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Sample records for nonconducted p-wave arrhythmias

  1. P wave detector with PP rhythm tracking: evaluation in different arrhythmia contexts

    International Nuclear Information System (INIS)

    Portet, François

    2008-01-01

    Automatic detection of atrial activity (P waves) in an electrocardiogram (ECG) is a crucial task to diagnose the presence of arrhythmias. The P wave is difficult to detect and most of the approaches in the literature have been evaluated on normal sinus rhythms and rarely considered arrhythmia contexts other than atrial flutter and fibrillation. A novel knowledge-based P wave detector algorithm is presented. It is self-adaptive to the patient and able to deal with certain arrhythmias by tracking the PP rhythm. The detector has been tested on 12 records of the MIT-BIH arrhythmia database containing several ventricular and supra-ventricular arrhythmias. On the overall records, the detector demonstrates Se = 96.60% and Pr = 95.46%; for the normal sinus rhythm, it reaches Se = 97.76% and Pr = 96.80% and, in the case of Mobitz type II, it demonstrates Se = 72.79% and Pr = 99.51%. It also shows good performance for trigeminy and bigeminy, and outperforms some more sophisticated techniques. Although the results emphasize the difficulty of P wave detection in difficult arrhythmias (supra and ventricular tachycardias), it shows that domain knowledge can efficiently support signal processing techniques

  2. Arrhythmias

    Science.gov (United States)

    ... some herbal remedies); injuries to the heart from chest trauma or heart surgery; use of illegal drugs, alcohol, or tobacco; caffeine; and stress. Arrhythmias also can happen for no apparent reason. Signs and ... of breath chest pain fainting Arrhythmias can ...

  3. Arrhythmias

    Science.gov (United States)

    ... sign of other heart problems, or an immediate danger to your health. ... patient with suspected arrhythmia. In: Goldman L, Schafer AI, eds. Goldman’s Cecil Medicine . 25th ed. Philadelphia, PA: ...

  4. Competing p-wave orders

    International Nuclear Information System (INIS)

    Donos, Aristomenis; Gauntlett, Jerome P; Pantelidou, Christiana

    2014-01-01

    We construct electrically charged, asymptotically AdS 5 black hole solutions that are dual to d = 4 CFTs in a superfluid phase with either p-wave or (p + ip)-wave order. The two types of black holes have non-vanishing charged two-form in the bulk and appear at the same critical temperature in the unbroken phase. Both the p-wave and the (p + ip)-wave phase can be thermodynamically preferred, depending on the mass and charge of the two-form, and there can also be first order transitions between them. The p-wave black holes have a helical structure and some of them exhibit the phenomenon of pitch inversion as the temperature is decreased. Both the p-wave and the (p + ip)-wave black holes have zero entropy density ground states at zero temperature and we identify some new ground states which exhibit scaling symmetry, including a novel scenario for the emergence of conformal symmetry in the IR. (paper)

  5. On the resolution of ECG acquisition systems for the reliable analysis of the P-wave

    International Nuclear Information System (INIS)

    Censi, Federica; Calcagnini, Giovanni; Mattei, Eugenio; Triventi, Michele; Bartolini, Pietro; Corazza, Ivan; Boriani, Giuseppe

    2012-01-01

    The analysis of the P-wave on surface ECG is widely used to assess the risk of atrial arrhythmias. In order to provide reliable results, the automatic analysis of the P-wave must be precise and reliable and must take into account technical aspects, one of those being the resolution of the acquisition system. The aim of this note is to investigate the effects of the amplitude resolution of ECG acquisition systems on the P-wave analysis. Starting from ECG recorded by an acquisition system with a less significant bit (LSB) of 31 nV (24 bit on an input range of 524 mVpp), we reproduced an ECG signal as acquired by systems with lower resolution (16, 15, 14, 13 and 12 bit). We found that, when the LSB is of the order of 128 µV (12 bit), a single P-wave is not recognizable on ECG. However, when averaging is applied, a P-wave template can be extracted, apparently suitable for the P-wave analysis. Results obtained in terms of P-wave duration and morphology revealed that the analysis of ECG at lowest resolutions (from 12 to 14 bit, LSB higher than 30 µV) could lead to misleading results. However, the resolution used nowadays in modern electrocardiographs (15 and 16 bit, LSB <10 µV) is sufficient for the reliable analysis of the P-wave. (note)

  6. Study on the P-wave feature time course as early predictors of paroxysmal atrial fibrillation

    International Nuclear Information System (INIS)

    Martínez, Arturo; Alcaraz, Raúl; Rieta, José J

    2012-01-01

    Atrial fibrillation (AF) is the most common cardiac arrhythmia in clinical practice, increasing the risk of stroke and all-cause mortality. Its mechanisms are poorly understood, thus leading to different theories and controversial interpretation of its behavior. In this respect, it is unknown why AF is self-terminating in certain individuals, which is called paroxysmal AF (PAF), and not in others. Within the context of biomedical signal analysis, predicting the onset of PAF with a reasonable advance has been a clinical challenge in recent years. By predicting arrhythmia onset, the loss of normal sinus rhythm could be addressed by means of preventive treatments, thus minimizing risks for the patients and improving their quality of life. Traditionally, the study of PAF onset has been undertaken through a variety of features characterizing P-wave spatial diversity from the standard 12-lead electrocardiogram (ECG) or from signal-averaged ECGs. However, the variability of features from the P-wave time course before PAF onset has not been exploited yet. This work introduces a new alternative to assess time diversity of the P-wave features from single-lead ECG recordings. Furthermore, the method is able to assess the risk of arrhythmia 1 h before its onset, which is a relevant advance in order to provide clinically useful PAF risk predictors. Results were in agreement with the electrophysiological changes taking place in the atria. Hence, P-wave features presented an increasing variability as PAF onset approximates, thus suggesting intermittently disturbed conduction in the atrial tissue. In addition, high PAF risk prediction accuracy, greater than 90%, has been reached in the two considered scenarios, i.e. discrimination between healthy individuals and PAF patients and between patients far from PAF and close to PAF onset. Nonetheless, more long-term studies have to be analyzed and validated in future works. (paper)

  7. Arrhythmias (For Parents)

    Science.gov (United States)

    ... some herbal remedies ); injuries to the heart from chest trauma or heart surgery; use of illegal drugs, alcohol, or tobacco; caffeine; and stress. Arrhythmias can be temporary or permanent. An ... of breath chest pain fainting Arrhythmias can ...

  8. P wave dispersion and maximum P wave duration are independently associated with rapid renal function decline.

    Science.gov (United States)

    Su, Ho-Ming; Tsai, Wei-Chung; Lin, Tsung-Hsien; Hsu, Po-Chao; Lee, Wen-Hsien; Lin, Ming-Yen; Chen, Szu-Chia; Lee, Chee-Siong; Voon, Wen-Chol; Lai, Wen-Ter; Sheu, Sheng-Hsiung

    2012-01-01

    The P wave parameters measured by 12-lead electrocardiogram (ECG) are commonly used as noninvasive tools to assess for left atrial enlargement. There are limited studies to evaluate whether P wave parameters are independently associated with decline in renal function. Accordingly, the aim of this study is to assess whether P wave parameters are independently associated with progression to renal end point of ≥25% decline in estimated glomerular filtration rate (eGFR). This longitudinal study included 166 patients. The renal end point was defined as ≥25% decline in eGFR. We measured two ECG P wave parameters corrected by heart rate, i.e. corrected P wave dispersion (PWdisperC) and corrected P wave maximum duration (PWdurMaxC). Heart function and structure were measured from echocardiography. Clinical data, P wave parameters, and echocardiographic measurements were compared and analyzed. Forty-three patients (25.9%) reached renal end point. Kaplan-Meier curves for renal end point-free survival showed PWdisperC > median (63.0 ms) (log-rank P = 0.004) and PWdurMaxC > median (117.9 ms) (log-rank Pfunction decline.

  9. P wave analysis indices in young healthy men: data from the digital electrocardiographic study in Hellenic Air Force Servicemen (DEHAS).

    Science.gov (United States)

    Gialafos, Elias J; Dilaveris, Polychronis E; Synetos, Andreas G; Tsolakidis, George F; Papaioannou, Theodoros G; Andrikopoulos, George K; Richter, Dimitris J; Triposkiadis, Filippos; Gialafos, John E

    2003-01-01

    P wave analysis from the 12-lead ECG is a recent contribution of noninvasive electrocardiology. P wave analysis indices (maximum and minimum P wave duration, P wave dispersion [Pdis = Pmax-Pmin], adjusted P wave dispersion [APdis = Pdis/square root of measured leads], summated P wave duration [Psum], standard deviation of P wave duration [Psd], mean P wave duration [Pmean]) can predict atrial arrhythmias. However, the definitions of all these indices are based on few studies. The aim of this analysis was to define normal values of these indices and the examine possible associations between P wave indices and clinical variables. The study included 1,353 healthy men, 24 +/- 3 years of age, who answered a questionnaire and underwent a detailed physical examination and a digitized 12-lead surface ECG. All P wave indices were analyzed by two independent investigators. Mean values of the ECG indices were: Pmax: 96 +/- 11 ms, Pmin: 57 +/- 9 ms, Pdis: 38 +/- 10 ms, Psum: 924 +/- 96 ms, Psd: 12 +/- 3, APdis: 11 +/- 3 ms, and Pmean: 77 +/- 8 ms. Age was significantly related with Pmax (r = 0.277, P < 0.01), Pmin (r = 0.255, P < 0.001), Psum (r = 0.074, P < 0.01), and Pmean (r = 0.074, P < 0.01). All ECG indices were significantly associated with the R-R interval, and among each other. This study defined normal indices of wave duration and correlations among them. These markers may play an important predictive role in patients with atrial conduction abnormalities.

  10. Evaluation of QT and P wave dispersion and mean platelet volume among inflammatory bowel disease patients.

    Science.gov (United States)

    Dogan, Yuksel; Soylu, Aliye; Eren, Gulay A; Poturoglu, Sule; Dolapcioglu, Can; Sonmez, Kenan; Duman, Habibe; Sevindir, Isa

    2011-01-01

    In inflammatory bowel disease (IBD) number of thromboembolic events are increased due to hypercoagulupathy and platelet activation. Increases in mean platelet volume (MPV) can lead to platelet activation, this leads to thromboembolic events and can cause acute coronary syndromes. In IBD patients, QT-dispersion and P-wave dispersion are predictors of ventricular arrhythmias and atrial fibrilation; MPV is accepted as a risk factor for acute coronary syndromes, we aimed at evaluating the correlations of these with the duration of disease, its localization and activity. The study group consisted of 69 IBD (Ulcerative colitis n: 54, Crohn's Disease n: 15) patients and the control group included 38 healthy individuals. Disease activity was evaluated both endoscopically and clinically. Patients with existing cardiac conditions, those using QT prolonging medications and having systemic diseases, anemia and electrolyte imbalances were excluded from the study. QT-dispersion, P-wave dispersion and MPV values of both groups were compared with disease activity, its localization, duration of disease and the antibiotics used. The P-wave dispersion values of the study group were significantly higher than those of the control group. Duration of the disease was not associated with QT-dispersion, and MPV levels. QT-dispersion, P-wave dispersion, MPV and platelet count levels were similar between the active and in mild ulcerative colitis patients. QT-dispersion levels were similar between IBD patients and the control group. No difference was observed between P-wave dispersion, QT-dispersion and MPV values; with regards to disease duration, disease activity, and localization in the study group (p>0.05). P-wave dispersion which is accepted as a risk factor for the development of atrial fibirilation was found to be high in our IBD patients. This demonstrates us that the risk of developing atrial fibrillation may be high in patients with IBD. No significant difference was found in the QT

  11. P-wave and QT dispersion in patients with conversion disorder.

    Science.gov (United States)

    Izci, Filiz; Hocagil, Hilal; Izci, Servet; Izci, Vedat; Koc, Merve Iris; Acar, Rezzan Deniz

    2015-01-01

    The aim of this study was to investigate QT dispersion (QTd), which is the noninvasive marker of ventricular arrhythmia and sudden cardiac death, and P-wave dispersion, which is the noninvasive marker of atrial arrhythmia, in patients with conversion disorder (CD). A total of 60 patients with no known organic disease who were admitted to outpatient emergency clinic and were diagnosed with CD after psychiatric consultation were included in this study along with 60 healthy control subjects. Beck Anxiety Inventory and Beck Depression Scale were administered to patients and 12-lead electrocardiogram measurements were obtained. Pd and QTd were calculated by a single blinded cardiologist. There was no statistically significant difference in terms of age, sex, education level, socioeconomic status, weight, height, and body mass index between CD patients and controls. Beck Anxiety Inventory scores (25.2±10.8 and 3.8±3.2, respectively, Pconversion patients and control group (46±5.7 vs 44±5.5, respectively, P=0.156). Regarding QTc and QTd, there was a statistically significant increase in all intervals in conversion patients (416±10 vs 398±12, Pdisorders was also observed in CD patients. QTc and QTd were significantly increased compared to the control group in patients with CD. These results suggest a possibility of increased risk of ventricular arrhythmia resulting from QTd in CD patients. Larger samples are needed to evaluate the clinical course and prognosis in terms of arrhythmia risk in CD patients.

  12. Micro Electro Discharge Machining for Nonconductive Ceramic Materials

    Directory of Open Access Journals (Sweden)

    Mohammad Yeakub Ali

    2018-03-01

    Full Text Available In micro-electro discharge machining (micro-EDM of nonconductive ceramics, material is removed mainly by spalling due to the dominance of alternating thermal load. The established micro-EDM models established for single spark erosion are not applicable for nonconductive ceramics because of random spalling. Moreover, it is difficult to create single spark on a nonconductive ceramic workpiece when the spark is initiated by the assisting electrode. In this paper, theoretical model of material removal rate (MRR as the function of capacitance and voltage is developed for micro-EDM of nonconductive zirconium oxide (ZrO2. It is shown that the charging and discharging duration depend on the capacitance and resistances of the circuit. The number of sparks per unit time is estimated from the single spark duration s derived from heat transfer fundamentals. The model showed that both the capacitance and voltage are significant process parameters where any increase of capacitance and voltage increases the MRR. However, capacitance was found to be the dominating parameter over voltage. As in case of higher capacitances, the creation of a conductive carbonic layer on the machined surface was not stable; the effective window of machining 101 - 103 pF capacitance and 80 - 100 V gap voltage or 10 - 470 pF capacitance and 80 - 110 V gap voltage. This fact was confirmed EDX analysis where the presence of high carbon content was evident. Conversely, the spark was found to be inconsistent using parameters beyond these ranges and consequently insignificant MRR. Nevertheless, the effective number of sparks per second were close to the predicted numbers when machining conductive copper material. In addition, higher percentage of ineffective pulses was observed during the machining which eventually reduced the MRR. In case of validation, average deviations between the predicted and experimental values were found to be around 10%. Finally, micro-channels were machined on

  13. Hypertension and cardiac arrhythmias

    DEFF Research Database (Denmark)

    Lip, Gregory Y.H.; Coca, Antonio; Kahan, Thomas

    2017-01-01

    Hypertension is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease, stroke, peripheral artery disease and chronic renal insufficiency. Hypertensive heart disease can manifest as many cardiac arrhythmias, most commonly being atrial fibrillation (AF). Both...... supraventricular and ventricular arrhythmias may occur in hypertensive patients, especially in those with left ventricular hypertrophy (LVH) or HF. Also, some of the antihypertensive drugs commonly used to reduce blood pressure, such as thiazide diuretics, may result in electrolyte abnormalities (e.g. hypokalaemia......, hypomagnesemia), further contributing to arrhythmias, whereas effective control of blood pressure may prevent the development of the arrhythmias such as AF. In recognizing this close relationship between hypertension and arrhythmias, the European Heart Rhythm Association (EHRA) and the European Society...

  14. Two markers in predicting the cardiovascular events in patients with polycystic ovary syndrome: increased P-wave and QT dispersion.

    Science.gov (United States)

    Akdag, S; Cim, N; Yildizhan, R; Akyol, A; Ozturk, F; Babat, N

    2015-09-01

    Polycystic ovary syndrome (PCOS) is a prevalent disease with many potential long-term cardiovascular risks. P-wave dispersion (Pdis) and QT dispersion (QTdis) have been shown to be noninvasive electrocardiographic predictors for development of cardiac arrhythmias. In this study we aimed to search Pdis and QTdis parameters in patients with PCOS. The study included 82 patients with PCOS and 74 age- and sex-matched healthy controls. Baseline 12-lead electrocardiographic and transthoracic echocardiographic measurements were evaluated. P-wave maximum duration (Pmax), P-wave minimum duration (Pmin), Pdis, QT interval, heart rate-corrected QT dispersion and QTdis were calculated by two cardiologists. Patients wirh PCOS had significantly higher QT dispersion (49.5 ± 14.1 vs. 37.9 ± 12.6 ms, p PCOS patients.

  15. Holographic p-wave superconductor with disorder

    International Nuclear Information System (INIS)

    Areán, D.; Farahi, A.; Zayas, L.A. Pando; Landea, I. Salazar; Scardicchio, A.

    2015-01-01

    We implement the effects of disorder on a holographic p-wave superconductor by introducing a random chemical potential which defines the local energy of the charge carriers. Since there are various possibilities for the orientation of the vector order parameter, we explore the behavior of the condensate in the parallel and perpendicular directions to the introduced disorder. We clarify the nature of various branches representing competing solutions and construct the disordered phase diagram. We find that moderate disorder enhances superconductivity as determined by the value of the condensate. Though we mostly focus on uncorrelated noise, we also consider a disorder characterized by its spectral properties and study in detail its influence on the spectral properties of the condensate and charge density. We find fairly universal responses of the resulting power spectra characterized by linear functions of the disorder power spectrum.

  16. The predictive value of P-wave duration by signal-averaged electrocardiogram in acute ST elevation myocardial infarction.

    Science.gov (United States)

    Shturman, Alexander; Bickel, Amitai; Atar, Shaul

    2012-08-01

    The prognostic value of P-wave duration has been previously evaluated by signal-averaged ECG (SAECG) in patients with various arrhythmias not associated with acute myocardial infarction (AMI). To investigate the clinical correlates and prognostic value of P-wave duration in patients with ST elevation AMI (STEMI). The patients (n = 89) were evaluated on the first, second and third day after admission, as well as one week and one month post-AMI. Survival was determined 2 years after the index STEMI. In comparison with the upper normal range of P-wave duration ( 40% (128.79 +/- 28 msec) (P = 0.001). P-wave duration above 120 msec was significantly correlated with increased complication rate; namely, sustained ventricular tachyarrhythmia (36%), congestive heart failure (41%), atrial fibrillation (11%), recurrent angina (14%), and re-infarction (8%) (P = 0.012, odds ratio 4.267, 95% confidence interval 1.37-13.32). P-wave duration of 126 msec on the day of admission was found to have the highest predictive value for in-hospital complications including LVEF 40% (area under the curve 0.741, P < 0.001). However, we did not find a significant correlation between P-wave duration and mortality after multivariate analysis. P-wave duration as evaluated by SAECG correlates negatively with LVEF post-STEMI, and P-wave duration above 126 msec can be utilized as a non-invasive predictor of in-hospital complications and low LVEF following STEMI.

  17. P-wave and QT dispersion in patients with conversion disorder

    Directory of Open Access Journals (Sweden)

    Izci F

    2015-03-01

    Full Text Available Filiz Izci,1 Hilal Hocagil,2 Servet Izci,3 Vedat Izci,4 Merve Iris Koc,5 Rezzan Deniz Acar3 1Department of Psychiatry, Istanbul Bilim University, Sisli Florence Nightingale Hospital; 2Department of Emergency, Faculty of Medicine Hospital Zonguldak Bulent Ecevit University, Zonguldak, Turkey; 3Department of Cardiology, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey; 4Department of Emergency, Kartal Training and Research Hospital, Istanbul, Turkey; 5Department of Psychiatry, Erenköy Training and Research Hospital for Psychiatry, Istanbul, Turkey Objective: The aim of this study was to investigate QT dispersion (QTd, which is the noninvasive marker of ventricular arrhythmia and sudden cardiac death, and P-wave dispersion, which is the noninvasive marker of atrial arrhythmia, in patients with conversion disorder (CD.Patients and methods: A total of 60 patients with no known organic disease who were admitted to outpatient emergency clinic and were diagnosed with CD after psychiatric consultation were included in this study along with 60 healthy control subjects. Beck Anxiety Inventory and Beck Depression Scale were administered to patients and 12-lead electrocardiogram measurements were obtained. Pd and QTd were calculated by a single blinded cardiologist.Results: There was no statistically significant difference in terms of age, sex, education level, socioeconomic status, weight, height, and body mass index between CD patients and controls. Beck Anxiety Inventory scores (25.2±10.8 and 3.8±3.2, respectively, P<0.001 and Beck Depression Scale scores (11.24±6.15 and 6.58±5.69, respectively, P<0.01 were significantly higher in CD patients. P-wave dispersion measurements did not show any significant differences between conversion patients and control group (46±5.7 vs 44±5.5, respectively, P=0.156. Regarding QTc and QTd, there was a statistically significant increase in all intervals in conversion patients (416

  18. Detecting the Elusive P-Wave: A New ECG Lead to Improve the Recording of Atrial Activity.

    Science.gov (United States)

    Kennedy, Alan; Finlay, Dewar D; Guldenring, Daniel; Bond, Raymond R; McLaughlin, James

    2016-02-01

    In this study, we report on a lead selection method that was developed to detect the optimal bipolar electrode placement for recording of the P-wave. The study population consisted of 117 lead body surface potential maps recorded from 229 healthy subjects. The optimal bipolar lead was developed using the training set (172 subjects) then extracted from the testing dataset (57 subjects) and compared to other lead systems previously reported for improved recording of atrial activity. All leads were assessed in terms of P-wave, QRS, and STT root mean square (RMS). The P/QRST RMS ratio was also investigated to determine the atrioventricular RMS ratio. Finally, the effect of minor electrode misplacements on the P-lead was investigated. The P-lead discovered in this study outperformed all other investigated leads in terms of P-wave RMS. The P-lead showed a significant improvement in median P-wave RMS (93 versus 72 μV, p < 0.001) over the next best lead, Lead II. An improvement in QRS and STT RMS was also observed from the P-lead in comparison to lead II (668 versus 573 μV, p < 0.001) and (327 versus 196 μV, p < 0.001). Although P-wave RMS was reduced by incorrect electrode placement, significant improvement over Lead II was still evident. The P-lead improves P-wave RMS signal strength over all other investigated leads. Also the P-lead does not reduce QRS and STT RMS making it an appropriate choice for atrial arrhythmia monitoring. Given the improvement in signal-to-noise ratio, an improvement in algorithms that rely on P-wave analysis may be achieved.

