (THz) generation is one of the recently arisen techniques in the THz field that has attracted considerable interest. However, the reported levels of enhancement of THz output power in the literature are significantly different from each other, from less than two times to about two orders of magnitude of enhancement in power, which implies the existence of other major limiting factors yet to be revealed. In this work, the contribution of the plasmonic effect to the power enhancement of THz emitters is revisited. We show that the carrier collection efficiency in a THz emitter with plasmonic nanostructures is more critical to the device performance than the plasmonic field enhancement itself. The strong reverse fields induced by the highly localized plasmonic carriers in the vicinity of the nanoelectrodes screen the carrier collections and seriously limit the power enhancement. This is supported by our experimental observations of the significantly enhanced power in a plasmonic nanoelectrode THz emitter in continuous-wave radiation mode, while the same device has limited enhancement with pulsed radiation. We hope that our study may provide an intuitive but practical guideline in adopting plasmonic nanostructures with an aim of enhancing the efficiency of optoelectronic devices.

  9. Brachial-Ankle Pulse Wave Velocity and the Risk Prediction of Cardiovascular Disease: An Individual Participant Data Meta-Analysis.

    Science.gov (United States)

    Ohkuma, Toshiaki; Ninomiya, Toshiharu; Tomiyama, Hirofumi; Kario, Kazuomi; Hoshide, Satoshi; Kita, Yoshikuni; Inoguchi, Toyoshi; Maeda, Yasutaka; Kohara, Katsuhiko; Tabara, Yasuharu; Nakamura, Motoyuki; Ohkubo, Takayoshi; Watada, Hirotaka; Munakata, Masanori; Ohishi, Mitsuru; Ito, Norihisa; Nakamura, Michinari; Shoji, Tetsuo; Vlachopoulos, Charalambos; Yamashina, Akira

    2017-06-01

    An individual participant data meta-analysis was conducted in the data of 14 673 Japanese participants without a history of cardiovascular disease (CVD) to examine the association of the brachial-ankle pulse wave velocity (baPWV) with the risk of development of CVD. During the average 6.4-year follow-up period, 687 participants died and 735 developed cardiovascular events. A higher baPWV was significantly associated with a higher risk of CVD, even after adjustments for conventional risk factors ( P for trend risk of CVD. Moreover, addition of baPWV to a model incorporating the Framingham risk score significantly increased the C statistics from 0.8026 to 0.8131 ( P analysis clearly established baPWV as an independent predictor of the risk of development of CVD in Japanese subjects without preexisting CVD. Thus, measurement of the baPWV could enhance the efficacy of prediction of the risk of development of CVD over that of the Framingham risk score, which is based on the traditional cardiovascular risk factors. © 2017 American Heart Association, Inc.

  10. The effect of workplace smoking bans on heart rate variability and pulse wave velocity of non-smoking hospitality workers.

    Science.gov (United States)

    Rajkumar, Sarah; Schmidt-Trucksäss, Arno; Wellenius, Gregory A; Bauer, Georg F; Huynh, Cong Khanh; Moeller, Alexander; Röösli, Martin

    2014-08-01

    To investigate the effect of a change in second-hand smoke (SHS) exposure on heart rate variability (HRV) and pulse wave velocity (PWV), this study utilized a quasi-experimental setting when a smoking ban was introduced. HRV, a quantitative marker of autonomic activity of the nervous system, and PWV, a marker of arterial stiffness, were measured in 55 non-smoking hospitality workers before and 3-12 months after a smoking ban and compared to a control group that did not experience an exposure change. SHS exposure was determined with a nicotine-specific badge and expressed as inhaled cigarette equivalents per day (CE/d). PWV and HRV parameters significantly changed in a dose-dependent manner in the intervention group as compared to the control group. A one CE/d decrease was associated with a 2.3% (95% CI 0.2-4.4; p = 0.031) higher root mean square of successive differences (RMSSD), a 5.7% (95% CI 0.9-10.2; p = 0.02) higher high-frequency component and a 0.72% (95% CI 0.40-1.05; p < 0.001) lower PWV. PWV and HRV significantly improved after introducing smoke-free workplaces indicating a decreased cardiovascular risk.

  11. Determination of Testicular Blood Flow in Camelids Using Vascular Casting and Color Pulsed-Wave Doppler Ultrasonography

    Science.gov (United States)

    Kutzler, Michelle; Tyson, Reid; Grimes, Monica; Timm, Karen

    2011-01-01

    We describe the vasculature of the camelid testis using plastic casting. We also use color pulsed-wave Doppler ultrasonography to measure testicular blood flow and compare the differences between testicular blood flow in fertile and infertile camelids. The testicular artery originates from the ventral surface of the aorta, gives rise to an epididymal branch, and becomes very tortuous as it approaches the testis. Within the supratesticular arteries, peak systolic velocity (PSV) was higher in fertile males compared to infertile males (P = 0.0004). In addition, end diastolic velocity (EDV) within the supratesticular arteries was higher for fertile males when compared to infertile males (P = 0.0325). Within the marginal arteries, PSV was also higher in fertile males compared to infertile males (P = 0.0104). However, EDV within the marginal arteries was not significantly different between fertile and infertile males (P = 0.121). In addition, the resistance index was not significantly different between fertile and infertile males within the supratesticular (P = 0.486) and marginal arteries (P = 0.144). The significance of this research is that in addition to information obtained from a complete reproductive evaluation, a male camelid's fertility can be determined using testicular blood flow measured by Doppler ultrasonography. PMID:21941690

  12. Determination of Testicular Blood Flow in Camelids Using Vascular Casting and Color Pulsed-Wave Doppler Ultrasonography

    Directory of Open Access Journals (Sweden)

    Michelle Kutzler

    2011-01-01

    Full Text Available We describe the vasculature of the camelid testis using plastic casting. We also use color pulsed-wave Doppler ultrasonography to measure testicular blood flow and compare the differences between testicular blood flow in fertile and infertile camelids. The testicular artery originates from the ventral surface of the aorta, gives rise to an epididymal branch, and becomes very tortuous as it approaches the testis. Within the supratesticular arteries, peak systolic velocity (PSV was higher in fertile males compared to infertile males (P=0.0004. In addition, end diastolic velocity (EDV within the supratesticular arteries was higher for fertile males when compared to infertile males (P=0.0325. Within the marginal arteries, PSV was also higher in fertile males compared to infertile males (P=0.0104. However, EDV within the marginal arteries was not significantly different between fertile and infertile males (P=0.121. In addition, the resistance index was not significantly different between fertile and infertile males within the supratesticular (P=0.486 and marginal arteries (P=0.144. The significance of this research is that in addition to information obtained from a complete reproductive evaluation, a male camelid's fertility can be determined using testicular blood flow measured by Doppler ultrasonography.

  13. Molecular orientation via a dynamically induced pulse-train: Wave packet dynamics of NaI in a static electric field

    DEFF Research Database (Denmark)

    Marquetand, P.; Materny, A.; Henriksen, Niels Engholm

    2004-01-01

    We regard the rovibrational wave packet dynamics of NaI in a static electric field after femtosecond excitation to its first electronically excited state. The following quasibound nuclear wave packet motion is accompanied by a bonding situation changing from covalent to ionic. At times when...... the charge separation is present, i.e., when the bond-length is large, a strong dipole moment exists and rotational excitation takes place. Upon bond contraction, the then covalently bound molecule does not experience the external field. This scenario repeats itself periodically. Thus, the vibrational...... dynamics causes a situation which is comparable to the interaction of the molecule with a train of pulses where the pulse separation is determined by the vibrational period. (C) 2004 American Institute of Physics....

  14. High-depth-resolution 3-dimensional radar-imaging system based on a few-cycle W-band photonic millimeter-wave pulse generator.

    Science.gov (United States)

    Tseng, Tzu-Fang; Wun, Jhih-Min; Chen, Wei; Peng, Sui-Wei; Shi, Jin-Wei; Sun, Chi-Kuang

    2013-06-17

    We demonstrate that a near-single-cycle photonic millimeter-wave short-pulse generator at W-band is capable to provide high spatial resolution three-dimensional (3-D) radar imaging. A preliminary study indicates that 3-D radar images with a state-of-the-art ranging resolution of around 1.2 cm at the W-band can be achieved.

  15. Clinical Value of Left Ventricular Wall Motion Assessment with Pulsed-Wave Tissue Doppler Echocardiography for Rejection Monitoring and Allograft Coronary Artery Disease Surveillance After Heart Transplantation

    OpenAIRE

    Dandel, Michael

    2010-01-01

    The usefulness of pulsed-wave tissue Doppler imaging (PW-TDI) for detection of ventricular dysfunction linked to acute rejection (AR) and transplant coronary disease (TxCAD) in order to optimize invasive examination timing was assessed over several years in a large number of heart transplant recipients. The results validate wall motion assessment by PW-TDI as being particularly suited for the early detection of LV functional alterations linked to AR and TxCAD and commend this simple echocardi...

  16. Aortic valve bypass

    DEFF Research Database (Denmark)

    Lund, Jens T; Jensen, Maiken Brit; Arendrup, Henrik

    2013-01-01

    In aortic valve bypass (AVB) a valve-containing conduit is connecting the apex of the left ventricle to the descending aorta. Candidates are patients with symptomatic aortic valve stenosis rejected for conventional aortic valve replacement (AVR) or transcatheter aortic valve implantation (TAVI). ...

  17. Bicuspid Aortic Valve

    Science.gov (United States)

    2006-08-01

    with tricuspid aortic valves matched for age, gender and grade of valvular disease . These studies suggest that the predisposition for aortic...enlargement in healthy patients with normally functioning BAV when compared to healthy subjects with normally functioning tricuspid aortic valves ...ascending aorta but also in the pulmonary arteries of patients with BAV, compared to that of patients with tricuspid aortic valves . These studies

  18. Clinical and histologic effects of facial skin rejuvenation with pulsed- and continuous-wave flash-scanned CO(2) lasers.

    Science.gov (United States)

    Trelles, M A; Pardo, L; Trelles, O; Velez, M; García-Solana, L; Rigau, J; Chamorro, T J

    2001-09-01

    The reader is presumed to have some understanding of the use of lasers in skin resurfacing. After studying the article, the participant should be able to: Physicians may earn 1 hour of Category 1 CME credit by successfully completing the examination based on material covered in this article. The examination begins on page 409. The selection of the ideal laser for facial resurfacing is debatable. The purpose of the study was to determine whether any clinical and histologic differences existed in short- and long-term results after treatment with the Coherent UltraPulse 5000G laser (a pulsed laser; PL) and the Sharplan Silk Touch laser (a continuous-wave laser [CWL] with a flash scanner). Eight patients underwent facial resurfacing treatment on different areas. In each case, one side was treated with the PL and the other with the CWL. The condition of the patients and the treated tissue were monitored periodically after treatment. Histologic assessment of punch biopsies was performed 3 months and 1 year after treatment with hematoxylin-eosin, Masson trichromic, and Verhoeff's stains. The areas treated with the PL achieved earlier epithelialization with a good appearance. Longer-lasting erythema was observed on the side treated with the CWL. On a histologic level, although the PL-treated tissue epithelialized more quickly, at 3 months and 1 year the collagen was better compacted and better aligned in the CWL-treated tissue, and the macroscopic appearance of the CWL-treated areas was more enhanced. The more active vascularization seen in the CWL-treated tissue, associated with the longer-lasting erythema and possibly greater collateral thermal injury, is possibly the reason for the better collagenization and remodeling of collagen and elastin fibers as compared with the results with the PL-treated tissue. This may explain the longer effect associated with CWL treatment. The clinician would do well to bear in mind the histologic findings as well as the macroscopic

  19. Proximal Aortic Stiffness Is Increased in Systemic Lupus Erythematosus Activity in Children and Adolescents

    Science.gov (United States)

    El Gamal, Yehia Mohamad; Elmasry, Ola Abd Elaziz; El Hadidi, Iman Saleh; Soliman, Ola Kamel

    2013-01-01

    Patients with systemic lupus erythematosus (SLE) are prone to premature atherosclerosis and are at risk for the development of cardiovascular disease. Increased arterial stiffness is emerging as a marker of subclinical atherosclerosis. Purpose. To measure proximal aortic stiffness in children and adolescents with SLE. Methods. We studied 16 patients with SLE in activity (mean age 15 ± 2.42 years; 16 females), 14 patients with SLE not in activity (mean age 15.7 ± 1.89 years; 4 males, 10 females), and 16 age- and sex-comparable healthy children and adolescents (15.5 ± 1.71 years; 4 males, 12 females). Disease activity was determined by the SLE disease activity index (SLEDAI). All subjects underwent echocardiography for assessment of proximal aortic pulse wave velocity (PWV) [Ao distance/Ao wave transit time in the aortic arch]. Venous blood samples were collected for ESR. Results. Patients in activity had significantly higher PWV values than controls (P < 0.05), while no significant difference was found between patients not in activity and controls. Conclusions. SLE patients with disease activity demonstrate increased PWV and arterial stiffness of the proximal aorta, while patients without disease activity do not. This suggests that inflammation secondary to SLE activity, and not subclinical atherosclerosis, is the major underlying cause for increased arterial stiffness in this age group. PMID:24171119

  20. SIMULATION OF FORWARD AND BACKWARD WAVES EVOLUTION OF FEW-CYCLE PULSES PROPAGATING IN AN OPTICAL WAVEGUIDE WITH DISPERSION AND CUBIC NONLINEARITY OF ELECTRONIC AND ELECTRONIC-VIBRATION NATURE

    Directory of Open Access Journals (Sweden)

    L. S. Konev

    2015-09-01

    Full Text Available Numerical method for calculation of forward and backward waves of intense few-cycle laser pulses propagating in an optical waveguide with dispersion and cubic nonlinearity of electronic and electronic-vibration nature is described. Simulations made with the implemented algorithm show that accounting for Raman nonlinearity does not lead to qualitative changes in behavior of the backward wave. Speaking about quantitative changes, the increase of efficiency of energy transfer from the forward wave to the backward wave is observed. Presented method can be also used to simulate interaction of counterpropagating pulses.

  1. Effects on carotid-femoral pulse wave velocity 24 h post exercise in young healthy adults.

    Science.gov (United States)

    Perdomo, Sophy J; Moody, Anne M; McCoy, Stephanie M; Barinas-Mitchell, Emma; Jakicic, John M; Gibbs, Bethany Barone

    2016-06-01

    Arterial stiffness, often measured by carotid-femoral pulse wave velocity (cfPWV), is a subclinical marker of cardiovascular disease that is known to be reduced by exercise training. Exercise is also known to have acute vascular effects, yet it is unclear whether exercise 24 h before cfPWV testing influences this outcome. Thirty healthy, young adults completed a supervised, 30-min bout of moderate-to-vigorous intensity treadmill running. cfPWV, systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were measured both before (after 48 h of abstaining from exercise) and 24 h after (with no additional exercise) the exercise session. From pre-exercise to 24 h post exercise, cfPWV decreased from 6.05±0.82 to 5.84±0.87 m s(-1) (P=0.02), SBP from 119.7±13.8 to 116.8±11.4 mm Hg (P=0.03) and DBP from 65.1±5.7 to 63.2±5.4 mm Hg (P=0.02), with no significant changes in HR. cfPWV was positively correlated with SBP pre-exercise (r=0.54, Pexercise (r=0.53, Pexercise on cfPWV. Some evidence of gender differences was observed with higher cfPWV in males across assessments (Pexercise bout, suggesting that exercise completed in the past 24 h should be considered before cfPWV testing.

  2. Identifying coronary artery disease in men with type 2 diabetes: osteoprotegerin, pulse wave velocity, and other biomarkers of cardiovascular risk.

    LENUS (Irish Health Repository)

    Davenport, Colin

    2012-02-01

    OBJECTIVES: In patients with type 2 diabetes, high serum levels of osteoprotegerin (OPG) have been associated with a greater risk of cardiovascular events. However, it remains unclear how well OPG performs when compared with traditional biomarkers of cardiovascular risk such as high-sensitivity C-reactive protein (hsCRP). Furthermore, OPG levels are also high in the presence of diabetes-related microvascular disease, and it is unclear whether OPG can distinguish microvascular disease from large-vessel atherosclerosis. The first aim of this study was to compare OPG levels against other biomarkers of cardiovascular risk in the identification of patients with documented multivessel coronary artery disease (CAD). The second aim was to compare OPG levels in patients with microvascular complications (microalbuminuria) against those with established CAD. METHODS: Three groups of male patients with type 2 diabetes were recruited: patients without microvascular complications or large-vessel atherosclerosis (n = 24), patients with microalbuminuria only (n = 23), and patients with microalbuminuria and documented multivessel CAD (n = 25). OPG, hsCRP, interleukin 6, urate, and pulse wave velocity were measured. RESULTS: Serum OPG levels were significantly higher in patients with a combination of microalbuminuria and CAD than in those with microalbuminuria alone. There were no significant differences in any of the other biomarkers between the groups. CONCLUSION: OPG was found to be superior to the other biomarkers studied in identifying patients with documented CAD. The presence of CAD was a greater determinant of serum OPG levels than microalbuminuria in our population. These findings support the use of OPG as a biomarker of cardiovascular risk.

  3. Identifying Coronary Artery Disease in Asymptomatic Middle-Aged Sportsmen: The Additional Value of Pulse Wave Velocity.

    Directory of Open Access Journals (Sweden)

    Thijs L Braber

    Full Text Available Cardiovascular screening may benefit middle-aged sportsmen, as coronary artery disease (CAD is the main cause of exercise-related sudden cardiac death. Arterial stiffness, as measured by pulse wave velocity (PWV, may help identify sportsmen with subclinical CAD. We examined the additional value of PWV measurements to traditional CAD risk factors for identifying CAD.From the Measuring Athlete's Risk of Cardiovascular events (MARC cohort of asymptomatic, middle-aged sportsmen who underwent low-dose Cardiac CT (CCT after routine sports medical examination (SME, 193 consecutive sportsmen (aged 55 ± 6.6 years were included with additional PWV measurements before CCT. Sensitivity, specificity and predictive values of PWV values (>8.3 and >7.5 m/s assessed by Arteriograph were used to identify CAD (coronary artery calcium scoring ≥ 100 Agatston Units or coronary CT angiography luminal stenosis ≥ 50% and to assess the additional diagnostic value of PWV to established cardiovascular risk factors.Forty-seven sportsmen (24% had CAD on CCT. They were older (58.9 vs. 53.8 years, p8.3m/s respectively >7.5 m/s sensitivity to detect CAD on CT was 43% and 74%, specificity 69% and 45%, positive predictive value 31% and 30%, and negative predictive value 79% and 84%. Adding PWV to traditional risk factor models did not change the area under the curve (from 0.78 (95% CI = 0.709-0.848 to AUC 0.78 (95% CI 0.710-0.848, p = 0.99 for prediction of CAD on CCT.Limited additional value was found for PWV on top of established risk factors to identify CAD. PWV might still have a role to identify CAD in middle-aged sportsmen if risk factors such as cholesterol are unknown.

  4. Laser-Bioplasma Interaction: Excitation and Suppression of the Brain Waves by the Multi-photon Pulsed-operated Fiber Lasers in the Ultraviolet Range of Frequencies

    Science.gov (United States)

    Stefan, V. Alexander; IAPS-team Team

    2017-10-01

    The novel study of the laser excitation-suppression of the brain waves is proposed. It is based on the pulsed-operated multi-photon fiber-laser interaction with the brain parvalbumin (PV) neurons. The repetition frequency matches the low frequency brain waves (5-100 Hz); enabling the resonance-scanning of the wide range of the PV neurons (the generators of the brain wave activity). The tunable fiber laser frequencies are in the ultraviolet frequency range, thus enabling the monitoring of the PV neuron-DNA, within the 10s of milliseconds. In medicine, the method can be used as an ``instantaneous-on-off anesthetic.'' Supported by Nikola Tesla Labs, Stefan University.

  5. Quadricuspid Aortic Valve Combined with Moderate Ascending Aortic Dilatation

    Science.gov (United States)

    Uspenskiy, Vladimir E.; Osadchii, Alexei M.; Gordeev, Mikhail L.

    2015-01-01

    The quadricuspid aortic valve is a very uncommon malformation associated with aortic insufficiency, aortic stenosis, endocarditis, and ascending aortic dilatation. We report four cases of this aortic valve malformation. One patient with severe aortic regurgitation and moderate aortic dilatation required aortic valve replacement. Three patients had mild or moderate aortic insufficiency combined with moderate ascending aortic dilatation. These patients were referred to follow-up. The presented cases demonstrate that this aortic valve malformation may not be as rare as it appears and that attention must be paid to any quadricuspid findings during computed tomographic angiography and echocardiography. PMID:27390747

  6. Investigation of acoustic waves generated in an elastic solid by a pulsed ion beam and their application in a FIB based scanning ion acoustic microscope

    Energy Technology Data Exchange (ETDEWEB)

    Akhmadaliev, C.

    2004-12-01

    The aim of this work is to investigate the acoustic wave generation by pulsed and periodically modulated ion beams in different solid materials depending on the beam parameters and to demonstrate the possibility to apply an intensity modulated focused ion beam (FIB) for acoustic emission and for nondestructive investigation of the internal structure of materials on a microscopic scale. The combination of a FIB and an ultrasound microscope in one device can provide the opportunity of nondestructive investigation, production and modification of micro- and nanostructures simultaneously. This work consists of the two main experimental parts. In the first part the process of elastic wave generation during the irradiation of metallic samples by a pulsed beam of energetic ions was investigated in an energy range from 1.5 to 10 MeV and pulse durations of 0.5-5 {mu}s, applying ions with different masses, e.g. oxygen, silicon and gold, in charge states from 1{sup +} to 4{sup +}. The acoustic amplitude dependence on the ion beam parameters like the ion mass and energy, the ion charge state, the beam spot size and the pulse duration were of interest. This work deals with ultrasound transmitted in a solid, i.e. bulk waves, because of their importance for acoustic transmission microscopy and nondestructive inspection of internal structure of a sample. The second part of this work was carried out using the IMSA-100 FIB system operating in an energy range from 30 to 70 keV. The scanning ion acoustic microscope based on this FIB system was developed and tested. (orig.)

  7. Investigation of acoustic waves generated in an elastic solid by a pulsed ion beam and their application in a FIB based scanning ion acoustic microscope

    International Nuclear Information System (INIS)

    Akhmadaliev, C.

    2004-12-01

    The aim of this work is to investigate the acoustic wave generation by pulsed and periodically modulated ion beams in different solid materials depending on the beam parameters and to demonstrate the possibility to apply an intensity modulated focused ion beam (FIB) for acoustic emission and for nondestructive investigation of the internal structure of materials on a microscopic scale. The combination of a FIB and an ultrasound microscope in one device can provide the opportunity of nondestructive investigation, production and modification of micro- and nanostructures simultaneously. This work consists of the two main experimental parts. In the first part the process of elastic wave generation during the irradiation of metallic samples by a pulsed beam of energetic ions was investigated in an energy range from 1.5 to 10 MeV and pulse durations of 0.5-5 μs, applying ions with different masses, e.g. oxygen, silicon and gold, in charge states from 1 + to 4 + . The acoustic amplitude dependence on the ion beam parameters like the ion mass and energy, the ion charge state, the beam spot size and the pulse duration were of interest. This work deals with ultrasound transmitted in a solid, i.e. bulk waves, because of their importance for acoustic transmission microscopy and nondestructive inspection of internal structure of a sample. The second part of this work was carried out using the IMSA-100 FIB system operating in an energy range from 30 to 70 keV. The scanning ion acoustic microscope based on this FIB system was developed and tested. (orig.)

  8. Fast prediction of pulsed nonlinear acoustic fields from clinically relevant sources using time-averaged wave envelope approach: comparison of numerical simulations and experimental results.

    Science.gov (United States)

    Wójcik, J; Kujawska, T; Nowicki, A; Lewin, P A

    2008-12-01

    The primary goal of this work was to verify experimentally the applicability of the recently introduced time-averaged wave envelope (TAWE) method [J. Wójcik, A. Nowicki, P.A. Lewin, P.E. Bloomfield, T. Kujawska, L. Filipczyński, Wave envelopes method for description of nonlinear acoustic wave propagation, Ultrasonics 44 (2006) 310-329.] as a tool for fast prediction of four dimensional (4D) pulsed nonlinear pressure fields from arbitrarily shaped acoustic sources in attenuating media. The experiments were performed in water at the fundamental frequency of 2.8 MHz for spherically focused (focal length F=80 mm) square (20 x 20 mm) and rectangular (10 x 25mm) sources similar to those used in the design of 1D linear arrays operating with ultrasonic imaging systems. The experimental results obtained with 10-cycle tone bursts at three different excitation levels corresponding to linear, moderately nonlinear and highly nonlinear propagation conditions (0.045, 0.225 and 0.45 MPa on-source pressure amplitude, respectively) were compared with those yielded using the TAWE approach [J. Wójcik, A. Nowicki, P.A. Lewin, P.E. Bloomfield, T. Kujawska, L. Filipczyński, Wave envelopes method for description of nonlinear acoustic wave propagation, Ultrasonics 44 (2006) 310-329.]. The comparison of the experimental results and numerical simulations has shown that the TAWE approach is well suited to predict (to within+/-1 dB) both the spatial-temporal and spatial-spectral pressure variations in the pulsed nonlinear acoustic beams. The obtained results indicated that implementation of the TAWE approach enabled shortening of computation time in comparison with the time needed for prediction of the full 4D pulsed nonlinear acoustic fields using a conventional (Fourier-series) approach [P.T. Christopher, K.J. Parker, New approaches to nonlinear diffractive field propagation, J. Acoust. Soc. Am. 90 (1) (1991) 488-499.]. The reduction in computation time depends on several parameters

  9. Transcranial magnetic stimulation with a half-sine wave pulse elicits direction-specific effects in human motor cortex

    DEFF Research Database (Denmark)

    Jung, Nikolai H; Delvendahl, Igor; Pechmann, Astrid

    2012-01-01

    Transcranial magnetic stimulation (TMS) commonly uses so-called monophasic pulses where the initial rapidly changing current flow is followed by a critically dampened return current. It has been shown that a monophasic TMS pulse preferentially excites different cortical circuits in the human motor...

  10. Markers of subclinical atherosclerosis in patients with aortic valve sclerosis: A meta-analysis of literature studies.

    Science.gov (United States)

    Di Minno, Matteo Nicola Dario; Di Minno, Alessandro; Songia, Paola; Ambrosino, Pasquale; Gripari, Paola; Ravani, Alessio; Pepi, Mauro; Rubba, Paolo Osvaldo; Medda, Emanuela; Tremoli, Elena; Baldassarre, Damiano; Poggio, Paolo

    2016-11-15

    Growing evidence suggested an association between aortic valve sclerosis (AVSc) and cardiovascular (CV) events. However, little is known about the association of AVSc with major markers of subclinical atherosclerosis. We performed a meta-analysis of literature studies to address this issue. Studies on the relationship between AVSc and common carotid artery intima-media thickness (IMT), prevalence of carotid plaques (CPs), flow-mediated dilation (FMD), aortic pulse wave velocity (PWV) and augmentation index (AIx) were systematically searched in electronic databases. Thirteen studies enrolling 1086 AVSc patients and 2124 controls were included. Compared to controls, AVSc patients showed higher IMT (MD: 0.32mm; 95%CI: 0.07, 0.58; p=0.014), and higher prevalence of CPs (OR: 4.06; 95%CI: 2.38, 6.93; patherosclerosis, thus supporting the concept that AVSc and atherosclerosis share common etiopathological mechanism and/or risk factors. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Spin wave excitation in sub-micrometer thick Y3Fe5O12 films fabricated by pulsed laser deposition on garnet and silicon substrates: A comparative study

    Science.gov (United States)

    Balinskiy, Michael; Ojha, Shuchi; Chiang, Howard; Ranjbar, Mojtaba; Ross, Caroline A.; Khitun, Alexander

    2017-09-01

    The development of yttrium iron garnet nanostructures on a silicon substrate is critically important for the integration of magnonic components with conventional electronic circuits. In this work, we present experimental data on spin wave excitation and propagation in 700 nm thick planar Y3Fe5O12 (YIG) films fabricated on gadolinium gallium garnet Gd3Ga5O12 (GGG) and silicon substrates by pulsed laser deposition. The spin wave spectroscopy measurements were accomplished using a set of micro-antennas placed directly on the film surface. The data were collected in a frequency range of 0.5-7 GHz and a bias magnetic field from 0 to 2000 Oe. We compare and analyze the spectra obtained for YIG/GGG and YIG/Si. Fitting to the Kittel formula yields the effective magnetization of the samples which is compared with the results obtained by magnetometry. Application of spin wave spectroscopy for magnetic film characterization allows us to extract valuable information on the magnetic texture. Understanding the mechanisms leading to the spin wave damping modification is the key to low-loss spin wave devices compatible with conventional silicon-based technology.