  19. Role of the P-wave high frequency energy and duration as noninvasive cardiovascular predictors of paroxysmal atrial fibrillation.

    Science.gov (United States)

    Alcaraz, Raúl; Martínez, Arturo; Rieta, José J

    2015-04-01

    A normal cardiac activation starts in the sinoatrial node and then spreads throughout the atrial myocardium, thus defining the P-wave of the electrocardiogram. However, when the onset of paroxysmal atrial fibrillation (PAF) approximates, a highly disturbed electrical activity occurs within the atria, thus provoking fragmented and eventually longer P-waves. Although this altered atrial conduction has been successfully quantified just before PAF onset from the signal-averaged P-wave spectral analysis, its evolution during the hours preceding the arrhythmia has not been assessed yet. This work focuses on quantifying the P-wave spectral content variability over the 2h preceding PAF onset with the aim of anticipating as much as possible the arrhythmic episode envision. For that purpose, the time course of several metrics estimating absolute energy and ratios of high- to low-frequency power in different bands between 20 and 200Hz has been computed from the P-wave autoregressive spectral estimation. All the analyzed metrics showed an increasing variability trend as PAF onset approximated, providing the P-wave high-frequency energy (between 80 and 150Hz) a diagnostic accuracy around 80% to discern between healthy subjects, patients far from PAF and patients less than 1h close to a PAF episode. This discriminant power was similar to that provided by the most classical time-domain approach, i.e., the P-wave duration. Furthermore, the linear combination of both metrics improved the diagnostic accuracy up to 88.07%, thus constituting a reliable noninvasive harbinger of PAF onset with a reasonable anticipation. The information provided by this methodology could be very useful in clinical practice either to optimize the antiarrhythmic treatment in patients at high-risk of PAF onset and to limit drug administration in low risk patients. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. Effects of Single Dose Energy Drink on QT and P-Wave Dispersion

    Directory of Open Access Journals (Sweden)

    Huseyin Arinc

    2013-12-01

    Full Text Available INTRODUCTION: Aim of this study is to evaluate the cardiac electrophysiological effects of energy drink (Red Bull on QT and P duration and dispersion on surface electrocardiogram. METHODS: Twenty healthy volunteers older than 17 years of age were included the study. Subjects with a cardiac rhythm except sinus rhythm, history of atrial or ventricular arrhythmia, family history of premature sudden cardiac death, palpitations, T-wave abnormalities, QTc interval greater than 440 milliseconds, or those P-waves and QT intervals unavailable in at least eight ECG leads were excluded. Subjects having insomnia, lactose intolerance, caffeine allergy, recurrent headaches, depression, any psychiatric condition, and history of alcohol or drug abuse, pregnant or lactating women were also excluded from participation. 12 lead ECG was obtained before and after consumption of 250 cc enegry drink. QT and P-wave dispersion was calculated. RESULTS: No significant difference have occurred in heart rate (79 ± 14 vs.81 ±13, p=0.68, systolic pressure (114 ± 14 vs.118 ± 16,p=0.38, diastolic blood pressure (74 ± 12 vs.76 ± 14, p=0.64, QT dispersion (58 ± 12 vs. 57 ± 22, p= 0.785 and P-wave dispersion (37 ± 7 vs. 36 ± 13, p= 0.755 between before and 2 hours after consumption of energy drink. DISCUSSION AND CONCLUSION: Consumption of single dose energy drink doesn't affect QT dispersion and P-wave dispersion, heart rate and blood pressure in healthy adults.

  1. Electrically nonconductive shield for electric equipment generating ionizing radiation

    International Nuclear Information System (INIS)

    Aitken, D.

    1979-01-01

    As a radiation protection shield there is proposed a nonconductive shield fabricated from epoxides or other plastics material and containing finely dispersed radiation absorbing metal. It is to be designed in such a way that it lies in the range of a high electric gradient in the equipment, close to the radiation-producing component. As suitable metals there are mentioned tin, tungsten, and lead resp. their oxides. As an example there is used an X-ray shielding. (RW) 891 RW/RW 892 MKO [de

  2. Computers and clinical arrhythmias.

    Science.gov (United States)

    Knoebel, S B; Lovelace, D E

    1983-02-01

    Cardiac arrhythmias are ubiquitous in normal and abnormal hearts. These disorders may be life-threatening or benign, symptomatic or unrecognized. Arrhythmias may be the precursor of sudden death, a cause or effect of cardiac failure, a clinical reflection of acute or chronic disorders, or a manifestation of extracardiac conditions. Progress is being made toward unraveling the diagnostic and therapeutic problems involved in arrhythmogenesis. Many of the advances would not be possible, however, without the availability of computer technology. To preserve the proper balance and purposeful progression of computer usage, engineers and physicians have been exhorted not to work independently in this field. Both should learn some of the other's trade. The two disciplines need to come together to solve important problems with computers in cardiology. The intent of this article was to acquaint the practicing cardiologist with some of the extant and envisioned computer applications and some of the problems with both. We conclude that computer-based database management systems are necessary for sorting out the clinical factors of relevance for arrhythmogenesis, but computer database management systems are beset with problems that will require sophisticated solutions. The technology for detecting arrhythmias on routine electrocardiograms is quite good but human over-reading is still required, and the rationale for computer application in this setting is questionable. Systems for qualitative, continuous monitoring and review of extended time ECG recordings are adequate with proper noise rejection algorithms and editing capabilities. The systems are limited presently for clinical application to the recognition of ectopic rhythms and significant pauses. Attention should now be turned to the clinical goals for detection and quantification of arrhythmias. We should be asking the following questions: How quantitative do systems need to be? Are computers required for the detection of

  3. P-wave duration and the risk of atrial fibrillation

    DEFF Research Database (Denmark)

    Nielsen, Jonas B; Kühl, Jørgen T; Pietersen, Adrian

    2015-01-01

    BACKGROUND: Results on the association between P-wave duration and the risk of atrial fibrillation (AF) are conflicting. OBJECTIVE: The purpose of this study was to obtain a detailed description of the relationship between P-wave duration and the risk of AF. METHODS: Using computerized analysis o...

  4. Micro Electro Discharge Machining of Electrically Nonconductive Ceramics

    International Nuclear Information System (INIS)

    Schubert, A.; Zeidler, H.; Hackert, M.; Wolf, N.

    2011-01-01

    EDM is a known process for machining of hard and brittle materials. Due to its noncontact and nearly forceless behaviour, it has been introduced into micro manufacturing and through constant development it is now an important means for producing high-precision micro geometries. One restriction of EDM is its limitation to electrically conducting materials.Today many applications, especially in the biomedical field, make use of the benefits of ceramic materials, such as high strength, very low wear and biocompatibility. Common ceramic materials such as Zirconium dioxide are, due to their hardness in the sintered state, difficult to machine with conventional cutting techniques. A demand for the introduction of EDM to these materials could so far not be satisfied because of their nonconductive nature.At the Chemnitz University of Technology and the Fraunhofer IWU, investigations in the applicability of micro-EDM for the machining of nonconductive ceramics are being conducted. Tests are undertaken using micro-EDM drilling with Tungsten carbide tool electrodes and ZrO 2 ceramic workpieces. A starting layer, in literature often referred to as 'assisting electrode' is used to set up a closed electric circuit to start the EDM process. Combining carbon hydride based dielectric and a specially designed low-frequency vibration setup to excite the workpiece, the process environment can be held within parameters to allow for a constant EDM process even after the starting layer is machined. In the experiments a cylindrical 120 μm diameter Tungsten carbide tool electrode and Y 2 O 3 - and MgO- stabilized ZrO 2 worpieces are used. The current and voltage signals of the discharges within the different stages of the process (machining of the starting layer, machining of the base material, transition stage) are recorded and their characteristics compared to discharges in metallic material. Additionally, the electrode feed is monitored. The influences of the process parameters are

  5. Holographic p-wave superconductor models with Weyl corrections

    Directory of Open Access Journals (Sweden)

    Lu Zhang

    2015-04-01

    Full Text Available We study the effect of the Weyl corrections on the holographic p-wave dual models in the backgrounds of AdS soliton and AdS black hole via a Maxwell complex vector field model by using the numerical and analytical methods. We find that, in the soliton background, the Weyl corrections do not influence the properties of the holographic p-wave insulator/superconductor phase transition, which is different from that of the Yang–Mills theory. However, in the black hole background, we observe that similarly to the Weyl correction effects in the Yang–Mills theory, the higher Weyl corrections make it easier for the p-wave metal/superconductor phase transition to be triggered, which shows that these two p-wave models with Weyl corrections share some similar features for the condensation of the vector operator.

  6. Hypertension and Cardiac Arrhythmias

    DEFF Research Database (Denmark)

    Lip, Gregory Y H; Coca, Antonio; Kahan, Thomas

    2017-01-01

    Hypertension (HTN) is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease (CAD), stroke, peripheral artery disease and chronic renal failure. Hypertensive heart disease can manifest as many types of cardiac arrhythmias, most commonly being atrial fibrillation......) Council on Hypertension convened a Task Force, with representation from the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE), with the remit of comprehensively reviewing the available evidence...

  7. p-wave pion production from nucleon-nucleon collisions

    International Nuclear Information System (INIS)

    Baru, V.; Epelbaum, E.; Haidenbauer, J.; Hanhart, C.; Kudryavtsev, A. E.; Lensky, V.; Meissner, U.-G.

    2009-01-01

    We investigate p-wave pion production in nucleon-nucleon collisions up to next-to-next-to-leading order in chiral effective field theory. In particular, we show that it is possible to describe simultaneously the p-wave amplitudes in the pn→ppπ - , pp→pnπ + , pp→dπ + channels by adjusting a single low-energy constant accompanying the short-range operator that is available at this order. This study provides a nontrivial test of the applicability of chiral effective field theory to reactions of the type NN→NNπ.

  8. Ventricular arrhythmias in Chagas disease

    Directory of Open Access Journals (Sweden)

    Marco Paulo Tomaz Barbosa

    2015-02-01

    Full Text Available Sudden death is one of the most characteristic phenomena of Chagas disease, and approximately one-third of infected patients develop life-threatening heart disease, including malignant ventricular arrhythmias. Fibrotic lesions secondary to chronic cardiomyopathy produce arrhythmogenic substrates that lead to the appearance and maintenance of ventricular arrhythmias. The objective of this study is to discuss the main clinical and epidemiological aspects of ventricular arrhythmias in Chagas disease, the specific workups and treatments for these abnormalities, and the breakthroughs needed to determine a more effective approach to these arrhythmias. A literature review was performed via a search of the PubMed database from 1965 to May 31, 2014 for studies of patients with Chagas disease. Clinical management of patients with chronic Chagas disease begins with proper clinical stratification and the identification of individuals at a higher risk of sudden cardiac death. Once a patient develops malignant ventricular arrhythmia, the therapeutic approach aims to prevent the recurrence of arrhythmias and sudden cardiac death by the use of implantable cardioverter defibrillators, antiarrhythmic drugs, or both. In select cases, invasive ablation of the reentrant circuit causing tachycardia may be useful. Ventricular arrhythmias are important manifestations of Chagas cardiomyopathy. This review highlights the absence of high-quality evidence regarding the treatment of ventricular arrhythmias in Chagas disease. Recognizing high-risk patients who require specific therapies, especially invasive procedures such as the implantation of cardioverter defibrillators and ablative approaches, is a major challenge in clinical practice.

  9. Magnetic manipulation of topological states in p-wave superconductors

    DEFF Research Database (Denmark)

    Mercaldo, Maria Teresa; Cuoco, Mario; Kotetes, Panagiotis

    2018-01-01

    Substantial experimental investigation has provided evidence for spin-triplet pairing in diverse classes of materials and in a variety of artificial heterostructures. One of the fundamental challenges in this framework is how to manipulate the topological behavior of p-wave superconductors (PSC...

  10. Genetic determinants of P wave duration and PR segment

    NARCIS (Netherlands)

    Verweij, Niek; Mateo Leach, Irene; van den Boogaard, Malou; van Veldhuisen, Dirk J.; Christoffels, Vincent M.; Hillege, Hans L.; van Gilst, Wiek H.; Barnett, Phil; de Boer, Rudolf A.; van der Harst, Pim

    2014-01-01

    The PR interval on the ECG reflects atrial depolarization and atrioventricular nodal delay which can be partially differentiated by P wave duration and PR segment, respectively. Genome-wide association studies have identified several genetic loci for PR interval, but it remains to be determined

  11. Genetic Determinants of P Wave Duration and PR Segment

    NARCIS (Netherlands)

    Verweij, Niek; Mateo Leach, Irene; van den Boogaard, Malou; van Veldhuisen, Dirk J.; Christoffels, Vincent M.; Hillege, Hans L.; van Gilst, Wiek H.; Barnett, Phil; de Boer, Rudolf A.; van der Harst, Pim

    Background-The PR interval on the ECG reflects atrial depolarization and atrioventricular nodal delay which can be partially differentiated by P wave duration and PR segment, respectively. Genome-wide association studies have identified several genetic loci for PR interval, but it remains to be

  12. Statistical analysis of P-wave neutron reduced widths

    International Nuclear Information System (INIS)

    Joshi, G.C.; Agrawal, H.M.

    2000-01-01

    The fluctuations of the p-wave neutron reduced widths for fifty one nuclei have been analyzed with emphasis on recent measurements by a statistical procedure which is based on the method of maximum likelihood. It is shown that the p-wave neutron reduced widths of even-even nuclei fallow single channel Porter Thomas distribution (χ 2 -distribution with degree of freedom ν=1) for most of the cases where there are no intermediate structure. It is emphasized that the distribution in nuclei other than even-even may differ from a χ 2 -distribution with one degree of freedom. Possible explanation and significance of this deviation from ν=1 is given. (author)

  13. Understand Your Risk for Arrhythmia

    Science.gov (United States)

    ... is likely monitoring your heart rhythm with regular EKGs ( electrocardiograms ). But arrhythmias that occur infrequently may not ... patient sheets Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium and Salt 3 Heart Attack Symptoms ...

  14. Types of Arrhythmia in Children

    Science.gov (United States)

    ... even though they may need to keep taking medicine. Your child will probably need periodic check-ups but will ... minute. Understand and manage medications Parents of a child taking medicine for an arrhythmia should give the medicine at ...

  15. In Search of Hidden Arrhythmia

    Directory of Open Access Journals (Sweden)

    Johnson Francis

    2015-10-01

    Full Text Available Cardiac rhythm disorders could be very common and minimal significance like isolated ventricular ectopics are very serious and life threatening like ventricular tachycardia or fibrillation. Often it is an irregular pulse or heart beats which calls our attention to the presence of cardiac rhythm disorders. But many times, cardiac arrhythmia is intermittent and not manifest at the time of physical examination. A simple 12 lead electrocardiogram with a long rhythm strip can document cardiac arrhythmia which is frequent, but often fails to record intermittent arrhythmia which can still be quite symptomatic and sometimes life threatenting. This brief review is on the various modalities of electrocardiographic recordings used for documenting arrhythmia which is not easily documented by a 12 lead electrocardiogram with a long rhythm strip.

  16. Renormalization group approach to a p-wave superconducting model

    International Nuclear Information System (INIS)

    Continentino, Mucio A.; Deus, Fernanda; Caldas, Heron

    2014-01-01

    We present in this work an exact renormalization group (RG) treatment of a one-dimensional p-wave superconductor. The model proposed by Kitaev consists of a chain of spinless fermions with a p-wave gap. It is a paradigmatic model of great actual interest since it presents a weak pairing superconducting phase that has Majorana fermions at the ends of the chain. Those are predicted to be useful for quantum computation. The RG allows to obtain the phase diagram of the model and to study the quantum phase transition from the weak to the strong pairing phase. It yields the attractors of these phases and the critical exponents of the weak to strong pairing transition. We show that the weak pairing phase of the model is governed by a chaotic attractor being non-trivial from both its topological and RG properties. In the strong pairing phase the RG flow is towards a conventional strong coupling fixed point. Finally, we propose an alternative way for obtaining p-wave superconductivity in a one-dimensional system without spin–orbit interaction.

  17. P-wave dispersion in endogenous and exogenous subclinical hyperthyroidism.

    Science.gov (United States)

    Gen, R; Akbay, E; Camsari, A; Ozcan, T

    2010-02-01

    The aim of this study was to measure maximum P wave duration (Pmax) and P wave dispersion (PWD), which can be indicators for the risk of paroxysmal atrial fibrillation when increased, and to reveal their relationship with thyroid hormone levels in patients with endogenous and exogenous subclinical hyperthyroidism. Seventy-one patients with sublinical thyrotoxicosis (34 endogenous, 37 exogenous) and 69 healthy individuals were enrolled in the study. Pmax and minimum P wave duration (Pmin) on electrocardiogram recordings were measured and PWD was calculated as Pmax-Pmin. Pmax (pendogenous subclinical hyperthyroidism compared with the control group. Pmax (pexogenous subclinical thyrotoxicosis compared with the control group. Pmax (p=0.710) and PWD (p=0.127) were not significantly different in patients with endogenous subclinical hyperthyroidism compared with exogenous subclinical hyperthyroid patients. Pmax and PWD negatively associated with TSH in endogenous and exogenous subclinical hyperthyroidism. In the present study, we observed that Pmax and PWD were longer in patients with endogenous and exogenous subclinical hyperthyroidism. Lack of a difference in Pmax and PWD between patients with endogenous and exogenous subclinical hyperthyroidism seems to support the idea that hormone levels rather than the etiology of thyrotoxicosis affect the heart.

  18. P-wave assignment of 232Th neutron resonances

    International Nuclear Information System (INIS)

    Corvi, F.; Pasquariello, G.; Veen, T. van der

    1978-01-01

    A method of p-wave assignment which exploits the parity dependence of the primary capture γ-ray spectrum was applied to the 232 Th resonance. The yield of capture γ-rays above 4.4 MeV from a 6 mm thick metallic thorium disk was measured in the neutron energy range 20-2200 eV and compared to a similar run with γ-rays in the range 3.7 - 4.4 MeV. A total of 58 resonances showing an enhancement of the high energy γ-ray yield were assigned as p-waves. Assuming that their reduced neutron widths follow a Porter-Thomas distribution, their average value and then the p-wave strength function S 1 were estimated with a maximum likelihood method. The results are: average neutron width=3.4(+0.8 or -0.6)meV; S 1 = 2.0 (+0.5 or -0.4).10 -4

  19. Probing the P -wave charmonium decays of Bc meson

    Science.gov (United States)

    Rui, Zhou

    2018-02-01

    Motivated by the large number of Bc meson decay modes observed recently by several detectors at the LHC, we present a detailed analysis of the Bc meson decaying to the P -wave charmonium states and a light pseudoscalar (P ) or vector (V ) meson within the framework of perturbative QCD factorization. The P -wave charmonium distribution amplitudes are extracted from the n =2 , l =1 Schrödinger states for a Coulomb potential, which can be taken as the universal nonperturbative objects to analyze the hard exclusive processes with P -wave charmonium production. It is found that these decays have large branching ratios of the order of 10-5˜10-2 , which seem to be in the reach of future experiments. We also provide predictions for the polarization fractions and relative phases of Bc→(χc 1,χc 2,hc)V decays. It is expected that the longitudinal polarization amplitudes dominate the branching ratios according to the quark helicity analysis, and the magnitudes and phases of parallel polarization amplitude are approximately equal to the perpendicular ones. The obtained results are compared with available experimental data, our previous studies, and numbers from other approaches.

  20. P Wave Dispersion is Increased in Pulmonary Stenosis

    Directory of Open Access Journals (Sweden)

    Namik Ozmen

    2006-01-01

    Full Text Available Aim: The right atrium pressure load is increased in pulmonary stenosis (PS that is a congenital anomaly and this changes the electrophysiological characteristics of the atria. However, there is not enough data on the issue of P wave dispersion (PWD in PS. Methods: Forty- two patients diagnosed as having valvular PS with echocardiography and 33 completely healthy individuals as the control group were included in the study. P wave duration, p wave maximum (p max and p minimum (p min were calculated from resting electrocariography (ECG obtained at the rate of 50 mm/sec. P wave dispersion was derived by subtracting p min from p max. The mean pressure gradient (MPG at the pulmonary valve, structure of the valve and diameters of the right and left atria were measured with echocardiography. The data from two groups were compared with the Mann-Whitney U test and correlation analysis was performed with the Pearson correlation technique. Results: There wasn’t any statistically significance in the comparison of age, left atrial diameter and p min between two groups. While the MPG at the pulmonary valve was 43.11 ± 18.8 mmHg in PS patients, it was 8.4 ± 4.5 mmHg in the control group. While p max was 107.1 ± 11.5 in PS group, it was 98.2 ± 5.1 in control group (p=0.01, PWD was 40.4 ± 1.2 in PS group, and 27.2 ± 9.3 in the control group (p=0.01Moreover, while the diameter of the right atrium in PS group was greater than that of the control group, (38.7 ± 3.9 vs 30.2 ± 2.5, p=0.02. We detected a correlation between PWD and pressure gradient in regression analysis. Conclusion: P wave dispersion and p max are increased in PS. While PWD was correlated with the pressure gradient that is the degree of narrowing, it was not correlated with the diameters of the right and left atria.

  1. The Relationship Between Aging and P Wave Dispersion

    Directory of Open Access Journals (Sweden)

    İrfan Barutçu

    2009-12-01

    Full Text Available Objective: Atrial fibrillation (AF, commonly observed in advanced ages, displays striking age dependent increase and increased P wave dispersion (PWD has been shown to be a predictor of AF. In this studywe sought to determine whether P wave duration and PWD increase with aging. Method and Results: Eighty-three elderly subjects (group-I mean age 75±8 years and 40 healthy young subjects (group-II, mean age 37±6 years participated in this study. 12-lead ECG recorded at a paper speed of 50mm/s was obtained from each participant. Maximum (Pmax and minimum P wave duration (Pmin was measured manually with a caliper and the difference between two values was defined asPWD. Pmax and PWD were significantly higher in group-I compared to group-II. (98±8 vs. 93±8 p=0.01, 41±12 vs. 34±13 p=0.002, respectively. Among the elderly population when those with cardiovascular disorders such as hypertension, coronary artery disease and heart failure were excluded, Pmax and PWD were still significantly higher than the young population. (Pmax: 98±7 vs. 93±7, p=0.02 and PWD: 42±11 vs. 34±13, p=0.002. Moreover, on correlation analysis a positive correlation was detected between Pmaxand PWD and aging. (r=0.29, p=0.004; r=0.30, p=0.003 respectively.Conclusion: PWD shows age dependent increase and may be a useful marker for estimation the risk of developing AF seen in advanced ages.

  2. Depth of source from long period P-waves

    International Nuclear Information System (INIS)

    Roy, Falguni

    1986-01-01

    Short period (SP) seismograms are much better than long period (LP) seismograms to get the time resolution needed for the focal depth estimation. However, complex scattering effects due to crustal inhomogeneities and also the multi-pathing of signals usually complicate the short period records. On the other hand the seismograms from long period signals demonstrate clear coherent body waves. Therefore, for intermediate depths (15-60 km) prediction error filtering of LP signals will be useful for identifying the depth phases. Such a study has been carried out in the first part of this report. In a group of 7 events, the p p phases have been extracted from LP signals and the depths so estimated compared well with the published data. For explosions at shallow depths (depth p phases will tend to cancel each other in LP seismograms. As the source depth increases, the cancellation becomes less effective. This feature can be used for the identification of an event as well as for getting an estimate of the source depth. This phenomenon can be successfully exploited for identifying multiple explosions, because at teleseismic distances (Δ > 30 o ) no LP (around 20s period) P waves will be seen in the seismogram due to such events whereas relatively strong SP signals and LP Rayleigh waves will be observed. This phenomenon has been studied for 16 events. For three of these events having m b as high as 6.1 and presumed to be underground explosions, one could not see any P wave on remaining 13 events (which were classified as earthquakes), it was possible to set a threshold value of m b above which an earthquake should produce LP P-wave signals at a given distance. (author)

  3. P-wave Feshbach resonances of ultracold 6Li

    International Nuclear Information System (INIS)

    Zhang, J.; Kempen, E.G.M. van; Bourdel, T.; Cubizolles, J.; Chevy, F.; Teichmann, M.; Tarruell, L.; Salomon, C.; Khaykovich, L.; Kokkelmans, S.J.J.M.F.

    2004-01-01

    We report the observation of three p-wave Feshbach resonances of 6 Li atoms in the lowest hyperfine state f=1/2. The positions of the resonances are in good agreement with theory. We study the lifetime of the cloud in the vicinity of the Feshbach resonances and show that, depending on the spin states, two- or three-body mechanisms are at play. In the case of dipolar losses, we observe a nontrivial temperature dependence that is well explained by a simple model

  4. Improved bag models of P-wave baryons

    International Nuclear Information System (INIS)

    Wang Fan; Wong Chunwa

    1988-01-01

    Problems in two previous bag-model calculations of P-wave baryon states are pointed out. The two-body matrix elements used in one of these models, the Myhrer-Wroldsen bag model, have now been revised and corrected by Myhrer, Umino and Wroldsen. We use their corrected matrix elements to construct simple bag models in which baryon masses are stabilized against collapse by using a finite pion size. We find that baryon masses in both ground and excited states can be fitted with the same model parameters. Models with small-bag baryons of the type proposed by Brown and Rho are then obtained. Typical bag radii are 0.5 fm for N, 0.6 fm for Δ and 0.7 fm for P-wave nonstrange baryons. In these models, the mixing angles are still unsatisfactory, while inadequacy in the treatment of center-of-mass motion found in an earlier paper persists. These results are briefly discussed. especially in connection with skyrmion models. (orig.)

  5. P-wave velocity structure beneath the northern Antarctic Peninsula

    Science.gov (United States)

    Park, Y.; Kim, K.; Jin, Y.

    2010-12-01

    We have imaged tomographically the tree-dimensional velocity structure of the upper mantle beneath the northern Antarctic Peninsula using teleseismic P waves. The data came from the seven land stations of the Seismic Experiment in Patagonia and Antarctica (SEPA) campaigned during 1997-1999, a permanent IRIS/GSN station (PMSA), and 3 seismic stations installed at scientific bases, Esperanza (ESPZ), Jubany (JUBA), and King Sejong (KSJ), in South Shetland Islands. All of the seismic stations are located in coast area, and the signal to noise ratios (SNR) are very low. The P-wave model was inverted from 95 earthquakes resulting in 347 ray paths with P- and PKP-wave arrivals. The inverted model shows a strong low velocity anmaly beneath the Bransfield Strait, and a fast anomaly beneath the South Shetland Islands. The low velocity anomaly beneath the Bransfield might be due to a back arc extension, and the fast velocity anomaly beneath the South Shetland Islands could indicates the cold subducted slab.

  6. Damping properties of non-conductive composite materials for applications in power transmission pylons

    DEFF Research Database (Denmark)

    Kliem, Mathias; Rüppel, Marvin; Høgsberg, Jan

    2018-01-01

    This study aims to characterize the fibre direction dependent damping properties of non-conductive composite materialsto be used in newly designed electrical power transm°ission pylons, on which the conducting cables will be directlyconnected. Thus, the composite structure can be designed both to...

  7. Arrhythmia risk in liver cirrhosis

    Institute of Scientific and Technical Information of China (English)

    Ioana Mozos

    2015-01-01

    Interactions between the functioning of the heart andthe liver have been described, with heart diseasesaffecting the liver, liver diseases affecting the heart,and conditions that simultaneously affect both. Theheart is one of the most adversely affected organs inpatients with liver cirrhosis. For example, arrhythmiasand electrocardiographic changes are observed inpatients with liver cirrhosis. The risk for arrhythmia isinfluenced by factors such as cirrhotic cardiomyopathy,cardiac ion channel remodeling, electrolyte imbalances,impaired autonomic function, hepatorenal syndrome, metabolic abnormalities, advanced age, inflammatory syndrome, stressful events, impaired drug metabolism and comorbidities. Close monitoring of cirrhotic patients is needed for arrhythmias, particularly when QT intervalprolonging drugs are given, or if electrolyte imbalances or hepatorenal syndrome appear. Arrhythmia risk may persist after liver transplantation due to possible QT interval prolongation, persistence of the parasympathetic impairment, post-transplant reperfusion and chronic immunosuppression, as well as consideration of the fact that the transplant itself is a stressful event for the cardiovascular system. The aims of the present article were to provide a review of the most important data regarding the epidemiology, pathophysiology, and biomarkers of arrhythmia risk in patients with liver cirrhosis, to elucidate the association with long-term outcome, and to propose future research directions.

  8. Entanglement entropy in a holographic p-wave superconductor model

    Directory of Open Access Journals (Sweden)

    Li-Fang Li

    2015-05-01

    Full Text Available In a recent paper, arXiv:1309.4877, a holographic p-wave model has been proposed in an Einstein–Maxwell-complex vector field theory with a negative cosmological constant. The model exhibits rich phase structure depending on the mass and the charge of the vector field. We investigate the behavior of the entanglement entropy of dual field theory in this model. When the above two model parameters change, we observe the second order, first order and zeroth order phase transitions from the behavior of the entanglement entropy at some intermediate temperatures. These imply that the entanglement entropy can indicate not only the occurrence of the phase transition, but also the order of the phase transition. The entanglement entropy is indeed a good probe to phase transition. Furthermore, the “retrograde condensation” which is a sub-dominated phase is also reflected on the entanglement entropy.

  9. Lifshitz effects on holographic p-wave superfluid

    Directory of Open Access Journals (Sweden)

    Ya-Bo Wu

    2015-02-01

    Full Text Available In the probe limit, we numerically build a holographic p-wave superfluid model in the four-dimensional Lifshitz black hole coupled to a Maxwell-complex vector field. We observe the rich phase structure and find that the Lifshitz dynamical exponent z contributes evidently to the effective mass of the matter field and dimension of the gravitational background. Concretely, we obtain that the Cave of Winds appeared only in the five-dimensional anti-de Sitter (AdS spacetime, and the increasing z hinders not only the condensate but also the appearance of the first-order phase transition. Furthermore, our results agree with the Ginzburg–Landau results near the critical temperature. In addition, the previous AdS superfluid model is generalized to the Lifshitz spacetime. Keywords: Gauge/gravity duality, Holographic superconductor, Lifshitz black hole, Maxwell-complex vector field

  10. Entanglement entropy in a holographic p-wave superconductor model

    Energy Technology Data Exchange (ETDEWEB)

    Li, Li-Fang, E-mail: lilf@itp.ac.cn [State Key Laboratory of Space Weather, Center for Space Science and Applied Research, Chinese Academy of Sciences, Beijing 100190 (China); Cai, Rong-Gen, E-mail: cairg@itp.ac.cn [State Key Laboratory of Theoretical Physics, Institute of Theoretical Physics, Chinese Academy of Sciences, Beijing 100190 (China); Li, Li, E-mail: liliphy@itp.ac.cn [State Key Laboratory of Theoretical Physics, Institute of Theoretical Physics, Chinese Academy of Sciences, Beijing 100190 (China); Shen, Chao, E-mail: sc@nssc.ac.cn [State Key Laboratory of Space Weather, Center for Space Science and Applied Research, Chinese Academy of Sciences, Beijing 100190 (China)

    2015-05-15

    In a recent paper, (arXiv:1309.4877), a holographic p-wave model has been proposed in an Einstein–Maxwell-complex vector field theory with a negative cosmological constant. The model exhibits rich phase structure depending on the mass and the charge of the vector field. We investigate the behavior of the entanglement entropy of dual field theory in this model. When the above two model parameters change, we observe the second order, first order and zeroth order phase transitions from the behavior of the entanglement entropy at some intermediate temperatures. These imply that the entanglement entropy can indicate not only the occurrence of the phase transition, but also the order of the phase transition. The entanglement entropy is indeed a good probe to phase transition. Furthermore, the “retrograde condensation” which is a sub-dominated phase is also reflected on the entanglement entropy.

  11. Strong CMB constraint on P-wave annihilating dark matter

    Directory of Open Access Journals (Sweden)

    Haipeng An

    2017-10-01

    Full Text Available We consider a dark sector consisting of dark matter that is a Dirac fermion and a scalar mediator. This model has been extensively studied in the past. If the scalar couples to the dark matter in a parity conserving manner then dark matter annihilation to two mediators is dominated by the P-wave channel and hence is suppressed at very low momentum. The indirect detection constraint from the anisotropy of the Cosmic Microwave Background is usually thought to be absent in the model because of this suppression. In this letter we show that dark matter annihilation via bound state formation occurs through the S-wave and hence there is a constraint on the parameter space of the model from the Cosmic Microwave Background.

  12. Square vortex lattice in p-wave superconductors

    International Nuclear Information System (INIS)

    Shiraishi, J.

    1999-01-01

    Making use of the Ginzburg Landau equation for isotropic p-wave superconductors, we construct the single vortex solution in part analytically. The fourfold symmetry breaking term arising from the tetragonal symmetry distortion of the Fermi surface is crucial, since this term indicates a fourfold distortion of the vortex core somewhat similar to the one found in d-wave superconductors. This fourfold distortion of the vortex core in turn favors the square vortex lattice as observed recently by small angle neutron scattering (SANS) experiment from Sr 2 RuO 4 . We find that the hexagonal vortex lattice at H = H c1 transforms into the square one for H = H cr = 0.26 H c2 . On the other hand the SANS data does not reveal such transition. The square vortex covers everywhere studied by the SANS implying H cr is very close to H c1 . Therefore some improvement in the present model is certainly desirable. (orig.)

  13. Holographic p-wave superfluid in Gauss–Bonnet gravity

    International Nuclear Information System (INIS)

    Liu, Shancheng; Pan, Qiyuan; Jing, Jiliang

    2017-01-01

    We construct the holographic p-wave superfluid in Gauss–Bonnet gravity via a Maxwell complex vector field model and investigate the effect of the curvature correction on the superfluid phase transition in the probe limit. We obtain the rich phase structure and find that the higher curvature correction hinders the condensate of the vector field but makes it easier for the appearance of translating point from the second-order transition to the first-order one or for the emergence of the Cave of Winds. Moreover, for the supercurrents versus the superfluid velocity, we observe that our results near the critical temperature are independent of the Gauss–Bonnet parameter and agree well with the Ginzburg–Landau prediction.

  14. Holographic p-wave superfluid in Gauss–Bonnet gravity

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Shancheng [Department of Physics, Key Laboratory of Low Dimensional Quantum Structures and Quantum Control of Ministry of Education, Hunan Normal University, Changsha, Hunan 410081 (China); Synergetic Innovation Center for Quantum Effects and Applications, Hunan Normal University, Changsha, Hunan 410081 (China); Pan, Qiyuan, E-mail: panqiyuan@126.com [Department of Physics, Key Laboratory of Low Dimensional Quantum Structures and Quantum Control of Ministry of Education, Hunan Normal University, Changsha, Hunan 410081 (China); Synergetic Innovation Center for Quantum Effects and Applications, Hunan Normal University, Changsha, Hunan 410081 (China); Jing, Jiliang, E-mail: jljing@hunnu.edu.cn [Department of Physics, Key Laboratory of Low Dimensional Quantum Structures and Quantum Control of Ministry of Education, Hunan Normal University, Changsha, Hunan 410081 (China); Synergetic Innovation Center for Quantum Effects and Applications, Hunan Normal University, Changsha, Hunan 410081 (China)

    2017-02-10

    We construct the holographic p-wave superfluid in Gauss–Bonnet gravity via a Maxwell complex vector field model and investigate the effect of the curvature correction on the superfluid phase transition in the probe limit. We obtain the rich phase structure and find that the higher curvature correction hinders the condensate of the vector field but makes it easier for the appearance of translating point from the second-order transition to the first-order one or for the emergence of the Cave of Winds. Moreover, for the supercurrents versus the superfluid velocity, we observe that our results near the critical temperature are independent of the Gauss–Bonnet parameter and agree well with the Ginzburg–Landau prediction.

  15. Quasiparticle Green's function theory of the Josephson effect in chiral p-wave superconductor/diffusive normal metal/chiral p-wave superconductor junctions

    NARCIS (Netherlands)

    Sawa, Y.; Yokoyama, T.; Tanaka, Y.; Golubov, Alexandre Avraamovitch

    2007-01-01

    We study the Josephson effect in chiral p-wave superconductor/diffusive normal metal (DN)/chiral p-wave superconductor (CP/DN/CP) junctions using quasiclassical Green's function formalism with proper boundary conditions. The px+ipy-wave symmetry of superconducting order parameter is chosen which is

  16. Real-Time Detection of Rupture Development: Earthquake Early Warning Using P Waves From Growing Ruptures

    Science.gov (United States)

    Kodera, Yuki

    2018-01-01

    Large earthquakes with long rupture durations emit P wave energy throughout the rupture period. Incorporating late-onset P waves into earthquake early warning (EEW) algorithms could contribute to robust predictions of strong ground motion. Here I describe a technique to detect in real time P waves from growing ruptures to improve the timeliness of an EEW algorithm based on seismic wavefield estimation. The proposed P wave detector, which employs a simple polarization analysis, successfully detected P waves from strong motion generation areas of the 2011 Mw 9.0 Tohoku-oki earthquake rupture. An analysis using 23 large (M ≥ 7) events from Japan confirmed that seismic intensity predictions based on the P wave detector significantly increased lead times without appreciably decreasing the prediction accuracy. P waves from growing ruptures, being one of the fastest carriers of information on ongoing rupture development, have the potential to improve the performance of EEW systems.

  17. New theory of arrhythmia. Conceptual substantiation of arrhythmia mechanisms

    Directory of Open Access Journals (Sweden)

    Vladimir I. Ermoshkin

    2015-11-01

    Full Text Available Aims A new attempt is made to substantiate the concept of the mechanism of arrhythmia and sudden cardiac death. Methods The paper is based on a theoretical analysis of special literature, personal experience of participation in conferences and discussions with leading Russian cardiologists. Results We have succeeded in demonstrating the fact that researchers ignore the fact that cardiomyocytes can be excited by mechanical pulses, when considering the arrhythmia mechanisms. We have conducted trials using the Cardiocode device. Under stress in a human, opened may be large and small arteriovenous anastomoses, via which blood under high pressure is ejected into veins. It leads to pressure surges in arteries and veins. The vena cava dilates, its tonus increases. In some cases, the pulse waves travel via anastomoses along the vena cava walls to the atria and the ventricles. An above-threshold concentration of tensions from mechanical pulses may excite cardiomyocytes from different points of the myocardium, disturbing the sinus rhythm. As a result, extrasystoles, tachycardia attacks, blocking of blood circulation in the peripheral segments of the venous arterial networks, edemata, thrombosis and metabolism disorders appear. Arrhythmia, tachycardia attacks and concomitant myocardial ischemia lead to progression of heart fibrosis. Such changes increase the probability of fibrillations and sudden cardiac death. Conclusion Unhealthy lifestyle, the presence of opening and not properly closing anastomoses may provoke a number of diseases. To avoid the cardiac arrhythmia attacks and prevent SCD, it is necessary to suppress travel of the mechanical waves within the following circuitry: aorta – artery – anastomosis – vein – vena cava – atria – ventricles. The travel of the mechanical waves within the same vessel circuitry explains the fact that the fixed couplings under extrasystoles are observed, and the beat-to-beat RR intervals under tachycardia

  18. Epidemiology of Arrhythmias in Children

    Directory of Open Access Journals (Sweden)

    R Prem Sekar

    2008-05-01

    Full Text Available Unlike the adult population, arrhythmias occur less commonly in childhood. Only 5% of the emergency hospital admissions in the paediatric population is attributed to symptomatic arrhythmias. Majority of these tend to be accessory pathway mediated supraventricular tachyarrhythmias such as Wolff-Parkinson-White (WPW syndrome, permanent junctional reciprocating tachycardia (PJRT and Mahaim tachycardia. The non accessory pathway mediated supraventricular tachyarrhythmias commonly seen in children are junctional ectopic tachycardia (JET and automatic ectopic atrial tachycardia (AET and occur mostly in the post operative period after intracardiac repair for a structural heart defect. Ventricular tachycardia (VT although uncommon, occurs in the paediatric age group in association with hypertrophic cardiomyopathy (HCM, long QT syndrome (LQTS and Brugada syndrome. Occasionally, VT can also present symptomatically as incessant idiopathic infant ventricular tachycardia, right ventricular outflow tract tachycardia, benign VT, catecholaminic VT, idiopathic left ventricular tachycardia and in post cardiac surgical patients.