  12. The product of resting heart rate times blood pressure is associated with high brachial-ankle pulse wave velocity.

    Directory of Open Access Journals (Sweden)

    Anxin Wang

    Full Text Available OBJECTIVE: To investigate potential associations between resting heart rate, blood pressure and the product of both, and the brachial-ankle pulse wave velocity (baPWV as a maker of arterial stiffness. METHODS: The community-based "Asymptomatic Polyvascular Abnormalities in Community (APAC Study" examined asymptomatic polyvascular abnormalities in a general Chinese population and included participants with an age of 40+ years without history of stroke and coronary heart disease. Arterial stiffness was defined as baPWV≥1400 cm/s. We measured and calculated the product of resting heart rate and systolic blood pressure (RHR-SBP and the product of resting heart rate and mean arterial pressure (RHR-MAP. RESULTS: The study included 5153 participants with a mean age of 55.1 ± 11.8 years. Mean baPWV was 1586 ± 400 cm/s. Significant (P<0.0001 linear relationships were found between higher baPWV and higher resting heart rate or higher arterial blood pressure, with the highest baPWV observed in individuals from the highest quartiles of resting heart rate and blood pressure. After adjusting for confounding parameters such as age, sex, educational level, body mass index, fasting blood concentrations of glucose, blood lipids and high-sensitive C-reactive protein, smoking status and alcohol consumption, prevalence of arterial stiffness increased significantly (P<0.0001 with increasing RHR-SBP quartile (Odds Ratio (OR: 2.72;95%Confidence interval (CI:1.46,5.08 and increasing RHR-MAP (OR:2.10;95%CI:1.18,3.72. Similar results were obtained in multivariate linear regression analyses with baPWV as continuous variable. CONCLUSIONS: Higher baPWV as a marker of arterial stiffness was associated with a higher product of RHR-SBP and RHR-MAP in multivariate analysis. In addition to other vascular risk factors, higher resting heart rate in combination with higher blood pressure are risk factors for arterial stiffness.

  13. A sensitivity analysis of a personalized pulse wave propagation model for arteriovenous fistula surgery. Part B: Identification of possible generic model parameters.

    Science.gov (United States)

    Huberts, W; de Jonge, C; van der Linden, W P M; Inda, M A; Passera, K; Tordoir, J H M; van de Vosse, F N; Bosboom, E M H

    2013-06-01

    Decision-making in vascular access surgery for hemodialysis can be supported by a pulse wave propagation model that is able to simulate pressure and flow changes induced by the creation of a vascular access. To personalize such a model, patient-specific input parameters should be chosen. However, the number of input parameters that can be measured in clinical routine is limited. Besides, patient data are compromised with uncertainty. Incomplete and uncertain input data will result in uncertainties in model predictions. In part A, we analyzed how the measurement uncertainty in the input propagates to the model output by means of a sensitivity analysis. Of all 73 input parameters, 16 parameters were identified to be worthwhile to measure more accurately and 51 could be fixed within their measurement uncertainty range, but these latter parameters still needed to be measured. Here, we present a methodology for assessing the model input parameters that can be taken constant and therefore do not need to be measured. In addition, a method to determine the value of this parameter is presented. For the pulse wave propagation model applied to vascular access surgery, six patient-specific datasets were analyzed and it was found that 47 out of 73 parameters can be fixed on a generic value. These model parameters are not important for personalization of the wave propagation model. Furthermore, we were able to determine a generic value for 37 of the 47 fixable model parameters. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

  14. Finite element method (FEM) model of the mechanical stress on phospholipid membranes from shock waves produced in nanosecond electric pulses (nsEP)

    Science.gov (United States)

    Barnes, Ronald; Roth, Caleb C.; Shadaram, Mehdi; Beier, Hope; Ibey, Bennett L.

    2015-03-01

    The underlying mechanism(s) responsible for nanoporation of phospholipid membranes by nanosecond pulsed electric fields (nsEP) remains unknown. The passage of a high electric field through a conductive medium creates two primary contributing factors that may induce poration: the electric field interaction at the membrane and the shockwave produced from electrostriction of a polar submersion medium exposed to an electric field. Previous work has focused on the electric field interaction at the cell membrane, through such models as the transport lattice method. Our objective is to model the shock wave cell membrane interaction induced from the density perturbation formed at the rising edge of a high voltage pulse in a polar liquid resulting in a shock wave propagating away from the electrode toward the cell membrane. Utilizing previous data from cell membrane mechanical parameters, and nsEP generated shockwave parameters, an acoustic shock wave model based on the Helmholtz equation for sound pressure was developed and coupled to a cell membrane model with finite-element modeling in COMSOL. The acoustic structure interaction model was developed to illustrate the harmonic membrane displacements and stresses resulting from shockwave and membrane interaction based on Hooke's law. Poration is predicted by utilizing membrane mechanical breakdown parameters including cortical stress limits and hydrostatic pressure gradients.

  15. Aortic Annular Enlargement during Aortic Valve Replacement

    Directory of Open Access Journals (Sweden)

    Selman Dumani

    2016-09-01

    Full Text Available In the surgery of aortic valve replacement is always attempted, as much as possible, to implant the larger prosthesis with the mains goals to enhance the potential benefits, to minimise transvalvular gradient, decrease left ventricular size and avoid the phenomenon of patient-prosthesis mismatch. Implantation of an ideal prosthesis often it is not possible, due to a small aortic annulus. A variety of aortic annulus enlargement techniques is reported to avoid patient-prosthesis mismatch. We present the case that has submitted four three times open heart surgery. We used Manouguian technique to enlarge aortic anulus with excellent results during the fourth time of surgery.

  16. Dilatation of the ascending aorta is associated with presence of aortic regurgitation in patients after repair of tetralogy of Fallot

    Science.gov (United States)

    Ordovas, Karen Gomes; Keedy, Alexander; Naeger, David M.; Kallianos, Kimberly; Foster, Elyse; Liu, Jing; Saloner, David; Hope, Michael D.

    2016-01-01

    To evaluate the association between aortic morphology and elasticity with aortic regurgitation in surgically corrected of tetralogy of Fallot (TOF) patients. We retrospectively identified 72 consecutive patients with surgically corrected TOF and 27 healthy controls who underwent cardiac MRI evaluation. Velocity-encoded cine MRI was used to quantify degree of aortic regurgitation (AR) in TOF patients. Ascending aorta diameters were measured at standard levels on MRA images. Aortic pulse-wave velocity (PWV) was quantified with MRI. Morphological and functional MRI variables were compared between groups of TOF patients with and without clinically relevant AR and controls. The association between aortic morphology and elasticity with the presence of AR was evaluated using univariate and multivariate logistic regression. The majority of TOF patients had only trace AR. Nine TOF patients (12 %) had an AR fraction higher than 15 %. Indexed aorta diameter at the sinotubular junction (p = 0.007), at the RPA level (p = 0.006), and low left ventricular ejection fraction (LVEF) (p = 0.015) showed the strongest associations with the presence of at least mild AR, which persisted after controlling for age and gender. Increased ascending aorta dimension is associated with AR in patients after repair of TOF. LVEF was also low in the group of patients with relevant AR compared to those without, suggesting even mild to moderate AR may contribute to LV dysfunction in these patients. Enlarged ascending aorta may be an indication for precise quantification of regurgitant fraction with MRI, since symptomatic patients may need aortic valve repair when moderate regurgitation is present. PMID:27240599

  17. Evolution of Hyperbolic-Secant Pulses Towards Cross-Phase Modulation Induced Optical Wave Breaking and Soliton or Soliton Trains Generation in Quintic Nonlinear Fibers

    Science.gov (United States)

    Zhong, Xian-Qiong; Zhang, Xiao-Xia; Du, Xian-Tong; Liu, Yong; Cheng, Ke

    2015-10-01

    The approximate analytical frequency chirps and the critical distances for cross-phase modulation induced optical wave breaking (OWB) of the initial hyperbolic-secant optical pulses propagating in optical fibers with quintic nonlinearity (QN) are presented. The pulse evolutions in terms of the frequency chirps, shapes and spectra are numerically calculated in the normal dispersion regime. The results reveal that, depending on different QN parameters, the traditional OWB or soliton or soliton pulse trains may occur. The approximate analytical critical distances are found to be in good agreement with the numerical ones only for the traditional OWB whereas the approximate analytical frequency chirps accords well with the numerical ones at the initial evolution stages of the pulses. Supported by the Postdoctoral Fund of China under Grant No. 2011M501402, the Key Project of Chinese Ministry of Education under Grant No. 210186, the Major Project of Natural Science Supported by the Educational Department of Sichuan Province under Grant No. 13ZA0081, the Key Project of National Natural Science Foundation of China under Grant No 61435010, and the National Natural Science Foundation of China under Grant No. 61275039

  18. Wave-function analysis of dynamic cancellation of ac Stark shifts in optical lattice clocks by use of pulsed Raman and electromagnetically-induced-transparency techniques

    International Nuclear Information System (INIS)

    Yoon, Tai Hyun

    2007-01-01

    We study analytically the dynamic cancellation of ac Stark shift in the recently proposed pulsed electromagnetically-induced-transparency (EIT-)Raman optical lattice clock based on the wave-function formalism. An explicit expression for the time evolution operator corresponding to the effective two-level interaction Hamiltonian has been obtained in order to explain the atomic phase shift cancellation due to the ac Stark shift induced by the time-separated laser pulses. We present how to determine an optimum value of the common detuning of the driving fields at which the atomic phase shift cancels completely with the parameters for the practical realization of the EIT-Raman optical lattice clock with alkaline-earth-metal atoms

  19. Wave

    DEFF Research Database (Denmark)

    Ibsen, Lars Bo

    2008-01-01

    Estimates for the amount of potential wave energy in the world range from 1-10 TW. The World Energy Council estimates that a potential 2TW of energy is available from the world’s oceans, which is the equivalent of twice the world’s electricity production. Whilst the recoverable resource is many...

  20. Differential effects of nebivolol and metoprolol on central aortic pressure and left ventricular wall thickness.

    Science.gov (United States)

    Kampus, Priit; Serg, Martin; Kals, Jaak; Zagura, Maksim; Muda, Piibe; Karu, Külliki; Zilmer, Mihkel; Eha, Jaan

    2011-06-01

    The aim of this study was to investigate the effects of the vasodilating β-blocker nebivolol and the cardioselective β-blocker metoprolol succinate on aortic blood pressure and left ventricular wall thickness. We conducted a randomized, double-blind study on 80 hypertensive patients. The patients received either 5 mg of nebivolol or 50 to 100 mg of metoprolol succinate daily for 1 year. Their heart rate, central and brachial blood pressures, mean arterial pressure, augmentation index, carotid-femoral pulse wave velocity, and left ventricular wall thickness were measured at baseline and at the end of the study. Nebivolol and metoprolol significantly reduced heart rate, brachial blood pressure, and mean arterial pressure to the same degree. However, reductions in central systolic and diastolic blood pressures, central pulse pressure, and left ventricular wall thickness were significant only in the nebivolol group. The change in left ventricular septal wall thickness was significantly correlated with central systolic blood pressure change (r=0.41; P=0.001) and with central pulse pressure change (r=0.32; P=0.01). No significant changes in augmentation index or carotid-femoral pulse wave velocity were detected in either treatment group. This proof-of-principle study provides evidence to suggest that β-blockers with vasodilating properties may offer advantages over conventional β-blockers in antihypertensive therapy; however, this remains to be tested in a larger trial.

  1. Bandwidth and repetition rate programmable Nyquist sinc-shaped pulse train source based on intensity modulators and four-wave mixing.

    Science.gov (United States)

    Cordette, S; Vedadi, A; Shoaie, M A; Brès, C-S

    2014-12-01

    We propose and experimentally demonstrate an all-optical Nyquist sinc-shaped pulse train source based on intensity modulation and four-wave mixing. The proposed scheme allows for the tunability of the bandwidth and the full flexibility of the repetition rate in the limit of the electronic bandwidth of the modulators used through the flexible synthesis of rectangular frequency combs. Bandwidth up to 360 GHz at 40 GHz rate and up to 45 frequency lines at 5 GHz rate are demonstrated with 40 GHz modulators.

  2. A wave dynamics criterion for optimization of mammalian cardiovascular system.

    Science.gov (United States)

    Pahlevan, Niema M; Gharib, Morteza

    2014-05-07

    The cardiovascular system in mammals follows various optimization criteria covering the heart, the vascular network, and the coupling of the two. Through a simple dimensional analysis we arrived at a non-dimensional number (wave condition number) that can predict the optimum wave state in which the left ventricular (LV) pulsatile power (LV workload) is minimized in a mammalian cardiovascular system. This number is also universal among all mammals independent of animal size maintaining a value of around 0.1. By utilizing a unique in vitro model of human aorta, we tested our hypothesis against a wide range of aortic compliance (pulse wave velocity). We concluded that the optimum value of the wave condition number remains to be around 0.1 for a wide range of aorta compliance that we could simulate in our in-vitro system. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. CALCULATION-EXPERIMENTAL METHOD OF RESEARCH IN A METALLIC CONDUCTOR WITH THE PULSE CURRENT OF ELECTRONIC WAVEPACKAGES AND DE BROGLIE ELECTRONIC HALF-WAVES

    Directory of Open Access Journals (Sweden)

    M. I. Baranov

    2016-12-01

    Full Text Available Purpose. Development of calculation-experimental method for a discovery and study of electronic wavepackages (EWP and of de Broglie electronic half-waves in a metallic conductor with the pulse axial-flow current of high density. Methodology. Theoretical bases of the electrical engineering, bases of quantum physics, electrophysics bases of technique of high voltage and large pulsecurrents, and also bases of technique of measuring of permanent and variable electric value. Results. On the basis of generalization of results of research of features of the longitudinal wave periodic distributing of negatively charged transmitters of electric current of conductivity in the thin round continuous zincked steel wire offered and approved in the conditions of high-voltage laboratory method for a discovery and direct determination in him of geometrical parameters of «hot» and «cold» longitudinal areas quantized periodic longitudinal EWP and accordingly the mediated determination of values of the quantized lengths formative their de Broglie electronic half-waves. It is shown that results of close quantum mechanical calculations of EWP and quantized lengths λenz/2 of longitudinal de Broglie half-waves for the probed wire long l0 well comport with the results of the executed high temperature experiments on the powerful high-voltage generator of homopolar large pulse current of millisecond duration. Originality. First calculation-experimental a way the important for the theory of electricity fact of existence is set in a round metallic explorer with the impulsive axial-flow current of the quantized coherent de Broglie electronic half-waves, amplitudes of which at the quantum number of n=1,3,9 correspond the middles of «hot» longitudinal areas of EWP. Calculation quantum mechanical correlation of type of λenz/2=l0/n got experimental confirmation, in obedience to which on length of l0 conductor the integer of quantized electronic half-waves is always laid

  4. Transformation of the frequency-modulated continuous-wave field into a train of short pulses by resonant filters

    Science.gov (United States)

    Shakhmuratov, R. N.

    2017-03-01

    The resonant filtering method transforming the frequency-modulated radiation field into a train of short pulses is proposed to be applied in the optical domain. Effective frequency modulation can be achieved by using an electro-optic modulator. Due to frequency modulation, a narrow-spectrum cw radiation field is seen by the resonant filter as a comb of equidistant spectral components separated by the modulation frequency. Tuning a narrow-bandwidth filter in resonance with the n th spectral component of the comb transforms the radiation field into bunches of pulses, with n pulses in each bunch. The transformation is explained by the interference of the coherently scattered resonant component of the field with the whole comb. Constructive interference results in the formation of pulses, while destructive interference is seen as dark windows between pulses. It is indicated that the optimal thickness of the resonant filter is several orders of magnitude smaller than the necessary thickness of the dispersive filters used before in the optical domain to produce short pulses from the frequency-modulated field.

  5. Mechanisms of pulse pressure amplification dipping pattern during sleep time: the SAFAR study.

    Science.gov (United States)

    Argyris, Antonios A; Nasothimiou, Efthimia; Aissopou, Evaggelia; Papaioannou, Theodoros G; Zhang, Yi; Blacher, Jacques; Safar, Michel E; Sfikakis, Petros P; Protogerou, Athanase D

    2018-02-01

    The difference in pulse pressure (PP) between peripheral arteries and the aorta, called pulse pressure amplification (PPamp), is a well-described physiological phenomenon independently associated with cardiovascular events. Recent studies suggest that it exhibits circadian variability. Our aim was to detect the factors associated with the circadian variability of PPamp. In 497 consecutive subjects (aged 54 years, 56.7% male, 79.7% hypertensives), we assessed the circadian pattern of peripheral and central arterial hemodynamics by 24-hour evaluation of brachial and aortic blood pressure (BP), augmentation index (AI), and pulse wave velocity (PWV) using a validated oscillometric device (Mobil-O-Graph). All parameters exhibited a circadian variation. Sleep dipping (decrease) pattern was observed for PPamp, brachial and aortic systolic BP, mean BP, and PWV, whereas a rising pattern (higher sleep than wake values) was observed for brachial PP, aortic PP, and AI. The factors independently associated with the less sleep dipping in PPamp were older age, lower height, the use of antihypertensive medication, and sleep decrease in arterial stiffness (PWV), whereas female gender, the presence of hypertension, sleep increase of pressure wave reflections (AI), sleep decrease in heart rate, and mean BP were associated with a greater sleep-dipping in PPamp. These data provide further pathophysiological understanding of the mechanisms leading to PPamp dipping. Several implications regarding the clinical use of the aortic and brachial BP, especially during sleep time, are raised that should be addressed in future research. Copyright © 2017 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.

  6. Comparison Study between RMS and Edge Detection Image Processing Algorithms for a Pulsed Laser UWPI (Ultrasonic Wave Propagation Imaging)-Based NDT Technique.

    Science.gov (United States)

    Lee, Changgil; Zhang, Aoqi; Yu, Byoungjoon; Park, Seunghee

    2017-05-26

    In this study, a non-contact laser ultrasonic propagation imaging technique was applied to detect the damage of plate-like structures. Lamb waves were generated by an Nd:YAG pulse laser system, while a galvanometer-based laser scanner was used to scan the preliminarily designated area. The signals of the structural responses were measured using a piezoelectric sensor attached on the front or back side of the plates. The obtained responses were analyzed by calculating the root mean square (RMS) values to achieve the visualization of structural defects such as crack, corrosion, and so on. If the propagating waves encounter the damage, the waves are scattered at the damage and the energy of the scattered waves can be expressed by the RMS values. In this study, notch and corrosion were artificially formed on aluminum plates and were considered as structural defects. The notches were created with different depths and angles on the aluminum plates, and the corrosion damage was formed with different depths and areas. To visualize the damage more clearly, edge detection methodologies were applied to the RMS images and the feasibility of the methods was investigated. The results showed that most of the edge detection methods were good at detecting the shape and/or the size of the damage while they had poor performance of detecting the depth of the damage.

  7. Sweet potato (Ipomoea batatas) attenuates diet-induced aortic stiffening independent of changes in body composition.

    Science.gov (United States)

    Garner, Tyler; Ouyang, An; Berrones, Adam J; Campbell, Marilyn S; Du, Bing; Fleenor, Bradley S

    2017-08-01

    We hypothesized a sweet potato intervention would prevent high-fat (HF) diet-induced aortic stiffness, which would be associated with decreased arterial oxidative stress and increased mitochondrial uncoupling. Young (8-week old) C57BL/6J mice were randomly divided into 4 groups: low fat (LF; 10% fat), HF (60% fat), low-fat sweet potato (LFSP; 10% fat containing 260.3 μg/kcal sweet potato), or high-fat sweet potato diet (HFSP; 60% fat containing 260.3 μg/kcal sweet potato) for 16 weeks. Compared with LF and LFSP, HF- and HFSP-fed mice had increased body mass and percent fat mass with lower percent lean mass (all, P Sweet potato intervention did not influence body composition (all, P > 0.05). Arterial stiffness, assessed by aortic pulse wave velocity and ex vivo mechanical testing of the elastin region elastic modulus (EEM) was greater in HF compared with LF and HFSP animals (all, P sweet potato attenuates diet-induced aortic stiffness independent of body mass and composition, which is associated with a normalization of arterial oxidative stress possibly due to mitochondrial uncoupling.

  8. Clinical utility of brachial-ankle pulse wave velocity in the prediction of cardiovascular events in diabetic patients.

    Science.gov (United States)

    Katakami, Naoto; Osonoi, Takeshi; Takahara, Mitsuyoshi; Saitou, Miyoko; Matsuoka, Taka-Aki; Yamasaki, Yoshimitsu; Shimomura, Iichiro

    2014-09-05

    Brachial-ankle pulse wave velocity (baPWV) is a method to estimate arterial stiffness, which reflects the stiffness of both the aorta and peripheral artery; it would be applicable to general practice, since its measurementis automated. The aim of this study was to evaluate whether baPWV can be predictors of future cardiovascular events (CVE) in diabetic patients. We prospectively evaluated the association between baPWV or carotid intima-media thickness (carotid IMT) at baseline and new onset of CVE in 1040 type 2 diabetic patients without CVE. The predictability of baPWV and/or carotid IMT for identifying patients at high risk for CVE was evaluated by time-dependent receiver-operating-characteristic (ROC) curve analysis. During a median follow-up of 7.5 years, 113 had new CVD events. The cumulative incidence rates of CVE were significantly higher in patients with high baPWV values (≥1550 cm/s) as compared to those with low baPWV values (<1550 cm/s) (p < 0.001, log-rank test). Similarly, the cumulative incidence rate of CVE was significantly higher in patients with higher maximum carotid IMT (maxIMT) values (≥1.0 mm) as compared to those with lower maxIMT values (<1.0 mm) (p < 0.001, log-rank test). Subjects with both "high PWV" and "high IMT" had a significantly higher risk of developing CVE as compared to those with either "high PWV" or "high IMT," as well as those with neither. A multivariate Cox proportional hazards regression model revealed that both baPWV (HR = 1.30, [95%CI: 1.07-1.57]; p = 0.009) and maxIMT (HR = 1.20, [95%CI: 1.01-1.41]; p = 0.033) were independent predictors for CVE, even after adjustment for the conventional risk factors. Time-dependent ROC curve analyses revealed that the addition of maxIMT to the Framingham risk score resulted in significant increase in AUC (from 0.60 [95%CI: 0.54-0.67] to 0.63 [95%CI: 0.60-0.82]; p = 0.01). Notably, the addition of baPWV to the Framingham risk score and maxIMT resulted in

  9. Carotid-Femoral Pulse Wave Velocity in the Prediction of Cardiovascular Events and Mortality: An Updated Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Zhong, Qi; Hu, Ming-Jun; Cui, Yan-Jie; Liang, Ling; Zhou, Meng-Meng; Yang, Yu-Wei; Huang, Fen

    2017-01-01

    Arterial stiffness (AS) is a predictor of coronary artery outcomes in patients with cardiovascular disease (CVD). Carotid-femoral pulse wave velocity (cf-PWV) is a commonly used method for assessing AS. This study aimed to assess the relationship between cf-PWV and clinical CVD events. Of the 786 studies identified, 19 studies were included in the final meta-analysis. Meta-analysis revealed that participants with high cf-PWV by 1 standard deviation (SD), 1 m/s, and cutoff points have a high pooled relative risk for CVD events (1 SD: 1.25, 95% confidence interval [CI]: 1.19-1.31; 1 m/s: 1.12, 95% CI: 1.07-1.18; and cutoff points: 1.80, 95% CI: 1.45-2.14) and CVD mortality (1 SD: 1.23, 95% CI: 1.15-1.31; 1 m/s: 1.09, 95% CI: 1.04-1.14; and cutoff points: 1.85, 95% CI: 1.46-2.24). In addition, we found that the predictive value of increased AS was higher in patients with higher disease risk for total CVD events and CVD mortality than in other patients. Carotid-femoral pulse wave velocity is a useful biomarker to improve the prediction of CV risk for patients and identify high-risk populations who may benefit from aggressive CV risk factor management.

  10. A Fast Multimodal Ectopic Beat Detection Method Applied for Blood Pressure Estimation Based on Pulse Wave Velocity Measurements in Wearable Sensors

    Directory of Open Access Journals (Sweden)

    Maik Pflugradt

    2017-01-01

    Full Text Available Automatic detection of ectopic beats has become a thoroughly researched topic, with literature providing manifold proposals typically incorporating morphological analysis of the electrocardiogram (ECG. Although being well understood, its utilization is often neglected, especially in practical monitoring situations like online evaluation of signals acquired in wearable sensors. Continuous blood pressure estimation based on pulse wave velocity considerations is a prominent example, which depends on careful fiducial point extraction and is therefore seriously affected during periods of increased occurring extrasystoles. In the scope of this work, a novel ectopic beat discriminator with low computational complexity has been developed, which takes advantage of multimodal features derived from ECG and pulse wave relating measurements, thereby providing additional information on the underlying cardiac activity. Moreover, the blood pressure estimations’ vulnerability towards ectopic beats is closely examined on records drawn from the Physionet database as well as signals recorded in a small field study conducted in a geriatric facility for the elderly. It turns out that a reliable extrasystole identification is essential to unsupervised blood pressure estimation, having a significant impact on the overall accuracy. The proposed method further convinces by its applicability to battery driven hardware systems with limited processing power and is a favorable choice when access to multimodal signal features is given anyway.

  11. A Fast Multimodal Ectopic Beat Detection Method Applied for Blood Pressure Estimation Based on Pulse Wave Velocity Measurements in Wearable Sensors

    Science.gov (United States)

    Pflugradt, Maik; Geissdoerfer, Kai; Goernig, Matthias; Orglmeister, Reinhold

    2017-01-01

    Automatic detection of ectopic beats has become a thoroughly researched topic, with literature providing manifold proposals typically incorporating morphological analysis of the electrocardiogram (ECG). Although being well understood, its utilization is often neglected, especially in practical monitoring situations like online evaluation of signals acquired in wearable sensors. Continuous blood pressure estimation based on pulse wave velocity considerations is a prominent example, which depends on careful fiducial point extraction and is therefore seriously affected during periods of increased occurring extrasystoles. In the scope of this work, a novel ectopic beat discriminator with low computational complexity has been developed, which takes advantage of multimodal features derived from ECG and pulse wave relating measurements, thereby providing additional information on the underlying cardiac activity. Moreover, the blood pressure estimations’ vulnerability towards ectopic beats is closely examined on records drawn from the Physionet database as well as signals recorded in a small field study conducted in a geriatric facility for the elderly. It turns out that a reliable extrasystole identification is essential to unsupervised blood pressure estimation, having a significant impact on the overall accuracy. The proposed method further convinces by its applicability to battery driven hardware systems with limited processing power and is a favorable choice when access to multimodal signal features is given anyway. PMID:28098831

  12. Consequences of the magnetic field, sonic and radiofrequency waves and intense pulsed light on the labeling of blood constituents with technetium-99m

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Patricia Froes; Costa, Iris do Ceu Clara; Brandao-Neto, Jose; Medeiros, Aldo da Cunha [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil). Programa de Pos-graduacao em Ciencias da Saude; Santos-Filho, Sebastiao David; Adenilson de Souza da Fonseca; Bernardo-Filho, Mario [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). Inst. de Biologia Roberto Alcantara Gomes. Lab. de Radiofarmacia Experimental; Ariel Ronzio, Oscar [Universidad de Buenos Aires (Argentina); Bonelli, Ludmila [Universidade Salgado de Oliveira, Belo Horizonte, MG (Brazil)

    2007-09-15

    Sources of magnetic field, radiofrequency and audible sonic waves and pulsed light have been used in physiotherapy to treat different disorders. In nuclear medicine, blood constituents(Bl-Co) are labeled with technetium-99m ({sup 99m}Tc) are used. This study evaluated the consequences of magnetic field, radiofrequency and audible sonic waves and intense pulsed light sources on the labeling of Bl-Co with {sup 99m}Tc. Blood from Wistar rats was exposed to the cited sources. The labeling of Bl-Co with {sup 99m}Tc was performed. Blood not exposed to the physical agents was used(controls). Data showed that the exposure to the different studied sources did not alter significantly (p>0.05) the labeling of Bl-Co. Although the results were obtained with animals, the data suggest that no alteration on examinations performed with Bl-Co labeled with {sup 99m}Tc after exposition to the cited agents. The biological consequences associated with these agents would be not capable to interfere with some properties of the Bl-Co. (author)

  13. Multicenter study verifying a method of noninvasive continuous cardiac output measurement using pulse wave transit time: a comparison with intermittent bolus thermodilution cardiac output.