  19. Gene Therapy in Cardiac Arrhythmias

    Directory of Open Access Journals (Sweden)

    Praveen S.V

    2006-04-01

    Full Text Available Gene therapy has progressed from a dream to a bedside reality in quite a few human diseases. From its first application in adenosine deaminase deficiency, through the years, its application has evolved to vascular angiogenesis and cardiac arrhythmias. Gene based biological pacemakers using viral vectors or mesenchymal cells tested in animal models hold much promise. Induction of pacemaker activity within the left bundle branch can provide stable heart rates. Genetic modification of the AV node mimicking beta blockade can be therapeutic in the management of atrial fibrillation. G protein overexpression to modify the AV node also is experimental. Modification and expression of potassium channel genes altering the delayed rectifier potassium currents may permit better management of congenital long QT syndromes. Arrhythmias in a failing heart are due to abnormal calcium cycling. Potential targets for genetic modulation include the sarcoplasmic reticulum calcium pump, calsequestrin and sodium calcium exchanger.Lastly the ethical concerns need to be addressed.

  20. Gene Therapy in Cardiac Arrhythmias

    OpenAIRE

    Praveen, S.V; Francis, Johnson; Venugopal, K

    2006-01-01

    Gene therapy has progressed from a dream to a bedside reality in quite a few human diseases. From its first application in adenosine deaminase deficiency, through the years, its application has evolved to vascular angiogenesis and cardiac arrhythmias. Gene based biological pacemakers using viral vectors or mesenchymal cells tested in animal models hold much promise. Induction of pacemaker activity within the left bundle branch can provide stable heart rates. Genetic modification of the AV...

  1. Remote Arrhythmia Monitoring System Developed

    Science.gov (United States)

    York, David W.; Mackin, Michael A.; Liszka, Kathy J.; Lichter, Michael J.

    2004-01-01

    Telemedicine is taking a step forward with the efforts of team members from the NASA Glenn Research Center, the MetroHealth campus of Case Western University, and the University of Akron. The Arrhythmia Monitoring System is a completed, working test bed developed at Glenn that collects real-time electrocardiogram (ECG) signals from a mobile or homebound patient, combines these signals with global positioning system (GPS) location data, and transmits them to a remote station for display and monitoring. Approximately 300,000 Americans die every year from sudden heart attacks, which are arrhythmia cases. However, not all patients identified at risk for arrhythmias can be monitored continuously because of technological and economical limitations. Such patients, who are at moderate risk of arrhythmias, would benefit from technology that would permit long-term continuous monitoring of electrical cardiac rhythms outside the hospital environment. Embedded Web Technology developed at Glenn to remotely command and collect data from embedded systems using Web technology is the catalyst for this new telemetry system (ref. 1). In the end-to-end system architecture, ECG signals are collected from a patient using an event recorder and are transmitted to a handheld personal digital assistant (PDA) using Bluetooth, a short-range wireless technology. The PDA concurrently tracks the patient's location via a connection to a GPS receiver. A long distance link is established via a standard Internet connection over a 2.5-generation Global System for Mobile Communications/General Packet Radio Service (GSM/GPRS)1 cellular, wireless infrastructure. Then, the digital signal is transmitted to a call center for monitoring by medical professionals.

  2. Dynamic tunneling force microscopy for characterizing electronic trap states in non-conductive surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Wang, R.; Williams, C. C., E-mail: clayton@physics.utah.edu [Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah 84112 (United States)

    2015-09-15

    Dynamic tunneling force microscopy (DTFM) is a scanning probe technique for real space mapping and characterization of individual electronic trap states in non-conductive films with atomic scale spatial resolution. The method is based upon the quantum mechanical tunneling of a single electron back and forth between a metallic atomic force microscopy tip and individual trap states in completely non-conducting surface. This single electron shuttling is measured by detecting the electrostatic force induced on the probe tip at the shuttling frequency. In this paper, the physical basis for the DTFM method is unfolded through a physical model and a derivation of the dynamic tunneling signal as a function of several experimental parameters is shown. Experimental data are compared with the theoretical simulations, showing quantitative consistency and verifying the physical model used. The experimental system is described and representative imaging results are shown.

  3. Estimating the Wet-Rock P-Wave Velocity from the Dry-Rock P-Wave Velocity for Pyroclastic Rocks

    Science.gov (United States)

    Kahraman, Sair; Fener, Mustafa; Kilic, Cumhur Ozcan

    2017-07-01

    Seismic methods are widely used for the geotechnical investigations in volcanic areas or for the determination of the engineering properties of pyroclastic rocks in laboratory. Therefore, developing a relation between the wet- and dry-rock P-wave velocities will be helpful for engineers when evaluating the formation characteristics of pyroclastic rocks. To investigate the predictability of the wet-rock P-wave velocity from the dry-rock P-wave velocity for pyroclastic rocks P-wave velocity measurements were conducted on 27 different pyroclastic rocks. In addition, dry-rock S-wave velocity measurements were conducted. The test results were modeled using Gassmann's and Wood's theories and it was seen that estimates for saturated P-wave velocity from the theories fit well measured data. For samples having values of less and greater than 20%, practical equations were derived for reliably estimating wet-rock P-wave velocity as function of dry-rock P-wave velocity.

  4. Scanning Electron Microscopy of Nonconductive Specimens at Critical Energies in a Cathode Lens System

    Czech Academy of Sciences Publication Activity Database

    Frank, Luděk; Zadražil, Martin; Müllerová, Ilona

    2001-01-01

    Roč. 23, č. 1 (2001), s. 36-50 ISSN 0161-0457 R&D Projects: GA ČR GA202/96/0961; GA ČR GA202/99/0008 Institutional research plan: CEZ:AV0Z2065902 Keywords : scanning electron microscopy * specimen charging * nonconductive specimens Subject RIV: JA - Electronics ; Optoelectronics, Electrical Engineering Impact factor: 0.389, year: 2001

  5. Electrophoretic deposition of thin film zirconia electrolyte on non-conducting NiO-YSZ substrate

    International Nuclear Information System (INIS)

    Das, Debasish; Basu, Rajendra N.

    2014-01-01

    Eight (8) mol% yttria stabilized zirconia (YSZ), an electrolyte material for solid oxide fuel cell (SOFC), has been deposited onto porous non-conducting NiO-YSZ substrate using electrophoretic deposition technique (EPD) from a stable non-aqueous suspension of YSZ. Normally, EPD cannot be performed on a non-conducting substrate, but, in this present study, YSZ particulate film has been successfully deposited on a non-conducting NiO-YSZ substrate following two different EPD approaches:(a) using a conducting metallic plate on the reverse side of the porous NiO-YSZ anode substrate and (b) using a conducting polymer coated NiO-YSZ substrate. The deposited films are then formed dense coatings of 5-15 μm after sintering at 1400℃ for 6 h in air. Surface and cross-sectional morphologies of green and sintered films deposited by different EPD approaches are investigated using SEM. La 0.65 Sr 0.3 MnO 3 (LSM), a cathode for SOFC, is then screen-printed onto the electrolyte layer of such sintered half cells (anode+electrolyte) prepared by both the above approaches to construct SOFC single cells. A maximum output power density of 0.37 W.cm -2 is obtained using single cells prepared by conducting metallic plate assisted EPD compared to that of 0.73 W.cm -2 for polymer coated at 800℃ using H 2 as fuel and O 2 as oxidant. (author)

  6. Method for electrically producing dispersions of a nonconductive fluid in a conductive medium

    Science.gov (United States)

    DePaoli, David W.; Tsouris, Constantinos; Feng, James Q.

    1998-01-01

    A method for use in electrically forming dispersions of a nonconducting fluid in a conductive medium that minimizes power consumption, gas generation, and sparking between the electrode of the nozzle and the conductive medium. The method utilizes a nozzle having a passageway, the wall of which serves as the nozzle electrode, for the transport of the nonconducting fluid into the conductive medium. A second passageway provides for the transport of a flowing low conductivity buffer fluid which results in a region of the low conductivity buffer fluid immediately adjacent the outlet from the first passageway to create the necessary protection from high current drain and sparking. An electrical potential difference applied between the nozzle electrode and an electrode in contact with the conductive medium causes formation of small droplets or bubbles of the nonconducting fluid within the conductive medium. A preferred embodiment has the first and second passageways arranged in a concentric configuration, with the outlet tip of the first passageway withdrawn into the second passageway.

  7. A Method for Coupling a Direct Current Power Source Across a Dielectric Membrane or Other Non-Conducting Membrane

    National Research Council Canada - National Science Library

    Steinbrecher, Donald H

    2008-01-01

    .... A second set of plates on the second side of the membrane form a set of coupling capacitors wherein the non-conducting dielectric membrane becomes part of the coupling-capacitor dielectric material...

  8. Increased P-wave dispersion a risk for atrial fibrillation in adolescents with anorexia nervosa.

    Science.gov (United States)

    Ertuğrul, İlker; Akgül, Sinem; Derman, Orhan; Karagöz, Tevfik; Kanbur, Nuray

    2016-01-01

    Studies have shown that a prolonged P-wave dispersion is a risk factor for the development of atrial fibrillation. The aim of this study was to evaluate P-wave dispersion in adolescents with anorexia nervosa at diagnosis. We evaluated electrocardiographic findings, particularly the P-wave dispersion, at initial assessment in 47 adolescents with anorexia nervosa. Comparison of P-wave dispersion between adolescents with anorexia nervosa and controls showed a statistically significant higher P-wave dispersion in patients with anorexia nervosa (72 ± 16.3 msec) when compared to the control group (43.8 ± 9.5 msec). Percent of body weight lost, lower body mass index, and higher weight loss rate in the patients with anorexia nervosa had no effect on P-wave dispersion. Due to the fact that anorexia nervosa has a high mortality rate we believe that cardiac pathologies such as atrial fibrillation must also be considered in the medical evaluation.

  9. Burden of arrhythmia in recreational marijuana users.

    Science.gov (United States)

    Desai, Rupak; Patel, Upenkumar; Deshmukh, Abhishek; Sachdeva, Rajesh; Kumar, Gautam

    2018-03-27

    Marijuana or Cannabis is extensively used as a recreational substance globally. Case reports have reported cardiac arrhythmias immediately following recreational marijuana use. However, the burden of arrhythmias in hospitalized marijuana users have not been evaluated through prospective or cross-sectional studies. Therefore, we planned to measure temporal trends of the frequency of arrhythmias in hospitalized marijuana users using National Inpatient Sample (NIS) database in the United States. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Arrhythmia

    Science.gov (United States)

    ... information about the heart's electrical system, including detailed animations, go to the Health Topics How the Heart ... Your doctor watches your symptoms, heart rate, EKG reading, and blood pressure throughout the test. He or ...

  11. Arrhythmia

    Science.gov (United States)

    ... Kids and Teens Pregnancy and Childbirth Women Men Seniors Your Health Resources Healthcare Management End-of-Life Issues Insurance & Bills Self Care Working With Your Doctor Drugs, Procedures & Devices Over-the- ...

  12. Thyroid hormones and cardiac arrhythmias

    Czech Academy of Sciences Publication Activity Database

    Tribulová, N.; Knezl, V.; Shainberg, A.; Seki, S.; Soukup, Tomáš

    2010-01-01

    Roč. 52, 3-4 (2010), s. 102-112 ISSN 1537-1891 R&D Projects: GA ČR(CZ) GA304/08/0256 Grant - others:VEGA(SK) 2/0049/09; APVV(SK) 51-059505; APVV(SK) 51-017905 Institutional research plan: CEZ:AV0Z50110509 Keywords : thyroid hormone * arrhythmias * ion channels * connexin-43 Subject RIV: FA - Cardiovascular Disease s incl. Cardiotharic Surgery Impact factor: 2.174, year: 2010

  13. Electromechanical wave imaging for arrhythmias

    International Nuclear Information System (INIS)

    Provost, Jean; Nguyen, Vu Thanh-Hieu; Legrand, Diégo; Okrasinski, Stan; Costet, Alexandre; Konofagou, Elisa E; Gambhir, Alok; Garan, Hasan

    2011-01-01

    Electromechanical wave imaging (EWI) is a novel ultrasound-based imaging modality for mapping of the electromechanical wave (EW), i.e. the transient deformations occurring in immediate response to the electrical activation. The correlation between the EW and the electrical activation has been established in prior studies. However, the methods used previously to map the EW required the reconstruction of images over multiple cardiac cycles, precluding the application of EWI for non-periodic arrhythmias such as fibrillation. In this study, new imaging sequences are developed and applied based on flash- and wide-beam emissions to image the entire heart at very high frame rates (2000 fps) during free breathing in a single heartbeat. The methods are first validated by imaging the heart of an open-chest canine while simultaneously mapping the electrical activation using a 64-electrode basket catheter. Feasibility is then assessed by imaging the atria and ventricles of closed-chest, conscious canines during sinus rhythm and during right-ventricular pacing following atrio-ventricular dissociation, i.e., during a non-periodic rhythm. The EW was validated against electrode measurements in the open-chest case, and followed the expected electrical propagation pattern in the closed-chest setting. These results indicate that EWI can be used for the characterization of non-periodic arrhythmias in conditions similar to the clinical setting, in a single heartbeat, and during free breathing. (fast track communication)

  14. P-wave dispersion: relationship to left ventricular function in sickle cell anaemia.

    Science.gov (United States)

    Oguanobi, N I; Onwubere, B J; Ike, S O; Anisiuba, B C; Ejim, E C; Ibegbulam, O G

    2011-01-01

    The prognostic implications of P-wave dispersion in patients with a variety of cardiac disease conditions are increasingly being recognised. The relationship between P-wave dispersion and left ventricular function in sickle cell anaemia is unknown. This study was aimed at evaluating the relationship between P-wave dispersion and left ventricular function in adult Nigerian sickle cell anaemia patients. Between February and August 2007, a total of 62 sickle cell anaemia patients (aged 18-44 years; mean 28.27 ± 5.58) enrolled in the study. These were drawn from patients attending the adult sickle cell clinic of the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu. An equal number of age- and gender-matched normal subjects served as controls. All the participants were evaluated with electrocardiography and echocardiography. P-wave dispersion was defined as the difference between the maximum and minimum P-wave duration measured in a 12-lead electrocardiogram. P-wave duration and P-wave dispersion were significantly higher in patients than in controls. Significant correlation was demonstrated between P-wave dispersion and age in the patients (r = 0.387; p = 0.031). A comparison of subsets of sickle cell anaemia patients and controls with comparable haematocrit values (30-35%) showed significantly higher P-wave duration and P-wave dispersion in the patients than in the controls. The P-wave duration in patients and controls, respectively, was 111.10 ± 14.53 ms and 89.14 ± 16.45 ms (t = 3.141; p = 0.006). P-wave dispersion was 64.44 ± 15.86 ms in the patients and 36.43 ± 10.35 ms in the controls (t = 2.752; p = 0.013). Significant negative correlation was found between P-wave dispersion and left ventricular transmitral E/A ratio (r = -0.289; p = 0.023). These findings suggest that P-wave dispersion could be useful in the evaluation of sickle cell patients with left ventricular diastolic dysfunction. Further prospective studies are recommended to evaluate

  15. Anomalous incident-angle and elliptical-polarization rotation of an elastically refracted P-wave

    Science.gov (United States)

    Fa, Lin; Fa, Yuxiao; Zhang, Yandong; Ding, Pengfei; Gong, Jiamin; Li, Guohui; Li, Lijun; Tang, Shaojie; Zhao, Meishan

    2015-08-01

    We report a newly discovered anomalous incident-angle of an elastically refracted P-wave, arising from a P-wave impinging on an interface between two VTI media with strong anisotropy. This anomalous incident-angle is found to be located in the post-critical incident-angle region corresponding to a refracted P-wave. Invoking Snell’s law for a refracted P-wave provides two distinctive solutions before and after the anomalous incident-angle. For an inhomogeneously refracted and elliptically polarized P-wave at the anomalous incident-angle, its rotational direction experiences an acute variation, from left-hand elliptical to right-hand elliptical polarization. The new findings provide us an enhanced understanding of acoustical-wave scattering and lead potentially to widespread and novel applications.

  16. Method of forming electronically conducting polymers on conducting and nonconducting substrates

    Science.gov (United States)

    Murphy, Oliver J. (Inventor); Hitchens, G. Duncan (Inventor); Hodko, Dalibor (Inventor); Clarke, Eric T. (Inventor); Miller, David L. (Inventor); Parker, Donald L. (Inventor)

    2001-01-01

    The present invention provides electronically conducting polymer films formed from photosensitive formulations of pyrrole and an electron acceptor that have been selectively exposed to UV light, laser light, or electron beams. The formulations may include photoinitiators, flexibilizers, solvents and the like. These solutions can be used in applications including printed circuit boards and through-hole plating and enable direct metallization processes on non-conducting substrates. After forming the conductive polymer patterns, a printed wiring board can be formed by sensitizing the polymer with palladium and electrolytically depositing copper.

  17. Electrical Signs predictors of malignant ventricular arrhythmias

    International Nuclear Information System (INIS)

    Aleman Fernandez, Ailema Amelia; Dorantes Sanchez, Margarita

    2012-01-01

    Recurrence of malignant ventricular arrhythmia is frequent in cardioverter-defibrillators related patients. The risk stratification is difficult, there are numerous electrocardiographic predictors but his sensibility and specificity are not absolute. The limit between normal and pathological is not defined, besides the complexity of ventricular arrhythmias. We expose different electrocardiographic predictors that can help to better individual risk stratification

  18. Detection of Rapid Atrial Arrhythmias in SQUID Magnetocardiography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Woong; Kwon, Hyuk Chan; Kim, Ki Dam; Lee, Yong Ho; Kim, Jin Mok; Kim, In Seon; Lim, Hyun Kyoon; Park, Yong Ki [Biomagnetism Research, Korea Research Institute of Standards and Science, Daejeon (Korea, Republic of); Kim, Doo Sang [Seoul Veterans Hospital, Seoul (Korea, Republic of); Lim, Seung Pyung [Chungnam National University Hospital, Daejeon (Korea, Republic of)

    2005-10-15

    We propose a method to measure atrial arrhythmias (AA) such as atrial fibrillation (Afb) and atrial flutter (Afl) with a SQUID magnetocardiograph (MCG) system. To detect AA is one of challenging topics in MCG. As the AA generally have irregular rhythm and atrio-ventricular conduction, the MCG signal cannot be improved by QRS averaging; therefore a SQUID MCG system having a high SNR is required to measure informative atrial excitation with a single scan. In the case of Afb, diminished f waves are much smaller than normal P waves because the sources are usually located on the posterior wall of the heart. In this study, we utilize an MCG system measuring tangential field components, which is known to be more sensitive to a deeper current source. The average noise spectral density of the whole system in a magnetic shielded room was 10 fT/Hz(a) 1 Hz and 5 fT/Hz(a) 100 Hz. We measured the MCG signals of patients with chronic Afb and Afl. Before the AA measurement, the comparison between the measurements in supine and prone positions for P waves has been conducted and the experiment gave a result that the supine position is more suitable to measure the atrial excitation. Therefore, the AA was measured in subject's supine position. Clinical potential of AA measurement in MCG is to find an aspect of a reentry circuit and to localize the abnormal stimulation noninvasively. To give useful information about the abnormal excitation, we have developed a method, separative synthetic aperture magnetometry (sSAM). The basic idea of sSAM is to visualize current source distribution corresponding to the atrial excitation, which are separated from the ventricular excitation and the Gaussian sensor noises. By using sSAM, we localized the source of an Afl successfully.

  19. Assembly of graphene oxide on nonconductive nonwovens by the synergistic effect of interception and electrophoresis

    Energy Technology Data Exchange (ETDEWEB)

    Jiao, Kunyan; Zhu, Ting; Li, Xianhua; Shan, Mingjing; Xu, Zhiwei, E-mail: xuzhiwei@tjpu.edu.cn; Jiao, Yanan [Tianjin Polytechnic University, Key Laboratory of Advanced Braided Composites, Ministry of Education (China)

    2015-09-15

    Electrophoretic deposition has always been an attractive method to deposit nanoparticles on conductive materials, while most fiber-based materials have poor conductivity which limits the application of electrophoretic deposition in assembling nanoparticles onto fiber-based materials. A new approach to assemble graphene oxide (GO) nanosheets on nonconductive nonwovens via the synergistic effect of electrophoresis and fiber interception was reported in this study. To improve surface wettability, polypropylene (PP) nonwovens were modified by acrylic acid and subsequent N{sub 2} plasma treatment. Then GO nanosheets were anchored onto modified nonwovens by electrophoresis process and nonwoven interception. The results of scanning electron microscopy (SEM) and Fourier transform infrared spectroscopy (FTIR) manifested that etching and grafting simultaneously occurred on the surface of modified PP nonwovens, resulting in a great improvement of nonwoven hydrophily, which corresponded to the results of water contact angle. Furthermore, the results of X-ray diffraction, energy dispersive X-ray, SEM, and FTIR indicated that different amounts of GO nanosheets were successfully assembled onto modified PP nonwovens. This method provides a new avenue for incorporating carbon nanoparticles with nonconductive fiber-based materials, and modified PP nonwovens assembled with GO nanosheets show good air filtration performance for sodium chloride aerosol with a filtration efficiency of 87.9 % and a pressure drop of 36.4 mmH{sub 2}O, and the reduced GO/PP composite nonwovens exhibit enhanced conductivity.

  20. Suspension chemistry and electrophoretic deposition of zirconia electrolyte on conducting and non-conducting substrates

    International Nuclear Information System (INIS)

    Das, Debasish; Basu, Rajendra N.

    2013-01-01

    Graphical abstract: - Highlights: • Stable suspension of yttria stabilized zirconia (YSZ) obtained in isopropanol medium. • Suspension chemistry and process parameters for electrophoretic deposition optimized. • Deposited film quality changed with iodine and water (dispersants) concentration. • Dense YSZ film (∼5 μm) fabricated onto non-conducting porous NiO-YSZ anode substrate. - Abstract: Suspensions of 8 mol% yttria stabilized zirconia (YSZ) particulates in isopropanol medium are prepared using acetylacetone, iodine and water as dispersants. The effect of dispersants concentration on suspension stability, particle size distribution, electrical conductivity and pH of the suspensions are studied in detail to optimize the suspension chemistry. Electrophoretic deposition (EPD) has been conducted to produce thin and dense YSZ electrolyte films. Deposition kinetics have been studied in depth and good quality films on conducting substrate are obtained at an applied voltage of 15 V for 3 min. YSZ films are also fabricated on non-conducting NiO-YSZ anode substrate using a steel plate on the reverse side of the substrate. Upon co-firing at 1400 °C for 6 h a dense YSZ film of thickness ∼5 μm is obtained. Such a half cell (anode + electrolyte) can be used to fabricate a solid oxide fuel cell on applying a suitable cathode layer

  1. Functionalization of silicon nanowires by conductive and non-conductive polymers

    Science.gov (United States)

    Belhousse, S.; Tighilt, F.-Z.; Sam, S.; Lasmi, K.; Hamdani, K.; Tahanout, L.; Megherbi, F.; Gabouze, N.

    2017-11-01

    The work reports on the development of hybrid devices based on silicon nanowires (SiNW) with polymers and the difference obtained when using conductive and non-conductive polymers. SiNW have attracted much attention due to their importance in understanding the fundamental properties at low dimensionality as well as their potential application in nanoscale devices as in field effect transistors, chemical or biological sensors, battery electrodes and photovoltaics. SiNW arrays were formed using metal assisted chemical etching method. This process is simple, fast and allows obtaining a wide range of silicon nanostructures. Hydrogen-passivated SiNW surfaces show relatively poor stability. Surface modification with organic species confers the desired stability and enhances the surface properties. For this reason, this work proposes a covalent grafting of organic material onto SiNW surface. We have chosen a non-conductive polymer polyvinylpyrrolidone (PVP) and conductive polymers polythiophene (PTh) and polypyrrole (PPy), in order to evaluate the electric effect of the polymers on the obtained materials. The hybrid structures were elaborated by the polymerization of the corresponding conjugated monomers by electrochemical route; this electropolymerization offers several advantages such as simplicity and rapidity. SiNW functionalization by conductive polymers has shown to have a huge effect on the electrical mobility. Hybrid surface morphologies were characterized by scanning electron microscopy (SEM), infrared spectroscopy (FTIR-ATR) and contact angle measurements.

  2. Morphological variability of the P-wave for premature envision of paroxysmal atrial fibrillation events.

    Science.gov (United States)

    Martínez, Arturo; Alcaraz, Raul; Rieta, Jose J

    2014-01-01

    The present work introduces the first study on the P-wave morphological variability two hours preceding the onset of paroxysmal atrial fibrillation (PAF). The development of non-invasive methods able to track P-wave alterations over time is a clinically relevant tool to anticipate as much as possible the envision of a new PAF episode. This information is essential for further improvement of preventive and patient-tailored treatment strategies, which could avert the loss of sinus rhythm. In this way, risks for the patients could be minimized and their quality of life improved. Recently, the P-wave morphological analysis is drawing increasing attention because differences in morphology can reflect different atrial activation patterns. Indeed, the P-wave morphology study has recently proved to be useful for determining the presence of an underlying pathophysiological condition in patients prone to atrial fibrillation. However, the P-wave morphology variability over time has not been studied yet. In this respect, the present work puts forward some parameters related to the P-wave shape and energy with the ability to quantify non-invasively the notable atrial conduction alterations preceding the onset of PAF. Results showed that P-wave fragmentation and area presented higher variability over time as the onset of PAF approximates. By properly combining these indices, an average global accuracy of 86.33% was achieved to discern between electrocardiogram segments from healthy subjects, far from a PAF episode and less than one hour close to a PAF episode. As a consequence, the P-wave morphology long-term analysis seems to be a useful tool for the non-invasive envision of PAF onset with a reasonable anticipation. Nonetheless, further research is required to corroborate this finding and to validate the capability of the proposed P-wave metrics in the earlier prediction of PAF onset.

  3. Morphological variability of the P-wave for premature envision of paroxysmal atrial fibrillation events

    International Nuclear Information System (INIS)

    Martínez, Arturo; Alcaraz, Raul; Rieta, Jose J

    2014-01-01

    The present work introduces the first study on the P-wave morphological variability two hours preceding the onset of paroxysmal atrial fibrillation (PAF). The development of non-invasive methods able to track P-wave alterations over time is a clinically relevant tool to anticipate as much as possible the envision of a new PAF episode. This information is essential for further improvement of preventive and patient-tailored treatment strategies, which could avert the loss of sinus rhythm. In this way, risks for the patients could be minimized and their quality of life improved. Recently, the P-wave morphological analysis is drawing increasing attention because differences in morphology can reflect different atrial activation patterns. Indeed, the P-wave morphology study has recently proved to be useful for determining the presence of an underlying pathophysiological condition in patients prone to atrial fibrillation. However, the P-wave morphology variability over time has not been studied yet. In this respect, the present work puts forward some parameters related to the P-wave shape and energy with the ability to quantify non-invasively the notable atrial conduction alterations preceding the onset of PAF. Results showed that P-wave fragmentation and area presented higher variability over time as the onset of PAF approximates. By properly combining these indices, an average global accuracy of 86.33% was achieved to discern between electrocardiogram segments from healthy subjects, far from a PAF episode and less than one hour close to a PAF episode. As a consequence, the P-wave morphology long-term analysis seems to be a useful tool for the non-invasive envision of PAF onset with a reasonable anticipation. Nonetheless, further research is required to corroborate this finding and to validate the capability of the proposed P-wave metrics in the earlier prediction of PAF onset. (paper)

  4. Lysophosphatidylcholine (LPC) metabolism and cardiac arrhythmias

    International Nuclear Information System (INIS)

    Giffin, D.M.; Man, R.Y.K.; Arthur, G.; Choy, P.C.

    1986-01-01

    The effect of LPC in the production of cardiac arrhythmias in isolated mammalian hearts has been well-documented. Cardiac arrhythmias are initiated by the accumulation of the lysolipid in the cardiac membrane. When isolated rat hearts were perfused in 10 μM LPC for 10 min, severe arrhythmias were observed in all experiments. In isolated guinea pig hearts that were perfused under identical conditions, the development of severe arrhythmias was never observed, and mild arrhythmias were produced in less than 50% of the hearts used. When the hearts of both species were perfused with [ 14 C-palmitate]-LPC, the labellings found in the microsomal fractions (expressed in mg protein) were similar. However, a higher amount of labelled LPC (2-fold) was found in rat heart microsomes, whereas a higher amount of labelled fatty acid was located in the guinea pig heart microsomes. Determination of lysophospholipase activities in these microsomal fractions revealed that the specific activity of the enzyme was much higher in the guinea pig heart than the rat heart. The authors conclude that the differential effect of LPC-induced arrhythmias between the rat and guinea pig heart may be a direct result of the lysophospholipase activities in these hearts. The ability to catabolize LPC more rapidly in the guinea pig heart may decrease the accumulation of LPC in the membrane, and hence, reduce the production of arrhythmias

  5. Adapting detection sensitivity based on evidence of irregular sinus arrhythmia to improve atrial fibrillation detection in insertable cardiac monitors.

    Science.gov (United States)

    Pürerfellner, Helmut; Sanders, Prashanthan; Sarkar, Shantanu; Reisfeld, Erin; Reiland, Jerry; Koehler, Jodi; Pokushalov, Evgeny; Urban, Luboš; Dekker, Lukas R C

    2017-10-03

    Intermittent change in p-wave discernibility during periods of ectopy and sinus arrhythmia is a cause of inappropriate atrial fibrillation (AF) detection in insertable cardiac monitors (ICM). To address this, we developed and validated an enhanced AF detection algorithm. Atrial fibrillation detection in Reveal LINQ ICM uses patterns of incoherence in RR intervals and absence of P-wave evidence over a 2-min period. The enhanced algorithm includes P-wave evidence during RR irregularity as evidence of sinus arrhythmia or ectopy to adaptively optimize sensitivity for AF detection. The algorithm was developed and validated using Holter data from the XPECT and LINQ Usability studies which collected surface electrocardiogram (ECG) and continuous ICM ECG over a 24-48 h period. The algorithm detections were compared with Holter annotations, performed by multiple reviewers, to compute episode and duration detection performance. The validation dataset comprised of 3187 h of valid Holter and LINQ recordings from 138 patients, with true AF in 37 patients yielding 108 true AF episodes ≥2-min and 449 h of AF. The enhanced algorithm reduced inappropriately detected episodes by 49% and duration by 66% with adapts sensitivity for AF detection reduced inappropriately detected episodes and duration with minimal reduction in sensitivity. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Cardiology

  6. Application of perturbation theory to a P-wave eikonal equation in orthorhombic media

    KAUST Repository

    Stovas, Alexey; Masmoudi, Nabil; Alkhalifah, Tariq Ali

    2016-01-01

    The P-wave eikonal equation for orthorhombic (ORT) anisotropic media is a highly nonlinear partial differential equation requiring the solution of a sixth-order polynomial to obtain traveltimes, resulting in complex and time-consuming numerical

  7. Military jet pilots have higher p-wave dispersions compared to the transport aircraft aircrew

    Directory of Open Access Journals (Sweden)

    Mustafa Çakar

    2016-08-01

    Full Text Available Objectives: For the purpose of flight safety military aircrew must be healthy. P-wave dispersion (PWD is the p-wave length difference in an electrocardiographic (ECG examination and represents the risk of developing atrial fibrillation. In the study we aimed at investigating PWD in healthy military aircrew who reported for periodical examinations. Material and Methods: Seventy-five asymptomatic military aircrew were enrolled in the study. All the subjects underwent physical, radiologic and biochemical examinations, and a 12-lead electrocardiography. P-wave dispersions were calculated. Results: The mean age of the study participants was 36.15±8.97 years and the mean p-wave duration was 100.8±12 ms in the whole group. Forty-seven subjects were non-pilot aircrew, and 28 were pilots. Thirteen study subjects were serving in jets, 49 in helicopters, and 13 were transport aircraft pilots. Thirty-six of the helicopter and 11 of the transport aircraft aircrew were non-pilot aircrew. P-wave dispersion was the lowest in the transport aircraft aircrew, and the highest in jet pilots. P-wave dispersions were similar in the pilots and non-pilot aircrew. Twenty-three study subjects were overweight, 19 had thyroiditis, 26 had hepatosteatosis, 4 had hyperbilirubinemia, 2 had hypertension, and 5 had hyperlipidemia. The PWD was significantly associated with thyroid-stimulating hormone (TSH levels. Serum uric acid levels were associated with p-wave durations. Serum TSH levels were the most important predictor of PWD. Conclusions: When TSH levels were associated with PWD, uric acid levels were associated with p-wave duration in the military aircrew. The jet pilots had higher PWDs. These findings reveal that military jet pilots may have a higher risk of developing atrial fibrillation, and PWD should be recorded during periodical examinations.

  8. Frequency of cardiac arrhythmias in high and low- yielding dairy cows

    Directory of Open Access Journals (Sweden)

    Afshin Jafari Dehkordi

    2014-06-01

    Full Text Available Electrocardiography (ECG may be used to recognize cardiac disorders. Levels of milk production may change the serum electrolytes which its imbalance has a role in cardiac arrhythmia. Fifty high yielding and fifty low yielding Holstein dairy cows were used in this study. Electrocardiography was recorded by base-apex lead and blood samples were collected from jugular vein for measurement of serum elements such as sodium, potassium, calcium, phosphorous, iron and magnesium. Cardiac dysrhythmias were detected more frequent in low yielding Holstein cows (62.00% compared to high yielding Holstein cows (46.00%. The cardiac dysrhythmias that were observed in low yielding Holstein cows included sinus arrhythmia (34.70%, wandering pacemaker (22.45 %, bradycardia (18.37%, tachycardia (10.20%, atrial premature beat (2.04%, sinoatrial block (2.04%, atrial fibrillation (8.16% and atrial tachycardia (2.04%. The cardiac dysrhythmias were observed in high yielding Holstein cows including, sinus arrhythmia (86.95% and wandering pacemaker (13.05%. Also, notched P wave was observed to be 30% and 14% in high- and low- yielding Holstein cows respectively. The serum calcium concentration of low yielding Holstein cows was significantly lower than that of high yielding Holstein cows. There was not any detectable significant difference in other serum elements between high- and low- yielding Holstein cows. Based on the result of present study, could be concluded that low serum concentration of calcium results to more frequent dysrhythmias in low yielding Holstein cows.

  9. Targeting sodium channels in cardiac arrhythmia

    NARCIS (Netherlands)

    Remme, Carol Ann; Wilde, Arthur A. M.

    2014-01-01

    Cardiac voltage-gated sodium channels are responsible for proper electrical conduction in the heart. During acquired pathological conditions and inherited sodium channelopathies, altered sodium channel function causes conduction disturbances and ventricular arrhythmias. Although the clinical,

  10. Arrhythmia and exercise intolerance in Fontan patients

    DEFF Research Database (Denmark)

    Idorn, L; Juul, K; Jensen, A S

    2013-01-01

    BACKGROUND: Long-term survival after the Fontan procedure shows excellent results but is associated with a persistent risk of arrhythmias and exercise intolerance. We aimed to analyze the current burden of clinically relevant arrhythmia and severe exercise intolerance in Danish Fontan patients...... and estimated to 99.1% per year. Prevalence of clinically relevant arrhythmia and severe exercise intolerance increased significantly with age and was found in 32% and 85% of patients ≥20years, respectively. Thus, from survival data and logistic regression models the future prevalence of patients, clinically...... relevant arrhythmia and severe exercise intolerance were estimated, revealing a considerable augmentation. Furthermore, resting and maximum cardiac index, resting stroke volume index and pulmonary diffusing capacity decreased significantly with age while diastolic and systolic ventricular function...

  11. Temperature effect on microstructure and P-wave propagation in Linyi sandstone

    International Nuclear Information System (INIS)

    Sun, Hui; Sun, Qiang; Deng, Wenni; Zhang, Weiqiang; Lü, Chao

    2017-01-01

    Highlights: • Mass loss rate, P-wave velocity change rate and damage factor increase exponentially as temperatures rise. • The damage threshold temperature of sandstone samples is 300 °C and limit temperature is 900 °C. • P-wave velocity change rate of sandstone exhibits excellent linearity with mass loss rate. • Damage factor can be well expressed by mass loss rate. - Abstract: In order to study the effect of high temperature on the sandstone, scanning electron microscope (SEM) experiments and primary wave (P-wave) velocity tests have been carried out on sandstone specimens heated to different temperature. The results showed that: (1) the mass loss rate increases exponentially with the increase of temperature and reaches 2.97% at 900 °C; (2) the P-wave velocity change rate increases exponentially with the increase of temperature while there is some fluctuation before 500 °C; (3) the damage threshold temperature of sandstone samples is 300 °C and the limit temperature is 900 °C; (4) there is a good linear relationship between the mass loss rate and the P-wave velocity change rate, and the correlation coefficient (R) of the fitting line is 0.989; (5) the damage caused by high temperature can be reflected better by the mass loss rate than P-wave velocity change rate. The results obtained in this paper will be good for predicting the properties of sandstone when exposed to high temperature.

  12. Seasonality of P wave microseisms from NCF-based beamforming using ChinArray

    Science.gov (United States)

    Wang, Weitao; Gerstoft, Peter; Wang, Baoshan

    2018-06-01

    Teleseismic P wave microseisms produce interference signals with high apparent velocity in noise cross-correlation functions (NCFs). Sources of P wave microseisms can be located with NCFs from seismic arrays. Using the vertical-vertical component NCFs from a large-aperture array in southwestern China (ChinArray), we studied the P wave source locations and their seasonality of microseisms at two period bands (8-12 and 4-8 s) with an NCF-based beamforming method. The sources of P, PP and PKPbc waves are located. The ambiguity between P and PP source locations is analysed using averaged significant ocean wave height and sea surface pressure as constraints. The results indicate that the persistent P wave sources are mainly located in the deep oceans such as the North Atlantic, North Pacific and Southern Ocean, in agreement with previous studies. The Gulf of Alaska is found to generate P waves favouring the 8-12 s period band. The seasonality of P wave sources is consistent with the hemispheric storm pattern, which is stronger in local winter. Using the identified sources, arrival times of the interference signals are predicted and agree well with observations. The interference signals exhibit seasonal variation, indicating that body wave microseisms in southwestern China are from multiple seasonal sources.

  13. β1-Adrenoceptor blocker aggravated ventricular arrhythmia.

    Science.gov (United States)

    Wang, Yan; Patel, Dimpi; Wang, Dao Wu; Yan, Jiang Tao; Hsia, Henry H; Liu, Hao; Zhao, Chun Xia; Zuo, Hou Juan; Wang, Dao Wen

    2013-11-01

    To assess the impact of β1 -adrenoceptor blockers (β1 -blocker) and isoprenaline on the incidence of idiopathic repetitive ventricular arrhythmia that apparently decreases with preprocedural anxiety. From January 2010 to July 2012, six patients were identified who had idiopathic ventricular arrhythmias that apparently decreased (by greater than 90%) with preprocedural anxiety. The number of ectopic ventricular beats per hour (VPH) was calculated from Holter or telemetry monitoring to assess the ectopic burden. The mean VPH of 24 hours from Holter before admission (VPH-m) was used as baseline (100%) for normalization. β1 -Blockers, isoprenaline, and/or aminophylline were administrated successively on the ward and catheter lab to evaluate their effects on the ventricular arrhythmias. Among 97 consecutive patients with idiopathic ventricular arrhythmias, six had reduction in normalized VPHs in the hour before the scheduled procedure time from (104.6 ± 4.6%) to (2.8 ± 1.6%) possibly due to preprocedural anxiety (P < 0.05), then increased to (97.9 ± 9.7%) during β1 -blocker administration (P < 0.05), then quickly reduced to (1.6 ± 1.0%) during subsequent isoprenaline infusion. Repeated β1 -blocker quickly counteracted the inhibitory effect of isoprenaline, and VPHs increased to (120.9 ± 2.4%) from (1.6 ± 1.0%; P < 0.05). Isoprenaline and β1 -blocker showed similar effects on the arrhythmias in catheter lab. In some patients with structurally normal heart and ventricular arrhythmias there is a marked reduction of arrhythmias associated with preprocedural anxiety. These patients exhibit a reproducible sequence of β1 -blocker aggravation and catecholamine inhibition of ventricular arrhythmias, including both repetitive ventricular premature beats and monomorphic ventricular tachycardia. ©2013, The Authors. Journal compilation ©2013 Wiley Periodicals, Inc.

  14. EMHD micro-pumping of a non-conducting shear-thinning fluid under EDL phenomena

    International Nuclear Information System (INIS)

    Gaikwad, Harshad; Borole, Chetan; Basu, Dipankar N.; Mondal, Pranab K.

    2016-01-01

    The Electro-Magneto-Hydrodynamic (EMHD) pumping of a binary fluid system constituted by one non-conducting shear-thinning fluid (top layer) by exploiting the transverse momentum exchange through the interfacial viscous shearing effect from a conducting Newtonian fluid layer (bottom layer) in a microfluidic channel is investigated. An externally applied electric field drives the conducting fluid layer under the influence of an applied magnetic field as well. The study reveals that the volume transport of shear-thinning fluid gets augmented for low magnetic field strength, higher electrical double layer (EDL) effect, low viscosity ratio and moderate potential ratio. It is also established that the volumetric flow rate reduces significantly for the higher magnetic field strength. (author)

  15. Induced charge electrophoresis of a conducting cylinder in a nonconducting cylindrical pore and its micromotoring application

    Science.gov (United States)

    Feng, Huicheng; Wong, Teck Neng; Che, Zhizhao

    2016-08-01

    Induced charge electrophoresis of a conducting cylinder suspended in a nonconducting cylindrical pore is theoretically analyzed and a micromotor is proposed that utilizes the cylinder rotation. The cylinder velocities are analytically obtained in the Dirichlet and the Neumann boundary conditions of the electric field on the cylindrical pore. The results show that the cylinder not only translates but also rotates when it is eccentric with respect to the cylindrical pore. The influences of a number of parameters on the cylinder velocities are characterized in detail. The cylinder trajectories show that the cylinder approaches and becomes stationary at certain positions within the cylindrical pore. The proposed micromotor is capable of working under a heavy load with a high rotational velocity when the eccentricity is large and the applied electric field is strong.

  16. Integration of conducting polymer network in non-conductive polymer substrates

    DEFF Research Database (Denmark)

    Hansen, Thomas Steen; West, Keld; Hassager, Ole

    2006-01-01

    Anew method for integration ofconjugated, inherently conducting polymers into non-conductive polymer substrates has been developed. Alayer of the conducting polymer is polymerised by chemical oxidation, e.g. using Fe(ID) p-toluene sulfonate (ferri tosylate) followed by washing with a solvent which...... simultaneously removes residual and spent oxidant and at the same time dissolves the top layer of the polymer substrate. This results in an integration of the conducting polymer into the surface layers of the polymer substrate. Several combinations of conducting polymers and substrates have been tested...... absorption during sequential reactive ion etching has allowed for analysis of the PEDOT distribution within the surface layer of thePMMA substrate. The surface resistance ofthe conducting polymer layer remains low while the surface layer at the same time adapts some of the mechanical properties...