    Science.gov (United States)

    Yamada, Takashige; Tsutsui, Masato; Sugo, Yoshihiro; Sato, Tetsufumi; Akazawa, Toshimasa; Sato, Nobukazu; Yamashita, Koichi; Ishihara, Hironori; Takeda, Junzo

    2012-07-01

    Many technologies have been developed for minimally invasive monitoring of cardiac output. Estimated continuous cardiac output (esCCO) measurement using pulse wave transit time is one noninvasive method. Because it does not require any additional sensors other than those for conducting 3 basic forms of monitoring (electrocardiogram, pulse oximeter wave, and noninvasive (or invasive) arterial blood pressure measurement), esCCO measurement is potentially useful in routine clinical circulatory monitoring for any patient including low-risk patients. We evaluated the efficacy of noninvasive esCCO using pulse wave transit time in this multicenter study. We compared esCCO and intermittent bolus thermodilution cardiac output (TDCO) in 213 patients, 139 intensive care units (ICUs), and 74 operating rooms (ORs), at 7 participating institutions. We performed electrocardiogram, pulse oximetry, TDCO, and arterial blood pressure measurements in patients in ICUs and ORs; a single calibration was performed to measure esCCO continuously. TDCO measurement was performed once daily for ICU patients and every hour for OR patients, and just before the removal of the pulmonary arterial catheter from patients in both the ICU and OR. We evaluated esCCO against TDCO with correlation analysis and Bland and Altman analysis and also assessed the change of bias over time. Furthermore, we inspected the impact of change in systemic vascular resistance (SVR) on change in bias because abnormal SVR was assumed to be a factor contributing to the change of the bias. From among 588 esCCO and TDCO datasets (excluding calibration points), 587 datasets were analyzed for 213 patients. The analysis results show a correlation coefficient of 0.79 (P time intervals over 48 hours after calibration (repeated-measures analysis of variance P = 0.781) in the ICU. The influence of SVR on esCCO analysis showed a correlation coefficient between SVR and an error of 0.37 (P < 0.0001, 95% confidence interval 0

  14. Comparison of Thresholds for Pulmonary Capillary Hemorrhage Induced by Pulsed-wave and B-mode Ultrasound

    Science.gov (United States)

    Miller, Douglas L.; Dou, Chunyan; Raghavendran, Krishnan

    Pulsed ultrasound was found to induce pulmonary capillary hemorrhage (PCH) in mice about 25 years ago but remains a poorly understood risk factor for pulmonary diagnostic ultrasound. In early research using laboratory fixed beam ultrasound, thresholds for PCH had frequency variation from 1-4 MHz similar to the Mechanical Index. In recent research, thresholds for B mode diagnostic ultrasound from 1.5-12 MHz had little dependence on frequency. To compare the diagnostic ultrasound method to laboratory pulsed exposure, thresholds for fixed beam ultrasound were determined using comparable methods at 1.5 and 7.5 MHz. PCH thresholds were lower for simple fixed-beam pulse modes than for B mode and in approximate agreement with early research. However, for comparable timing parameters, PCH thresholds had little dependence on ultrasonic frequency. These findings suggest that the MI may not be directly useful as a dosimetric parameter for safety guidance in pulmonary ultrasound.

  15. Pressure and stress waves in a spallation neutron source mercury target generated by high-power proton pulses

    CERN Document Server

    Futakawa, M; Conrad, H; Stechemesser, H

    2000-01-01

    The international ASTE collaboration has performed a first series of measurements on a spallation neutron source target at the Alternating Gradient Synchrotron (AGS) in Brookhaven. The dynamic response of a liquid mercury target hit by high-power proton pulses of about 40 ns duration has been measured by a laser Doppler technique and compared with finite elements calculations using the ABAQUS code. It is shown that the calculation can describe the experimental results for at least the time interval up to 100 mu s after the pulse injection. Furthermore, it has been observed that piezoelectric pressure transducers cannot be applied in the high gamma-radiation field of a spallation target.

  16. Influence of Abdominal Aortic Aneurysm Shape on Hemodynamics

    Science.gov (United States)

    2014-09-19

    An incompressible fluid with Newtonian properties is assumed. The governing equations for the conserva- tion of mass and momentum, in a Cartesian... equations . To ensure the Courant-Friedrichs-Lewy (CFL) num- ber < 1, the time step is fixed at ∆t = 0.5 × 10−4 s during a pulse. The simulation is...Supraceliac and infrarenal aortic flow in patients with abdominal aortic aneurysms: mean flows, waveforms, and allometric scaling relation- ships, Card. Eng

  17. Inflation and deflation timing of the AutoCAT 2 WAVE intra-aortic balloon pump using the autoPilot mode in a clinical setting.

    Science.gov (United States)

    Bakker, E W M; Visser, K; van der Wal, A; Kuiper, M A; Koopmans, M; Breedveld, R

    2012-09-01

    The primary goal of this observational clinical study was to register the occurrence of incorrect inflation and deflation timing of an intra-aortic balloon pump in autoPilot mode. The secondary goal was to identify possible causes of incorrect timing. During IABP assistance of 60 patients, every four hours a strip was printed with the IABP frequency set to 1:2. Strips were examined for timing discrepancies beyond 40 ms from the dicrotic notch (inflation) and the end of the diastolic phase (deflation). In this way, 320 printed strips were examined. A total of 52 strips (16%) showed incorrect timing. On 24 of these strips, the incorrect timing was called incidental, as it showed on only one or a few beats. The other 28 cases of erroneous timing were called consistent, as more than 50% of the beats on the strip showed incorrect timing. We observed arrhythmia in 69% of all cases of incorrect timing. When timing was correct, arrhythmia was found on 13 (5%) of 268 strips. A poor quality electrocardiograph (ECG) signal showed on 37% of all strips with incorrect timing and 11% of all strips with proper timing. We conclude that inflation and deflation timing of the IABP is not always correct when using the autoPilot mode. The quality of the ECG input signal and the occurrence of arrhythmia appear to be related to erroneous timing. Switching from autoPilot mode to operator mode may not always prevent incorrect timing.

  18. An easy miss: aortic dissection in a 'healthy' male.

    Science.gov (United States)

    Co, Michael Lawrenz F; Agdamag, Arianne Clare; Mateo, Roselyn Cristelle; Williams, Kim A

    2017-08-07

    Aortic dissection is an uncommon cause of chest discomfort that can be rapidly fatal without early diagnosis and prompt treatment. In this report, we present a man with no risk factors who presented with chest discomfort not typical of a dissection, absent pulse and blood pressure differential and a normal chest radiograph. He eventually was diagnosed with an extensive Type-A aortic dissection. We discuss diagnostic clues, classification of aortic dissection and possible treatment options. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  19. 'Generalizability' of a radial-aortic transfer function for the derivation of central aortic waveform parameters.

    Science.gov (United States)

    Hope, Sarah A; Meredith, Ian T; Tay, David; Cameron, James D

    2007-09-01

    Arterial transfer functions (TFs) describe the relationship between the pressure waveform at different arterial sites. Generalized TFs are used to reconstruct central aortic waveforms from non-invasively obtained peripheral waveforms and have been promoted as potentially clinically useful. A limitation is the paucity of information on their 'generalizability' with no information existing on the number of subjects required to construct a satisfactory TF, nor is adequate prospective validation available. We therefore investigated the uniformity of radial-aortic TFs and prospectively estimated the capacity of a generalized TF to reconstruct individual central blood pressure parameters. Ninety-three subjects (64 male) were studied by simultaneous radial applanation and high-fidelity (Millar Mikro-tip catheter) direct measurement of central aortic BP during elective coronary procedures. Subjects were prospectively randomized to either a derivation or validation group. Increasing numbers of individual TFs from the derivation group were averaged to form a generalized TF. There was minimal change with greater than 20 TFs averaged. In the validation group, the error in most reconstructed parameters related to the absolute value of the directly measured parameter [systolic blood pressure (SBP) and pulse pressure, Pcentral aortic SBP and pulse pressure (negatively) and time to peak systole (positively) (all PInclusion of more than 20 individual TFs in the construction of a generalized TF does not improve 'generalizability'. There appear to be systematic errors in derived central pressure waveforms and derived aortic augmentation index is inaccurate compared to the directly measured value.

  20. Tunable error-free optical frequency conversion of a 4ps optical short pulse over 25 nm by four-wave mixing in a polarisation-maintaining optical fibre

    Science.gov (United States)

    Morioka, T.; Kawanishi, S.; Saruwatari, M.

    1994-05-01

    Error-free, tunable optical frequency conversion of a transform-limited 4.0 ps optical pulse signalis demonstrated at 6.3 Gbit/s using four-wave mixing in a polarization-maintaining optical fibre. The process generates 4.0-4.6 ps pulses over a 25nm range with time-bandwidth products of 0.31-0.43 and conversion power penalties of less than 1.5 dB.

  1. Usefulness of pulse-wave doppler tissue sampling and dobutamine stress echocardiography for identification of false positive inferior wall defects in SPECT

    International Nuclear Information System (INIS)

    Altinmakas, S.; Dagdeviren, B.; Turkmen, M.; Gursurer, M.; Say, B.; Tezel, T.; Ersek, B.

    2000-01-01

    False positive inferior wall perfusion defects restrict the accuracy of SPECT in diagnosis of coronary artery disease (CAD). Pulse-Wave Tissue Doppler (PWTD) has been recently proposed to assess regional wall motion velocities. The objectives of this study were to evaluate the presence of CAD by using PWTD during dobutamine stress echocardiography (DSE) in patients with an inferior perfusion defect detected by SPECT and compare PWTD parameters of normal cases with patients who had inferior perfusion defect and CAD. Sixty-five patients (mean age 58±8 years, 30 men) with a normal LV systolic function at rest according to echocardiographic evaluation with an inferior ischemia determined by SPECT and a control group (CG) of 34 normal cases (mean age 56±7 years, 16 men) were included in this study. All patients underwent a standard DSE (up to 40 μg/kg/min with additional atropine during sub-maximum heart rate responses). Pulse-wave Doppler tissue sampling of inferior wall was performed in the apical 2-chamber view at rest and stress. The coronary angiography was performed within 24 hours. The results were evaluated for the prediction of significant right coronary artery (RCA) and/or left circumflex coronary artery (CX) with narrowing (≥50% diameter stenosis, assessed by quantitative coronary angiography). It was observed that the peak stress mean E/A ratio was lower in patients with CAD when compared to patients without CAD (0.78±0.2 versus 1.29±0.11 p<0.0001). Also the peak stress E/A ratio of normal cases was significantly higher than patients who had CAD (1.19±0.3 versus 0.78±0.2 p<0.0001). When the cut off point for the E/A ratio was determined as 1, the sensitivity and specificity of dobutamine stress PWTD E/A were 89% and 86%, respectively. The peak stress E/A ratio was higher than 1 in all patients with a false positive perfusion defect. Systolic S velocity increase during DSE was significantly lower in patients with CAD (54%±17 versus 99%±24 p=0

  2. The generation of short-wave UV light in cells under the action of ultrashort pulses of intense visible radiation

    Science.gov (United States)

    Kovarsky, V. A.; Philipp, B. S.; Kovarsky, E. V.

    1997-02-01

    The action of intense laser pulses ( λ = 0.53 μm) on E.coli cells is considered (the cells are transparent in this range). The transformation of laser radiation into UV light due to the high-harmonics generation on the protein molecules (the dipole moment is 100-1000 D) leads to the appearance of thymine dimers in bacterial DNA and results in a lethal effect for strains of E.coli which are highly sensitive to UV radiation.

  3. Acute aortic syndromes: current status.

    Science.gov (United States)

    Ridge, Carole A; Litmanovich, Diana E

    2015-05-01

    The term acute aortic syndrome comprises aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer. The most recent developments in acute aortic syndromes include (1) a change in the mindset that each entity is pathologically distinct, with a shift toward considering the acute aortic syndromes as points along a spectrum of aortic disease, (2) the optimization of aortic imaging quality and radiation dose, and (3) surgical or endovascular management. This review article focuses on how these developments pertain to thoracic radiologists.

  4. Primary metastasizing aortic endothelioma.

    Science.gov (United States)

    Schmid, E; Port, S J; Carroll, R M; Friedman, N B

    1984-10-01

    An instance of malignant endothelioma, primary in the aorta, metastasizing to intestine and bone, is reported. The aortic tumor was successfully resected. The unexpected finding of a large hepatic growth at autopsy raised the possibility that the aortic neoplasm was a metastasis. Histochemical, immunologic, and ultrastructural studies supported the diagnosis of an endothelial neoplasm. Although a number of malignant aortic and large vessel tumors have been reported, only four previous instances appear to be endotheliomatous.

  5. Aortic valve replacement

    DEFF Research Database (Denmark)

    Kapetanakis, Emmanouil I; Athanasiou, Thanos; Mestres, Carlos A

    2008-01-01

    BACKGROUND AND AIMS OF THE STUDY: Prompted by anecdotal evidence and observations by surgeons, an investigation was undertaken into the potential differences in implanted aortic valve prosthesis sizes, during aortic valve replacement (AVR) procedures, between northern and southern European...... assigned to the 'small' aortic size subset. Effective orifice area indices were calculated for all patients to assess the geographic distribution of patient-prosthesis mismatch. Univariable and multivariable logistic regression analyses adjusting for possible confounding variables were performed. RESULTS...

  6. THE DIAGNOSTIC VALUE OF PULSED WAVE TISSUE DOPPLER IMAGING IN ASYMPTOMATIC BETA- THALASSEMIA MAJOR CHILDREN AND YOUNG ADULTS ; RELATION TO CHEMICAL BIOMARKERS OF LEFT VENTRICULAR FUNCTION AND IRON OVERLOAD .

    Directory of Open Access Journals (Sweden)

    Seham Ragab

    2015-08-01

    Full Text Available Background: Cardiac iron toxicity is the leading cause of death among  β-halassaemia major (TM  patients.  Once  heart failure becomes overt , it will be  difficult to reverse . Objectives: To investigate non overt cardiac dysfunctions  in TM patients using  pulsed wave Tissue Doppler  Imaging (TD I and its relation to the iron overload and brain natruritic peptide (BNP. Methods: Thorough  clinical , conventional echo and  pulsed  wave TDI  parameters were compared between  asymtomatic 25 β-TM  patients  and 20 age and gender matched individuals. Serum ferritin and plasma BNP  levels were assayed by  ELISA .  Results: TM patients had significant higher mitral inflow early diastolic (E wave and  non significant other conventional echo  parameters. Pulsed wave TDI revealed systolic and diastolic dysfunctions in the form of significant higher  isovolumetric contraction time (ICT , ejection time ( E T and  isovolumetric relaxation time (IRT with significantly lower  mitral annulus  early diastolic velocity E` (12.07 ±2.06 vs 15.04±2.65 ,P= 0.003  in patients compared to  controls. Plasma BNP was higher in patients compared to the controls.  Plasma BNP and serum ferritin had significant correlation with each other and with pulsed wave conventional and TDI indices of systolic and diastolic functions.  Patients with E/E` ≥ 8 had  significant higher  serum ferritin  and plasma BNP levels compared to those with E/E` ratio < 8 without difference in Hb levels .Conclusion:  Pulsed wave TDI  is an  important diagnostic tool for latent cardiac dysfunction in iron loaded TM patients and is related to iron overload and BNP .

  7. Wave-packet dynamics in alkaline dimers. Investigation and control through coherent excitation with fs-pulses

    International Nuclear Information System (INIS)

    Sauer, F.N.B.

    2007-01-01

    During my PhD thesis I investigated alkaline dimers with coherent control in a molecular beam as well as with pump-probe spectroscopy in a magneto-optical trap (MOT). The aim of the coherent control experiments were the isotope selective ionization with phase- and amplitude-shaped fs-pulses. Chapter 4 described the gained results of isotope selective ionization of NaK and KRb in a molecular beam by using different pulse formers. For the NaK dimer was the reached optimization factor R Ph and Ampl 770 =R max /R min =25 between maximization and minimization of the isotopomer ratio ( 23 Na 39 K) + /( 23 Na 41 K) + with phase and amplitude modulation of the fs-pulse with a central wavelength of λ=770 nm. From the electronic ground-state X(1) 1 Σ + ;ν''=0 transfers a one-photon-excitation population in the first excited A(2) 1 Σ + state. The coherent control experiment on KRb was used to maximize and minimize the isotopomer ratio ( 124 KRb) + /( 126 KRb) + . It was the first coherent control experiment with a spectral resolution of 1.84 cm -1 /Pixel. For the phase and amplitude optimization was the received optimization factor between minimization and maximization of the isotopomer ratio R Ph and Ampl =R max /R min =7 at a central wavelength of 840 nm. The results showed a stepwise excitation process from the electronic ground-state in the first excited (2) 1 Σ + state with a further excitation, that is possible over three resonant energy potential curves into the ionic ground-state. In the second part of my thesis I realized pump-probe spectroscopy of Rb 2 dimers in a dark SPOT. (orig.)

  8. Clinical Implications of Electrocardiographic Left Ventricular Strain and Hypertrophy in Asymptomatic Patients with Aortic Stenosis: The Simvastatin and Ezetimibe in Aortic Stenosis Study

    DEFF Research Database (Denmark)

    Greve, Anders M; Boman, Kurt; Gohlke-Baerwolf, Christa

    2012-01-01

    in the Simvastatin and Ezetimibe in Aortic Stenosis (SEAS) study. Primary endpoint was the first of myocardial infarction, non-hemorrhagic stroke, heart failure, aortic valve replacement (AVR) or cardiovascular death. Predictive value of electrocardiographic LV strain (defined as T-wave inversion in leads V(4...

  9. Double pulse laser wakefield accelerator

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Changbum [Department of Physics, Pohang University of Science and Technology, Pohang 790-784 (Korea, Republic of)], E-mail: chbkim@postech.ac.kr; Kim, Jin-Cheol B. [Department of Physics, Pohang University of Science and Technology, Pohang 790-784 (Korea, Republic of); Kim, Kukhee [National Fusion Reserch Center, Daejeon 305-333 (Korea, Republic of); Ko, In Soo [Department of Physics, Pohang University of Science and Technology, Pohang 790-784 (Korea, Republic of); Suk, Hyyong [Center for Advanced Accelerators, Korea Electrotechnology Research Institute, Changwon 641-120 (Korea, Republic of)

    2007-10-22

    Two-dimensional simulation studies are performed for modified laser wakefield acceleration. After one laser pulse, another identical laser pulse is sent to the plasma to amplify the wake wave resonantly. The simulation results show that the number of injected electrons is bigger than that of the single pulse case and the beam energy is higher as well. In addition, increase of the transverse amplitude is noticed in the wake wave after the second laser pulse. This shows that the transverse motion of the wake wave enhances the wave breaking for strong injection and acceleration of electron beams.

  10. Generation of shock waves and formation of craters in a solid material irradiated by a short laser pulse

    Czech Academy of Sciences Publication Activity Database

    Gus'kov, S. Yu.; Borodziuk, S.; Kálal, M.; Kasperczuk, A.; Králiková, Božena; Krouský, Eduard; Limpouch, J.; Mašek, Karel; Pisarczyk, T.; Pisarczyk, P.; Pfeifer, Miroslav; Rohlena, Karel; Skála, Jiří; Ullschmied, Jiří

    2004-01-01

    Roč. 34, č. 11 (2004), s. 989-1003 ISSN 1063-7818 Grant - others:RFFI(RU) 02-02-16966; INTAS(XX) 01-0572; PALS project 3(XX) HPRI-CT-1999-00053 Institutional research plan: CEZ:AV0Z1010921 Keywords : laser radiation -matter interaction * shock waves * laser plasma Subject RIV: BH - Optics, Masers, Lasers Impact factor: 0.811, year: 2004

  11. Aortic valve surgery - open

    Science.gov (United States)

    ... while you are connected to this machine. This machine does the work of your heart while your heart is stopped. If your aortic valve is too damaged, you will need a new valve. This is called replacement surgery. Your surgeon will remove your aortic valve ...

  12. Imaging in aortic dissection

    International Nuclear Information System (INIS)

    Yu-Qing Liu, M.D.

    1995-01-01

    Aortic dissection (AD) is a catastrophic aortic disease. Imaging techniques play an invaluable role in the diagnostic evaluation and management of patients with AD. Major signs of AD with different imaging modalities are described in this article with a pertinent discussion on guidelines for the optimized approach of imaging study (13 refs.)

  13. Aortic arch malformations

    International Nuclear Information System (INIS)

    Kellenberger, Christian J.

    2010-01-01

    Although anomalies of the aortic arch and its branches are relatively uncommon malformations, they are often associated with congenital heart disease. Isolated lesions may be clinically significant when the airways are compromised by a vascular ring. In this article, the development and imaging appearance of the aortic arch system and its various malformations are reviewed. (orig.)

  14. [Traumatic aortic valve insufficiency].

    Science.gov (United States)

    Nascimento, J; Lemos, C; Marques, A M; Antunes, M J; Gonsalves, A

    1996-02-01

    The traumatic aortic valvular insufficiency (TAVI), through less frequent after a non-penetrating thoracic traumatism, is a serious entity with a very reserved prognosis. So it must be suspected in every patients with signs or symptoms of de novo heart failure post-traumatism. The transthoracic echocardiography and eventually transesophageal echocardiography have a fundamental role in the confirmation of the diagnosis. The clinical picture of traumatic aortic regurgitation is quickly evolutionary and the non efficacy of medical therapy has placed the valvular substitution surgery as the best succeeded treatment. With the advent of the aortic valve repairing surgery some TAVI cases has been submitted to this procedure. Nevertheless, the development of residual aortic regurgitation in these situations, usually requiring later valvular replacement surgery, make the aortic valvuloplasty a controversial surgical technique. The AA describe a recent clinical case of aortic regurgitation after a non-penetrant thoracic traumatism, discussing the aspects connected with physiopathology, diagnosis and therapy. The singularity of this case was based on the fact that the initial clinical diagnosis had been prejudiced by the context of a polytraumatism and there had been a time free of symptoms between the traumatism and the beginning of the symptomatology of left ventricular failure. Even though the identification of the problem allowed an intensive treatment of this serious situation that ended with the replacement of the aortic valve by mechanical aortic prosthesis, with the patient's total recovery.

  15. Prognostic significance of mechanical biomarkers derived from pulse wave analysis for predicting long-term cardiovascular mortality in two population-based cohorts.

    Science.gov (United States)

    Cheng, Hao-Min; Chuang, Shao-Yuan; Wang, Jiun-Jr; Shih, Yuan-Ta; Wang, Hsin-Ning; Huang, Chi-Jung; Huang, Jui-Tzu; Sung, Shih-Hsien; Lakatta, Edward G; Yin, Frank C P; Chou, Pesus; Yeh, Chih-Jung; Bai, Chyi-Huey; Pan, Wen-Harn; Chen, Chen-Huan

    2016-07-15

    Numerous mechanical biomarkers derived from pulse wave analysis (PWA) have been proposed to predict cardiovascular outcomes. However, whether these biomarkers carry independent prognostic value and clinical utility beyond traditional cardiovascular risk factors hasn't been systematically evaluated. We aimed to investigate the additive utility of PWA-derived biomarkers in two independent population-based cohorts. PWA on central arterial pressure waveforms obtained from subjects without a prior history of cardiovascular diseases of two studies was conducted based on the wave transmission and reservoir-wave theory: firstly in the Kinmen study (1272 individuals, a median follow-up of 19.8years); and then in the Cardiovascular Disease Risk Factors Two-Township Study (2221 individuals, median follow-up of 10years). The incremental value of the biomarkers was evaluated by net reclassification index (NRI). In multivariate Cox analyses accounting for age, gender, body mass index, systolic blood pressure, fasting glucose, high-density- and low-density-lipoprotein cholesterol, and smoking, only systolic (SC) and diastolic rate constant (DC) of reservoir pressure could independently and consistently predict cardiovascular mortality in both cohorts and the combined cohort (SC: hazard ratio 1.18 [95% confidence interval 1.08-1.28, pprediction estimates in traditional risk prediction models were significantly more accurate when incorporating peak of reservoir pressure (NRI=0.049, p=0.0361), SC (NRI=0.043, p=0.0236) and DC (NRI=0.054, p=0.047). Of all PWA-derived biomarkers, SC and DC were consistently identified as valuable parameters for incremental cardiovascular risk prediction in two large prospective cohorts. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  16. Energy of a shock wave generated in different metals under irradiation by a high-power laser pulse

    Czech Academy of Sciences Publication Activity Database

    Gus'kov, S. Yu.; Kasperczuk, A.; Pisarczyk, T.; Borodziuk, S.; Ullschmied, Jiří; Krouský, Eduard; Mašek, Karel; Pfeifer, Miroslav; Skála, Jiří; Pisarczyk, P.

    2007-01-01

    Roč. 105, č. 4 (2007), s. 793-802 ISSN 1063-7761 R&D Projects: GA MŠk(CZ) LC528 Grant - others:HPC Europa(XE) RII3-CT-2003-506350 Program:FP6 Institutional research plan: CEZ:AV0Z20430508; CEZ:AV0Z10100523 Source of funding: R - rámcový projekt EK Keywords : shock waves * laser radiation * laser plasma * inertial confinement * PALS laser Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.075, year: 2007

  17. ELF wave generation in the ionosphere using pulse modulated HF heating: initial tests of a technique for increasing ELF wave generation efficiency

    Directory of Open Access Journals (Sweden)

    R. Barr

    1999-06-01

    Full Text Available This paper describes the results of a preliminary study to determine the effective heating and cooling time constants of ionospheric currents in a simulated modulated HF heating, `beam painting' configuration. It has been found that even and odd harmonics of the fundamental ELF wave used to amplitude modulate the HF heater are sourced from different regions of the ionosphere which support significantly different heating and cooling time constants. The fundamental frequency and its odd harmonics are sourced in a region of the ionosphere where the heating and cooling time constants are about equal. The even harmonics on the other hand are sourced from regions of the ionosphere characterised by ratios of cooling to heating time constant greater than ten. It is thought that the even harmonics are sourced in the lower ionosphere (around 65 km where the currents are much smaller than at the higher altitudes around 78 km where the currents at the fundamental frequency and odd harmonics maximise.Key words. Electromagnetics (antennae · Ionosphere (active experiments · Radio science (non linear phenomena

  18. No influence of lower leg heating on central arterial pulse pressure in young men.

    Science.gov (United States)

    Kosaki, Keisei; Sugawara, Jun; Akazawa, Nobuhiko; Tanahashi, Koichiro; Kumagai, Hiroshi; Ajisaka, Ryuichi; Maeda, Seiji

    2015-07-01

    Central arterial pulse pressure (PP), a strong predictor of cardiovascular disease, mainly consists of an incident wave generated by left ventricular ejection and a late-arriving reflected wave emanating from the lower body. We have tested the hypothesis that a reduction in leg vascular tone by heat treatment of the lower leg attenuates the central arterial PP. Pressure and wave properties of the peripheral and central arteries were measured in eight young men before and after heat treatment of the lower leg (temperature approx. 43 °C) for 30 and 60 min, respectively. Following the lower leg heat trial, leg (femoral-ankle) pulse wave velocity (PWV) was significantly decreased, but aortic (carotid-femoral) PWV and parameters of wave reflection and carotid arterial PP did not change significantly. No significant changes were observed in these parameters in the control trial. These results suggest that the reduction in leg vascular tone induced by heat treatment of the lower leg may not affect wave reflection and central arterial PP in young men.

  19. Greater Progression of Age-Related Aortic Stiffening in Adults with Poor Trunk Flexibility: A 5-Year Longitudinal Study

    Directory of Open Access Journals (Sweden)

    Yuko Gando

    2017-06-01

    Full Text Available Purpose: Having a low level of physical fitness, especially cardiorespiratory fitness, appears to accelerate age-related aortic stiffening. Whereas, some studies have reported that trunk flexibility is a component of physical fitness, it is also negatively associated with arterial stiffening independent of cardiorespiratory fitness in cross-sectional studies. However, no long-term longitudinal study has determined whether poor trunk flexibility accelerates the progression of age-related aortic stiffening. We examined trunk flexibility and aortic stiffness progression in a 5-year longitudinal study.Methods and Results: A total of 305 apparently healthy men and women participated in this study (49.6 ± 9.5 years of age. Trunk flexibility was measured using a sit-and-reach test. Aortic stiffness was assessed using carotid-femoral pulse wave velocity (cfPWV at baseline and after 5 years. Analysis of covariance (ANCOVA was used to assess the association of the annual rate of cfPWV across flexibility levels (low, middle, high. There were no significant differences in baseline cfPWV among the three groups (835 ± 164, 853 ± 140, 855 ± 2.68 cm/s; P = 0.577. Annual ΔcfPWV was significantly higher in the low-flexibility group than in the high-flexibility group (P = 0.009. ANCOVA revealed an inverse relationship between flexibility level and annual ΔcfPWV (14.41 ± 2.73, 9.79 ± 2.59, 2.62 ± 2.68 cm/s/year; P for trend = 0.011. Multiple regression analysis revealed that baseline sit and reach (β = −0.12, −0.70 to −0.01 was independently correlated with ΔcfPWV following adjustment for baseline peak oxygen uptake, age, sex, body fat, heart rate, and cfPWV. The 5-year change in cfPWV was not significantly correlated with 5-year change in sit-and-reach performance (P = 0.859.Conclusion: Poor trunk flexibility is associated with greater progression of age-related aortic stiffening in healthy adults. However, we failed to confirm a significant

  20. PulseCath (R) as a right ventricular assist device

    NARCIS (Netherlands)

    Arrigoni, Sara Camilla; Kuijpers, Michiel; Mecozzi, Gianclaudio; Mariani, Massimo Alessandro

    The PulseCath (R) is a pulsatile pump that offers a circulatory support up to 3 l/min. The PulseCath (R) is indicated for patients who require a higher degree of support than that offered by the intra-aortic balloon pump. We describe the first two cases of the use of the PulseCath (R) as a temporary

  1. Risk Stratification of Patients with Peripheral Arterial Disease and Abdominal Aortic Aneurysm Using Aortic Augmentation Index.