  17. A deterministic model for the growth of non-conducting electrical tree structures

    International Nuclear Information System (INIS)

    Dodd, S J

    2003-01-01

    Electrical treeing is of interest to the electrical generation, transmission and distribution industries as it is one of the causes of insulation failure in electrical machines, switchgear and transformer bushings. In this paper a deterministic electrical tree growth model is described. The model is based on electrostatics and local electron avalanches to model partial discharge activity within the growing tree structure. Damage to the resin surrounding the tree structure is dependent on the local electrostatic energy dissipation by partial discharges within the tree structure and weighted by the magnitudes of the local electric fields in the resin surrounding the tree structure. The model is successful in simulating the formation of branched structures without the need of a random variable, a requirement of previous stochastic models. Instability in the spatial development of partial discharges within the tree structure takes the role of the stochastic element as used in previous models to produce branched tree structures. The simulated electrical trees conform to the experimentally observed behaviour; tree length versus time and electrical tree growth rate as a function of applied voltage for non-conducting electrical trees. The phase synchronous partial discharge activity and the spatial distribution of emitted light from the tree structure are also in agreement with experimental data for non-conducting trees as grown in a flexible epoxy resin and in polyethylene. The fact that similar tree growth behaviour is found using pure amorphous (epoxy resin) and semicrystalline (polyethylene) materials demonstrate that neither annealed or quenched noise, representing material inhomogeneity, is required for the formation of irregular branched structures (electrical trees). Instead, as shown in this paper, branched growth can occur due to the instability of individual discharges within the tree structure

  18. Selective detection and recovery of gold at tannin-immobilized non-conducting electrode

    Energy Technology Data Exchange (ETDEWEB)

    Banu, Khaleda, E-mail: kbanu@ucla.edu [Department of Molecular and Medical Pharmacology, University of California, Los Angeles, CA 90095 (United States); Venture Business Laboratory, Center for Advanced Science and Innovation, Osaka University, Suita, Osaka 565-0871 (Japan); Shimura, Takayoshi [Venture Business Laboratory, Center for Advanced Science and Innovation, Osaka University, Suita, Osaka 565-0871 (Japan); Department of Material and Life Science, Division of Advanced Science and Biotechnology, Graduate School of Engineering, Osaka University (Japan); Sadeghi, Saman, E-mail: samsadeghi@mednet.ucla.edu [Department of Molecular and Medical Pharmacology, University of California, Los Angeles, CA 90095 (United States)

    2015-01-01

    Highlights: • Selective detection of gold at non-conducting (NC) polymer modified electrode. • Mimosa tannin oxidized on glassy carbon electrode surface as NC polymeric film. • Permselective diffusion and mediated electron transfer at NC electrode surface. • Chemical recovery of gold is due to the reducing ability of the NC polymeric film. • Adsorption capacity of Au(III) on carbon fiber was 29 ± 1.45 mg g{sup −1} at 60 °C. - Abstract: A tannin-immobilized glassy carbon electrode (TIGC) was prepared via electrochemical oxidation of the naturally occurring polyphenolic mimosa tannin, which generated a non-conducting polymeric film (NCPF) on the electrode surface. The fouling of the electrode surface by the electropolymerized film was evaluated by monitoring the electrode response of ferricyanide ions as a redox marker. The NCPF was permselective to HAuCl{sub 4}, and the electrochemical reduction of HAuCl{sub 4} to metallic gold at the TIGC electrode was evaluated by recording the reduction current during cyclic voltammetry measurement. In the mixed electrolyte containing HAuCl{sub 4} along with FeCl{sub 3} and/or CuCl{sub 2}, the NCPF remained selective toward the electrochemical reduction of HAuCl{sub 4} into the metallic state. The chemical reduction of HAuCl{sub 4} into metallic gold was also observed when the NCPF was inserted into an acidic gold solution overnight. The adsorption capacity of Au(III) on tannin-immobilized carbon fiber was 29 ± 1.45 mg g{sup −1} at 60 °C. In the presence of excess Cu(II) and Fe(III), tannin-immobilized NCPF proved to be an excellent candidate for the selective detection and recovery of gold through both electrochemical and chemical processes.

  19. Selective detection and recovery of gold at tannin-immobilized non-conducting electrode

    International Nuclear Information System (INIS)

    Banu, Khaleda; Shimura, Takayoshi; Sadeghi, Saman

    2015-01-01

    Highlights: • Selective detection of gold at non-conducting (NC) polymer modified electrode. • Mimosa tannin oxidized on glassy carbon electrode surface as NC polymeric film. • Permselective diffusion and mediated electron transfer at NC electrode surface. • Chemical recovery of gold is due to the reducing ability of the NC polymeric film. • Adsorption capacity of Au(III) on carbon fiber was 29 ± 1.45 mg g −1 at 60 °C. - Abstract: A tannin-immobilized glassy carbon electrode (TIGC) was prepared via electrochemical oxidation of the naturally occurring polyphenolic mimosa tannin, which generated a non-conducting polymeric film (NCPF) on the electrode surface. The fouling of the electrode surface by the electropolymerized film was evaluated by monitoring the electrode response of ferricyanide ions as a redox marker. The NCPF was permselective to HAuCl 4 , and the electrochemical reduction of HAuCl 4 to metallic gold at the TIGC electrode was evaluated by recording the reduction current during cyclic voltammetry measurement. In the mixed electrolyte containing HAuCl 4 along with FeCl 3 and/or CuCl 2 , the NCPF remained selective toward the electrochemical reduction of HAuCl 4 into the metallic state. The chemical reduction of HAuCl 4 into metallic gold was also observed when the NCPF was inserted into an acidic gold solution overnight. The adsorption capacity of Au(III) on tannin-immobilized carbon fiber was 29 ± 1.45 mg g −1 at 60 °C. In the presence of excess Cu(II) and Fe(III), tannin-immobilized NCPF proved to be an excellent candidate for the selective detection and recovery of gold through both electrochemical and chemical processes

  20. Earthquake early warning using P-waves that appear after initial S-waves

    Science.gov (United States)

    Kodera, Y.

    2017-12-01

    As measures for underprediction for large earthquakes with finite faults and overprediction for multiple simultaneous earthquakes, Hoshiba (2013), Hoshiba and Aoki (2015), and Kodera et al. (2016) proposed earthquake early warning (EEW) methods that directly predict ground motion by computing the wave propagation of observed ground motion. These methods are expected to predict ground motion with a high accuracy even for complicated scenarios because these methods do not need source parameter estimation. On the other hand, there is room for improvement in their rapidity because they predict strong motion prediction mainly based on the observation of S-waves and do not explicitly use P-wave information available before the S-waves. In this research, we propose a real-time P-wave detector to incorporate P-wave information into these wavefield-estimation approaches. P-waves within a few seconds from the P-onsets are commonly used in many existing EEW methods. In addition, we focus on P-waves that may appear in the later part of seismic waves. Kurahashi and Irikura (2013) mentioned that P-waves radiated from strong motion generation areas (SMGAs) were recognizable after S-waves of the initial rupture point in the 2011 off the Pacific coast of Tohoku earthquake (Mw 9.0) (the Tohoku-oki earthquake). Detecting these P-waves would enhance the rapidity of prediction for the peak ground motion generated by SMGAs. We constructed a real-time P-wave detector that uses a polarity analysis. Using acceleration records in boreholes of KiK-net (band-pass filtered around 0.5-10 Hz with site amplification correction), the P-wave detector performed the principal component analysis with a sliding window of 4 s and calculated P-filter values (e.g. Ross and Ben-Zion, 2014). The application to the Tohoku-oki earthquake (Mw 9.0) showed that (1) peaks of P-filter that corresponded to SMGAs appeared in several stations located near SMGAs and (2) real-time seismic intensities (Kunugi et al

  1. [Surgery of refractory ischemic arrhythmia].

    Science.gov (United States)

    Viganò, M; Graffigna, A; Salerno, G

    1992-03-01

    Since June 1980, 138 patients have undergone surgical treatment for refractory ventricular tachycardia due to ischemic heart disease. Electrically guided surgical ablation (EGSA) of the focus was performed in 117 patients, while 14 patients underwent application of automatic implantable cardioverter-defibrillator (AICD), and 8 patients underwent heart transplantation. During the whole period considered, among the EGSA patients an operative mortality of 13 patients was observed (11.4%), with a late mortality of another 14 patients (13.4%). Two early and six late recurrences were described, and 4 cases of sudden or unexplained death, with 2 cases clearly due to an arrhythmic event. Multivariate analysis showed preoperative ejection fraction lower than 25% as a powerful predictor of early mortality (32% vs 0%). Actuarial survival rate of patients with LVEF lower than 25% was 67 +/- 12% vs 95 +/- 2% at one year and 37 +/- 25% vs 94 +/- 8% at 8 years. A high operative mortality was then observed in patients who underwent aneurysmectomy alone or visually guided procedures as compared to electrically guided procedures (75% or 3 deaths out of 4 patients vs 8.5% or 10 out of 113 patients, respectively). Patients who received an AICD with or without associated procedures showed 1 case of in-hospital mortality and no late mortality; in 6 patients at least one shock was delivered; in two patients the AICD was implanted during an EGSA procedure, due to multiple or difficult origins of the arrhythmias. Of patients who underwent heart transplantation one case of later mortality was observed due to malignancy.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. Scattering amplitude of ultracold atoms near the p-wave magnetic Feshbach resonance

    International Nuclear Information System (INIS)

    Zhang Peng; Naidon, Pascal; Ueda, Masahito

    2010-01-01

    Most of the current theories on the p-wave superfluid in cold atomic gases are based on the effective-range theory for the two-body scattering, where the low-energy p-wave scattering amplitude f 1 (k) is given by f 1 (k)=-1/[ik+1/(Vk 2 )+1/R]. Here k is the incident momentum, V and R are the k-independent scattering volume and effective range, respectively. However, due to the long-range nature of the van der Waals interaction between two colliding ultracold atoms, the p-wave scattering amplitude of the two atoms is not described by the effective-range theory [J. Math. Phys. 4, 54 (1963); Phys. Rev. A 58, 4222 (1998)]. In this paper we provide an explicit calculation for the p-wave scattering of two ultracold atoms near the p-wave magnetic Feshbach resonance. We show that in this case the low-energy p-wave scattering amplitude f 1 (k)=-1/[ik+1/(V eff k 2 )+1/(S eff k)+1/R eff ] where V eff , S eff , and R eff are k-dependent parameters. Based on this result, we identify sufficient conditions for the effective-range theory to be a good approximation of the exact scattering amplitude. Using these conditions we show that the effective-range theory is a good approximation for the p-wave scattering in the ultracold gases of 6 Li and 40 K when the scattering volume is enhanced by the resonance.

  3. Algorithm Indicating Moment of P-Wave Arrival Based on Second-Moment Characteristic

    Directory of Open Access Journals (Sweden)

    Jakub Sokolowski

    2016-01-01

    Full Text Available The moment of P-wave arrival can provide us with many information about the nature of a seismic event. Without adequate knowledge regarding the onset moment, many properties of the events related to location, polarization of P-wave, and so forth are impossible to receive. In order to save time required to indicate P-wave arrival moment manually, one can benefit from automatic picking algorithms. In this paper two algorithms based on a method finding a regime switch point are applied to seismic event data in order to find P-wave arrival time. The algorithms are based on signals transformed via a basic transform rather than on raw recordings. They involve partitioning the transformed signal into two separate series and fitting logarithm function to the first subset (which corresponds to pure noise and therefore it is considered stationary, exponent or power function to the second subset (which corresponds to nonstationary seismic event, and finding the point at which these functions best fit the statistic in terms of sum of squared errors. Effectiveness of the algorithms is tested on seismic data acquired from O/ZG “Rudna” underground copper ore mine with moments of P-wave arrival initially picked by broadly known STA/LTA algorithm and then corrected by seismic station specialists. The results of proposed algorithms are compared to those obtained using STA/LTA.

  4. Shifts and widths of p-wave confinement induced resonances in atomic waveguides

    International Nuclear Information System (INIS)

    Saeidian, Shahpoor; Melezhik, Vladimir S; Schmelcher, Peter

    2015-01-01

    We develop and analyze a theoretical model to study p-wave Feshbach resonances of identical fermions in atomic waveguides by extending the two-channel model of Lange et al (2009 Phys. Rev. A 79 013622) and Saeidian et al (2012 Phys. Rev. A 86 062713). The experimentally known parameters of Feshbach resonances in free space are used as input of the model. We calculate the shifts and widths of p-wave magnetic Feshbach resonance of 40 K atoms emerging in harmonic waveguides as p-wave confinement induced resonance (CIR). Particularly, we show a possibility to control the width and shift of the p-wave CIR by the trap frequency and the applied magnetic field which could be used in corresponding experiments. Our analysis also demonstrates the importance of the inclusion of the effective range in the computational schemes for the description of the p-wave CIRs contrary to the case of s-wave CIRs where the influence of this term is negligible. (paper)

  5. What Do s- and p-Wave Neutron Average Radiative Widths Reveal

    Energy Technology Data Exchange (ETDEWEB)

    Mughabghab, S.F.

    2010-04-30

    A first observation of two resonance-like structures at mass numbers 92 and 112 in the average capture widths of the p-wave neutron resonances relative to the s-wave component is interpreted in terms of a spin-orbit splitting of the 3p single-particle state into P{sub 3/2} and P{sub 1/2} components at the neutron separation energy. A third structure at about A = 124, which is not correlated with the 3p-wave neutron strength function, is possibly due to the Pygmy Dipole Resonance. Five significant results emerge from this investigation: (i) The strength of the spin-orbit potential of the optical-model is determined as 5.7 {+-} 0.5 MeV, (ii) Non-statistical effects dominate the p-wave neutron-capture in the mass region A = 85 - 130, (iii) The background magnitude of the p-wave average capture-width relative to that of the s-wave is determined as 0.50 {+-} 0.05, which is accounted for quantitatively in tenns of the generalized Fermi liquid model of Mughabghab and Dunford, (iv) The p-wave resonances arc partially decoupled from the giant-dipole resonance (GDR), and (v) Gamma-ray transitions, enhanced over the predictions of the GDR, are observed in the {sup 90}Zr - {sup 98}Mo and Sn-Ba regions.

  6. s- and p-wave neutron spectroscopy. Xc. Intermediate structure: 88Sr

    International Nuclear Information System (INIS)

    Malan, J.G.; Pineo, W.F.E.; Divadeenam, M.; Choi, B.H.; Bilpuch, E.G.; Newson, H.W.

    1975-01-01

    Neutron total cross section measurements of natural Sr were made from 50-875 keV using a high resolution proton beam and the 7 Li(p,n) reaction as a neutron source. These data were analyzed with the help of an R-Matrix code to extract resonance (energies and other) parameters up to about 850 keV. 2p-1h and particle-vibration doorway interpretation of the s-,p- and d-wave resonances is attempted in terms of the sum rule Σγ/subn/ 2 =γ/subd/ 2 . Predictions based on both of these models agree with the experimental results. As expected the p-wave resonances are stronger than either s- and d-wave structure. Theory accounts for the p-wave strength remarkably well. Possible location of the p-wave s.p. resonance is reproduced with a real potential and its damping due to the imaginary potential is calculated. More fragmentation of the strong p-wave doorways is observed than was expected for a compound nucleus so near 90 Zr, but a larger strength function is observed, apparently due to the p-wave giant resonance. (U.S.)

  7. Arrhythmias in type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Gaurav Agarwal

    2017-01-01

    Full Text Available Chronic hyperglycaemia of Type 2 diabetes mellitus causes long term damage to heart resulting in coronary artery disease (CAD, myocardial infarction (MI, congestive heart failure (CHF, and sudden death from arrhythmias. AIMS: To study the prevalence of different types of arrhythmias in T2DM, particularly in association with Cardiac Autonomic Neuropathy (CAN. METHODS: A cross-sectional study including 100 patients of Type 2 Diabetes Mellitus (T2DM presenting with cardiac arrhythmias, was done at our hospital over 2 years. Detailed history along with physical examination and tests for CAN were done. Routine investigations along with echocardiography, stress test, Holter monitoring were done. RESULTS: Sinus Tachycardia (ST was the commonest arrhythmia, found in 32% of patients. 20% had Complete Heart Block (CHB, 15% had Sinus Bradycardia (SB, and 15% had Atrial Fibrillation (AF. Ventricular Premature Complex (VPC was found in 10% and 3% had Atrial Premature Complex (APC. 3% had first degree AV block, whereas 1% had Paroxysmal Supra Ventricular Tachycardia (PSVT, and another 1% had Ventricular Tachycardia (VT. Poorly controlled diabetes and co-morbidities was associated with higher incidence of arrhythmias. 62% of patients had prolonged QTc, majority of which had CAN. Most of the patients responded to standard therapy.

  8. Relativistic corrections to the form factors of Bc into P-wave orbitally excited charmonium

    Science.gov (United States)

    Zhu, Ruilin

    2018-06-01

    We investigated the form factors of the Bc meson into P-wave orbitally excited charmonium using the nonrelativistic QCD effective theory. Through the analytic computation, the next-to-leading order relativistic corrections to the form factors were obtained, and the asymptotic expressions were studied in the infinite bottom quark mass limit. Employing the general form factors, we discussed the exclusive decays of the Bc meson into P-wave orbitally excited charmonium and a light meson. We found that the relativistic corrections lead to a large correction for the form factors, which makes the branching ratios of the decay channels B (Bc ± →χcJ (hc) +π± (K±)) larger. These results are useful for the phenomenological analysis of the Bc meson decays into P-wave charmonium, which shall be tested in the LHCb experiments.

  9. Neutron resonance spectroscopy on 113Cd: The p-wave levels

    International Nuclear Information System (INIS)

    Frankle, C.M.; Bowman, C.D.; Bowman, J.D.; Seestrom, S.J.; Sharapov, E.I.; Popov, Y.P.; Roberson, N.R.

    1992-01-01

    Weak levels in the compound nucleus 114 Cd were located by neutron time-of-flight spectroscopy techniques. Neutron capture measurements were performed with both a natural cadmium target and a highly enriched 113 Cd target. A total of 22 new resonances were located in the neutron energy interval 20-500 eV and were assumed to be p-wave. Resonance parameters, E 0 and gΓ n , are given for the newly identified levels. The p-wave strength function was determined to be 10 4 S 1 =2.8±0.8 and the average level spacing left-angle D 1 right-angle=14 eV. Comparison of the reduced widths with a Porter-Thomas distribution is consistent with having missed 15% of the p-wave levels

  10. The offset-midpoint traveltime pyramid of P-waves in homogeneous orthorhombic media

    KAUST Repository

    Hao, Qi; Stovas, Alexey; Alkhalifah, Tariq Ali

    2016-01-01

    The offset-midpoint traveltime pyramid describes the diffraction traveltime of a point diffractor in homogeneous media. We have developed an analytic approximation for the P-wave offset-midpoint traveltime pyramid for homogeneous orthorhombic media. In this approximation, a perturbation method and the Shanks transform were implemented to derive the analytic expressions for the horizontal slowness components of P-waves in orthorhombic media. Numerical examples were shown to analyze the proposed traveltime pyramid formula and determined its accuracy and the application in calculating migration isochrones and reflection traveltime. The proposed offset-midpoint traveltime formula is useful for Kirchhoff prestack time migration and migration velocity analysis for orthorhombic media.

  11. Contribution from S and P waves in pp annihilation at rest

    CERN Document Server

    Bendiscioli, G; Fontana, A; Montagna, P; Rotondi, A; Salvini, P; Bertin, A; Bruschi, M; Capponi, M; De Castro, S; Donà, R; Galli, D; Giacobbe, B; Marconi, U; Massa, I; Piccinini, M; Cesari, N S; Spighi, R; Vecchi, S; Vagnoni, V M; Villa, M; Vitale, A; Zoccoli, A; Bianconi, A; Bonomi, G; Lodi-Rizzini, E; Venturelli, L; Zenoni, A; Cicalò, C; De Falco, A; Masoni, A; Puddu, G; Serci, S; Usai, G L; Gorchakov, O E; Prakhov, S N; Rozhdestvensky, A M; Tretyak, V I; Poli, M; Gianotti, P; Guaraldo, C; Lanaro, A; Lucherini, V; Petrascu, C; Kudryavtsev, A E; Balestra, F; Bussa, M P; Busso, L; Cerello, P G; Denisov, O Yu; Ferrero, L; Grasso, A; Maggiora, A; Panzarasa, A; Panzieri, D; Tosello, F; Botta, E; Bressani, Tullio; Calvo, D; Costa, S; D'Isep, D; Feliciello, A; Filippi, A; Marcello, S; Mirfakhraee, N; Agnello, M; Iazzi, F; Minetti, B; Tessaro, S

    2001-01-01

    The annihilation frequencies of 19 pp annihilation reactions at rest obtained in different target densities are analysed in order to determine the values of the P-wave annihilation percentage at each target density and the average hadronic branching ratios from P- and S-states. Both the assumptions of linear dependence of the annihilation frequencies on the P-wave annihilation percentage of the protonium state and the approach with the enhancement factors of Batty (1989) are considered. Furthermore the cases of incompatible measurements are discussed. (55 refs).