    Science.gov (United States)

    Beckmann, Marianne; Jacomella, Vincenzo; Kohler, Malcom; Lachat, Mario; Salem, Amr; Amann-Vesti, Beatrice; Husmann, Marc

    2015-01-01

    Central augmentation index (cAIx) is an indicator for vascular stiffness. Obstructive and aneurysmatic vascular disease can affect pulse wave propagation and reflection, causing changes in central aortic pressures. To assess and compare cAIx in patients with peripheral arterial disease (PAD) and / or abdominal aortic aneurysm (AAA). cAIx was assessed by radial applanation tonometry (Sphygmocor) in a total of 184 patients at a tertiary referral centre. Patients were grouped as having PAD only, AAA only, or both AAA and PAD. Differences in cAIx measurements between the three patient groups were tested by non-parametric tests and stepwise multivariate linear regression analysis to investigate associations with obstructive or aneurysmatic patterns of vascular disease. In the study sample of 184 patients, 130 had PAD only, 20 had AAA only, and 34 patients had both AAA and PAD. Mean cAIx (%) was 30.5 ± 8.2 across all patients. It was significantly higher in females (35.2 ± 6.1, n = 55) than males (28.4 ± 8.2, n = 129), and significantly higher in patients over 80 years of age (34.4 ± 6.9, n = 22) than in those under 80 years (30.0 ± 8.2, n = 162). Intergroup comparison revealed a significant difference in cAIx between the three patient groups (AAA: 27.3 ± 9.5; PAD: 31.4 ± 7.8; AAA & PAD: 28.8 ± 8.5). cAIx was significantly lower in patients with AAA, higher in patients with both AAA and PAD, and highest in patients with PAD only (beta = 0.21, p = 0.006). Non-invasive assessment of arterial stiffness in high-risk patients indicates that cAIx differs according to the pattern of vascular disease. Measurements revealed significantly higher cAIx values for patients with obstructive peripheral arterial disease than for patients with aneurysmatic disease.

  2. Risk Stratification of Patients with Peripheral Arterial Disease and Abdominal Aortic Aneurysm Using Aortic Augmentation Index.

    Directory of Open Access Journals (Sweden)

    Marianne Beckmann

    Full Text Available Central augmentation index (cAIx is an indicator for vascular stiffness. Obstructive and aneurysmatic vascular disease can affect pulse wave propagation and reflection, causing changes in central aortic pressures.To assess and compare cAIx in patients with peripheral arterial disease (PAD and / or abdominal aortic aneurysm (AAA.cAIx was assessed by radial applanation tonometry (Sphygmocor in a total of 184 patients at a tertiary referral centre. Patients were grouped as having PAD only, AAA only, or both AAA and PAD. Differences in cAIx measurements between the three patient groups were tested by non-parametric tests and stepwise multivariate linear regression analysis to investigate associations with obstructive or aneurysmatic patterns of vascular disease.In the study sample of 184 patients, 130 had PAD only, 20 had AAA only, and 34 patients had both AAA and PAD. Mean cAIx (% was 30.5 ± 8.2 across all patients. It was significantly higher in females (35.2 ± 6.1, n = 55 than males (28.4 ± 8.2, n = 129, and significantly higher in patients over 80 years of age (34.4 ± 6.9, n = 22 than in those under 80 years (30.0 ± 8.2, n = 162. Intergroup comparison revealed a significant difference in cAIx between the three patient groups (AAA: 27.3 ± 9.5; PAD: 31.4 ± 7.8; AAA & PAD: 28.8 ± 8.5. cAIx was significantly lower in patients with AAA, higher in patients with both AAA and PAD, and highest in patients with PAD only (beta = 0.21, p = 0.006.Non-invasive assessment of arterial stiffness in high-risk patients indicates that cAIx differs according to the pattern of vascular disease. Measurements revealed significantly higher cAIx values for patients with obstructive peripheral arterial disease than for patients with aneurysmatic disease.

  3. Patterns of digital volume pulse waveform and pulse transit time in ...

    African Journals Online (AJOL)

    Introduction: Arterial wall changes underlie many disorders of aging and the complications of diseases like hypertension and diabetes mellitus. Analyzing the pulse wave is an easy, noninvasive method used to assess vessel wall stiffness and pulse changes. In this study the digital volume pulse wave and the pulse transit ...

  4. Transesophageal echocardiographic evaluation of native aortic valve area: utility of the double-envelope technique.

    Science.gov (United States)

    Maslow, A D; Mashikian, J; Haering, J M; Heindel, S; Douglas, P; Levine, R

    2001-06-01

    To assess the accuracy of aortic valve area (AVA) calculations using the continuity equation with data obtained from the double envelope (DE) (simultaneously obtained left ventricular outflow tract [V1]) and aortic valve [V2] velocities) during intraoperative transesophageal echocardiography (TEE). Prospective study; measurements were performed on-line. University hospital. Cardiac and noncardiac surgical patients (n = 75) with recent aortic valve assessment (AVA was measured by the continuity equation using the DE technique (DE/TEE) and by planimetry (PL/TEE). Left ventricular outflow tract diameter was obtained from midesophageal views, whereas subvalvular (V1) and valvular (V2) velocities were obtained simultaneously using continuous-wave Doppler from transgastric views. V1 was also obtained using pulsed-wave Doppler. Measurements were compared with AVA obtained preoperatively by the Gorlin equation during cardiac catheterization (G/CATH) or by transthoracic echocardiography using the traditional continuity equation (C/TTE) (nonsimultaneously obtained V1 and V2). A DE was obtained in 73 of 75 patients (97%). Four patients had atrial fibrillation at the time of the examination, whereas the rest were in sinus rhythm. PL/TEE was performed in 54 of 71 patients with sinus rhythm (76%). Agreement was good between DE/TEE and G/CATH (mean bias, 0.02 cm(2) [SD, 0.24 cm(2)]), and C/TTE (mean bias, -0.05 cm(2) [SD, 0.16 cm(2)]). Agreement was not as good between PL/TEE and G/CATH (mean bias, -0.07 cm(2) [SD, 0.28 cm(2)]) and C/TTE (mean bias, -0.13 cm(2) [SD, 0.30 cm(2)]). V1 obtained by pulsed-wave Doppler and with DE closely agreed (mean bias, 0.01 m/sec [SD, 0.05 m/sec]). TEE evaluation of native AVA using the DE technique is feasible and in good agreement with that obtained by C/TTE and G/CATH. Compared with DE/TEE, PL/TEE did not agree as well. Use of DE/TEE should simplify the continuity equation and may minimize errors resulting from beat-to-beat variability in

  5. Photobiomodulation with Pulsed and Continuous Wave Near-Infrared Laser (810 nm, Al-Ga-As Augments Dermal Wound Healing in Immunosuppressed Rats.

    Directory of Open Access Journals (Sweden)

    Gaurav K Keshri

    Full Text Available Chronic non-healing cutaneous wounds are often vulnerable in one or more repair phases that prevent normal healing and pose challenges to the use of conventional wound care modalities. In immunosuppressed subject, the sequential stages of healing get hampered, which may be the consequences of dysregulated or stagnant wound inflammation. Photobiomodulation (PBM or low-level laser (light therapy (LLLT emerges as a promising drug-free, non-invasive biophysical approach for promoting wound healing, reduction of inflammation, pain and restoration of functions. The present study was therefore undertaken to evaluate the photobiomodulatory effects of 810 nm diode laser (40 mW/cm2; 22.6 J/cm2 with pulsed (10 and 100 Hz, 50% duty cycle and continuous wave on full-thickness excision-type dermal wound healing in hydrocortisone-induced immunosuppressed rats. Results clearly delineated that 810 nm PBM at 10 Hz was more effective over continuous and 100 Hz frequency in accelerating wound healing by attenuating the pro-inflammatory markers (NF-kB, TNF-α, augmenting wound contraction (α-SM actin, enhancing cellular proliferation, ECM deposition, neovascularization (HIF-1α, VEGF, re-epithelialization along with up-regulated protein expression of FGFR-1, Fibronectin, HSP-90 and TGF-β2 as compared to the non-irradiated controls. Additionally, 810 nm laser irradiation significantly increased CCO activity and cellular ATP contents. Overall, the findings from this study might broaden the current biological mechanism that could be responsible for photobiomodulatory effect mediated through pulsed NIR 810 nm laser (10 Hz for promoting dermal wound healing in immunosuppressed subjects.

  6. Photobiomodulation with Pulsed and Continuous Wave Near-Infrared Laser (810 nm, Al-Ga-As) Augments Dermal Wound Healing in Immunosuppressed Rats.

    Science.gov (United States)

    Keshri, Gaurav K; Gupta, Asheesh; Yadav, Anju; Sharma, Sanjeev K; Singh, Shashi Bala

    2016-01-01

    Chronic non-healing cutaneous wounds are often vulnerable in one or more repair phases that prevent normal healing and pose challenges to the use of conventional wound care modalities. In immunosuppressed subject, the sequential stages of healing get hampered, which may be the consequences of dysregulated or stagnant wound inflammation. Photobiomodulation (PBM) or low-level laser (light) therapy (LLLT) emerges as a promising drug-free, non-invasive biophysical approach for promoting wound healing, reduction of inflammation, pain and restoration of functions. The present study was therefore undertaken to evaluate the photobiomodulatory effects of 810 nm diode laser (40 mW/cm2; 22.6 J/cm2) with pulsed (10 and 100 Hz, 50% duty cycle) and continuous wave on full-thickness excision-type dermal wound healing in hydrocortisone-induced immunosuppressed rats. Results clearly delineated that 810 nm PBM at 10 Hz was more effective over continuous and 100 Hz frequency in accelerating wound healing by attenuating the pro-inflammatory markers (NF-kB, TNF-α), augmenting wound contraction (α-SM actin), enhancing cellular proliferation, ECM deposition, neovascularization (HIF-1α, VEGF), re-epithelialization along with up-regulated protein expression of FGFR-1, Fibronectin, HSP-90 and TGF-β2 as compared to the non-irradiated controls. Additionally, 810 nm laser irradiation significantly increased CCO activity and cellular ATP contents. Overall, the findings from this study might broaden the current biological mechanism that could be responsible for photobiomodulatory effect mediated through pulsed NIR 810 nm laser (10 Hz) for promoting dermal wound healing in immunosuppressed subjects.

  7. Nanoshell-mediated targeted photothermal therapy of HER2 human breast cancer cells using pulsed and continuous wave lasers: an in vitro study.

    Science.gov (United States)

    Khosroshahi, Mohammad E; Hassannejad, Zahra; Firouzi, Masoumeh; Arshi, Ahmad R

    2015-09-01

    In this study, we report the apoptosis induction in HER2 overexpressed breast cancer cells using pulsed, continuous wave lasers and polyvinylpyrrolidone (PVP)-stabilized magneto-plasmonic nanoshells (PVP-MPNS) delivered by immunoliposomes. The immunoliposomes containing PVP-MPNS were fabricated and characterized. Heating efficiency of the synthesized nanostructures was calculated. The effect of functionalization on cellular uptake of nanoparticles was assessed using two cell lines of BT-474 and Calu-6. The best uptake result was achieved by functionalized liposome (MPNS-LAb) and BT-474. Also, the interaction of 514 nm argon (Ar) and Nd/YAG second harmonic 532-nm lasers with nanoparticles was investigated based on the temperature rise of the nanoshell suspension and the release value of 5(6)-carboxyfluorescein (CF) from CF/MPNS-loaded liposomes. The temperature increase of the suspensions after ten consecutive pulses of 532 nm and 5 min of irradiation by Ar laser were measured approximately 2 and 12 °C, respectively. The irradiation of CF/MPNS-loaded liposomes by Ar laser for 3 min resulted in 24.3 % release of CF, and in the case of 532 nm laser, the release was laser energy dependent. Furthermore, the comparison of CF release showed a higher efficiency for the Ar laser than by direct heating of nanoshell suspension using circulating water. The percentage of cell apoptosis after irradiation by Ar and 532 nm lasers were 44.6 and 42.6 %, respectively. The obtained results suggest that controlling the NP-laser interaction using optical properties of nanoshells and the laser parameters can be used to develop a new cancer therapy modality via targeted nanoshell and drug delivery.

  8. Real-time arrhythmia detection with supplementary ECG quality and pulse wave monitoring for the reduction of false alarms in ICUs.

    Science.gov (United States)

    Krasteva, Vessela; Jekova, Irena; Leber, Remo; Schmid, Ramun; Abächerli, Roger

    2016-08-01

    False intensive care unit (ICU) alarms induce stress in both patients and clinical staff and decrease the quality of care, thus significantly increasing both the hospital recovery time and rehospitalization rates. In the PhysioNet/CinC Challenge 2015 for reducing false arrhythmia alarms in ICU bedside monitor data, this paper validates the application of a real-time arrhythmia detection library (ADLib, Schiller AG) for the robust detection of five types of life-threatening arrhythmia alarms. The strength of the application is to give immediate feedback on the arrhythmia event within a scan interval of 3 s-7.5 s, and to increase the noise immunity of electrocardiogram (ECG) arrhythmia analysis by fusing its decision with supplementary ECG quality interpretation and real-time pulse wave monitoring (quality and hemodynamics) using arterial blood pressure or photoplethysmographic signals. We achieved the third-ranked real-time score (79.41) in the challenge (Event 1), however, the rank was not officially recognized due to the 'closed-source' entry. This study shows the optimization of the alarm decision module, using tunable parameters such as the scan interval, lead quality threshold, and pulse wave features, with a follow-up improvement of the real-time score (80.07). The performance (true positive rate, true negative rate) is reported in the blinded challenge test set for different arrhythmias: asystole (83%, 96%), extreme bradycardia (100%, 90%), extreme tachycardia (98%, 80%), ventricular tachycardia (84%, 82%), and ventricular fibrillation (78%, 84%). Another part of this study considers the validation of ADLib with four reference ECG databases (AHA, EDB, SVDB, MIT-BIH) according to the international recommendations for performance reports in ECG monitors (ANSI/AAMI EC57). The sensitivity (Se) and positive predictivity (+P) are: QRS detector QRS (Se, +P)  >  99.7%, ventricular ectopic beat (VEB) classifier VEB (Se, +P)  =  95%, and ventricular

  9. Consequences of the magnetic field, sonic and radiofrequency waves and intense pulsed light on the labeling of blood constituents with technetium-99m

    Directory of Open Access Journals (Sweden)

    Patricia Froes Meyer

    2007-09-01

    Full Text Available Sources of magnetic field, radiofrequency and audible sonic waves and pulsed light have been used in physiotherapy to treat different disorders. In nuclear medicine, blood constituents(Bl-Co are labeled with technetium-99m (99mTc are used. This study evaluated the consequences of magnetic field, radiofrequency and audible sonic waves and intense pulsed light sources on the labeling of Bl-Co with 99mTc. Blood from Wistar rats was exposed to the cited sources. The labeling of Bl-Co with 99mTc was performed. Blood not exposed to the physical agents was used(controls. Data showed that the exposure to the different studied sources did not alter significantly (p>0.05 the labeling of Bl-Co. Although the results were obtained with animals, the data suggest that no alteration on examinations performed with Bl-Co labeled with 99mTc after exposition to the cited agents. The biological consequences associated with these agents would be not capable to interfere with some properties of the Bl-Co.Fontes de campo magnético, ondas sonoras audíveis e de radiofreqüência e luz intensa pulsada são usadas para o tratamento de doenças. Constituintes sangüíneos(CS marcados com tecnécio-99m(99mTc são utilizados na medicina nuclear. Esse trabalho avaliou as consequências de fontes de campo magnético, ondas sonoras audíveis e de radiofreqüência e luz intensa pulsada na marcação de CS com 99mTc. Sangue de ratos Wistar foi exposto às fontes citadas. A marcação de CS com 99mTc foi realizada. Sangue não exposto foram utilizadas(controle. Resultados mostraram que os agentes físicos estudados não alteraram significativamente (p>0.05 a radiomarcação de CS. Apesar terem sido obtidos com sangue de animais, os resultados sugerem que nenhuma alteração nos exames realizados com constituintes sangüíneos com 99mTc em medicina nuclear ocorreria após a exposição às fontes avaliadas. As consequências biológicas associadas a esses agentes não seriam

  10. Relationship between resistant hypertension and arterial stiffness assessed by brachial-ankle pulse wave velocity in the older patient

    Directory of Open Access Journals (Sweden)

    Chung CM

    2014-09-01

    Full Text Available Chang-Min Chung,1,2 Hui-Wen Cheng,2 Jung-Jung Chang,2 Yu-Sheng Lin,2 Ju-Feng Hsiao,2 Shih-Tai Chang,1 Jen-Te Hsu2,31School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, 2Division of Cardiology, Chang Gung Memorial Hospital, Chiayi, 3Department of Medicine, College of Medicine, Chang Gung University, Taoyuan County, TaiwanBackground: Resistant hypertension (RH is a common clinical condition associated with increased cardiovascular mortality and morbidity in older patients. Several factors and conditions interfering with blood pressure (BP control, such as excess sodium intake, obesity, diabetes, older age, kidney disease, and certain identifiable causes of hypertension are common in patients resistant to antihypertensive treatment. Arterial stiffness, measured by brachial-ankle pulse wave velocity (baPWV, is increasingly recognized as an important prognostic index and potential therapeutic target in hypertensive patients. The aim of this study was to determine whether there is an association between RH and arterial stiffness. Methods: This study included 1,620 patients aged ≥65 years who were referred or self-referred to the outpatient hypertension unit located at a single cardiovascular center. They were separated into normotensive, controlled BP, and resistant hypertension groups. Home BP, blood laboratory parameters, echocardiographic studies and baPWV all were measured. Results: The likelihood of diabetes mellitus was significantly greater in the RH group than in the group with controlled BP (odds ratio 2.114, 95% confidence interval [CI] 1.194–3.744, P=0.010. Systolic BP was correlated in the RH group significantly more than in the group with controlled BP (odds ratio 1.032, 95% CI 1.012–1.053, P=0.001. baPWV (odds ratio 1.084, 95% CI 1.016–1.156, P=0.015 was significantly correlated with the presence of RH. The other factors were negatively correlated with the existence of RH.Conclusion: In

  11. 2D MR angiography of the aortic aneurysm

    International Nuclear Information System (INIS)

    Amanuma, Makoto; Hasegawa, Makoto; Watabe, Tsuneya; Heshiki, Atsuko

    1992-01-01

    2D time-of-flight MR angiography was performed in 6 cases of thoracic aortic aneurysm. Oblique saturation pulses were used to suppress the signals of the pulmonary artery and SVC, providing excellent selective MR aortograms. Three dimensional extension of the aneurysm and its relation with cervical branches were easily assessed. It could be possible to replace invasive aortography by this technique. (author)

  12. Mechanical Stimulation (Pulsed Electromagnetic Fields “PEMF” and Extracorporeal Shock Wave Therapy “ESWT”) and Tendon Regeneration: A Possible Alternative

    Science.gov (United States)

    Rosso, Federica; Bonasia, Davide E.; Marmotti, Antonio; Cottino, Umberto; Rossi, Roberto

    2015-01-01

    The pathogenesis of tendon degeneration and tendinopathy is still partially unclear. However, an active role of metalloproteinases (MMP), growth factors, such as vascular endothelial growth factor (VEGF) and a crucial role of inflammatory elements and cytokines was demonstrated. Mechanical stimulation may play a role in regulation of inflammation. In vitro studies demonstrated that both pulsed electromagnetic fields (PEMF) and extracorporeal shock wave therapy (ESWT) increased the expression of pro-inflammatory cytokine such as interleukin (IL-6 and IL-10). Moreover, ESWT increases the expression of growth factors, such as transforming growth factor β(TGF-β), (VEGF), and insulin-like growth factor 1 (IGF1), as well as the synthesis of collagen I fibers. These pre-clinical results, in association with several clinical studies, suggest a potential effectiveness of ESWT for tendinopathy treatment. Recently PEMF gained popularity as adjuvant for fracture healing and bone regeneration. Similarly to ESWT, the mechanical stimulation obtained using PEMFs may play a role for treatment of tendinopathy and for tendon regeneration, increasing in vitro TGF-β production, as well as scleraxis and collagen I gene expression. In this manuscript the rational of mechanical stimulations and the clinical studies on the efficacy of extracorporeal shock wave (ESW) and PEMF will be discussed. However, no clear evidence of a clinical value of ESW and PEMF has been found in literature with regards to the treatment of tendinopathy in human, so further clinical trials are needed to confirm the promising hypotheses concerning the effectiveness of ESWT and PEMF mechanical stimulation. PMID:26617513

  13. Aortic Aneurysm Statistics

    Science.gov (United States)

    ... people with inherited connective tissue disorders, such as Marfan syndrome and Ehlers-Danlos syndrome, get thoracic aortic aneurysms. ... Smoking . Some inherited connective tissue disorders, such as Marfan syndrome and Ehlers-Danlos syndrome, can also increase your ...

  14. Aortic Valve Disease

    Science.gov (United States)

    ... It is then replaced with an artificial valve (prosthesis). There are two valve options for aortic valve ... place, the catheter will be withdrawn from your body through the original access point. Because not all ...

  15. Mechanical properties of the aortic arterial wall during 24 hours: a preliminary study in conscious sheep

    Science.gov (United States)

    Graf, S.; Craiem, D.; Valero, M.; Alfonso, M.; Barra, J. G.; Armentano, R. L.

    2011-12-01

    Previous experiences in animals showed a different behavior between the variability of pressure, arterial diameter and elasticity when they were registered for a couple of hours. To better understand arterial mechanics variability, we propose to measure simultaneously aortic pressure and diameter during 24 hours in a sheep. For that purpose, we developed a portable prototype device. It allows continuously recording physiological signals throughout the day and storing them in a solid state memory for later analysis. Pulse wave velocity and Peterson modulus were assessed beat-to-beat as arterial stiffness indexes. We identified 53,762 heart beats during 24 hours that were separated into 2 groups: below or above median mean pressure (71 mmHg). Mean diameter, pulse wave velocity and Peterson modulus increased for higher pressure values (p<0.05) whereas heart rate slowed down (p<0.05). Pressure-diameter loops were successfully recreated all along the experience. This new methodology sets the basis for further experiences involving the estimation of 24 hours arterial mechanics variability.

  16. Traumatic Aortic Injury

    Directory of Open Access Journals (Sweden)

    Brianna Miner

    2016-09-01

    Full Text Available History of present illness: A 48-year-old male with unknown past medical history presents as a trauma after being hit by a car traveling approximately 25 miles per hour. On initial presentation, the patient is confused, combative, and not answering questions appropriately. The patient is hypotensive with a blood pressure of 68/40 and a heart rate of 50 beats per minute, with oxygen saturation at 96% on room air. FAST scan is positive for fluid in Morrison’s pouch, splenorenal space, and pericardial space. Significant findings: The initial chest x-ray showed an abnormal superior mediastinal contour (blue line, suggestive of a possible aortic injury. The CT angiogram showed extensive circumferential irregularity and outpouching of the distal aortic arch (red arrows compatible with aortic transection. In addition, there was a circumferential intramural hematoma, which extended through the descending aorta to the proximal infrarenal abdominal aorta (green arrow. There was also an extensive surrounding mediastinal hematoma extending around the descending aorta and supraaortic branches (purple arrows. Discussion: Traumatic aortic injury is a life-threatening event. The incidence of blunt thoracic aortic injury is low, between 1 to 2 percent of those patients with blunt thoracic trauma.1 However, approximately 80% of patients with traumatic aortic injury die at the scene.2 Therefore it is imperative to diagnose traumatic aortic injury in a timely fashion. The diagnosis can be difficult due to the non-specific signs and symptoms and other distracting injuries. Clinical suspicion should be based on the mechanism of the injury and the hemodynamic status of the patient. In any patient with blunt or penetrating trauma to the chest that is hemodynamically unstable, traumatic aortic injury should be on the differential. Chest x-ray can be used as a screening tool. A normal chest x-ray has a negative predictive value of approximately 97%. CTA chest is the

  17. Thoracoabdominal Aortic Aneurysms

    Directory of Open Access Journals (Sweden)

    Ali Azizzadeh

    2008-09-01

    Full Text Available Over the last 50 years, significant progress has been made in the surgical repair of thoracoabdominal aortic aneurysms (TAAA.  Improvements in perioperative care and surgical techniques have resulted in reductions in complication and mortality rates. Adjunctive use of distal aortic perfusion and cerebrospinal fluid drainage has been especially helpful, reducing the incidence of neurological deficits to 2.4%. Current research is aimed at improving organ preservation. This review focuses on the current diagnosis and management of TAAA.

  18. Photoisomerization among ring-open merocyanines. I. Reaction dynamics and wave-packet oscillations induced by tunable femtosecond pulses

    Science.gov (United States)

    Ruetzel, Stefan; Diekmann, Meike; Nuernberger, Patrick; Walter, Christof; Engels, Bernd; Brixner, Tobias

    2014-06-01

    Upon ultraviolet excitation, photochromic spiropyran compounds can be converted by a ring-opening reaction into merocyanine molecules, which in turn can form several isomers differing by cis and trans configurations in the methine bridge. Whereas the spiropyran-merocyanine conversion reaction of the nitro-substituted indolinobenzopyran 6-nitro-1',3',3'-trimethylspiro[2H-1-benzopyran-2,2'-indoline] (6-nitro BIPS) has been studied extensively in theory and experiments, little is known about photoisomerization among the merocyanine isomers. In this article, we employ femtosecond transient absorption spectroscopy with variable excitation wavelengths to investigate the excited-state dynamics of the merocyanine in acetonitrile at room temperature, where exclusively the trans-trans-cis (TTC) and trans-trans-trans (TTT) isomers contribute. No photochemical ring-closure pathways exist for the two isomers. Instead, we found that (18±4)% of excited TTC isomers undergo an ultrafast excited-state cis→trans photoisomerization to TTT within 200 fs, while the excited-state lifetime of TTC molecules that do not isomerize is 35 ps. No photoisomerization was detected for the TTT isomer, which relaxes to the ground state with a lifetime of roughly 160 ps. Moreover, signal oscillations at 170 cm-1 and 360 cm-1 were observed, which can be ascribed to excited-state wave-packet dynamics occurring in the course of the TTC→TTT isomerization. The results of high-level time-dependent density functional theory in conjunction with polarizable continuum models are presented in the subsequent article [C. Walter, S. Ruetzel, M. Diekmann, P. Nuernberger, T. Brixner, and B. Engels, J. Chem. Phys. 140, 224311 (2014)].

  19. [Comparison of continuous cardiac output measurement methods: non-invasive estimated CCO using pulse wave transit time and CCO using thermodilution].

    Science.gov (United States)

    Tsutsui, Masato; Yamada, Takashige; Sugo, Yoshihiro; Sato, Tetsufumi; Akazawa, Toshimasa; Sato, Nobukazu; Yamashita, Koichi; Ishihara, Hironori; Kazama, Tomiei; Takeda, Junzo

    2012-09-01

    esCCO (estimated continuous cardiac output, Nihon Kohden, esCCO) is a new cardiac output measurement system which uses pulse wave transit time to calculate cardiac output continuously and non-invasively. One of the most commonly used methods to monitor cardiac output is continuous cardiac output CCO (Edwards Lifesciences) which has an accuracy equivalent to that of thermodilution method. We compared esCCO to CCO in 67 operating room patients and 128 intensive care unit patients. CCO and esCCO were measured simultaneously in patients with a pulmonary artery catheter inserted after admission to the operating room or intensive care unit. CCO and esCCO showed a high correlation with a correlation coefficient of 0.84 in 496 total data points, and 95% limits of agreement between these two methods were -2.49 to 2.35 l x min(-1). This result suggests that esCCO could be used to measure cardiac output accurately and non-invasively in different cases.

  20. Pulse-Wave Analysis of Optic Nerve Head Circulation Is Significantly Correlated with Kidney Function in Patients with and without Chronic Kidney Disease

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    Tomoaki Shiba

    2014-01-01

    Full Text Available Aim. To determine whether there is a significant correlation between the optic nerve head (ONH circulation determined by laser speckle flowgraphy (LSFG and kidney function. Materials. Seventy-one subjects were investigated. The estimated glomerular filtration rate (GFR and serum creatinine, cystatin C, and urinary albumin excretion were measured. The ONH circulation was determined by an analysis of the pulse wave of LSFG, and this parameter was named blowout time (BOT. Chronic kidney disease (CKD was defined to be present when the estimated GFR was <60 mL/min per 1.73 m2. Pearson’s correlation coefficients were used to determine the relationship between the BOT and the kidney function. We also examined whether there were significant differences in all parameters in patients with and without CKD. Results. BOT was significantly correlated with the level of creatinine (r=-0.24, P=0.04, the estimated GFR (r=0.42, P=0.0003, cystatin C (r=-0.29, P=0.01, and urinary albumin excretion (r=-0.29, P=0.01. The BOT level in subjects with CKD was significantly lower than that in subjects without CKD (P=0.002. Conclusion. BOT in ONH by LSFG can detect the organ damage such as kidney dysfunction, CKD.