  12. The offset-midpoint traveltime pyramid of P-waves in homogeneous orthorhombic media

    KAUST Repository

    Hao, Qi

    2016-07-18

    The offset-midpoint traveltime pyramid describes the diffraction traveltime of a point diffractor in homogeneous media. We have developed an analytic approximation for the P-wave offset-midpoint traveltime pyramid for homogeneous orthorhombic media. In this approximation, a perturbation method and the Shanks transform were implemented to derive the analytic expressions for the horizontal slowness components of P-waves in orthorhombic media. Numerical examples were shown to analyze the proposed traveltime pyramid formula and determined its accuracy and the application in calculating migration isochrones and reflection traveltime. The proposed offset-midpoint traveltime formula is useful for Kirchhoff prestack time migration and migration velocity analysis for orthorhombic media.

  13. Alcohol, cardiac arrhythmias and sudden death.

    Science.gov (United States)

    Kupari, M; Koskinen, P

    1998-01-01

    Studies in experimental animals have shown varying and apparently opposite effects of alcohol on cardiac rhythm and conduction. Given acutely to non-alcoholic animals, ethanol may even have anti-arrhythmic properties whereas chronic administration clearly increases the animals' susceptibility to cardiac arrhythmias. Chronic heavy alcohol use has been incriminated in the genesis of cardiac arrhythmias in humans. The evidence has come from clinical observations, retrospective case-control studies, controlled studies of consecutive admissions for arrhythmias, and prospective epidemiological investigations. Furthermore, electrophysiological studies have shown that acute alcohol administration facilitates the induction of tachyarrhythmias in selected heavy drinkers. The role of alcohol appears particularly conspicuous in idiopathic atrial fibrillation. Occasionally, ventricular tachyarrhythmias have also been provoked by alcohol intake. Several lines of evidence suggest that heavy drinking increases the risk of sudden cardiac death with fatal arrhythmia as the most likely mechanism. According to epidemiological studies this effect appears most prominent in middle-aged men and is only partly explained by confounding traits such as smoking and social class. The basic arrhythmogenic effects of alcohol are still insufficiently delineated. Subclinical heart muscle injury from chronic heavy use may be instrumental in producing patchy delays in conduction. The hyperadrenergic state of drinking and withdrawal may also contribute, as may electrolyte abnormalities, impaired vagal heart rate control, repolarization abnormalities with prolonged QT intervals and worsening of myocardial ischaemia or sleep apnoea. Most of what we know about alcohol and arrhythmias relates to heavy drinking. The effect of social drinking on clinical arrhythmias in non-alcoholic cardiac patients needs to be addressed further.

  14. Gated cardiac blood pool studies in arrhythmias

    International Nuclear Information System (INIS)

    Itti, R.; Casset, D.; Philippe, L.; Cosnay, P.; Fauchier, J.P.

    1988-01-01

    Biventricular phase analysis a gated blood pool studies may help to solve two fundamental questions raised by patients suffering from arrhythmias: localization of an electrical cardiac activation abnormality by means of contraction mapping and assesment of an underlying organic disease using the phase histograms and their standard deviations. Three groups of patients have been evaluated to demonstrate the usefulness of radioisotopic techniques in arrhythmias: 36 patients with a Wolff-Parkinson-White syndrom, 27 patients studied during a ventricular tachycardia attack and 32 patients suspected of arrhythmogenic ventricular dysplasia. Correlations with invasive electrophysiologic studies are presented and the diagnostic and therapeutic implications of these results are discussed [fr

  15. Gated cardiac blood pool studies in arrhythmias

    Energy Technology Data Exchange (ETDEWEB)

    Itti, R.; Casset, D.; Philippe, L.; Cosnay, P.; Fauchier, J.P.

    1988-01-01

    Biventricular phase analysis a gated blood pool studies may help to solve two fundamental questions raised by patients suffering from arrhythmias: localization of an electrical cardiac activation abnormality by means of contraction mapping and assesment of an underlying organic disease using the phase histograms and their standard deviations. Three groups of patients have been evaluated to demonstrate the usefulness of radioisotopic techniques in arrhythmias: 36 patients with a Wolff-Parkinson-White syndrom, 27 patients studied during a ventricular tachycardia attack and 32 patients suspected of arrhythmogenic ventricular dysplasia. Correlations with invasive electrophysiologic studies are presented and the diagnostic and therapeutic implications of these results are discussed.

  16. Standard Test Method for Normal Spectral Emittance at Elevated Temperatures of Nonconducting Specimens

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1971-01-01

    1.1 This test method describes an accurate technique for measuring the normal spectral emittance of electrically nonconducting materials in the temperature range from 1000 to 1800 K, and at wavelengths from 1 to 35 μm. It is particularly suitable for measuring the normal spectral emittance of materials such as ceramic oxides, which have relatively low thermal conductivity and are translucent to appreciable depths (several millimetres) below the surface, but which become essentially opaque at thicknesses of 10 mm or less. 1.2 This test method requires expensive equipment and rather elaborate precautions, but produces data that are accurate to within a few percent. It is particularly suitable for research laboratories, where the highest precision and accuracy are desired, and is not recommended for routine production or acceptance testing. Because of its high accuracy, this test method may be used as a reference method to be applied to production and acceptance testing in case of dispute. 1.3 This test metho...

  17. Selective detection and recovery of gold at tannin-immobilized non-conducting electrode.

    Science.gov (United States)

    Banu, Khaleda; Shimura, Takayoshi; Sadeghi, Saman

    2015-01-01

    A tannin-immobilized glassy carbon electrode (TIGC) was prepared via electrochemical oxidation of the naturally occurring polyphenolic mimosa tannin, which generated a non-conducting polymeric film (NCPF) on the electrode surface. The fouling of the electrode surface by the electropolymerized film was evaluated by monitoring the electrode response of ferricyanide ions as a redox marker. The NCPF was permselective to HAuCl4, and the electrochemical reduction of HAuCl4 to metallic gold at the TIGC electrode was evaluated by recording the reduction current during cyclic voltammetry measurement. In the mixed electrolyte containing HAuCl4 along with FeCl3 and/or CuCl2, the NCPF remained selective toward the electrochemical reduction of HAuCl4 into the metallic state. The chemical reduction of HAuCl4 into metallic gold was also observed when the NCPF was inserted into an acidic gold solution overnight. The adsorption capacity of Au(III) on tannin-immobilized carbon fiber was 29±1.45 mg g(-1) at 60°C. In the presence of excess Cu(II) and Fe(III), tannin-immobilized NCPF proved to be an excellent candidate for the selective detection and recovery of gold through both electrochemical and chemical processes. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Interactive Micromanipulation of Picking and Placement of Nonconductive Microsphere in Scanning Electron Microscope

    Directory of Open Access Journals (Sweden)

    Ning Cao

    2017-08-01

    Full Text Available In this paper, classified theoretical models, consisting of contact with and placement of microsphere and picking operations, are simplified and established to depict the interactive behaviors of external and internal forces in pushing manipulations, respectively. Sliding and/or rolling cases, resulting in the acceleration of micromanipulations, are discussed in detail. Effective contact detection is achieved by combining alterations of light-shadow and relative movement displacement between the tip-sphere. Picking operations are investigated by typical interactive positions and different end tilt angles. Placements are realized by adjusting the proper end tilt angles. These were separately conducted to explore the interactive operations of nonconductive glass microspheres in a scanning electron microscope. The experimental results demonstrate that the proposed contact detection method can efficiently protect the end-tip from damage, regardless of operator skills in initial positioning operations. E-beam irradiation onto different interactive positions with end tilt angles can be utilized to pick up microspheres without bending the end-tip. In addition, the results of releasing deviations away from the pre-setting point were utilized to verify the effectiveness of the placement tilt angles.

  19. Sports and arrhythmias: a report of the International Workshop Venice Arrhythmias 2009.

    Science.gov (United States)

    Giada, Franco; Biffi, Alessandro; Cannom, David S; Cappato, Riccardo; Capucci, Alessandro; Corrado, Domenico; Delise, Pietro; Drezner, Jonathan A; El-Sherif, Nabil; Estes, Mark; Furlanello, Francesco; Heidbuchel, Hein; Inama, Giuseppe; Lindsay, Bruce D; Maron, Barry J; Maron, Martin S; Mont, Luis; Olshansky, Brian; Pelliccia, Antonio; Thiene, Gaetano; Viskin, Sami; Zeppilli, Paolo; Natale, Andrea; Raviele, Antonio

    2010-10-01

    This article is a report of an international symposium, endorsed by the Section on Sports Cardiology of the European Association for Cardiovascular Prevention and Rehabilitation, the Italian Society of Sports Cardiology, and the Italian Federation of Sports Medicine, which was held within the 11th International Workshop on Cardiac Arrhythmias (Venice Arrhythmias 2009, Venice, Italy, October 2009). The following main topics were discussed during the symposium: the role of novel diagnostic examinations to assess the risk of sudden death in athletes, controversies on arrhythmic risk evaluation in athletes, controversies on the relationship between sports and arrhythmias, and controversies on antiarrhythmic treatment in athletes.

  20. Investigation of surface roughness in micro-electro discharge machining of nonconductive ZrO2 for MEMS application

    International Nuclear Information System (INIS)

    Sabur, A; Moudood, A; Ali, M Y; Maleque, M A

    2013-01-01

    Micro-electro discharge machining technique, a noncontact machining process, is applied for drilling blind hole on nonconductive ZrO 2 ceramic for MEMS application. A conductive layer of adhesive copper is applied on the workpiece surface to initiate the sparks. Kerosene is used as dielectric for creation of continuous conductive pyrolytic carbon layer on the machined surface. Experiments are conducted by varying the voltage (V), capacitance (C) and rotational speed (N). Correlating these variables a mathematical model for surface roughness (SR) is developed using Taguchi method. The results showed that the V and C are the significant parameters of SR in micro-EDM for nonconductive ZrO 2 ceramic. The model also showed that SR increases with the increase of V and C

  1. Conducting to non-conducting transition in dual transmission lines using a ternary model with long-range correlated disorder

    International Nuclear Information System (INIS)

    Lazo, E.; Diez, E.

    2010-01-01

    In this work we study the behavior of the allowed and forbidden frequencies in disordered classical dual transmission lines when the values of capacitances {C j } are distributed according to a ternary model with long-range correlated disorder. We introduce the disorder from a random sequence with a power spectrum S(k)∝k -(2α-1) , where α≥0.5 is the correlation exponent. From this sequence we generate an asymmetric ternary map using two map parameters b 1 and b 2 , which adjust the occupancy probability of each possible value of the capacitances C j ={C A, C B, C C, }. If the sequence of capacitance values is totally at random α=0.5 (white noise), the electrical transmission line is in the non-conducting state for every frequency ω. When we introduce long-range correlations in the distribution of capacitances, the electrical transmission lines can change their conducting properties and we can find a transition from the non-conducting to conducting state for a fixed system size. This implies the existence of critical values of the map parameters for each correlation exponent α. By performing finite-size scaling we obtain the asymptotic value of the map parameters in the thermodynamic limit for any α. With these data we obtain a phase diagram for the symmetric ternary model, which separates the non-conducting state from the conducting one. This is the fundamental result of this Letter. In addition, introducing one or more impurities in random places of the long-range correlated distribution of capacitances, we observe a dramatic change in the conducting properties of the electrical transmission lines, in such a way that the system jumps from conducting to non-conducting states. We think that this behavior can be considered as a possible mechanism to secure communication.

  2. Correlating P-wave Velocity with the Physico-Mechanical Properties of Different Rocks

    Science.gov (United States)

    Khandelwal, Manoj

    2013-04-01

    In mining and civil engineering projects, physico-mechanical properties of the rock affect both the project design and the construction operation. Determination of various physico-mechanical properties of rocks is expensive and time consuming, and sometimes it is very difficult to get cores to perform direct tests to evaluate the rock mass. The purpose of this work is to investigate the relationships between the different physico-mechanical properties of the various rock types with the P-wave velocity. Measurement of P-wave velocity is relatively cheap, non-destructive and easy to carry out. In this study, representative rock mass samples of igneous, sedimentary, and metamorphic rocks were collected from the different locations of India to obtain an empirical relation between P-wave velocity and uniaxial compressive strength, tensile strength, punch shear, density, slake durability index, Young's modulus, Poisson's ratio, impact strength index and Schmidt hammer rebound number. A very strong correlation was found between the P-wave velocity and different physico-mechanical properties of various rock types with very high coefficients of determination. To check the sensitivity of the empirical equations, Students t test was also performed, which confirmed the validity of the proposed correlations.

  3. The effect of instanton-induced interaction on P-wave meson spectra ...

    Indian Academy of Sciences (India)

    possible to reproduce the observed spectra as the tensor and spin-orbit terms of. OGEP are attractive, and hence naturally triplet states masses will be lower than the corresponding singlet states. Hence, to reproduce the full P-wave spectra it is essential to include the hyperfine interaction term of III to have a consistent. 76.

  4. Tunneling current into the vortex lattice states of s-and p- wave superconductors

    International Nuclear Information System (INIS)

    Kowalewski, L.; Nogala, M.M.; Thomas, M.; Wojciechowski, R.J.

    2000-01-01

    The tunneling current between the metallic tip of a scanning microscope and s- and p-wave superconductors in quantizing magnetic field is investigated. The differential conductance is calculated both as a function of bias voltage at the centre of the vortex line and for varying position of the scanning tunneling microscope tip at a stable voltage. (author)

  5. Synthetic seismograms - II. Synthesis of amplitude spectra and seismograms of P waves from underground nuclear explosions

    International Nuclear Information System (INIS)

    Banghar, A.R.

    1980-01-01

    As a part of programme of seismic detection of underground nuclear explosions, step by step variations in the amplitude spectra and waveforms of P wave signal, as it propagates from source to receiver region, are investigated. Influences on the amplitude spectra and waveforms of teleseismic p waves due to : (1) variation in the shape of reduced displacement potential, (2) variation of mantle Q values, (3) change in depth, (4) various yields, (5) spalling, and (6) variation of crustal structure at source as well as at receiver are studied. The results show that for a yield of 85 kilotons, the time structure of seismograms is nearly same for four types of reduced displacement potentials considered here. The duration of waveforms is affected both by crustal structure at source as well as due to spalling. In general, effect of receiver crust on seismograms is found to be minor. Synthesized and observed P wave seismograms for Longshot, Milrow and Cannikin underground nuclear explosions are computed at various seismometer array stations of the UKAEA. Computed seismograms compare well with the recorded ones. It is seen that: (1) overburden P wave velocity inferred from seismograms is less as compared to its value obtained from on-site measurements, and (2) the source function, the source crust transfer function, the mantle transfer function and the spalling function are the most important factors that influence shaping of spectra and seismograms. (M.G.B.)

  6. Higher P-Wave Dispersion in Migraine Patients with Higher Number of Attacks

    Directory of Open Access Journals (Sweden)

    A. Koçer

    2012-01-01

    Full Text Available Objective and Aim. An imbalance of the sympathetic system may explain many of the clinical manifestations of the migraine. We aimed to evaluate P-waves as a reveal of sympathetic system function in migraine patients and healthy controls. Materials and Methods. Thirty-five episodic type of migraine patients (complained of migraine during 5 years or more, BMI < 30 kg/m2 and 30 controls were included in our study. We measured P-wave durations (minimum, maximum, and dispersion from 12-lead ECG recording during pain-free periods. ECGs were transferred to a personal computer via a scanner and then used for magnification of x400 by Adobe Photoshop software. Results. P-wave durations were found to be similar between migraine patients and controls. Although P WD (P-wave dispersion was similar, the mean value was higher in migraine subjects. P WD was positively correlated with P max (P<0.01. Attacks number per month and male gender were the factors related to the P WD (P<0.01. Conclusions. Many previous studies suggested that increased sympathetic activity may cause an increase in P WD. We found that P WD of migraine patients was higher than controls, and P WD was related to attacks number per month and male gender. Further studies are needed to explain the chronic effects of migraine.

  7. Signal-averaged P wave duration and the dimensions of the atria

    DEFF Research Database (Denmark)

    Dixen, Ulrik; Joens, Christian; Rasmussen, Bo V

    2004-01-01

    Delay of atrial electrical conduction measured as prolonged signal-averaged P wave duration (SAPWD) could be due to atrial enlargement. Here, we aimed to compare different atrial size parameters obtained from echocardiography with the SAPWD measured with a signal-averaged electrocardiogram (SAECG)....

  8. Dispersion durations of P-wave and QT interval in children treated with a ketogenic diet.

    Science.gov (United States)

    Doksöz, Önder; Güzel, Orkide; Yılmaz, Ünsal; Işgüder, Rana; Çeleğen, Kübra; Meşe, Timur

    2014-04-01

    Limited data are available on the effects of a ketogenic diet on dispersion duration of P-wave and QT-interval measures in children. We searched for the changes in these measures with serial electrocardiograms in patients treated with a ketogenic diet. Twenty-five drug-resistant patients with epilepsy treated with a ketogenic diet were enrolled in this study. Electrocardiography was performed in all patients before the beginning and at the sixth month after implementation of the ketogenic diet. Heart rate, maximum and minimum P-wave duration, P-wave dispersion, and maximum and minimum corrected QT interval and QT dispersion were manually measured from the 12-lead surface electrocardiogram. Minimum and maximum corrected QT and QT dispersion measurements showed nonsignificant increase at month 6 compared with baseline values. Other previously mentioned electrocardiogram parameters also showed no significant changes. A ketogenic diet of 6 months' duration has no significant effect on electrocardiogram parameters in children. Further studies with larger samples and longer duration of follow-up are needed to clarify the effects of ketogenic diet on P-wave dispersion and corrected QT and QT dispersion. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. P-wave holographic superconductor/insulator phase transitions affected by dark matter sector

    International Nuclear Information System (INIS)

    Rogatko, Marek; Wysokinski, Karol I.

    2016-01-01

    The holographic approach to building the p-wave superconductors results in three different models: the Maxwell-vector, the SU(2) Yang-Mills and the helical. In the probe limit approximation, we analytically examine the properties of the first two models in the theory with dark matter sector. It turns out that the effect of dark matter on the Maxwell-vector p-wave model is the same as on the s-wave superconductor studied earlier. For the non-Abelian model we study the phase transitions between p-wave holographic insulator/superconductor and metal/superconductor. Studies of marginally stable modes in the theory under consideration allow us to determine features of p-wave holographic droplet in a constant magnetic field. The dependence of the superconducting transition temperature on the coupling constant α to the dark matter sector is affected by the dark matter density ρ_D. For ρ_D>ρ the transition temperature is a decreasing function of α. The critical chemical potential μ_c for the quantum phase transition between insulator and metal depends on the chemical potential of dark matter μ_D and for μ_D=0 is a decreasing function of α.

  10. Constraining P-wave velocity variations in the upper mantle beneath Southeast Asia

    NARCIS (Netherlands)

    Li, Chang; Hilst, R.D. van der; Toksöz, M. Nafi

    2006-01-01

    We have produced a P-wave model of the upper mantle beneath Southeast (SE) Asia from reprocessed short period International Seismological Centre (ISC) P and pP data, short period P data of the Annual Bulletin of Chinese Earthquakes (ABCE), and long period PP-P data.We used 3D sensitivity kernels

  11. Constraining spatial variations in P-wave velocity in the upper mantle beneath SE Asia

    NARCIS (Netherlands)

    Li, C.; Hilst, R.D. van der; Toksoz, N.M.

    2006-01-01

    We have produced a P-wave model of the upper mantle beneath Southeast (SE) Asia from reprocessed short period International Seismological Centre (ISC) P and pP data, short period P data of the Annual Bulletin of Chinese Earthquakes (ABCE), and long period PP-P data.We used 3D sensitivity kernels

  12. P-wave velocity test for assessment of geotechnical properties of ...

    Indian Academy of Sciences (India)

    Administrator

    P-wave velocity test, a non-destructive and easy method to apply in both field ... ditions, has increasingly been conducted to determine the geotechnical properties of rock materials. .... nent elements in the study area and rich in molds of reed ... Kocabas crystals 5–10 μm in size with no internal architecture ... organic matter.

  13. Tube Inner Coating of Non-Conductive Films by Pulsed Reactive Coaxial Magnetron Plasma with Outer Anode

    Directory of Open Access Journals (Sweden)

    Musab Timan Idriss Gasab

    2018-03-01

    Full Text Available The double-ended coaxial magnetron pulsed plasma (DCMPP method with auxiliary outer anode was introduced in order to achieve the uniform coating of non-conductive thin films on the inner walls of insulator tubes. In this study, titanium (Ti was employed as a cathode (sputtering target, and a glass tube was used as a substrate. In an argon (Ar and oxygen (O2 gas mixture, magnetron plasma was generated. Oxygen gas was introduced to deposit a titanium oxide (TiO2 film. A comparison between films coated with and without an auxiliary outer anode was made. As a result, it was clearly shown that the DCMPP method using an auxiliary outer anode enhanced the uniformity of the deposited non-conductive film compared to the conventional DCMPP method. Moreover, the optimum conditions under which the thin TiO2 film was deposited on the inner wall of the glass tube were revealed. From the results, it was supposed that the auxiliary outer anode contributed to the uniformity of the distributions of deposited negative charge on the non-conductive film and consequently the electric field and the plasma density uniform.