  1. Kinetics of the Thermal Decomposition of Tetramethylsilane behind the Reflected Shock Waves in a Single Pulse Shock Tube (SPST) and Modeling Study

    Science.gov (United States)

    Parandaman, A.; Sudhakar, G.; Rajakumar, B.

    Thermal reactions of Tetramethylsilane (TMS) diluted in argon were studied behind the reflected shock waves in a single-pulse shock tube (SPST) over the temperature range of 1085-1221 K and pressures varied between 10.6 and 22.8 atm. The stable products resulting from the decomposition of TMS were identified and quantified using gas chromatography and also verified with Fourier Transform Infrared (FTIR) spectrometer. The major reaction products are methane (CH4) and ethylene (C2H4). The minor reaction products are ethane (C2H6) and propylene (C3H6). The initiation of mechanism in the decomposition of TMS takes plays via the Si-C bond scission by ejecting the methyl radicals (CH3) and trimethylsilyl radicals ((CH3)3Si). The measured temperature dependent rate coefficient for the total decomposition of TMS was to be ktotal = 1.66 ×1015 exp (-64.46/RT) s-1 and for the formation of CH4 reaction channel was to be k = 2.20 × 1014 exp (-60.15/RT) s-1, where the activation energies are given in kcal mol-1. A kinetic scheme containing 17 species and 28 elementary reactions was used for the simulation using chemical kinetic simulator over the temperature range of 1085-1221 K. The agreement between the experimental and simulated results was satisfactory.

  2. One-dimensional kinetic description of nonlinear traveling-pulse and traveling-wave disturbances in long coasting charged particle beams

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    Ronald C. Davidson

    2015-09-01

    Full Text Available This paper makes use of a one-dimensional kinetic model to investigate the nonlinear longitudinal dynamics of a long coasting beam propagating through a perfectly conducting circular pipe with radius r_{w}. The average axial electric field is expressed as ⟨E_{z}⟩=-(∂/∂z⟨ϕ⟩=-e_{b}g_{0}∂λ_{b}/∂z-e_{b}g_{2}r_{w}^{2}∂^{3}λ_{b}/∂z^{3}, where g_{0} and g_{2} are constant geometric factors, λ_{b}(z,t=∫dp_{z}F_{b}(z,p_{z},t is the line density of beam particles, and F_{b}(z,p_{z},t satisfies the 1D Vlasov equation. Detailed nonlinear properties of traveling-wave and traveling-pulse (soliton solutions with time-stationary waveform are examined for a wide range of system parameters extending from moderate-amplitudes to large-amplitude modulations of the beam charge density. Two classes of solutions for the beam distribution function are considered, corresponding to: (i the nonlinear waterbag distribution, where F_{b}=const in a bounded region of p_{z}-space; and (ii nonlinear Bernstein-Green-Kruskal (BGK-like solutions, allowing for both trapped and untrapped particle distributions to interact with the self-generated electric field ⟨E_{z}⟩.

  3. Nd:YAG pulsed-wave laser as support therapy in the treatment of teno-desmopathies of athlete horses: a clinical and experimental trial

    Science.gov (United States)

    Fortuna, Damiano; Rossi, Giacomo; Paolini, Cesare; Magi, Alberto; Losani, Fabrizio; Fallaci, Simone; Pacini, Franco; Porciani, Chiara; Sandler, Anna; Dalla Torre, Riccarda; Pinna, Stefania; Venturini, Antonio

    2002-10-01

    The ultrasonic evolution of tendinous repair envisages the recovery of ecogenicity: "reparative phase", followed by the realignment of the collagen fibres: "rehabilitative phase". The primary objective was to verify the safety and efficacy of Nd:YAG pulsed wave on teno- desmopathies of horses. Secondary to shorten "reparative phase" for to provide more time for "rehabilitative phase". The study has been divided into two investigations: experimental and clinical. In the experimental investigation, on 3 meat horses, the safety and tolerance of a power laser (35 W/cm2, 25 J/cm2) was investigated. The clinical investigation was performed on 79 sport horses through randomized double-blind. All subjects (Controls and Treated) received, on the subskin above the tendon lesion, the same local infiltration of immunostimulant. The results indicates that the High Intensity Laser Therapy (HILT) is safe and tolerated. It is able of reducing, in significative way, the "reparative phase", with a lower percentage of relapse (20% Treated and 40% Controls), but it is not able to reduce the time of the "rehabilitative phase".

  4. Ankle-brachial index and brachial-ankle pulse wave velocity are risk factors for ischemic stroke in patients with Type 2 diabetes

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    Ting Li

    2017-01-01

    Full Text Available The incidence of ischemic stroke in patients with diabetes is increasing. While brachial-ankle pulse wave velocity (BaPWV and ankle-brachial index (ABI are known to be associated with ischemic cardiovascular and cerebrovascular diseases, whether these measures predict the risk of ischemic cerebrovascular disease in diabetic patients remains unclear. 117 patients with type 2 diabetes were enrolled in this study. According to the results of head magnetic resonance imaging, the patients were divided into a diabetes-only group (n = 55 and a diabetes and ischemic stroke group (n = 62. We then performed ABI and BaPWV examinations for all patients. Compared with the diabetes-only group, we found decreased ABI and increased BaPWV in the diabetes and ischemic stroke group. Multivariate logistic regression analyses revealed that BaPWV and ABI were risk factors for ischemic stroke in patients with type 2 diabetes. Our findings indicate that decreased ABI and increased BaPWV are objective indicators of increased risk of ischemic stroke in patients with type 2 diabetes.

  5. Pulsed Wave Doppler Ultrasound Is Useful to Assess Vasomotor Response in Patients with Multiple System Atrophy and Well Correlated with Tilt Table Study

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    Ke-Vin Chang

    2012-01-01

    Full Text Available The study aim was to assess sympathetic vasomotor response (SVR by using pulsed wave Doppler (PWD ultrasound in patients with multiple system atrophy (MSA and correlate with the tilt table study. We recruited 18 male patients and 10 healthy men as controls. The SVR of the radial artery was evaluated by PWD, using inspiratory cough as a provocative maneuver. The response to head-up tilt was studied by a tilt table with simultaneous heart rate and blood pressure recording. The hemodynamic variables were compared between groups, and were examined by correlation analysis. Regarding SVR, MSA patients exhibited a prolonged latency and less heart rate acceleration following inspiratory cough. Compared with the tilt table test, the elevation of heart rate upon SVR was positively correlated to the increase of heart rate after head-up tilt. The correlation analysis indicated that the magnitude of blood pressure drop from supine to upright was positively associated with the SVR latency but negatively correlated with the heart rate changes upon SVR. The present study demonstrated that blunted heart rate response might explain MSA's vulnerability to postural challenge. PWD may be used to predict cardiovascular response to orthostatic stress upon head-up tilt in MSA patients.

  6. Periodontal disease and atherosclerosis from the viewpoint of the relationship between community periodontal index of treatment needs and brachial-ankle pulse wave velocity

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    Hoshi Keika

    2006-05-01

    Full Text Available Abstract Background It has been suggested that periodontal disease may be an independent risk factor for the development of atherosclerosis. However, the relationship between periodontal disease and atherosclerosis has not been fully elucidated. This study aimed to assess the effects of periodontal disease on atherosclerosis. Methods The study design was a cross-sectional study. Subjects were 291 healthy male workers in Japan. We used the Community Periodontal Index of Treatment Needs (CPITN score, average probing depth and gingival bleeding index (rate of bleeding gums to assess the severity of periodontal disease. We also used the Brachial-Ankle Pulse Wave Velocity (baPWV as the index for the development of atherosclerosis. Results The unadjusted odds ratio (OR of atherosclerosis in relation to the CPITN score was 1.41 [95% CI: 1.16–1.73]. However, after adjustment for age, systolic blood pressure and smoking, the CPITN score had no relationship with atherosclerosis (adjusted OR: 0.91 [0.68–1.20]. Conclusion Our results show no relationship between mild periodontal disease and atherosclerosis after appropriate adjustments.

  7. Medical image of the week: atherosclerotic aneurysm of aortic arch and descecnding thoracic aorta

    Directory of Open Access Journals (Sweden)

    Parasram M

    2016-02-01

    Full Text Available No abstract available. Article truncated after 150 words. A 94-year-old Spanish-speaking woman presented to the hospital with intermittent episodes of dyspnea and abdominal pain for one week. Her past medical history was notable for 30 pack-year smoking history and hypertension, which was reportedly controlled with medical therapy. Physical exam showed trace peripheral edema bilaterally, intact peripheral pulses, and a mild abdominal bruit. Work up at the emergency department revealed a non-ST elevation myocardial infarction with troponin T of 0.34 ng/mL but no ST-wave abnormality on electrocardiography. Chest x-ray displayed an incidental thoracic aneurysm (Figure 1. Chest computed tomography with contrast demonstrated a continuous aneurysm of the aortic arch and descending thoracic aorta with diameters measuring 6.8 cm and 6 cm, respectively (Figure 2A and 2B. Eccentric thrombi are noted in the aortic arch and the descending aorta. Interestingly, the distal descending thoracic aorta curves as it transitions to the abdominal aorta, which is evidence of a tortuous descending ...

  8. Mechanisms of improved aortic stiffness by arotinolol in spontaneously hypertensive rats.

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    Wugang Zhou

    Full Text Available OBJECTIVES: This study investigates the effects on aortic stiffness and vasodilation by arotinolol and the underlying mechanisms in spontaneously hypertensive rats (SHR. METHODS: The vasodilations of rat aortas, renal and mesenteric arteries were evaluated by isometric force recording. Nitric oxide (NO was measured in human aortic endothelial cells (HAECs by fluorescent probes. Sixteen-week old SHRs were treated with metoprolol (200 mg·kg-1·d⁻¹, arotinolol (30 mg·kg-1·d⁻¹ for 8 weeks. Central arterial pressure (CAP and pulse wave velocity (PWV were evaluated via catheter pressure transducers. Collagen was assessed by immunohistochemistry and biochemistry assay, while endothelial nitric oxide synthase (eNOS and eNOS phosphorylation (p-eNOS of HAECs or aortas were analyzed by western blotting. RESULTS: Arotinolol relaxed vascular rings and the relaxations were attenuated by Nω-nitro-L-arginine methyl ester (L-NAME, NO synthase inhibitor and the absence of endothelium. Furthermore, arotinolol-induced relaxations were attenuated by 4-aminopyridine (4-AP, Kv channels blocker. Arotinolol produced more nitric oxide compared to metoprolol and increased the expression of p-eNOS in HAECs. These results indicated that arotinolol-induced vasodilation involves endothelium-derived NO and Kv channels. The treatement with arotinolol in 8 weeks, but not metoprolol, markedly decreased CAP and PWV. Biochemistry assay and immunohistochemistry showed that aortic collagen depositions in the arotinolol groups were reduced compared with SHRs with metoprolol. Moreover, eNOS phosphorylation was significantly increased in aortinolol-treated SHR compared with SHRs with metoprolol. CONCLUSIONS: Arotinolol improves arterial stiffness in SHR, which involved in increasing NO and decreasing collagen contents in large arteries.

  9. Mechanisms of improved aortic stiffness by arotinolol in spontaneously hypertensive rats.

    Science.gov (United States)

    Zhou, Wugang; Hong, Mona; Zhang, Ke; Chen, Dongrui; Han, Weiqing; Shen, Weili; Zhu, Dingliang; Gao, Pingjin

    2014-01-01

    This study investigates the effects on aortic stiffness and vasodilation by arotinolol and the underlying mechanisms in spontaneously hypertensive rats (SHR). The vasodilations of rat aortas, renal and mesenteric arteries were evaluated by isometric force recording. Nitric oxide (NO) was measured in human aortic endothelial cells (HAECs) by fluorescent probes. Sixteen-week old SHRs were treated with metoprolol (200 mg·kg-1·d⁻¹), arotinolol (30 mg·kg-1·d⁻¹) for 8 weeks. Central arterial pressure (CAP) and pulse wave velocity (PWV) were evaluated via catheter pressure transducers. Collagen was assessed by immunohistochemistry and biochemistry assay, while endothelial nitric oxide synthase (eNOS) and eNOS phosphorylation (p-eNOS) of HAECs or aortas were analyzed by western blotting. Arotinolol relaxed vascular rings and the relaxations were attenuated by Nω-nitro-L-arginine methyl ester (L-NAME, NO synthase inhibitor) and the absence of endothelium. Furthermore, arotinolol-induced relaxations were attenuated by 4-aminopyridine (4-AP, Kv channels blocker). Arotinolol produced more nitric oxide compared to metoprolol and increased the expression of p-eNOS in HAECs. These results indicated that arotinolol-induced vasodilation involves endothelium-derived NO and Kv channels. The treatement with arotinolol in 8 weeks, but not metoprolol, markedly decreased CAP and PWV. Biochemistry assay and immunohistochemistry showed that aortic collagen depositions in the arotinolol groups were reduced compared with SHRs with metoprolol. Moreover, eNOS phosphorylation was significantly increased in aortinolol-treated SHR compared with SHRs with metoprolol. Arotinolol improves arterial stiffness in SHR, which involved in increasing NO and decreasing collagen contents in large arteries.

  10. Generation of spectrally-stable continuous-wave emission and ns pulses at 800 nm and 975 nm with a peak power of 4 W using a distributed Bragg reflector laser and a ridge-waveguide power amplifier

    Science.gov (United States)

    Klehr, A.; Wenzel, H.; Fricke, J.; Bugge, F.; Liero, A.; Hoffmann, Th.; Erbert, G.; Tränkle, G.

    2015-03-01

    Semiconductor based sources which emit high-power spectrally stable nearly diffraction-limited optical pulses in the nanosecond range are ideally suited for a lot of applications, such as free-space communications, metrology, material processing, seed lasers for fiber or solid state lasers, spectroscopy, LIDAR and frequency doubling. Detailed experimental investigations of 975 nm and 800 nm diode lasers based on master oscillator power amplifier (MOPA) light sources are presented. The MOPA systems consist of distributed Bragg reflector lasers (DBR) as master oscillators driven by a constant current and ridge waveguide power amplifiers which can be driven DC and by current pulses. In pulse regime the amplifiers modulated with rectangular current pulses of about 5 ns width and a repetition frequency of 200 kHz act as optical gates, converting the continuous wave (CW) input beam emitted by the DBR lasers into a train of short optical pulses which are amplified. With these experimental MOPA arrangements no relaxation oscillations in the pulse power occur. With a seed power of about 5 mW at a wavelength of 973 nm output powers behind the amplifier of about 1 W under DC injection and 4 W under pulsed operation, corresponding to amplification factors of 200 (amplifier gain 23 dB) and 800 (gain 29 dB) respectively, are reached. At 800 nm a CW power of 1 W is obtained for a seed power of 40 mW. The optical spectra of the emission of the amplifiers exhibit a single peak at a constant wavelength with a line width 50 dB. The output beams are nearly diffraction limited with beam propagation ratios M2lat ~ 1.1 and M2ver ~ 1.2 up to 4 W pulse power.

  11. Pathogenetic Basis of Aortopathy and Aortic Valve Disease

    Science.gov (United States)

    2018-02-19

    Aortopathies; Thoracic Aortic Aneurysm; Aortic Valve Disease; Thoracic Aortic Disease; Thoracic Aortic Dissection; Thoracic Aortic Rupture; Ascending Aortic Disease; Descending Aortic Disease; Ascending Aortic Aneurysm; Descending Aortic Aneurysm; Marfan Syndrome; Loeys-Dietz Syndrome; Ehlers-Danlos Syndrome; Shprintzen-Goldberg Syndrome; Turner Syndrome; PHACE Syndrome; Autosomal Recessive Cutis Laxa; Congenital Contractural Arachnodactyly; Arterial Tortuosity Syndrome

  12. Pulsed-wave tissue Doppler imaging of the myocardium of cats with induced thyrotoxicosis Doppler tecidual pulsado do miocárdio de gatos com tirotoxicose induzida

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    Daniel Capucho de Oliveira

    2011-06-01

    Full Text Available Left ventricular myocardial motion was quantified using pulsed-wave tissue Doppler imaging (PW-TDI in nine adult cats before and after thyrotoxicosis induction. In order to induce thyrotoxicosis, all cats were given 150µg kg-1 of levothyroxine sodium as a single oral dose each day for 10 weeks. PW-TDI examinations were performed immediately before the induction and by the end of the experimental protocol. An increase in myocardial motion velocity was documented at the interventricular septum level, demonstrated by an elevation in systolic (Sa, and early (Ea and late (Aa diastolic waves (PA velocidade de movimentação miocárdica do ventrículo esquerdo foi quantificada por meio de exames ecocardiográficos com Doppler tecidual pulsado (PW-TDI em nove gatos adultos antes e após indução à tirotoxicose. Para indução da tirotoxicose, todos os gatos receberam doses diárias de 150mg kg-1 de levotiroxina sódica, por via oral, durante 10 semanas. Os exames de PW-TDI foram realizados imediatamente antes da indução e ao final do protocolo experimental. Uma elevação na velocidade de movimentação miocárdica foi documentada ao nível do septo interventricular, demonstrado por um aumento das ondas sistólica (Sa e diastólicas (Ea e Aa; P<0,05. No entanto, nenhuma alteração nos valores de Sa, Ea e Aa foi encontrada ao nível da parede livre do ventrículo esquerdo. A frequência cardíaca aumentou significativamente entre os momentos experimentais, sendo que três animais apresentaram fusão das ondas Aa e Ea ao final do experimento. O protocolo experimental utilizado neste estudo causou alterações na velocidade de movimentação do miocárdio ventricular esquerdo, mas sem causar danos à função diastólica do ventrículo esquerdo.

  13. [Aortic arch advancement surgery as treatment for aortic coarctation with hypoplastic aortic arch in children].

    Science.gov (United States)

    Palacios-Macedo-Quenot, Alexis; Urencio, Miguel; Ponce-De-León-Rosales, Sergio; López-Terrazas, Javier; Castañuela-Sánchez, Violeta; March-Mifsut, Almudena; López-Magallón, Alejandro; Pérez-Juárez, Fabiola; Cedillo-Rendón, Irma; Tamariz-Cruz, Orlando

    2012-01-01

    Treatment of aortic coarctation with hypoplastic aortic arch is still a surgical challenge. The aortic arch advancement surgery has shown less re-coarctation frequency. To determine the re-coarctation frequency in patients who underwent aortic arch advancement technique for aortic coarctation with hypoplastic aortic arch and analyze the results. Retrospective and observational study of 38 patients who underwent aortic arch advancement in a third level Institution from 2002 to 2010. Twenty four males and 14 females all with aortic arch Z index diameter of coarctation was O%. With the previously mentioned technique the recoarctation frequency on medium and long term basis was 0%. From the anatomical and functional point of view, we believe this technique offers the best possible results.

  14. Electromagnetic pulses, localized and causal

    Science.gov (United States)

    Lekner, John

    2018-01-01

    We show that pulse solutions of the wave equation can be expressed as time Fourier superpositions of scalar monochromatic beam wave functions (solutions of the Helmholtz equation). This formulation is shown to be equivalent to Bateman's integral expression for solutions of the wave equation, for axially symmetric solutions. A closed-form one-parameter solution of the wave equation, containing no backward-propagating parts, is constructed from a beam which is the tight-focus limit of two families of beams. Application is made to transverse electric and transverse magnetic pulses, with evaluation of the energy, momentum and angular momentum for a pulse based on the general localized and causal form. Such pulses can be represented as superpositions of photons. Explicit total energy and total momentum values are given for the one-parameter closed-form pulse.

  15. Hall voltage drives pulsing counter-currents of the sliding charge density wave and of quantized normal carriers at self-filled Landau levels

    Science.gov (United States)

    Orlov, Andrey P.; Sinchenko, Aleksander A.; Monceau, Pierre; Brazovskii, Serguei; Latyshev, Yuri I.

    2017-11-01

    Remnant pockets of carriers left over after formation of a charge density wave (CDW) were brought, by virtue of transverse electric and magnetic fields, to a current-carrying state at quantized Landau Levels. The generated Hall voltage polarizes and puts to sliding the flexible CDW background. The screening from the CDW allows for a so strong redistribution of normal electrons density under the action of the Lorentz force alone, that an integer filling of the lowest Landau level might be reached at one edge at the expense of the full depletion at another edge of the Hall bar. With the Hall field exceeding the sliding threshold, the regime of exactly compensated collective and normal counter-currents develops in the open-circuit direction across the bar. The annihilation of the two currents proceeds via a regular sequence of phase slips which are the space-time vortices of the CDW phase around the enforced amplitude nodes. The resulting spontaneous generation of coherent high ( GHz) frequency signals was detected by observations of multiple Shapiro steps. This picture results from studies of micron-sized Hall bars in crystals of NbSe3 prepared by means of focused ion beams. The interpretation is confirmed and illustrated by a numerical solution of the derived equations. The depinning pulse propagates from edges to the bulk and the sliding sets in, accompanied by the generation of periodic phase slips near the Hall bar edge where the CDW phase is advanced in steps of 2π at expense of the CDW amplitude passing through zero.

  16. Vascular aging processes accelerate following a cubic kinetic: pulse wave velocity as an objective counterpart that time, as we age, goes by faster

    Directory of Open Access Journals (Sweden)

    Gabutti L

    2018-02-01

    Full Text Available Luca Gabutti, Rosaria Del Giorno Department of Internal Medicine and Nephrology, Bellinzona Regional Hospital, Bellinzona, SwitzerlandArterial stiffness is a marker of vascular aging and is considered to be the most reliable parameter expressing, like an integral in mathematics, the cumulative consequences, on the vascular wall, of degenerative and adaptive changes occurring throughout life.1 The efficiency of the reparative processes, the cardiovascular risk factors (CVRF, and early life and genetic determinants, all play a relevant role.1 Among CVRF, the acceleration in arterial stiffness progression related to age is mainly influenced by hypertension.1 A pathological acceleration translates into the concept of early vascular aging, a concept that can be quantified calculating the gap between the subject’s chronological (estimated on the basis of the epidemiological data obtained in the normal population and effective vascular age.2 Data of subpopulations without active risk factors for accelerated vascular aging can be found mainly in three large epidemiological studies, performed respectively in Portugal,3 Argentina,4 and seven different European countries (Belgium, Czech Republic, France, Greece, Italy, the Netherlands, and UK gathered in a collaborative investigation.5 Those doing this secondary analysis were aware of the limitation related to the use of cross-sectional data to extrapolate longitudinal changes, and their aims were combining the abovementioned epidemiological data concerning the normal population to calculate with the highest possible accuracy 1 the age-related increase in acceleration of the pulse wave velocity (PWV and to estimate both 2 the age-specific relative amount of time equivalent to that necessary to progress 1 year in vascular age at 20, and 3 the cumulative relative age calculated in year equivalents. 

  17. Ankle-brachial index and brachial-ankle pulse wave velocity are associated with albuminuria in community-based Han Chinese.

    Science.gov (United States)

    Xu, Xiqi; He, Jinggui; Wang, Shuxia; Zhu, Ping; Chen, Qian; Zhang, Xiujin; Tao, Tao; Wang, Hao; Liu, Jianfeng; Wang, Haijun; Li, Xiaoying

    Our study aimed to explore whether the ankle-brachial index (ABI) and brachial-ankle pulse wave velocity (baPWV) were associated with albuminuria in community-based Han Chinese. Total 2127 subjects (860 men and 1267 women) aged 60 years and over were recruited in Beijing. Albuminuria was assessed by the urinary albumin-to-creatinine ratio (UACR) of ≥30 mg/g. BaPWV was divided by quartile. The logistic regression was used to determine the odds ratio (OR) and 95% confidence intervals (CIs) of ABI and baPWV with albuminuria. ABI was associated with albuminuria in the interaction model (OR 0.89, 95% CI 0.81-0.99 by every 0.1 unit increase of ABI), especially in hypertension (OR 0.82, 95% CI 0.73-0.92) and diabetes (OR 0.83, 95% CI 0.68-0.98) groups. BaPWV groups were also significantly associated with albuminuria, ORs of having albuminuria for baPWV quartile II, III, and IV were 1.02(0.65-1.52), 1.05(0.72-1.61), and 1.18(1.04-1.47) in the interaction model. For hypertension and diabetes patients, only the baPWV quartile IV group had higher OR. ABI and baPWV were associated with albuminuria after adjusting for other risk factors in Chinese community-based elderly Han population. The association of ABI with albuminuria was stronger in hypertension and diabetes patients.

  18. Association between work-related psychological stress and arterial stiffness measured by brachial-ankle pulse-wave velocity in young Japanese males from an information service company.

    Science.gov (United States)

    Nomura, Kyoko; Nakao, Mutsuhiro; Karita, Kanae; Nishikitani, Mariko; Yano, Eiji

    2005-10-01

    This study examined the relationship between work-related psychological stress and arterial stiffness in young Japanese workers. A cross-sectional study was conducted on 396 Japanese male workers, aged 24 to 39 years, employed in a Japanese information service company. Work-related psychological stress was measured by the Job Content Questionnaire based on the job demand-control model. The job-strain index was defined as the ratio of job demand to job-control scores. The outcome of the study was the degree of arteriosclerosis as assessed by brachial pulse-wave velocity (baPWV). The cardiovascular risk factors analyzed were age, heart rate, blood pressure, body mass index, serum lipid, blood sugar levels, catecholamine levels, ethanol consumption, smoking, and overtime. In addition, psychological responses were assessed by tension-anxiety and anger-hostility scales in the Profile of Mood States (POMS). The baPWV was positively (P<0.05) associated with physiological variables including age, heart rate, body mass index, and serum levels of total cholesterol, fasting glucose, and noradrenaline, but negatively (P<0.01) associated with the job-strain index. Significant associations were not found on the POMS tension-anxiety and anger-hostility scale scores. The negative correlation between baPWV and the job-strain index was consistent even after control for the effects of significant physiological variables. The association between job stress and baPWV was found to be inconsistent with the results of previous western studies, and it may require further investigation while taking into account occupation, cardiovascular risk factors, and Japanese culture.

  19. Association of long-term blood pressure variability and brachial-ankle pulse wave velocity: a retrospective study from the APAC cohort.

    Science.gov (United States)

    Wang, Yang; Yang, Yuling; Wang, Anxin; An, Shasha; Li, Zhifang; Zhang, Wenyan; Liu, Xuemei; Ruan, Chunyu; Liu, Xiaoxue; Guo, Xiuhua; Zhao, Xingquan; Wu, Shouling

    2016-02-19

    We investigated associations between long-term blood pressure variability (BPV) and brachial-ankle pulse wave velocity (baPWV). Within the Asymptomatic Polyvascular Abnormalities Community (APAC) study, we retrospectively collected long-term BPV and baPWV measures. Long-term BPV was calculated using the mean and standard deviation of systolic blood pressure (SBP) across 4 years based on annual values of SBP. In total, 3,994 subjects (2,284 men) were eligible for inclusion in this study. We stratified the study population into four SBP quartiles. Left and right baPWV was higher in participants with long-term SBPV in the fourth quartile compared with the first quartile (left: 1,725 ± 488 vs. 1,461 ± 340 [p < 0.001]; right: 1,722 ± 471 vs. 1,455 ± 341 [p < 0.001], respectively). We obtained the same result for total baPWV (fourth vs. first quartile: 1,772 ± 429 vs. 1,492 ± 350 [p < 0.001]). Furthermore, there was a trend for gradually increased baPWV (≥1,400 cm/s) with increased SBPV (p < 0.001). After multivariable adjustment, baPWV was positively correlated with long-term BPV (p < 0.001). In conclusion, long-term BPV is significantly associated with arterial stiffness as assessed by baPWV.

  20. [Pulse wave velocity of the leg minus that of the arm measured with a custom device correlates to the coronary calcium quantification].

    Science.gov (United States)

    Rico Martín, S; de Nicolás Jiménez, J M; Moyano Calvente, S L; Mogollón Jiménez, M V; Vega Fernández, J; Calderón García, J F; Bacaicoa Lopez de Sabando, M A; Tardio, M; Sánchez Muñoz-Torrero, J F

    2016-05-01

    The pulse wave velocity (PWV) in the great arteries is an indicator of vascular risk. Our objective was to identify the PWV index between the arms and legs that best correlates with the coronary calcium quantification (CCQ) and to compare it with other methods. Eight-one patients without vascular disease underwent the following measurements: CCQ; carotid intima-media thickness (IMT); carotid-femoral PWV (cfPWV), using COMPLIOR; and PWV in the arms and legs, with our own device (abiPWV, ankle brachial index PWV). The difference in PWVs between the leg and arm (l-a PWV) measured with abiPWV was the index that best correlated with CCQ (r=0.401, P<.001). The correlation between IMT and CCQ and between CF-PWV and CCQ were r=0.366, P=.001; and r=0.385, P=.001, respectively. For a CCQ score higher than 100 as a marker of significant coronary arteriosclerosis, the areas under the curve for l-a PWV, IMT and cfPWV were 0.721 (P=.002), 0.758 (P<.001) and 0.636 (P=.058), respectively. For patients without vascular disease, the l-a PWV measured with abiPWV appears to be the index that best correlates with the CCQ. This association is comparable to that between IMT and CCQ and between cfPWV and CCQ. The abiPWV is an easy-to-use device that can help improve vascular risk stratification. Copyright © 2016 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  1. An evaluation of the effect of pulsed wave low-level laser therapy on the biomechanical properties of the vertebral body in two experimental osteoporosis rat models.

    Science.gov (United States)

    Bayat, Mohammad; Fridoni, Mohammadjavad; Nejati, Hossein; Mostafavinia, Atarodalsadat; Salimi, Maryam; Ghatrehsamani, Mahdi; Abdollahifar, Mohammad-Amin; Najar, Azam; Bayat, Saba; Rezaei, Fatemesadat

    2016-02-01

    Osteoporosis (OP) increases vertebral fragility as a result of the biomechanical effects of diminished bone structure and composition. This study has aimed to assess the effects of pulsed wave low-level laser therapy (PW LLLT) on cancellous bone strength of an ovariectomized (OVX-d) experimental rat model and a glucocorticoid-induced OP (GIOP) experimental rat model. There were four OVX-d groups and four dexamethasone-treated groups. A group of healthy rats was used for baseline evaluations. The OVX-d rats were further subdivided into the following groups: control rats with OP, OVX-d rats that received alendronate, OVX-d rats treated with PW LLLT, and OVX-d rats treated with alendronate and PW LLLT. The remaining rats received dexamethasone and were divided into four groups: control, alendronate-treated rats, laser-treated rats, and laser-treated rats with concomitant administration of alendronate. PW LLLT (890 nm, 80 Hz, 0.972 J/cm(2)) was performed on the spinal processes of the T12, L1, L2, and L3 vertebras. We extracted the L1 vertebrae and submitted them to a mechanical compression test. Biomechanical test findings showed positive effects of the PW LLLT and alendronate administration on increasing bending stiffness and maximum force of the osteoporotic bones compared to the healthy group. However, laser treatment of OVA-d rats significantly increased stress high load compared to OVA-d control rats. PW LLLT preserved the cancellous (trabecular) bone of vertebra against the detrimental effects of OV-induced OP on bone strength in rats compared to control OV rats.

  2. EFFECTS OF PULSED ELECTROMAGNETIC FIELD THERAPY VERSUS EXTRA CORPOREAL SHOCK WAVE THERAPY ON PERIPHERAL CIRCULATION AND FUNCTIONAL BALANCE IN PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY: RCT

    Directory of Open Access Journals (Sweden)

    Ashraf Abdelaal Mohamed Abdelaal

    2016-12-01

    Full Text Available Background: Diabetic peripheral polyneuropathy (DPN is an arousing problem that negatively affects body systems. Pulsed low frequency electromagnetic field (PLFEM and Extracorporeal shock waves (ESW are therapeutic modalities frequently used to treat varieties of pathological conditions. Objective of the study was to evaluate and compare effects of PLFEM and ESW on feet blood flow (maximum skin blood perfusion (SBP-max, minimum skin blood perfusion (SBP-min, and basal mean perfusion changes (BMCP (by Laser Doppler and functional balance (by Berg balance scale "BBS" in patients with DPN. Methods: Seventy patients with DPN were randomly assigned into PLFEM, ESW and control groups. PLFEMgroup received treatment twice weekly while ESW received treatment once weekly, for 12 weeks. Variables were evaluated prestudy (evaluation-1, post-study (evaluation-2 and 4-weeks post-treatment cessation (evaluation-3. Results: At evaluation-2 and 3; SBP-max, SBP-min, BMCP and BBS showed significant increase in both PLFEM and ESWgroups (P 0.5. At evaluation-2; SBPmax, SBP-min, BMCP and BBS mean values and percentages of change were [27.21±4.27(23.27 %, 10.51±2.32(50.004%, 16.15±2.22(24.45 %, 43.18±2.95(33.01 %], [24.74±3.33(10.62 %, 8.69±2.58(21.15 %, 14.48±2.35(11.66 %, 40.13±3.52(23.12 %] and [22.12(-0.05 %, 7.196(-0.1 %, 13.06±2.38(-0.09, 32.76(-0.1 %] for LFPEM, ESW and control groups respectively (P<0.05. Conclusion: While both PLFEM and ESW have significant long-term effects in improving lower extremity blood flow and functional balance in patients with DPN, but still PLFEM is more effective than ESW.

  3. Association between brachial-ankle pulse wave velocity and the ratio of l-arginine to asymmetric dimethylarginine in patients undergoing coronary angiography.

    Science.gov (United States)

    Masaki, Nobuyuki; Hakuno, Daihiko; Toya, Takumi; Shiraishi, Yasunaga; Kujiraoka, Takehiko; Namba, Takayuki; Yada, Hirotaka; Kimura, Kazuo; Miyazaki, Koji; Adachi, Takeshi

    2015-04-01

    Endothelial dysfunction causes vasomotor dysregulation and vascular stiffening in addition to structural changes. By influencing NO synthesis, deficiency of l-arginine relative to asymmetric dimethylarginine (ADMA), which is an l-arginine derivative that acts as a competitive NO synthase inhibitor, may lead to the promotion of arterial stiffness. This study investigated the relationship between the l-arginine/ADMA ratio and brachial-ankle pulse wave velocity (baPWV), an indicator of arterial stiffness. This cross-sectional study enrolled 74 patients (62 men, 12 women; mean age, 67±10 years) undergoing elective coronary angiography. A total of 54 (73%) patients had coronary artery disease. Serum l-arginine and ADMA were measured by high-performance liquid chromatography with fluorescence detection. The ratio of l-arginine to ADMA and the serum l-arginine level was associated with baPWV in univariate regression analysis (l-arginine/ADMA ratio: β=-0.323, p=0.005; l-arginine: β=-0.247, p=0.034). In addition, baPWV was related to blood hemoglobin concentration, hematocrit, brain natriuretic peptide level, symmetric dimethylarginine, renal function, blood pressure, and heart rate. In multivariate analysis, the l-arginine/ADMA ratio was a significant predictor of baPWV (β=-0.310, p<0.001). In subgroup analyses, the l-arginine/ADMA ratio was associated with baPWV in elderly patients (n=46, β=-0.359, p=0.004), and in younger patients (n=28, β=-0.412, p=0.006). A low l-arginine/ADMA ratio may be associated with high baPWV in patients undergoing coronary angiography. Copyright © 2014 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

  4. Traveling wave laser system

    International Nuclear Information System (INIS)

    Gregg, D.W.; Kidder, R.E.; Biehl, A.T.

    1975-01-01

    The invention broadly involves a method and means for generating a traveling wave laser pulse and is basically analogous to a single pass light amplifier system. However, the invention provides a traveling wave laser pulse of almost unlimited energy content, wherein a gain medium is pumped in a traveling wave mode, the traveling wave moving at essentially the velocity of light to generate an amplifying region or zone which moves through the medium at the velocity of light in the presence of directed stimulating radiation, thereby generating a traveling coherent, directed radiation pulse moving with the amplification zone through the gain medium. (U.S.)

  5. [Percutaneous transfemoral valvuloplasty in patients with calcified aortic stenosis and significantly increased surgical risk: clinical course and value of Doppler sonography in assessment of therapeutic success].

    Science.gov (United States)

    Kücherer, H; Katus, H; Dietz, R; Rauch, B; Kübler, W

    1988-07-01

    Percutaneous transluminal valvuloplasty (PTV) was performed in 24 patients (aged 67-86 years, mean: 76 +/- 5.7 years) with calcific aortic stenosis and high operative risk. The gradient between maximal left ventricular and aortic pressures (peak-to-peak gradient, PPPG) could be reduced by 52% from 73 +/- 21 to 34 +/- 12 mmHg (p less than 0.001). Peak pressure gradient (PPG), as assessed by continuous wave Doppler, could be reduced from 80 +/- 28 to 58 +/- 21 mmHg (p less than 0.001). Aortic valve area (AVA) as determined by Doppler and two dimensional echocardiography increased significantly from 0.39 +/- 0.14 to 0.61 +/- 0.3 cm2 (p less than 0.05). Clinical symptoms were found to be improved in 5 of 8 patients with impaired ejection fraction and in 11 of 16 patients with normal ejection fraction during the first week after PTV. Complications due to the procedure were surgical revision of femoral artery puncture site in one patient and hemodynamic relevant pericardial effusion in another patient. Transmitral early (E) and late (L) diastolic filling integrals were measured by pulsed Doppler: the ratio E/L decreased significantly after PTV from 0.9 +/- 0.5 to 0.63 +/- 0.31 (p less than 0.03) indicating further reduction of left ventricular early diastolic filling. Ejection fraction, stroke volume and cardiac output did not significantly change immediately after PTV.(ABSTRACT TRUNCATED AT 250 WORDS)

  6. Acute aortic dissection: be aware of misdiagnosis

    Directory of Open Access Journals (Sweden)

    Asteri Theodora

    2009-02-01

    Full Text Available Abstract Background Acute aortic dissection (AAD is a life-threatening condition requiring immediate assessment and therapy. A patient suffering from AAD often presents with an insignificant or irrelevant medical history, giving rise to possible misdiagnosis. The aim of this retrospective study is to address the problem of misdiagnosing AD and the different imaging studies used. Methods From January 2000 to December 2004, 49 patients (41 men and 8 women, aged from 18–75 years old presented to the Emergency Department of our hospital for different reasons and finally diagnosed with AAD. Fifteen of those patients suffered from arterial hypertension, one from giant cell arteritis and another patient from Marfan's syndrome. The diagnosis of AAD was made by chest X-ray, contrast enhanced computed tomography (CT, transthoracic echocardiography (TTE and coronary angiography. Results Initial misdiagnosis occurred in fifteen patients (31% later found to be suffering from AAD. The misdiagnosis was myocardial infarction in 12 patients and cerebral infarction in another three patients. Conclusion Aortic dissection may present with a variety of clinical manifestations, like syncope, chest pain, anuria, pulse deficits, abdominal pain, back pain, or acute congestive heart failure. Nearly a third of the patients found to be suffering from AD, were initially otherwise diagnosed. Key in the management of acute aortic dissection is to maintain a high level of suspicion for this diagnosis.

  7. Quadricuspid Aortic Valve Combined with Moderate Ascending Aortic Dilatation: A Report of Four Cases.

    Science.gov (United States)

    Uspenskiy, Vladimir E; Osadchii, Alexei M; Gordeev, Mikhail L

    2015-12-01

    The quadricuspid aortic valve is a very uncommon malformation associated with aortic insufficiency, aortic stenosis, endocarditis, and ascending aortic dilatation. We report four cases of this aortic valve malformation. One patient with severe aortic regurgitation and moderate aortic dilatation required aortic valve replacement. Three patients had mild or moderate aortic insufficiency combined with moderate ascending aortic dilatation. These patients were referred to follow-up. The presented cases demonstrate that this aortic valve malformation may not be as rare as it appears and that attention must be paid to any quadricuspid findings during computed tomographic angiography and echocardiography.

  8. Traveling wave laser system

    International Nuclear Information System (INIS)

    Gregg, D.W.; Kidder, R.E.; Biehl, A.T.

    1975-01-01

    A method is described for generating a traveling wave laser pulse of almost unlimited energy content wherein a gain medium is pumped into a traveling wave mode, the traveling wave moving at essentially the velocity of light to generate an amplifying region or zone which moves through the medium at the velocity of light in the presence of directed stimulating radiation, thereby generating a traveling coherent, directed radiation pulse moving with the amplification zone through the gain medium. (U.S.)

  9. Unoperated aortic aneurysm

    DEFF Research Database (Denmark)

    Perko, M J; Nørgaard, M; Herzog, T M

    1995-01-01

    From 1984 to 1993, 1,053 patients were admitted with aortic aneurysm (AA) and 170 (15%) were not operated on. The most frequent reason for nonoperative management was presumed technical inoperability. Survivals for patients with thoracic, thoracoabdominal, and abdominal AA were comparable. No sig...

  10. Double aortic arch

    Science.gov (United States)

    Surgery can be done to fix double aortic arch. The surgeon ties off the smaller branch and separates it from the larger branch. Then the surgeon closes the ends of the aorta with stitches. This relieves pressure on the esophagus and windpipe.

  11. Bicuspid aortic valve

    Science.gov (United States)

    ... females. A BAV often exists in babies with coarctation of the aorta (narrowing of the aorta). BAV is also seen ... to view the blood vessels of the heart Treatment ... to the heart and into the narrow opening of the aortic valve. A balloon attached to the end of ...

  12. Tissue engineered aortic valve

    OpenAIRE

    Dohmen, P M

    2012-01-01

    Several prostheses are available to replace degenerative diseased aortic valves with unique advantages and disadvantages. Bioprotheses show excellent hemodynamic behavior and low risk of thromboembolic complications, but are limited by tissue deterioration. Mechanical heart valves have extended durability, but permanent anticoagulation is mandatory. Tissue engineering created a new generation heart valve, which overcome limitations of biological and mechanical heart valves due to remodelling,...

  13. Brachial-ankle pulse wave velocity is associated with coronary calcium in young and middle-aged asymptomatic adults: The Kangbuk Samsung Health Study.

    Science.gov (United States)

    Cainzos-Achirica, Miguel; Rampal, Sanjay; Chang, Yoosoo; Ryu, Seungho; Zhang, Yiyi; Zhao, Di; Cho, Juhee; Choi, Yuni; Pastor-Barriuso, Roberto; Lim, So Yeon; Bruguera, Jordi; Elosua, Roberto; Lima, Joao A C; Shin, Hocheol; Guallar, Eliseo

    2015-08-01

    To evaluate the association between brachial-ankle pulse wave velocity (baPWV), a convenient, non-radiating, readily available measurement of arterial stiffness, and coronary artery calcium (CAC), a reliable marker of coronary atherosclerosis, in a large sample of young and middle-aged asymptomatic adults; and to assess the incremental value of baPWV for detecting prevalent CAC beyond traditional risk factors. Cross-sectional study of 15,185 asymptomatic Korean adults who voluntarily underwent a comprehensive health screening program including measurement of baPWV and CAC. BaPWV was measured using an oscillometric method with cuffs placed on both arms and ankles. CAC burden was assessed using a multi-detector CT scan and scored following Agatston's method. The prevalence of CAC > 0 and CAC > 100 increased across baPWV quintiles. The multivariable-adjusted odds ratios (95% CI) for CAC > 0 comparing baPWV quintiles 2-5 versus quintile 1 were 1.06 (0.87-1.30), 1.24 (1.02-1.50), 1.39 (1.15-1.69) and 1.60 (1.31-1.96), respectively (P trend  100 were 1.30 (0.74-2.26), 1.59 (0.93-2.71), 1.74 (1.03-2.94) and 2.59 (1.54-4.36), respectively (P trend  100, the area under the ROC curve for baPWV alone was 0.71 (0.68-0.74), and the addition of baPWV to traditional risk factors significantly improved the discrimination and calibration of models for detecting prevalent CAC > 0 and CAC > 100. BaPWV was independently associated with the presence and severity of CAC in a large sample of young and middle-aged asymptomatic adults. BaPWV may be a valuable tool for identifying apparently low-risk individuals with increased burden of coronary atherosclerosis. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  14. Effect of Pulsed Wave Low-Level Laser Therapy on Tibial Complete Osteotomy Model of Fracture Healing With an Intramedullary Fixation

    Science.gov (United States)

    Mostafavinia, Atarodalsadat; Masteri Farahani, Reza; Abbasian, Mohammadreza; Vasheghani Farahani, Mohammadmehdi; Fridoni, Mohammadjavad; Zandpazandi, Sara; Ghoreishi, Seyed Kamran; Abdollahifar, Mohammad Amin; Pouriran, Ramin; Bayat, Mohammad

    2015-01-01

    Background: Fractures pose a major worldwide challenge to public health, causing tremendous disability for the society and families. According to recent studies, many in vivo and in vitro experiments have shown the positive effects of PW LLLT on osseous tissue. Objectives: The aim of this study was to evaluate the outcome of infrared pulsed wave low-level laser therapy (PW LLLT) on the fracture healing process in a complete tibial osteotomy in a rat model, which was stabilized by an intramedullary pin. Materials and Methods: This experimental study was conducted at Shahid Beheshti University of Medical Sciences in Tehran, Iran. We performed complete tibial osteotomies in the right tibias for the population of 15 female rats. The rats were divided randomly into three different groups: I) Control rats with untreated bone defects; II) Rats irradiated by a 0.972 J/cm2 PW LLLT; and III) Rats irradiated by a 1.5 J/cm2 PW LLLT. The right tibias were collected six weeks following the surgery and a three-point bending test was performed to gather results. Immediately after biomechanical examination, the fractured bones were prepared for histological examinations. Slides were examined using stereological method. Results: PW LLLT significantly caused an increase in maximum force (N) of biomechanical repair properties for osteotomized tibias in the first and second laser groups (30.0 ± 15.9 and 32.4 ± 13.8 respectively) compared to the control group (8.6 ± 4.5) LSD test, P = 0.019, P = 0.011 respectively). There was a significant increase in the osteoblast count of the first and second laser groups (0.53 ± 0.06, 0.41 ± 0.06 respectively) compared to control group (0.31 ± 0.04) (LSD test, P = 0001, P = 0.007 respectively). Conclusions: This study confirmed the efficacy of PW LLLT on biomechanical strength, trabecular bone volume, callus volume, and osteoblast number of repairing callus in a complete tibial osteotomy animal model at a relatively late stage of the bone

  15. Impact of Aortic Insufficiency on Ascending Aortic Dilatation and Adverse Aortic Events After Isolated Aortic Valve Replacement in Patients With a Bicuspid Aortic Valve.

    Science.gov (United States)

    Wang, Yongshi; Wu, Boting; Li, Jun; Dong, Lili; Wang, Chunsheng; Shu, Xianhong

    2016-05-01

    Aberrant flow pattern and congenital fragility bestows bicuspid aortic valve (BAV) with a propensity toward ascending aorta dilatation, aneurysm, and dissection. Whether isolated aortic valve replacement (AVR) can prevent further dilatation in BAV ascending aorta and what indicates concurrent aortic intervention in the case of valve operation remain controversial. From June 2006 to January 2009, patients with a BAV who underwent isolated AVR were consecutively included and categorized into aortic insufficiency (BAV-AI, n = 84) and aortic stenosis (n = 112) groups, and another population of patients with a tricuspid aortic valve with aortic insufficiency (n = 149) was also recruited during the same period for comparison of annual aortic dilatation rate and adverse aortic events after isolated AVR. With a median follow-up period of 72 months (interquartile range, 66 to 78 months), ascending aorta dilatation rates were faster in the BAV-AI group than the BAV plus aortic stenosis and tricuspid aortic valve with aortic insufficiency groups (both p regression analysis identified aortic insufficiency (hazard ratio, 3.7; 95% confidence interval, 1.2 to 11.1; p = 0.019) as an independent risk factor for adverse aortic events among patients with BAV in general, whereas preoperative ascending aortic diameter larger than 45 mm (hazard ratio, 13.8; 95% confidence interval, 3.0 to 63.3; p = 0.001) served as a prognostic indicator in the BAV-AI group. An aggressive policy of preventive aortic interventions seemed appropriate in patients with BAV-AI during AVR, and BAV phenotype presenting as either insufficiency or stenosis should be taken into consideration when contemplating optimal surgical strategies for BAV aortopathy. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  16. Compensatory Effect between Aortic Stiffening and Remodelling during Ageing.

    Directory of Open Access Journals (Sweden)

    Andrea Guala

    Full Text Available The arterial tree exhibits a complex spatio-temporal wave pattern, whose healthy behaviour depends on a subtle balance between mechanical and geometrical properties. Several clinical studies demonstrated that such a balance progressively breaks down during ageing, when the aorta stiffens and remodels by increasing its diameter. These two degenerative processes however, have different impacts on the arterial wave pattern. They both tend to compensate for each other, thus reducing the detrimental effect they would have had if they had arisen individually. This remarkable compensatory mechanism is investigated by a validated multi-scale model, with the aim to elucidate how aortic stiffening and remodelling quantitatively impact the complex interplay between forward and reflected backward waves in the arterial network. We focus on the aorta and on the pressure at the ventricular-aortic interface, which epidemiological studies demonstrate to play a key role in cardiovascular diseases.

  17. Compensatory Effect between Aortic Stiffening and Remodelling during Ageing.

    Science.gov (United States)

    Guala, Andrea; Camporeale, Carlo; Ridolfi, Luca

    2015-01-01

    The arterial tree exhibits a complex spatio-temporal wave pattern, whose healthy behaviour depends on a subtle balance between mechanical and geometrical properties. Several clinical studies demonstrated that such a balance progressively breaks down during ageing, when the aorta stiffens and remodels by increasing its diameter. These two degenerative processes however, have different impacts on the arterial wave pattern. They both tend to compensate for each other, thus reducing the detrimental effect they would have had if they had arisen individually. This remarkable compensatory mechanism is investigated by a validated multi-scale model, with the aim to elucidate how aortic stiffening and remodelling quantitatively impact the complex interplay between forward and reflected backward waves in the arterial network. We focus on the aorta and on the pressure at the ventricular-aortic interface, which epidemiological studies demonstrate to play a key role in cardiovascular diseases.

  18. Aortic stiffness in lone atrial fibrillation: a novel risk factor for arrhythmia recurrence.

    Directory of Open Access Journals (Sweden)

    Dennis H Lau

    Full Text Available BACKGROUND: Recent community-based research has linked aortic stiffness to the development of atrial fibrillation. We posit that aortic stiffness contributes to adverse atrial remodeling leading to the persistence of atrial fibrillation following catheter ablation in lone atrial fibrillation patients, despite the absence of apparent structural heart disease. Here, we aim to evaluate aortic stiffness in lone atrial fibrillation patients and determine its association with arrhythmia recurrence following radio-frequency catheter ablation. METHODS: We studied 68 consecutive lone atrial fibrillation patients who underwent catheter ablation procedure for atrial fibrillation and 50 healthy age- and sex-matched community controls. We performed radial artery applanation tonometry to obtain central measures of aortic stiffness: pulse pressure, augmentation pressure and augmentation index. Following ablation, arrhythmia recurrence was monitored at months 3, 6, 9, 12 and 6 monthly thereafter. RESULTS: Compared to healthy controls, lone atrial fibrillation patients had significantly elevated peripheral pulse pressure, central pulse pressure, augmentation pressure and larger left atrial dimensions (all P<0.05. During a mean follow-up of 2.9±1.4 years, 38 of the 68 lone atrial fibrillation patients had atrial fibrillation recurrence after initial catheter ablation procedure. Neither blood pressure nor aortic stiffness indices differed between patients with and without atrial fibrillation recurrence. However, patients with highest levels (≥75(th percentile of peripheral pulse pressure, central pulse pressure and augmentation pressure had higher atrial fibrillation recurrence rates (all P<0.05. Only central aortic stiffness indices were associated with lower survival free from atrial fibrillation using Kaplan-Meier analysis. CONCLUSION: Aortic stiffness is an important risk factor in patients with lone atrial fibrillation and contributes to higher atrial

  19. Passive aortic counterpulsation: biomechanical rationale and bench validation.

    Science.gov (United States)

    Corazza, Ivan; Bianchini, David; Marcelli, Emanuela; Cercenelli, Laura; Zannoli, Romano

    2014-05-07

    Aortic counterpulsation (IABP) consists in an ECG-controlled forced deflation and inflation of a balloon positioned in the aorta. The device is designed to decrease the ventricular afterload during systole and to increase the coronary driving pressure during diastole. In biomechanical terms, the IABP improves the mechanical matching between the pump and the load, facilitating the transfer of ventricular energy. This paper describes a completely passive aortic counterpulsation solution, with an intra-aortic balloon without a pumping system, designed to improve the mechanical matching between the ventricle and the artery at very low cost and complexity. The only requirement is an external reservoir to amplify the balloon pulsations due to physiologic arterial pressure pulse. Using a cardiovascular simulator and changing the reservoir pressure, a systolic not negligible (7.8ml) gas volume exchange between the intra-aortic balloon and the reservoir was measured. The same cardiovascular simulator was used to demonstrate an increase in stroke volume in three conditions of progressive ventricular failure, by detecting a change in systolic and diastolic arterial pressures and stroke volume (SV). The maximal arterial pressure always decreased and the diastolic pressure increased. The SV increased up to 7.8%, demonstrating an arterial elastance reduction and better ventricular-aortic mechanical matching and energy transfer. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Computed tomography of aortic wall calcifications in aortic dissection patients.

    Directory of Open Access Journals (Sweden)

    Pim A de Jong

    Full Text Available To investigate the frequency of aortic calcifications at the outer edge of the false lumen and the frequency of fully circular aortic calcifications in a consecutive series of patients with aortic dissection who underwent contrast-enhanced CT.The study population compromised of 69 consecutive subjects aged 60 years and older with a contrast-enhanced CT scan demonstrating an aortic dissection. All CT scans were evaluated for the frequency of aortic calcifications at the outer edge of the false lumen and the frequency of fully circular aortic calcifications by two experienced observers. Between observer reliability was evaluated by using Cohen's Kappa. Differences between groups were tested using unpaired T test and Chi-square test.Presumed media calcifications were observed in 22 (32% patients of 60 years and older and were found more frequently in chronic aortic dissection (N = 12/23, 52% than in acute aortic dissection (N = 10/46, 22%.As the intima has been torn away by the aortic dissection it is highly likely that CT scans can visualize the calcifications in the tunica media of the aorta.

  1. Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch.

    Science.gov (United States)

    Millan-Iturbe, Oscar; Sawaya, Fadi J; Bieliauskas, Gintautas; Chow, Danny H F; De Backer, Ole; Søndergaard, Lars

    2017-09-01

    Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high/intermediate-risk patients with severe symptomatic aortic stenosis (AS). Although TAVR is used to treat bicuspid severe AS, the large randomized trials typically excluded bicuspid AS because of its unique anatomic features. This case report describes an acute aortic perforation during delivery of a transcatheter heart valve to treat a severe bicuspid AS with a "gothic aortic arch"; more careful evaluation of the preprocedural multislice computed tomographic scan would have unveiled a sharply angulated aortic arch. This life-threatening complication was successfully treated by thoracic endovascular aortic repair. Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  2. Central blood pressure and pulse wave velocity: relationship to target organ damage and cardiovascular morbidity-mortality in diabetic patients or metabolic syndrome. An observational prospective study. LOD-DIABETES study protocol.

    Science.gov (United States)

    Gómez-Marcos, Manuel A; Recio-Rodríguez, José I; Rodríguez-Sánchez, Emiliano; Castaño-Sánchez, Yolanda; de Cabo-Laso, Angela; Sánchez-Salgado, Benigna; Rodríguez-Martín, Carmela; Castaño-Sánchez, Carmen; Gómez-Sánchez, Leticia; García-Ortiz, Luis

    2010-03-18

    Diabetic patients show an increased prevalence of non-dipping arterial pressure pattern, target organ damage and elevated arterial stiffness. These alterations are associated with increased cardiovascular risk.The objectives of this study are the following: to evaluate the prognostic value of central arterial pressure and pulse wave velocity in relation to the incidence and outcome of target organ damage and the appearance of cardiovascular episodes (cardiovascular mortality, myocardial infarction, chest pain and stroke) in patients with type 2 diabetes mellitus or metabolic syndrome. This is an observational prospective study with 5 years duration, of which the first year corresponds to patient inclusion and initial evaluation, and the remaining four years to follow-up. The study will be carried out in the urban primary care setting. Consecutive sampling will be used to include patients diagnosed with type 2 diabetes between 20-80 years of age. A total of 110 patients meeting all the inclusion criteria and none of the exclusion criteria will be included. Patient age and sex, family and personal history of cardiovascular disease, and cardiovascular risk factors. Height, weight, heart rate and abdominal circumference. Laboratory tests: hemoglobin, lipid profile, creatinine, microalbuminuria, glomerular filtration rate, blood glucose, glycosylated hemoglobin, blood insulin, fibrinogen and high sensitivity C-reactive protein. Clinical and 24-hour ambulatory (home) blood pressure monitoring and self-measured blood pressure. Common carotid artery ultrasound for the determination of mean carotid intima-media thickness. Electrocardiogram for assessing left ventricular hypertrophy. Ankle-brachial index. Retinal vascular study based on funduscopy with non-mydriatic retinography and evaluation of pulse wave morphology and pulse wave velocity using the SphygmoCor system. The medication used for diabetes, arterial hypertension and hyperlipidemia will be registered, together

  3. Hypoplasia of the aortic arch

    Directory of Open Access Journals (Sweden)

    Ю. С. Синельников

    2015-10-01

    Full Text Available An aggressive surgical approach to early repair of aortic coarctation and concomitant arch hypoplasia results in considerable improvement of the long-term outcomes of surgical treatment by reducing the number of aortic re-coarctation and arterial hypertension persistence events. At present, there exist some methods of determining the degree of aortic arch hypoplasia, which allow for arch reconstruction planning. Our review focuses on the analysis of modern methods of determination of the aortic arch hypoplasia and the outcomes of surgical treatment of this disease.

  4. Characterization of Aortic Valve Closure Artifact During Outflow Tract Mapping: Correlation With Hemodynamics and Mechanical Valves.

    Science.gov (United States)

    Romero, Jorge; Ajijola, Olujimi; Shivkumar, Kalyanam; Tung, Roderick

    2017-06-01

    Premature ventricular contractions originating in the left ventricle outflow tract represent a significant subgroup of patients referred for catheter ablation. Mechanical artifacts from aortic valve leaflet motion may be observed during mapping, although the incidence and characteristics have not been reported. Twenty-eight consecutive patients with left ventricle outflow tract premature ventricular contraction were included. Electric signals recorded on the ablation catheter not coincident with atrial or ventricular depolarization were analyzed on the recording system. Correlation with invasive hemodynamic aortic pressure tracings was performed. Additionally, 4 patients with mechanical aortic valves, who underwent scar-related ventricular tachycardia ablation, were analyzed to correlate the timing of the observed artifacts with native aortic valves. Aortic valve artifact was observed while mapping within the coronary cusps in 11 patients (39%; 73% men; age, 41±25 years; left ventricular ejection fraction 49±16%) with high incidence from the left coronary cusp. This artifact was consistently observed with timing coincident with the terminal portion of the T wave. The average interval between the end of the T wave and the aortic valve artifact was 19±37 ms. The duration of the aortic valve artifact was 39±8 ms with amplitude of 0.12±0.07 mV (range, 0.06-0.36 mV). In patients referred for left ventricle outflow tract premature ventricular contraction ablation, an aortic valve closure artifact is observed in up to one third of cases during mapping within the aortic cusps. The timing of this artifact correlates with invasive hemodynamics and mechanical aortic valve artifacts. Recognition of this physiological phenomenon is useful when assigning near-field activation. © 2017 American Heart Association, Inc.

  5. Impact of Chronic Hypoxia on Proximal Pulmonary Artery Wave Propagation and Mechanical Properties in Rats.

    Science.gov (United States)

    Su, Junjing; Logan, Charmilie C; Hughes, Alun D; Parker, Kim H; Dhutia, Niti M; Danielsen, Carl Christian; Simonsen, Ulf

    2018-03-16

    Arterial stiffness and wave reflection are important components of the ventricular afterload. Therefore, we aimed to assess the arterial wave characteristics and mechanical properties of the proximal pulmonary arteries (PAs) in the hypoxic pulmonary hypertensive rat model. After 21 days in normoxic or hypoxic chambers (24 animals in each group), the animals underwent transthoracic echocardiography and pulmonary artery catheterization with a dual-tipped pressure and Doppler flow sensor wire. Wave intensity analysis (WIA) was performed. Artery rings obtained from the pulmonary trunk, right and left PAs and the aorta were subjected to a tensile test to rupture. Collagen and elastin content was determined. In hypoxic rats, proximal PA wall thickness, collagen content, tensile strength per unit collagen, maximal elastic modulus and wall viscosity increased; while the elastin:collagen ratio and arterial distensibility decreased. Arterial pulse wave velocity was also increased and the increase was more prominent in vivo than ex vivo. Wave intensity was similar in the hypoxic and normoxic animals with negligible wave reflection. In contrast, aortic maximal elastic modulus remained unchanged, while the wall viscosity decreased. There was no evidence of altered arterial wave propagation in the proximal PAs of hypoxic rats, while the extracellular matrix protein composition altered and the collagen tensile strength increased. This was accompanied by altered mechanical properties in vivo and ex vivo.

  6. Association of Total Marine Fatty Acids, Eicosapentaenoic and Docosahexaenoic Acids, With Aortic Stiffness in Koreans, Whites, and Japanese Americans

    Science.gov (United States)

    2013-01-01

    BACKGROUND Few previous studies have reported the association of aortic stiffness with marine n-3 fatty acids (Fas) in the general population. The aim of this study was to determine the combined and independent associations of 2 major marine n-3 FAs, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), with aortic stiffness evaluated using carotid–femoral pulse wave velocity (cfPWV) in Korean, white, and Japanese American men. METHODS A population-based sample of 851 middle-aged men (299 Koreans, 266 whites, and 286 Japanese Americans) was examined for cfPWV during 2002–2006. Serum FAs, including EPA and DHA, were measured as a percentage of total FAs using gas chromatography. Multiple regression analysis was used to examine the association of EPA and DHA with cfPWV after adjusting for blood pressure and other confounders. RESULTS Mean EPA and DHA levels were 1.9 (SD = 1.0) and 4.8 (SD = 1.4) for Koreans, 0.8 (SD = 0.6) and 2.4 (SD = 1.2) for whites, and 1.0 (SD = 1.0) and 3.2 (SD = 1.4) for Japanese Americans. Both EPA and DHA were significantly higher in Koreans than in the other 2 groups (P < 0.01). Multiple regression analyses in Koreans showed that cfPWV had a significant inverse association with total marine n-3 FAs and with EPA alone after adjusting for blood pressure and other potential confounders. In contrast, there was no significant association of cfPWV with DHA. Whites and Japanese Americans did not show any significant associations of cfPWV with total marine n-3 FAs, EPA, or DHA. CONCLUSIONS High levels of EPA observed in Koreans have an inverse association with aortic stiffness. PMID:23820020

  7. Integration of 3D imaging data in the assessment of aortic stenosis: impact on classification of disease severity.

    Science.gov (United States)

    O'Brien, Bridget; Schoenhagen, Paul; Kapadia, Samir R; Svensson, Lars G; Rodriguez, Leonardo; Griffin, Brian P; Tuzcu, E Murat; Desai, Milind Y

    2011-09-01

    In patients with aortic stenosis (AS), precise assessment of severity is critical for treatment decisions. Estimation of aortic valve area (AVA) with transthoracic echocardiographic (TTE)-continuity equation (CE) assumes a circular left ventricular outflow tract (LVOT). We evaluated incremental utility of 3D multidetector computed tomography (MDCT) over TTE assessment of AS severity. We included 51 patients (age, 81±8 years; 61% men; mean gradient, 42 ± 12 mm Hg) with calcific AS who underwent evaluation for treatment options. TTE parameters included systolic LVOT diameter (D) and continuous and pulsed wave (CW and PW) velocity-time integrals (VTI) through the LVOT and mean transaortic gradient. MDCT parameters included systolic LVOT area, ratio of maximal to minimal LVOT diameter (eccentricity index), and aortic planimetry (AVA(p)). TTE-CE AVA [(D(2)×0.786×VTIpw)/VTIcw] and dimensionless index (DI) [VTIpw/VTIcw] were calculated. Corrected AVA was calculated by substituting MDCT LVOT area into CE. The majority (96%) of patients had eccentric LVOT. LVOT area, measured on MDCT, was higher than on TTE (3.84 ± 0.8 cm(2) versus 3.03 ± 0.5 cm(2), PAVA was smaller than AVA(p) and corrected AVA (0.67 ± 0.1cm(2), 0.82 ± 0.3 cm(2), and 0.86 ± 0.3 cm(2), PAVA <0.8 cm(2)), which increased to 92% using corrected CE. In patients with suspected severe AS, incorporation of MDCT-LVOT area into CE improves congruence for AS severity.

  8. Aortic augmentation index: reference values in a large unselected population by means of the SphygmoCor device

    DEFF Research Database (Denmark)

    Janner, Julie; Godtfredsen, Nina S; Ladelund, Steen

    2010-01-01

    Arterial stiffness and pulse wave reflection are associated with cardiovascular disease (CVD). Pulse wave analyses (PWAs) allow the estimation of the central augmentation index (AIx), a measurement of pulse wave reflection. To understand the predictive role of AIx, reference values for AIx are ne...

  9. Velocidad de la onda de pulso y la excreción urinaria de albumina en pacientes hipertensos tratados con Perindopril Pulse wave velocity and urinary albumin excretion in hypertensive patients treated with perindopril

    Directory of Open Access Journals (Sweden)

    J. E. Tobilli

    2002-12-01

    Full Text Available La presión arterial sistólica, la presión arterial diastólica y la excreción urinaria de albúmina (EUA han sido reconocidas como predictores de riesgo cardiovascular. Además, los trastornos de la compliance arterial (CA evaluados mediante la velocidad de la onda de pulso elevada (VOP están estrechamente relacionados con los cambios de la presión arterial y correlacionados con la mortalidad cardiovascular y la presencia de ateroesclerosis. El objetivo primario de este estudio ha sido determinar la relación entre la VOP y la EUA en un grupo de pacientes no fumadores con hipertensión esencial y secundariamente evaluar los cambios producidos por un inhibidor de la enzima convertidora de angiotensina (perindopril sobre estas dos variables. En el estudio participaron setenta pacientes (33 hombres y 37 mujeres hipertensos no fumadores, sin tratamiento previo, de 50 ± 7 años (entre 35-69. La VOP de todos los pacientes fue estudiada por medio de un dispositivo computarizado (Complior en el período basal y a los seis meses de tratamiento con perindopril. También se determinó la EUA por el método de inmunodifusión radial al inicio del tratamiento y luego de seis meses de tratamiento con perindopril (4.6 ± 1.4 mg/día. Al finalizar el estudio se observó una reducción significativa de la presión arterial sistólica (PAS (160.2 ± 10.6 vs. 131.9 ± 7.1 mmHg, pSystolic and diastolic blood pressures and urinary albumin excretion (UAE have been recognized as predictors for cardiovascular risk. Furthermore, arterial compliance (AC disorders assessed by increased aortic pulse wave velocity (PWV are closely related to changes in blood pressure and strongly correlated with cardiovascular mortality and presence or extent of atherosclerosis. Our purpose in the present study was to determine a relationship between AC using PWV and UAE in a group of non-smoking patients with essential hypertension, and the level of interaction of ACE inhibition on

  10. Spin wave and percolation studies in epitaxial La{sub 2/3}Sr{sub 1/3}MnO{sub 3} thin films grown by pulsed laser deposition

    Energy Technology Data Exchange (ETDEWEB)

    Ettayfi, A. [LPMMAT, Faculté des Sciences Ain chock, Université Hassan II de Casablanca, B.P. 5366 Casablanca (Morocco); Moubah, R., E-mail: reda.moubah@hotmail.fr [LPMMAT, Faculté des Sciences Ain chock, Université Hassan II de Casablanca, B.P. 5366 Casablanca (Morocco); Hlil, E.K. [Institut Néel, CNRS, Université Joseph Fourier, BP 166, 38042 Grenoble Cedex 9 (France); Colis, S.; Lenertz, M.; Dinia, A. [Institut de Physique et Chimie des Matériaux de Strasbourg (IPCMS), UMR 7504 UDS-CNRS (UDS-ECPM), 23 rue du Loess, BP 43, F-67034 Strasbourg Cedex 2 (France); Lassri, H. [LPMMAT, Faculté des Sciences Ain chock, Université Hassan II de Casablanca, B.P. 5366 Casablanca (Morocco)

    2016-07-01

    We investigate the magnetic and transport properties of high quality La{sub 2/3}Sr{sub 1/3}MnO{sub 3} thin films grown by pulsed laser deposition. X-ray diffraction shows that the deposited films are epitaxial with the expected pseudo-cubic structure. Using the spin wave theory, the temperature dependence of magnetization was satisfactory modeled at low temperature, in which several fundamental magnetic parameters were obtained (spin wave stiffness, exchange constants, Fermi wave-vector, Mn–Mn interatomic distance). The transport properties were studied via the temperature dependence of electrical resistivity [ρ(T)], which shows a peak at Curie temperature due to metal to insulator transition. The percolation theory was used to simulate ρ(T) in both the ferromagnetic and paramagnetic phases. Reasonable agreement with the experimental data is reported. - Highlights: • The magnetic and transport properties of epitaxial La{sub 2/3}Sr{sub 1/3}MnO{sub 3} thin films are investigated. • The M(T) curve was modeled at low temperature, and several magnetic parameters were obtained using spin wave theory. • The percolation theory was used to simulate ρ(T) in both the ferromagnetic and paramagnetic phases.

  11. Pulse Generator

    Science.gov (United States)

    Greer, Lawrence (Inventor)

    2017-01-01

    An apparatus and a computer-implemented method for generating pulses synchronized to a rising edge of a tachometer signal from rotating machinery are disclosed. For example, in one embodiment, a pulse state machine may be configured to generate a plurality of pulses, and a period state machine may be configured to determine a period for each of the plurality of pulses.

  12. Measurement of peak aortic jet velocity in the perioperative period-machine variability: implications for assessment of aortic stenosis severity.

    Science.gov (United States)

    Cowie, B S; Kluger, R

    2015-09-01

    Variation in echocardiography machines and probes are not well described in the perioperative period. We aimed to compare the estimation of severity of aortic stenosis with transthoracic echocardiography (TTE) using two semi-portable ultrasound machines. Experienced cardiac anaesthetists performed a limited transthoracic echocardiogram with two different semi-portable ultrasound machines in patients with known aortic stenosis. The peak aortic jet velocity with continuous-wave Doppler and the time taken to obtain an acceptable envelope were recorded. The Sonosite M Turbo often underestimated the peak jet velocities (median jet velocity [IQR] 2.25 m/s [1.95 to 3.4] versus 3.85 m/s (3 to 4.2); P Turbo were significantly lower than those obtained by the formal preoperative transthoracic echocardiogram (P jet velocity can significantly underestimate the severity of aortic stenosis with potentially lethal clinical consequences. Semi-portable ultrasound machines with echocardiographic capability are not necessarily equivalent and can result in underestimation of severity of aortic stenosis.

  13. Plasma response to transient high voltage pulses

    Indian Academy of Sciences (India)

    The solitary electron holes are reviewed for positive pulsed bias to the electrode. Also the excitation of waves (solitary electron and ion holes) is reviewed for a metallic electrode covered by a dielectric material. The wave excitation during and after the pulse withdrawal, excitation and propagation characteristics of various ...

  14. Aortic Endoprosthesis for the Treatment of Native Aortic Coarctation and Concomitant Aneurysm in an Octogenarian Patient.

    Science.gov (United States)

    Rabellino, Martín; Kotowicz, Vadim; Kenny, Alberto; Kohan, Andres Alejandro; García-Mónaco, Ricardo

    2015-11-01

    We report a case of an 82-year-old female patient with native coarctation of the aorta and poststenotic aneurysm of the descending thoracic aorta. On consultation, she was receiving 4 antihypertensive drugs, and physical examination revealed nonpalpable lower-limb pulses with intermittent claudication at 50 min. Because of her age, high surgical risk and combination of lesions, endovascular treatment was suggested. Placement of a Valiant thoracic aorta endoprosthesis followed by coarctation angioplasty was performed. At 48 hr, the patient was discharged on 1 antihypertensive drug, palpable pulses on both limbs and a normal ankle-brachial index. At 1 month follow-up, the patient remained as discharged and multislice computed tomography angiography depicted complete coarctation expansion without residual stenosis, exclusion of the aortic aneurysm, and no signs of endoleaks. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Influence of immune-mediated hemolytic anemia on flow velocities in the portal vein and caudal vena cava measured by use of pulsed-wave Doppler ultrasonography in dogs.

    Science.gov (United States)

    Smith, Rachel Policelli; Koenigshof, Amy M; Smith, Daniel J; Strom, Phillip R; Nelson, Nathan C

    2018-05-01

    OBJECTIVE To compare blood flow velocities of the portal vein (PV) and caudal vena cava (CVC) measured by use of pulsed-wave Doppler ultrasonography in clinically normal dogs and dogs with primary immune-mediated hemolytic anemia (IMHA). ANIMALS 11 client-owned dogs admitted to a veterinary teaching hospital for management of primary IMHA and 21 staff- or student-owned clinically normal dogs. PROCEDURES Flow velocities in the PV and CVC at the porta hepatis were evaluated in conscious unsedated dogs with concurrent ECG monitoring; evaluations were performed before dogs with IMHA received heparin or blood transfusions. Three measurements of peak velocity at end expiration were obtained for each vessel, and the mean was calculated. Results were compared between IMHA and control groups. RESULTS Mean ± SD blood flow velocity in the CVC differed between control (63.0 ± 18.6 cm/s) and IMHA (104 ± 36.9 cm/s) groups. Variance in dogs with IMHA was significantly greater than that for the clinically normal dogs. No significant difference in blood flow velocity in the PV was detected between IMHA and control dogs. CONCLUSIONS AND CLINICAL RELEVANCE Higher blood flow velocities were detected by use of pulsed-wave Doppler ultrasonography in the CVC of dogs with naturally occurring IMHA and may be used to predict anemia in patients suspected of having IMHA.

  16. Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch

    DEFF Research Database (Denmark)

    Millan-Iturbe, Oscar; Sawaya, Fadi J.; Bieliauskas, Gintautas

    2017-01-01

    AS because of its unique anatomic features. This case report describes an acute aortic perforation during delivery of a transcatheter heart valve to treat a severe bicuspid AS with a “gothic aortic arch”; more careful evaluation of the preprocedural multislice computed tomographic scan would have unveiled...

  17. Cardiovascular Structure and Function in Children With Middle Aortic Syndrome and Renal Artery Stenosis.

    Science.gov (United States)

    Rumman, Rawan K; Slorach, Cameron; Hui, Wei; Matsuda-Abedini, Mina; Langlois, Valerie; Radhakrishnan, Seetha; Lorenzo, Armando J; Amaral, Joao; Mertens, Luc; Parekh, Rulan S

    2017-12-01

    Middle aortic syndrome (MAS) is a narrowing of the abdominal aorta, often in conjunction with renal artery stenosis (RAS). Structure and function of the cardiovascular system are not well understood. In a prospective cross-sectional study, 35 children with MAS or RAS or both (MAS/RAS) were compared with 140 age-, sex-, and body surface area-matched healthy children. Vascular assessment included carotid intima-media thickness and carotid distensibility using B-mode ultrasound and central and peripheral pulse wave velocities using applanation tonometry. Left ventricular structure and function were assessed by 2-dimensional and speckle-tracking echocardiography. Children with MAS or RAS were 12.5±3.0 years old at enrollment, and 50% were men. Carotid intima-media thickness (0.54±0.10 versus 0.44±0.05 mm; P children with disease compared with healthy children; however, after adjustment for systolic blood pressure z score, only carotid intima-media thickness remained significantly higher in the MAS/RAS group compared with the controls (β=0.07 [0.03, 0.10]). Peripheral pulse wave velocities and carotid distensibility were normal. Children with disease had significantly increased left ventricular mass and changes in diastolic function (lower E/a ratio and lower e' velocities). Systolic parameters, including ejection fraction, global longitudinal and circumferential strain, were similar to controls. Our findings demonstrate that children with MAS or RAS have evidence of carotid and left ventricular remodeling, without peripheral arterial involvement, which suggests a localized disease process. Left ventricular systolic function is preserved; however, subtle changes in diastolic function are observed. Carotid vessel changes are consistent with a 5- to 10-year aging, which underscores the importance of blood pressure control. © 2017 American Heart Association, Inc.

  18. Acute Type II Aortic Dissection with Severe Aortic Regurgitation and Chronic Descending Aortic Dissection in Pregnant Patient with Marfan Syndrome.

    Science.gov (United States)

    Lee, Seok-Soo; Jung, Tae-Eun; Lee, Dong Hyup

    2012-12-01

    Aortic dilatation and dissection are severe complications during pregnancy that can be fatal to both the mother and the fetus. The risks of these complications are especially high in pregnant patients with Marfan syndrome; however, incidents of descending aortic dissection are very rare. This case report involves a successful Bentall procedure for and recovery from a rare aortic dissection in a pregnant Marfan patient who developed acute type II aortic dissection with severe aortic regurgitation and chronic descending aortic dissection immediately after Cesarean section. Regular follow-up will be needed to monitor the descending aortic dissection.

  19. Minimally invasive aortic valve replacement

    DEFF Research Database (Denmark)

    Foghsgaard, Signe; Schmidt, Thomas Andersen; Kjaergard, Henrik K

    2009-01-01

    In this descriptive prospective study, we evaluate the outcomes of surgery in 98 patients who were scheduled to undergo minimally invasive aortic valve replacement. These patients were compared with a group of 50 patients who underwent scheduled aortic valve replacement through a full sternotomy...... operations were completed as mini-sternotomies, 4 died later of noncardiac causes. The aortic cross-clamp and perfusion times were significantly different across all groups (P replacement...... is an excellent operation in selected patients, but its true advantages over conventional aortic valve replacement (other than a smaller scar) await evaluation by means of randomized clinical trial. The "extended mini-aortic valve replacement" operation, on the other hand, is a risky procedure that should...

  20. Posttraumatic abdominal aortic dissection

    International Nuclear Information System (INIS)

    Hahmann, M.; Richter, G.M.; Kauffmann, G.W.; Schuhmacher, H.; Allenberg, J.R.

    2001-01-01

    Dissections due to deceleration trauma are rarely limited to the infradiaphragmal aorta (only 2-3%) and are usually lethal. Here we report the unusual course of an abdominal aortic dissection with aneurysmatic enlargement of the false lumen. Based on diagnostic imaging, a therapeutic stent application was planed in order to close the entry and to prevent rupture. During the intervention sondation of the false lumen revealed that the left renal artery had a reentry. Due to the complexity of the entry - reentry situation of the left renal artery the intervention was not possible, and the patient had to undergo vascular surgery. (orig.) [de

  1. Abdominal aortic aneurysm surgery

    DEFF Research Database (Denmark)

    Gefke, K; Schroeder, T V; Thisted, B

    1994-01-01

    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553......, 78% stated that their quality of life had improved or was unchanged after surgery and had resumed working. These data justify a therapeutically aggressive approach, including ICU therapy following AAA surgery, despite failure of one or more organ systems....

  2. Abdominal Aortic Emergencies.

    Science.gov (United States)

    Lech, Christie; Swaminathan, Anand

    2017-11-01

    This article discusses abdominal aortic emergencies. There is a common thread of risk factors and causes of these diseases, including age, male gender, hypertension, dyslipidemia, and connective tissue disorders. The most common presenting symptom of these disorders is pain, usually in the chest, flank, abdomen, or back. Computed tomography scan is the gold standard for diagnosis of pathologic conditions of the aorta in the hemodynamically stable patient. Treatment consists of a combination of blood pressure and heart rate control and, in many cases, emergent surgical intervention. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Acute Type II Aortic Dissection with Severe Aortic Regurgitation and Chronic Descending Aortic Dissection in Pregnant Patient with Marfan Syndrome

    OpenAIRE

    Lee, Seok-Soo; Jung, Tae-Eun; Lee, Dong Hyup

    2012-01-01

    Aortic dilatation and dissection are severe complications during pregnancy that can be fatal to both the mother and the fetus. The risks of these complications are especially high in pregnant patients with Marfan syndrome; however, incidents of descending aortic dissection are very rare. This case report involves a successful Bentall procedure for and recovery from a rare aortic dissection in a pregnant Marfan patient who developed acute type II aortic dissection with severe aortic regurgitat...

  4. Valve-sparing aortic root replacement and aortic valve repair in a patient with acromegaly and aortic root dilatation

    Directory of Open Access Journals (Sweden)

    Karel Van Praet

    2015-07-01

    Full Text Available Aortic regurgitation and dilatation of the aortic root and ascending aorta are severe complications of acromegaly. The current trend for management of an aortic root aneurysm is valve-sparing root replacement as well as restoring the diameter of the aortic sinotubular junction (STJ and annulus. Our case report supports the recommendation that in patients with acromegaly, severe aortic root involvement may indicate the need for surgery.

  5. Energetic mid-IR femtosecond pulse generation by self-defocusing soliton-induced dispersive waves in a bulk quadratic nonlinear crystal

    DEFF Research Database (Denmark)

    Zhou, Binbin; Guo, Hairun; Bache, Morten

    2015-01-01

    Generating energetic femtosecond mid-IR pulses is crucial for ultrafast spectroscopy, and currently relies on parametric processes that, while efficient, are also complex. Here we experimentally show a simple alternative that uses a single pump wavelength without any pump synchronization...

  6. Aortic Dissection in a Healthy Male Athlete: A Unique Case with Comprehensive Literature Review

    Directory of Open Access Journals (Sweden)

    Balraj Singh

    2016-01-01

    Full Text Available A young otherwise healthy 27-year-old male who has been using anabolic steroids for a long time developed Type I aortic dissection associated with heavy weightlifting. The patient did not have a recent history of trauma to the chest, no history of hypertension, and no illicit drug use. He presented with severe chest pain radiating to back and syncopal event with exertion. Initial vitals were significant for blood pressure of 80/50 mmHg, pulse of 80 beats per minute, respirations of 24 per minute, and oxygen saturation of 92% on room air. Physical exam was significant for elevated jugular venous pressure, muffled heart sounds, and cold extremities with diminished pulses in upper and absent pulses in lower extremities. Bedside echocardiogram showed aortic root dilatation and cardiac tamponade. STAT computed tomography (CT scan of chest revealed dissection of ascending aorta. Cardiothoracic surgery was consulted and patient underwent successful repair of ascending aorta. Hemodynamic stress of weightlifting can predispose to aortic dissection. Aortic dissection is a rare but often catastrophic condition if not diagnosed and managed acutely. Although rare, aortic dissection needs to be in the differential when a young weightlifter presents with chest pain as a delay in diagnosis may be fatal.

  7. Ultra-short pulse generator

    Science.gov (United States)

    McEwan, T.E.

    1993-12-28

    An inexpensive pulse generating circuit is disclosed that generates ultra-short, 200 picosecond, and high voltage 100 kW, pulses suitable for wideband radar and other wideband applications. The circuit implements a nonlinear transmission line with series inductors and variable capacitors coupled to ground made from reverse biased diodes to sharpen and increase the amplitude of a high-voltage power MOSFET driver input pulse until it causes non-destructive transit time breakdown in a final avalanche shock wave diode, which increases and sharpens the pulse even more. 5 figures.

  8. Aortic elasticity and size are associated with aortic regurgitation and left ventricular dysfunction in tetralogy of Fallot after pulmonary valve replacement

    NARCIS (Netherlands)

    Grotenhuis, H.B.; Ottenkamp, J.; de Bruijn, L.; Westenberg, J.J.M.; Vliegen, H.W.; Kroft, L.J.M.; de Roos, A.

    2009-01-01

    Background: Aortic wall pathology and concomitant aortic dilatation have been described in tetralogy of Fallot (TOF) patients, which may negatively affect aortic valve and left ventricular systolic function. Objective: To assess aortic dimensions, aortic elasticity, aortic valve competence and

  9. Reinforced aortic root reconstruction for acute type A aortic dissection involving the aortic root

    Directory of Open Access Journals (Sweden)

    Han Qing-qi

    2013-06-01

    Full Text Available OBJECTIVE: There are debates regarding the optimal approach for AAAD involving the aortic root. We described a modified reinforced aortic root reconstruction approach for treating AAAD involving the aortic root. METHODS: A total of 161 patients with AAAD involving the aortic root were treated by our modified reinforced aortic root reconstruction approach from January 1998 to December 2008. Key features of our modified approach were placement of an autologous pericardial patch in the false lumen, lining of the sinotubular junction lumen with a polyester vascular ring, and wrapping of the vessel with Teflon strips. Outcome measures included post-operative mortality, survival, complications, and level of aortic regurgitation. RESULTS: A total of 161 patients were included in the study (mean age: 43.3 1 15.5 years. The mean duration of follow-up was 5.1 1 2.96 years (2-12 years. A total of 10 (6.2% and 11 (6.8% patients died during hospitalization and during follow-up, respectively. Thirty-one (19.3% patients experienced postoperative complications. The 1-, 3-, 5-, and 10-year survival rates were 99.3%, 98%, 93.8%, and 75.5%, respectively. There were no instances of recurrent aortic dissection, aortic aneurysm, or pseudoaneurysm during the entire study period. The severity of aortic regurgitation dramatically decreased immediately after surgery (from 28.6% to 0% grade 3-4 and thereafter slightly increased (from 0% to 7.2% at 5 years and 9.1% at 10 years. CONCLUSION: This modified reinforced aortic root reconstruction was feasible, safe and durable/effective, as indicated by its low mortality, low postoperative complications and high survival rate.

  10. Aortic root replacement after previous surgical intervention on the aortic valve, aortic root, or ascending aorta.

    Science.gov (United States)

    Kirsch, E W Matthias; Radu, N Costin; Mekontso-Dessap, Armand; Hillion, Marie-Line; Loisance, Daniel

    2006-03-01

    Aortic root replacement after a previous operation on the aortic valve, aortic root, or ascending aorta remains a major challenge. Records of 56 consecutive patients (44 men; mean age, 56.4 +/- 13.6 years) undergoing reoperative aortic root replacement between June 1994 and June 2005 were reviewed retrospectively. Reoperation was performed 9.4 +/- 6.7 years after the last cardiac operation. Indications for reoperation were true aneurysm (n = 14 [25%]), false aneurysm (n = 10 [18%]), dissection or redissection (n = 9 [16%]), structural or nonstructural valve dysfunction (n = 10 [18%]), prosthetic valve-graft infection (n = 12 [21%]), and miscellaneous (n = 1 [2%]). Procedures performed were aortic root replacement (n = 47 [84%]), aortic root replacement plus mitral valve procedure (n = 5 [9%]), and aortic root replacement plus arch replacement (n = 4 [7%]). In 14 (25%) patients coronary artery bypass grafting had to be performed unexpectedly during the same procedure or immediately after the procedure to re-establish coronary perfusion. Hospital mortality reached 17.9% (n = 10). Multivariate logistic regression analysis revealed the need for unplanned perioperative coronary artery bypass grafting as the sole independent risk factor for hospital death (P = .005). Actuarial survival was 83.8% +/- 4.9% at 1 month, 73.0% +/- 6.3% at 1 year, and 65.7% +/- 9.0% at 5 years after the operation. One patient had recurrence of endocarditis 6.7 months after the operation and required repeated homograft aortic root replacement. Reoperative aortic root replacement remains associated with a high postoperative mortality. The need to perform unplanned coronary artery bypass grafting during reoperative aortic root replacement is a major risk factor for hospital death. The optimal technique for coronary reconstruction in this setting remains to be debated.

  11. Electron acceleration experiment using a plasma wave generated by two beating laser pulses. Study of the 3 MeV electron beam monitor using optical transition radiation and magnetic spectrograph

    International Nuclear Information System (INIS)

    Specka, Arnd

    1994-01-01

    This thesis presents my contributions to the electron acceleration experiment using a plasma wave generated by two beating laser pulses at Ecole Polytechnique, Palaiseau, France. The first chapter describes the principle of particle acceleration by laser generated plasma waves. In order to estimate the energy gain, I examine the influence of the plasma wave's longitudinal profile and I obtain a gain of about 1 MeV over an acceleration length of 3 mm. In the second chapter, I present the beam monitor for the injected 3 MeV electron beam. This beam monitor uses optical transition radiation and has a spatial resolution of 10 μm. It is used to align of the laser beam and the electron beam and thus to control the injection of the electrons into the plasma. The third chapter describes the design of the magnetic spectrograph used to analyze the energy spectrum of the accelerated electrons. The study of the class of stigmatic dipole magnets leads to the selection of a quadrupole-dipole combination. This spectrograph is stigmatic at injection energy (3 MeV) and has a large energy range as well as a high angular acceptance. (author) [fr

  12. Aortic stenosis: An update.

    Science.gov (United States)

    Nathaniel, Sangeetha; Saligram, Shreyas; Innasimuthu, Antony Leslie

    2010-06-26

    Aortic stenosis (AS) is the most common valvular heart disease in the world. It is a disease of the elderly and as our population is getting older in both the developed and the developing world, there has been an increase in the prevalence of AS. It is impacting the mortality and morbidity of our elderly population. It is also causing a huge burden on the healthcare system. There has been tremendous progress in our understanding of AS in recent years. Lately, studies have shown that AS is not just a disease of the aortic valve but it affects the entire systemic vasculature. There are studies looking at more sophisticated measures of disease severity that might better predict the optimal timing of valve replacement. The improvement in our understanding in etiology and pathophysiology of the disease process has led to a number of trials with possible treatment options for AS. In this review, we talk about our understanding of the disease and latest developments in disease assessment and management. We look forward to a time when there will be medical treatment for AS.

  13. Numerical investigation on effect of aortic root geometry on flow induced structural stresses developed in a bileaflet mechanical heart valve

    Science.gov (United States)

    Abbas, S. S.; Nasif, M. S.; Said, M. A. M.; Kadhim, S. K.

    2017-10-01

    Structural stresses developed in an artificial bileaflet mechanical heart valve (BMHV) due to pulsed blood flow may cause valve failure due to yielding. In this paper, von-Mises stresses are computed and compared for BMHV placed in two types of aortic root geometries that are aortic root with axisymmetric sinuses and with axisymmetric bulb, at different physiological blood flow rates. With BMHV placed in an aortic root with axisymmetric sinuses, the von-Mises stresses developed in the valve were found to be up to 47% higher than BMHV placed in aortic root with axisymmetric bulb under similar physiological conditions. High velocity vectors and therefore high von-Mises stresses have been observed for BMHV placed in aortic root with axisymmetric sinuses, that can lead to valve failure.

  14. Evaluation of aortic distensibility using cine MR imaging

    International Nuclear Information System (INIS)

    Takahashi, Masashi; Murata, Kiyoshi; Mori, Masayuki

    1992-01-01

    Regional aortic distensibility was measured noninvasively using cine MR imaging to determine whether it correlates with aging or risk of coronary artery disease (CAD). Twenty-two patients with CAD confirmed by angiography and 33 without CAD underwent cine MR imaging. Thirty-two sequential images were obtained in one cardiac cycle. The cross sectional area of the descending thoracic aorta was measured on both diastolic (A) and systolic (A') images. Aortic distensibility (A.D.) was calculated from the following equation: A.D.=(A'-A)/A/ΔP.(ΔP represents pulse pressure). Results of a simple regression analysis showed that decreased regional aortic distensibility was significantly correlated with the age of the patients (r=-0.762, p<0.005). In addition, the parameter was lower in patients with CAD than those without CAD (p<0.05). In conclusion, regional aortic distensibility derived from cine MR imaging is a useful parameter to evaluate not only aging but also pathological atherosclerosis of the aorta. In addition, this parameter might have some potential to evaluate the prediction of CAD in patients with normal serum cholesterol. (author)

  15. Electromagnetic or other directed energy pulse launcher

    Science.gov (United States)

    Ziolkowski, Richard W.

    1990-01-01

    The physical realization of new solutions of wave propagation equations, such as Maxwell's equations and the scaler wave equation, produces localized pulses of wave energy such as electromagnetic or acoustic energy which propagate over long distances without divergence. The pulses are produced by driving each element of an array of radiating sources with a particular drive function so that the resultant localized packet of energy closely approximates the exact solutions and behaves the same.

  16. STUCTURE OF PULSED BED

    Directory of Open Access Journals (Sweden)

    I. A. Bokun

    2014-01-01

    Full Text Available The structure of pulsed layer is proposed which can be suggested as a state of particulates that is blown by intermittent gas flow with speed which has the force to start material moving. Layer during one cycle is in a suspension, falling down and immobile state resulting in changes of particles arrangement as well as ways of gas flowing through layer. Moreover, it allows carrying out effective interphase heat exchange even adamant real granulation.The process of formation of impact flows is considered aw well as their influence on formation of air bubbles in pulsed layer. At startup of air blast the balance between the force of hydro-dynamic resistance is broken, on one side, and forces of gravity, particles inertia and their links with walls on the other side. The layer is transferred in the state of pulsed pseudo-fluidization, and presents gas-disperse mixture, inside of which impulse of pressure increasing is spreading to all sides as pressure waves (compression. These waves are the sources of impact flows’ formation, the force of which is two times more than during the stationary flow.The waves of pressure are divided into weak and strong ones depending on movement velocity within gas-disperse system. Weak waves are moving with a sound speed and strong ones in active phase of pulsed layer are moving over the speed of sound limit within gas-disperse system. The peculiarity of strong wave is that parameters of system (pressure, density and others are changing in discrete steps.The article describes the regime of layer’s falling down in the passive stage of cycle, which begins after finishing of gas impulse action. And suspension layer of moving up granular material is transferred in the state of falling resulting in change of the layer structure.

  17. Tobacco smoking and aortic aneurysm

    DEFF Research Database (Denmark)

    Sode, Birgitte F; Nordestgaard, Børge G; Grønbæk, Morten

    2012-01-01

    BACKGROUND: We determined the predictive power of tobacco smoking on aortic aneurysm as opposed to other risk factors in the general population. METHODS: We recorded tobacco smoking and other risk factors at baseline, and assessed hospitalization and death from aortic aneurysm in 15,072 individuals...... aneurysm in males and females consuming above 20g tobacco daily was 3.5% and 1.3%, among those >60years with plasma cholesterol >5mmol/L and a systolic blood pressure >140mmHg. CONCLUSIONS: Tobacco smoking is the most important predictor of future aortic aneurysm outcomes in the general population...

  18. Validation of a new non-invasive blood pressure measurement method on mice via pulse wave propagation time measurement on a cuff

    OpenAIRE

    Nguyen, Xuan P.; Kronemayer, Ralf; Herrmann, Peter; Mejía, Atila; Daw, Zamira; Nguyen, Xuan D.; Kränzlin, Bettina; Gretz, Norbert

    2011-01-01

    In the present article, we describe the validation of a new non-invasive method for measuring blood pressure (BP) which also enables to determine the three BP values: systolic, diastolic and mean value. Our method is based on the pulse transit time (PTT) measurement along an artery directly at the BP cuff. The accuracy of this method was evaluated by comparison with the direct simultaneous measurement of blood pressure from 40 anesthetized female mice. Close correlation ...

  19. Psychological consequences of screening for abdominal aortic aneurysm and conservative treatment of small abdominal aortic aneurysms

    DEFF Research Database (Denmark)

    Lindholt, Jes Sanddal; Vammen, Sten; Fasting, H

    2000-01-01

    To describe the potential psychological consequences of screening for abdominal aortic aneurysms (AAAs).......To describe the potential psychological consequences of screening for abdominal aortic aneurysms (AAAs)....

  20. Aortic root geometry in aortic stenosis patients (a SEAS substudy)

    DEFF Research Database (Denmark)

    Bahlmann, Edda; Nienaber, Christoph A; Cramariuc, Dana

    2011-01-01

    with asymptomatic AS (mean age 67 years, 39% women) in the Simvastatin Ezetimibe in AS study were used. The inner aortic diameter was measured at four levels: annulus, sinus of Valsalva, sinotubular junction and supracoronary, and sinus height as the annulo-junctional distance. Analyses were based on vendor...... diameters (all P SEAS study, 27% of women and 19% of men did not have aortic root geometry fulfilling current requirements for TAVI....

  1. Ruptured Abdominal Aortic Aneurysm

    Directory of Open Access Journals (Sweden)

    Jessica Andrusaitis

    2017-07-01

    Full Text Available History of present illness: A 69-year-old male with poorly controlled hypertension presented with 1 hour of severe low back pain that radiated to his abdomen. The patient was tachycardic and had an initial blood pressure of 70/40. He had a rigid and severely tender abdomen. The patient’s history of hypertension, abnormal vital signs, severity and location of his pain were suspicious for a ruptured abdominal aortic aneurysm (AAA. Therefore, a computed tomography angiogram (CTA was ordered. Significant findings: CTA demonstrated a ruptured 7.4 cm infrarenal abdominal aortic aneurysm with a large left retroperitoneal hematoma. Discussion: True abdominal aortic aneurysm is defined as at least a 3cm dilatation of all three layers of the arterial wall of the abdominal aorta.1 An estimated 15,000 people die per year in the US of this condition.2 Risk factors for AAA include males older than 65, tobacco use, and hypertension.1,3,4 There are also congenital, mechanical, traumatic, inflammatory, and infectious causes of AAA.3 Rupture is often the first manifestation of the disease. The classic triad of abdominal pain, pulsatile mass, and hypotension is seen in only 50% of ruptured AAAs.5 Pain (abdominal, groin, or back is the most common symptom. The most common misdiagnoses of ruptured AAAs are renal colic, diverticulitis, and gastrointestinal hemorrhage.6 Bedside ultrasonography is the fastest way to detect this condition and is nearly 100% sensitive.1 One study showed that bedside ultrasounds performed by emergency physicians had a sensitivity of .94 [95% CI = .86-1.0] and specificity of 1 [95% CI = .98-1.0] for detecting AAAs.7 CTA has excellent sensitivity (approximately 100% and yields the added benefit of facilitating surgical planning and management.1 Without surgical treatment, a ruptured AAA is almost uniformly fatal, and 50% of those who undergo surgery do not survive.1 Early resuscitation and coordination with vascular surgery should be

  2. Time-resolved processes in a pulsed electrical discharge in water generated with shock wave assistance in a plate-to-plate configuration

    Czech Academy of Sciences Publication Activity Database

    Stelmashuk, Vitaliy

    2014-01-01

    Roč. 47, č. 49 (2014), s. 495204-495204 ISSN 0022-3727 Institutional support: RVO:61389021 Keywords : underwater discharge * streamers * spark * cavitation bubble * shock wave Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.721, year: 2014 http://iopscience.iop.org/0022-3727/47/49/495204/pdf/0022-3727_47_49_495204.pdf

  3. Reoperative Aortic Root Replacement in Patients with Previous Aortic Root or Aortic Valve Procedures

    Directory of Open Access Journals (Sweden)

    Byung Kwon Chong

    2016-08-01

    Full Text Available Background: Generalization of standardized surgical techniques to treat aortic valve (AV and aortic root diseases has benefited large numbers of patients. As a consequence of the proliferation of patients receiving aortic root surgeries, surgeons are more frequently challenged by reoperative aortic root procedures. The aim of this study was to evaluate the outcomes of redo-aortic root replacement (ARR. Methods: We retrospectively reviewed 66 patients (36 male; mean age, 44.5±9.5 years who underwent redo-ARR following AV or aortic root procedures between April 1995 and June 2015. Results: Emergency surgeries comprised 43.9% (n=29. Indications for the redo-ARR were aneurysm (n=12, pseudoaneurysm (n=1, or dissection (n=6 of the residual native aortic sinus in 19 patients (28.8%, native AV dysfunction in 8 patients (12.1%, structural dysfunction of an implanted bioprosthetic AV in 19 patients (28.8%, and infection of previously replaced AV or proximal aortic grafts in 30 patients (45.5%. There were 3 early deaths (4.5%. During follow- up (median, 54.65 months; quartile 1–3, 17.93 to 95.71 months, there were 14 late deaths (21.2%, and 9 valve-related complications including reoperation of the aortic root in 1 patient, infective endocarditis in 3 patients, and hemorrhagic events in 5 patients. Overall survival and event-free survival rates at 5 years were 81.5%±5.1% and 76.4%±5.4%, respectively. Conclusion: Despite technical challenges and a high rate of emergency conditions in patients requiring redo-ARR, early and late outcomes were acceptable in these patients.

  4. Epicardial fat volume and aortic stiffness in healthy individuals. A quantitative cardiac magnetic resonance study

    Energy Technology Data Exchange (ETDEWEB)

    Homsi, R.; Thomas, D.; Meier-Schroers, M.; Dabir, D.; Kuetting, D.; Luetkens, J.A.; Marx, C.; Schild, H.H. [Bonn University Hospital (Germany). Radiology; Gieseke, J. [Philips Healthcare, Hamburg (Germany); Sprinkart, A. [Bonn University Hospital (Germany). Radiology; Bochum Univ. (Germany). Inst. of Medical Engineering

    2016-09-15

    To determine epicardial fat volume (EFV) and aortic stiffness (assessed by aortic pulse wave velocity (PWV)) in healthy individuals, and to investigate the relationship of these parameters, and their association with body mass index (BMI) and age. 58 subjects (29 men, mean age 44.7 ± 13.9 years[y]) underwent a CMR exam at 1.5 Tesla. A 2 D velocity-encoded CMR scan was acquired to determine PWV. The EFV was measured based on a 3 D-mDixon sequence. Group comparisons were made between younger (age < 45y; n=30; mean age 33.4 ± 6.6y) and older (> 45y; n=28; 56.7 ± 8.4y) subjects and between subjects with a BMI < 25 kg/m{sup 2} (n=28; BMI 21.9 ± 2.5 kg/m{sup 2}) and a BMI > 25 kg/m{sup 2} (n=30; 28.7 ± 4.0 kg/m{sup 2}). Associations between the determined parameters were assessed by analyses of covariance (ANCOVAs). The mean values of PWV and EFV (normalized to body surface area) were 6.9 ±1.9 m/s and 44.2 ± 25.0 ml/m{sup 2}, respectively. The PWV and EFV were significantly higher in the older group (PWV=7.9 ± 2.0 m/s vs. 6.0 ± 1.2 m/s; EFV=54.7 ml/m{sup 2} vs. 34.5 ml/m{sup 2}; p < 0.01, each), with no significant differences in BMI or sex. In the overweighted group the EFV was significantly higher than in subjects with a BMI < 25kg/m{sup 2} (EFV=56.1 ± 27.1 ml/m{sup 2} vs. 31.5 ± 14.6 ml/m{sup 2}; p < 0.01) but without a significant difference in PWV. ANCOVA revealed a significant correlation between EFV and PWV, also after adjustment for age (p=0.025). An association was found between age and EFV as well as PWV. EFV and PWV were related to each other also after adjustment for age. The metabolic and pro-inflammatory activity found with increased epicardial fat volume may promote the development of atherosclerosis and aortic stiffness. CMR may be valuable for future studies investigating the relationship between EFV and PWV in patients with increased cardiovascular risk.

  5. The bicuspid aortic valve and its relation to aortic dilation

    Directory of Open Access Journals (Sweden)

    Shi-Min Yuan

    2010-01-01

    Full Text Available BACKGROUND: A bicuspid aortic valve (BAV is a common congenital heart disease, which affects 1-2% of the population. However, the relationship between BAVs and aortic dilation has not been sufficiently elucidated. METHODS: A total of 241 BAV patients who were referred to this hospital for cardiac surgey over a 4.75-year period were included in this study. In addition to the clinical characteristics of the included patients, the morphological features of the aortic valve and aorta, the length of the left main coronary artery, and the laboratory findings (the coagulation and hematological parameters as well as the total cholesterol concentration were determined and compared with those of the tricuspid aortic valve (TAV patients. RESULTS: The BAV patients were younger than the TAV patients for a valve surgery in the last 3 months of the study period. The BAV patients were predominantly male. Most of the BAVs that were surgically treated were stenotic, regurgitant, or combined, and only 19 (7.88% were normally functioning valves. According to echocardiography or operative records, 148 (78.31% were type A, 31 (16.40% were type B, and 10 (5.29% were type C. The left main coronary artery was much shorter in the BAV patients than it was in the TAV patients. There was no significant difference between BAV and TAV patients in the total cholesterol concentrations; whereas differences were noted between patients receiving lipid-lowering therapy and those not receiving lipid-lowering therapy. The dimensions of the aortic root, sinotubular junction, and ascending aorta were beyond normal limits, while they were significantly smaller in the BAV patients than in the TAV patients. They were also much smaller in patients receiving statin therapy than those not receiving statin therapy in both groups. Moreover, the aortic dilation in the BAV group was found to be significantly associated with patient age. CONCLUSIONS: The BAV patients developed aortic wall and

  6. PULSE GENERATOR

    Science.gov (United States)

    Roeschke, C.W.

    1957-09-24

    An improvement in pulse generators is described by which there are produced pulses of a duration from about 1 to 10 microseconds with a truly flat top and extremely rapid rise and fall. The pulses are produced by triggering from a separate input or by modifying the current to operate as a free-running pulse generator. In its broad aspect, the disclosed pulse generator comprises a first tube with an anode capacitor and grid circuit which controls the firing; a second tube series connected in the cathode circuit of the first tube such that discharge of the first tube places a voltage across it as the leading edge of the desired pulse; and an integrator circuit from the plate across the grid of the second tube to control the discharge time of the second tube, determining the pulse length.

  7. Cellular Mechanisms of Aortic Valve Calcification.

    Science.gov (United States)

    Zhiduleva, E V; Irtyuga, O B; Shishkova, A A; Ignat'eva, E V; Kostina, A S; Levchuk, K A; Golovkin, A S; Rylov, A Yu; Kostareva, A A; Moiseeva, O M; Malashicheva, A B; Gordeev, M L

    2018-01-01

    Comparative in vitro study examined the osteogenic potential of interstitial cells of aortic valve obtained from the patients with aortic stenosis and from control recipients of orthotopic heart transplantation with intact aortic valve. The osteogenic inductors augmented mineralization of aortic valve interstitial cells (AVIC) in patients with aortic stenosis in comparison with the control level. Native AVIC culture of aortic stenosis patients demonstrated overexpression of osteopontin gene (OPN) and underexpression of osteoprotegerin gene (OPG) in comparison with control levels. In both groups, AVIC differentiation was associated with overexpression of RUNX2 and SPRY1 genes. In AVIC of aortic stenosis patients, expression of BMP2 gene was significantly greater than the control level. The study revealed an enhanced sensitivity of AVIC to osteogenic inductors in aortic stenosis patients, which indicates probable implication of OPN, OPG, and BMP2 genes in pathogenesis of aortic valve calcification.

  8. Imaging techniques in transcatheter aortic valve replacement

    Directory of Open Access Journals (Sweden)

    Quaife RA

    2013-11-01

    Full Text Available Robert A Quaife, Jennifer Dorosz, John C Messenger, Ernesto E Salcedo Division of Cardiology, University of Colorado, Aurora, CO, USA Abstract: Calcific aortic stenosis is now understood as a complex valvular degenerative process sharing many risk factors with atherosclerosis. Once patients develop symptomatic calcific aortic stenosis, the only effective treatment is aortic valve replacement. In the past decade, transcatheter aortic valve replacement (TAVR has been developed as an alternative to surgery to treat severe calcific aortic stenosis. Cardiac imaging plays a pivotal role in the contemporary management of patients with calcific aortic stenosis, and particularly in patients being considered for TAVR, who demand detailed imaging of the aortic valve apparatus. In this review, we highlight the role of cardiac imaging for patient selection, procedural guidance, and evaluation of results of TAVR. Keywords: aortic stenosis, cardiovascular imaging, transcutaneous aortic valve replacement

  9. Adult thoracic and abdominal aortic

    Directory of Open Access Journals (Sweden)

    Randa O. Kaddah

    2016-06-01

    Conclusion: Aortic COA could be found in any segment of the aorta. Proper identification of the anatomical details and pressure gradient studies are important factors affecting the plan of management.

  10. Unoperated aortic aneurysm

    DEFF Research Database (Denmark)

    Perko, M J; Nørgaard, M; Herzog, T M

    1995-01-01

    From 1984 to 1993, 1,053 patients were admitted with aortic aneurysm (AA) and 170 (15%) were not operated on. The most frequent reason for nonoperative management was presumed technical inoperability. Survivals for patients with thoracic, thoracoabdominal, and abdominal AA were comparable....... No significant differences in survival for patients with dissecting and nondissecting AA were detected. In all, 132 patients (78%) died and 78 (59%) of them died of rupture. Mean time to rupture was 1,300 +/- 8 days. Cumulative 5-year hazard of rupture for the dissecting AA was twice that of the nondissecting (p...... A dissections. The results suggest that type B dissections may have a more favorable course if operated on, but a prospective, randomized study is necessary to confirm this observation. We believe that older patients and those with a small aneurysm may benefit from early, elective operation....

  11. [Correlation of the transaortic gradient determined with doppler echocardiography versus catheterization in patients with aortic stenosis].

    Science.gov (United States)

    Illescas, J; Enciso, R; Vidrio, M; de la Torre, N; Baduí, E

    1991-01-01

    The purpose of this report is to evaluate the reliability of a non-invasive estimation of a transaortic gradient in patients with valvular aortic stenosis by doppler echocardiography. We compared the transvalvular gradients obtained by cardiac catheterization (invasive) versus the estimation by non-invasive technique such as continuous-wave doppler in 30 consecutive patients with valvular aortic stenosis. When compared the peak velocity (Vmax) of the aortic jet versus the gradient obtained by cardiac catheterization we found a correlation coefficient (r) of 0.83 and when compared the gradient obtained by both methods we found an r value of 0.85. These results show that the calculations of aortic gradient by echo-doppler, are reliable. Besides this method allowed us to establish the correct diagnosis and to follow up these patients.

  12. Combined transdiaphragmatic off-pump and minimally invasive coronary artery bypass with right gastroepiploic artery and abdominal aortic aneurysm repair.

    Science.gov (United States)

    Gürer, Onur; Haberal, Ismail; Ozsoy, Deniz

    2013-01-01

    Male, 74 FINAL DIAGNOSIS: Abdominal aortic aneurysm (AAA) Symptoms: Palpable abdominal mass Medication: - Clinical Procedure: Abdominal aortic aneurysm repair Specialty: Surgery. Rare disease. Coronary artery disease is common in elderly patients with abdominal aortic aneurysms. Here we report a case of the combination of surgical repair for abdominal aortic aneurysm and off-pump and minimally invasive coronary artery bypass surgery. A 74-year-old man who presented at our clinic with chest pain was diagnosed with an abdominal aortic aneurysm. His medical history included right coronary artery stenting. Physical examination revealed a pulsatile abdominal mass on the left side and palpable peripheral pulses. Computed tomography scans showed an infrarenal abdominal aneurysm with a 61-mm enlargement. Coronary angiography revealed 80% stenosis in the stent within the right coronary artery and 20% stenosis in the left main coronary artery. The patient underwent elective coronary artery bypass grafting and abdominal aortic aneurysm repair. Abdominal aortic aneurysm repair and transdiaphragmatic off-pump and minimal invasive coronary artery bypass grafting with right gastroepiploic artery were performed simultaneously in a single surgery. We report this case to emphasize the safety and effectiveness of transdiaphragmatic off-pump and minimally invasive coronary artery bypass surgery with abdominal aortic aneurysm repair. This combined approach shortens hospital stay and decreases cost.

  13. Results of aortic root reimplantation in patients with ascending aortic aneurysm and concomitant aortic insufficiency

    Directory of Open Access Journals (Sweden)

    А. М. Чернявский

    2016-01-01

    Full Text Available Objective. The research was designed to evaluate the results of valve-sparing operations: aortic root reimplantation versus aortic valve reimplantation when repairing an ascending aortic aneurysm with concomitant aortic insufficiency.Methods. Within a blind prospective randomized study conducted over a period from 2011 to 2015, 64 patients underwent aortic valve-sparing surgery. The inclusion criteria were the presence of an aortic aneurysm of the ascending aorta exceeding 4.5 cm and concomitant aortic insufficiency. All patients were divided into two groups: FS-group, aortic root reimplantation (modified Florida Sleeve technique (n = 32 and D-group, aortic valve reimplantation (David procedure (n = 32. The average age of patients was 57±13 (23–73 years in the FS-group and 55±11 (15–72 years in the D-group (p = 0.54. Both groups had 78% of males (p>0.99. A Marfan syndrome was identified in 6% and 9% in the FS-group and D-group respectively (p>0.99. Mean diameter of the sinuses of Valsalva was 51±7 mm and 56±10 mm (p = 0.09, aortic insufficiency 2.6±0.7 and 2.8±0.8 (p = 0.15 in the FS-group and D-group respectively. In the FS-group and D-group LVEDD amounted to 5.5±0.7 mm and 5.9±1.0 mm (p = 0.09 respectively. All patients took echocardiography in the preoperative, postoperative and follow-up periods.Results. In the long-term period, the degree of aortic regurgitation was 1.2±0.1 in the FS-group and 1.3±0.6 in the D-group (p = 0.72. LVEDD was 123±23 mm in the FS-group and 139.6±80 mm in the D-group at follow-up (p = 0.77. There were no statistically significant differences in the analysis of complications. Overall 30-day in-hospital mortality was 7.8%. There were 2 (6.3% deaths in the FS-group and 3 (9.4% in the D-group (p = 0.5.Late mortality was 6.3% in the FS-group and 3.1% in the D-group (p>0.99. Cumulative survival at 4 years was 84.3% and 84.8% in the FS-group and the D-group respectively (p = 0.94. Cumulative freedom from

  14. Association of Aortic Compliance and Brachial Endothelial Function with Cerebral Small Vessel Disease in Type 2 Diabetes Mellitus Patients: Assessment with High-Resolution MRI

    Directory of Open Access Journals (Sweden)

    Yan Shan

    2016-01-01

    Full Text Available Objective. To assess the possible association of aortic compliance and brachial endothelial function with cerebral small vessel disease in type 2 diabetes mellitus (DM2 patients by using 3.0 T high-resolution magnetic resonance imaging. Methods. Sixty-two clinically confirmed DM2 patients (25 women and 37 men; mean age: 56.8±7.5 years were prospectively enrolled for noninvasive MR examinations of the aorta, brachial artery, and brain. Aortic arch pulse wave velocity (PWV, flow-mediated dilation