  14. Cardiac arrhythmias associated with spinal cord injury

    DEFF Research Database (Denmark)

    Hector, Sven Magnus; Biering-Sørensen, Tor; Krassioukov, Andrei

    2013-01-01

    CONTEXT/OBJECTIVES: To review the current literature to reveal the incidence of cardiac arrhythmias and its relation to spinal cord injury (SCI). METHODS: Data source: MEDLINE database, 304 hits, and 32 articles were found to be relevant. The relevant articles all met the inclusion criteria: (1...

  15. Arrhythmia during extracorporeal shock wave lithotripsy.

    Science.gov (United States)

    Zeng, Z R; Lindstedt, E; Roijer, A; Olsson, S B

    1993-01-01

    A prospective study of arrhythmia during extracorporeal shock wave lithotripsy (ESWL) was performed in 50 patients, using an EDAP LT01 piezoelectric lithotriptor. The 12-lead standard ECG was recorded continuously for 10 min before and during treatment. One or more atrial and/or ventricular ectopic beats occurred during ESWL in 15 cases (30%). The occurrence of arrhythmia was similar during right-sided and left-sided treatment. One patient developed multifocal ventricular premature beats and ventricular bigeminy; another had cardiac arrest for 13.5 s. It was found that various irregularities of the heart rhythm can be caused even by treatment with a lithotriptor using piezoelectric energy to create the shock wave. No evidence was found, however, that the shock wave itself rather than vagal activation and the action of sedo-analgesia was the cause of the arrhythmia. For patients with severe underlying heart disease and a history of complex arrhythmia, we suggest that the ECG be monitored during treatment. In other cases, we have found continuous monitoring of oxygen saturation and pulse rate with a pulse oximeter to be perfectly reliable for raising the alarm when depression of respiration and vaso-vagal reactions occur.

  16. Cardiac arrhythmias in adult patients with asthma

    DEFF Research Database (Denmark)

    Warnier, Miriam J; Rutten, Frans H; Kors, Jan A

    2012-01-01

    OBJECTIVE: The pathogenesis of cardiac arrhythmias in asthma patients has not been fully elucidated. Adverse drug effects, particularly those of β2-mimetics, may play a role. The aim of this study was to determine whether asthma is associated with the risk of cardiac arrhythmias and electrocardio......OBJECTIVE: The pathogenesis of cardiac arrhythmias in asthma patients has not been fully elucidated. Adverse drug effects, particularly those of β2-mimetics, may play a role. The aim of this study was to determine whether asthma is associated with the risk of cardiac arrhythmias...... and electrocardiographic characteristics of arrhythmogenicity (ECG) and to explore the role of β2-mimetics. METHODS: A cross-sectional study was conducted among 158 adult patients with a diagnosis of asthma and 6303 participants without asthma from the cohort of the Utrecht Health Project-an ongoing, longitudinal, primary...... or flutter). Secondary outcomes were tachycardia, bradycardia, PVC, atrial fibrillation or flutter, mean heart rate, mean corrected QT (QTc) interval length, and prolonged QTc interval. RESULTS: Tachycardia and PVCs were more prevalent in patients with asthma (3% and 4%, respectively) than those without...

  17. Fast Moment Magnitude Determination from P-wave Trains for Bucharest Rapid Early Warning System (BREWS)

    Science.gov (United States)

    Lizurek, Grzegorz; Marmureanu, Alexandru; Wiszniowski, Jan

    2017-03-01

    Bucharest, with a population of approximately 2 million people, has suffered damage from earthquakes in the Vrancea seismic zone, which is located about 170 km from Bucharest, at a depth of 80-200 km. Consequently, an earthquake early warning system (Bucharest Rapid earthquake Early Warning System or BREWS) was constructed to provide some warning about impending shaking from large earthquakes in the Vrancea zone. In order to provide quick estimates of magnitude, seismic moment was first determined from P-waves and then a moment magnitude was determined from the moment. However, this magnitude may not be consistent with previous estimates of magnitude from the Romanian Seismic Network. This paper introduces the algorithm using P-wave spectral levels and compares them with catalog estimates. The testing procedure used waveforms from about 90 events with catalog magnitudes from 3.5 to 5.4. Corrections to the P-wave determined magnitudes according to dominant intermediate depth events mechanism were tested for November 22, 2014, M5.6 and October 17, M6 events. The corrections worked well, but unveiled overestimation of the average magnitude result of about 0.2 magnitude unit in the case of shallow depth event ( H < 60 km). The P-wave spectral approach allows for the relatively fast estimates of magnitude for use in BREWS. The average correction taking into account the most common focal mechanism for radiation pattern coefficient may lead to overestimation of the magnitude for shallow events of about 0.2 magnitude unit. However, in case of events of intermediate depth of M6 the resulting M w is underestimated at about 0.1-0.2. We conclude that our P-wave spectral approach is sufficiently robust for the needs of BREWS for both shallow and intermediate depth events.

  18. Can P wave wavelet analysis predict atrial fibrillation after coronary artery bypass grafting?

    Science.gov (United States)

    Vassilikos, Vassilios; Dakos, George; Chouvarda, Ioanna; Karagounis, Labros; Karvounis, Haralambos; Maglaveras, Nikolaos; Mochlas, Sotirios; Spanos, Panagiotis; Louridas, George

    2003-01-01

    The purpose of this study was the evaluation of Morlet wavelet analysis of the P wave as a means of predicting the development of atrial fibrillation (AF) in patients who undergo coronary artery bypass grafting (CABG). The P wave was analyzed using the Morlet wavelet in 50 patients who underwent successful CABG. Group A consisted of 17 patients, 12 men and 5 women, of mean age 66.9 +/- 5.9 years, who developed AF postoperatively. Group B consisted of 33 patients, 29 men and 4 women, mean age 62.4 +/- 7.8 years, who remained arrhythmid-free. Using custom-designed software, P wave duration and wavelet parameters expressing the mean and maximum energy of the P wave were calculated from 3-channel digital recordings derived from orthogonal ECG leads (X, Y, and Z), and the vector magnitude (VM) was determined in each of 3 frequency bands (200-160 Hz, 150-100 Hz and 90-50 Hz). Univariate logistic-regression analysis identified a history of hypertension, the mean and maximum energies in all frequency bands along the Z axis, the mean and maximum energies (expressed by the VM) in the 200-160 Hz frequency band, and the mean energy in the 150-100 Hz frequency band along the Y axis as predictors for post-CABG AF. Multivariate analysis identified hypertension, ejection fraction, and the maximum energies in the 90-50 Hz frequency band along the Z and composite-vector axes as independent predictors. This multivariate model had a sensitivity of 91% and a specificity of 65%. We conclude that the Morlet wavelet analysis of the P wave is a very sensitive method of identifying patients who are likely to develop AF after CABG. The occurrence of post-CABG AF can be explained by a different activation pattern along the Z axis.

  19. Waveform inversion for orthorhombic anisotropy with P waves: feasibility and resolution

    Science.gov (United States)

    Kazei, Vladimir; Alkhalifah, Tariq

    2018-05-01

    Various parametrizations have been suggested to simplify inversions of first arrivals, or P waves, in orthorhombic anisotropic media, but the number and type of retrievable parameters have not been decisively determined. We show that only six parameters can be retrieved from the dynamic linearized inversion of P waves. These parameters are different from the six parameters needed to describe the kinematics of P waves. Reflection-based radiation patterns from the P-P scattered waves are remapped into the spectral domain to allow for our resolution analysis based on the effective angle of illumination concept. Singular value decomposition of the spectral sensitivities from various azimuths, offset coverage scenarios and data bandwidths allows us to quantify the resolution of different parametrizations, taking into account the signal-to-noise ratio in a given experiment. According to our singular value analysis, when the primary goal of inversion is determining the velocity of the P waves, gradually adding anisotropy of lower orders (isotropic, vertically transversally isotropic and orthorhombic) in hierarchical parametrization is the best choice. Hierarchical parametrization reduces the trade-off between the parameters and makes gradual introduction of lower anisotropy orders straightforward. When all the anisotropic parameters affecting P-wave propagation need to be retrieved simultaneously, the classic parametrization of orthorhombic medium with elastic stiffness matrix coefficients and density is a better choice for inversion. We provide estimates of the number and set of parameters that can be retrieved from surface seismic data in different acquisition scenarios. To set up an inversion process, the singular values determine the number of parameters that can be inverted and the resolution matrices from the parametrizations can be used to ascertain the set of parameters that can be resolved.

  20. Cardiac arrhythmia as initial presentation of aneurysmal subarachnoid hemorrhage

    NARCIS (Netherlands)

    van der Kleij, FGH; Henselmans, JML; van de Loosdrecht, AA

    1999-01-01

    Cardiac arrhythmia and sudden death are most frequently caused by preexisting heart disease. Rarely, cardiac arrhythmia is a first symptom of an acute neurological event. We describe a patient with asystole and other cardiac arrhythmias, as initial symptoms of acute aneurysmal subarachnoid

  1. Non-conductive ferromagnetic carbon-coated (Co, Ni) metal/polystyrene nanocomposites films

    Energy Technology Data Exchange (ETDEWEB)

    Takacs, H., E-mail: helene.takacs@gmail.com [CEA, LETI, MINATEC Campus, Grenoble 38054 (France); LTM-CNRS-UJF, CEA, LETI, Minatec Campus, Grenoble 38054 (France); Viala, B.; Hermán, V. [CEA, LETI, MINATEC Campus, Grenoble 38054 (France); Tortai, J.-H. [LTM-CNRS-UJF, CEA, LETI, Minatec Campus, Grenoble 38054 (France); Duclairoir, F. [Université Grenoble Alpes, INAC, Grenoble 38054 (France); CEA, INAC, Grenoble 38054 (France)

    2016-03-07

    This article reports non-conductive ferromagnetic properties of metal/polymer nanocomposite films intended to be used for RF applications. The nanocomposite arrangement is unique showing a core double-shell structure of metal-carbon-polystyrene: M/C//P{sub 1}/P{sub 2}, where M = Co, Ni is the core material, C = graphene or carbon is the first shell acting as a protective layer against oxidation, P{sub 1} = pyrene-terminated polystyrene is the second shell for electrical insulation, and P{sub 2} = polystyrene is a supporting matrix (// indicates actual grafting). The nanocomposite formulation is briefly described, and the film deposition by spin-coating is detailed. Original spin-curves are reported and analyzed. One key outcome is the achievement of uniform and cohesive films at the wafer scale. Structural properties of films are thoroughly detailed, and weight and volume fractions of M/C are considered. Then, a comprehensive overview of DC magnetic and electrical properties is reported. A discussion follows on the magnetic softness of the nanocomposites vs. that of a single particle (theoretical) and the raw powder (experimental). Finally, unprecedented achievement of high magnetization (∼0.6 T) and ultra-high resistivity (∼10{sup 10 }μΩ cm) is shown. High magnetization comes from the preservation of the existing protective shell C, with no significant degradation on the particle net-moment, and high electrical insulation is ensured by adequate grafting of the secondary shell P{sub 1}. To conclude, the metal/polymer nanocomposites are situated in the landscape of soft ferromagnetic materials for RF applications (i.e., inductors and antennas), by means of two phase-diagrams, where they play a crucial role.

  2. In-medium P-wave quarkonium from the complex lattice QCD potential

    International Nuclear Information System (INIS)

    Burnier, Yannis; Kaczmarek, Olaf; Rothkopf, Alexander

    2016-01-01

    We extend our lattice QCD potential based study http://dx.doi.org/10.1007/JHEP12(2015)101 of the in-medium properties of heavy quark bound states to P-wave bottomonium and charmonium. Similar to the behavior found in the S-wave channel their spectra show a characteristic broadening, as well as mass shifts to lower energy with increasing temperature. In contrast to the S-wave states, finite angular momentum leads to the survival of spectral peaks even at temperatures, where the continuum threshold reaches below the bound state remnant mass. We elaborate on the ensuing challenges in defining quarkonium dissolution and present estimates of melting temperatures for the spin averaged χ b and χ c states. As an application to heavy-ion collisions we further estimate the contribution of feed down to S-wave quarkonium through the P-wave states after freezeout.

  3. Covariant trace formalism for heavy meson s-wave to p-wave transitions

    International Nuclear Information System (INIS)

    Balk, S.; Koerner, J.G.; Thompson, G.; Hussain, F.

    1992-06-01

    Heavy meson, s- to p-wave, weak transitions are studied in the context of the Heavy Quark Effective Theory using covariant meson wave functions. We use the trace formalism to evaluate the weak transitions. As expected from heavy quark symmetry, the eight transitions between s- and p-wave states are described in terms of only two universal form factors which are given in terms of explicit wave function overlap integrals. We present our results in terms of both invariant and helicity amplitudes. Using our helicity amplitude expressions we discuss rate formulae, helicity structure functions and joint angular decay distributions in the decays B-bar→D**(→(D,D*)+π)+W - (→l - ν l ). The heavy quark symmetry predictions for the one-pion transitions D**→(D,D*)+π are similarly worked out by using trace techniques. (author). 35 refs, 3 figs, 2 tabs

  4. Scaling relation between earthquake magnitude and the departure time from P wave similar growth

    Science.gov (United States)

    Noda, Shunta; Ellsworth, William L.

    2016-01-01

    We introduce a new scaling relation between earthquake magnitude (M) and a characteristic of initial P wave displacement. By examining Japanese K-NET data averaged in bins partitioned by Mw and hypocentral distance, we demonstrate that the P wave displacement briefly displays similar growth at the onset of rupture and that the departure time (Tdp), which is defined as the time of departure from similarity of the absolute displacement after applying a band-pass filter, correlates with the final M in a range of 4.5 ≤ Mw ≤ 7. The scaling relation between Mw and Tdp implies that useful information on the final M can be derived while the event is still in progress because Tdp occurs before the completion of rupture. We conclude that the scaling relation is important not only for earthquake early warning but also for the source physics of earthquakes.

  5. Application of perturbation theory to a P-wave eikonal equation in orthorhombic media

    KAUST Repository

    Stovas, Alexey

    2016-10-12

    The P-wave eikonal equation for orthorhombic (ORT) anisotropic media is a highly nonlinear partial differential equation requiring the solution of a sixth-order polynomial to obtain traveltimes, resulting in complex and time-consuming numerical solutions. To alleviate this complexity, we approximate the solution of this equation by applying a multiparametric perturbation approach. We also investigated the sensitivity of traveltime surfaces inORT mediawith respect to three anelliptic parameters. As a result, a simple and accurate P-wave traveltime approximation valid for ORT media was derived. Two different possible anelliptic parameterizations were compared. One of the parameterizations includes anelliptic parameters defined at zero offset: η1, η2, and ηxy. Another parameterization includes anelliptic parameters defined for all symmetry planes: η1, η2, and η3. The azimuthal behavior of sensitivity coefficients with different parameterizations was used to analyze the crosstalk between anelliptic parameters. © 2016 Society of Exploration Geophysicists.

  6. Electron-He+ P-wave elastic scattering and photoabsorption in two-electron systems

    International Nuclear Information System (INIS)

    Bhatia, A. K.

    2006-01-01

    In a previous paper [A. K. Bhatia, Phys. Rev. A 69, 032714 (2004)], electron-hydrogen P-wave scattering phase shifts were calculated using the optical potential approach based on the Feshbach projection operator formalism. This method is now extended to the singlet and triplet electron-He + P-wave scattering in the elastic region. Phase shifts are calculated using Hylleraas-type correlation functions with up to 220 terms. Results are rigorous lower bounds to the exact phase shifts, and they are compared to phase shifts obtained from the method of polarized orbitals and close-coupling calculations. The continuum functions calculated here are used to calculate photoabsorption cross sections. Photoionization cross sections of He and photodetachment cross sections of H - are calculated in the elastic region--i.e., leaving He + and H in their respective ground states--and compared with previous calculations. Radiative attachment rates are also calculated

  7. In-medium P-wave quarkonium from the complex lattice QCD potential

    Energy Technology Data Exchange (ETDEWEB)

    Burnier, Yannis [Institute of Theoretical Physics, EPFL,CH-1015 Lausanne (Switzerland); Kaczmarek, Olaf [Fakultät für Physik, Universität Bielefeld,D-33615 Bielefeld (Germany); Rothkopf, Alexander [Institute for Theoretical Physics, Heidelberg University,Philosophenweg 16, 69120 Heidelberg (Germany)

    2016-10-07

    We extend our lattice QCD potential based study http://dx.doi.org/10.1007/JHEP12(2015)101 of the in-medium properties of heavy quark bound states to P-wave bottomonium and charmonium. Similar to the behavior found in the S-wave channel their spectra show a characteristic broadening, as well as mass shifts to lower energy with increasing temperature. In contrast to the S-wave states, finite angular momentum leads to the survival of spectral peaks even at temperatures, where the continuum threshold reaches below the bound state remnant mass. We elaborate on the ensuing challenges in defining quarkonium dissolution and present estimates of melting temperatures for the spin averaged χ{sub b} and χ{sub c} states. As an application to heavy-ion collisions we further estimate the contribution of feed down to S-wave quarkonium through the P-wave states after freezeout.

  8. Pharmacogenetics of drug-induced arrhythmias

    DEFF Research Database (Denmark)

    De Bruin, Marie L; van Puijenbroek, Eugene P; Bracke, Madelon

    2006-01-01

    PURPOSE: The bottleneck in pharmacogenetic research on rare adverse drug reactions (ADR) is retrieval of patients. Spontaneous reports of ADRs may form a useful source of patients. We investigated the feasibility of a pharmacogenetic study, in which cases were selected from the database...... of a spontaneous reporting system for ADRs, using drug-induced arrhythmias as an example. METHODS: Reports of drug-induced arrhythmias to proarrhythmic drugs were selected from the database of the Netherlands Pharmacovigilance Centre (1996-2003). Information on the patient's general practitioner (GP) was obtained...... be included in the study, giving an overall participation rate of 9% (4/45). The main reason for GPs not being willing to participate was lack of time. Variants were identified in KCNH2, SCN5A and KCNE1. CONCLUSIONS: Spontaneous reporting systems for ADRs may be used for pharmacogenetic research. The methods...

  9. Risk of arrhythmia induced by psychotropic medications

    DEFF Research Database (Denmark)

    Fanoe, Søren; Kristensen, Diana; Fink-Jensen, Anders

    2014-01-01

    with psychotropic medications. The algorithm integrates the risk categories of the individual drugs and pre-disposing risk factors and suggests a prudent follow-up for patients with an increased risk. We believe this clinically manageable guideline might improve safety in the many and rapidly increasing number...... of the major mental disorders are associated with a large risk of suicide if untreated. The observed risk of malignant arrhythmia associated with treatment with psychotropic drugs calls for clinical guidelines integrating the risk of the individual drug and other potentially interacting risk factors......Several drugs used in the treatment of mental diseases are associated with an increased risk of sudden cardiac death (SCD). A general cause-relationship between the intake of these drugs and SCD is unattainable, but numerous case reports of drug-induced malignant arrhythmia and epidemiological...

  10. Hyperfine structure of the S- and P-wave states of muonic deuterium

    International Nuclear Information System (INIS)

    Martynenko, A. P.; Martynenko, G. A.; Sorokin, V. V.; Faustov, R. N.

    2016-01-01

    Corrections of order α"5 and α"6 to the hyperfine structure of the S- and P-wave states of muonic deuteriumwere calculated on the basis of the quasipotential approach in quantum electrodynamics. Relativistic corrections, vacuum-polarization and deuteron-structure effects, and recoil corrections were taken into account in this calculation. The resulting hyperfine-splitting values can be used in a comparison with experimental data obtained by the CREMA Collaboration.

  11. P-wave scattering and the distribution of heterogeneity around Etna volcano

    Directory of Open Access Journals (Sweden)

    Toni Zieger

    2016-09-01

    Full Text Available Volcanoes and fault zones are areas of increased heterogeneity in the Earth crust that leads to strong scattering of seismic waves. For the understanding of the volcanic structure and the role of attenuation and scattering processes it is important to investigate the distribution of heterogeneity. We used the signals of air-gun shots to investigate the distribution of heterogeneity around Mount Etna. We devise a new methodology that is based on the coda energy ratio which we define as the ratio between the energy of the direct P-wave and the energy in a later coda window. This is based on the basic assumption that scattering caused by heterogeneity removes energy from the direct P-waves. We show that measurements of the energy ratio are stable with respect to changes of the details of the time windows definitions. As an independent proxy of the scattering strength along the ray path we measure the peak delay time of the direct P-wave. The peak delay time is well correlated with the coda energy ratio. We project the observation in the directions of the incident rays at the stations. Most notably is an area with increased wave scattering in the volcano and east of it. The strong heterogeneity found supports earlier observations and confirms the possibility to use P-wave sources for the determination of scattering properties. We interpret the extension of the highly heterogeneous zone towards the east as a potential signature of inelastic deformation processes induced by the eastward sliding of flank of the volcano.

  12. ESTIMA, Neutron Width Level Spacing, Neutron Strength Function of S- Wave, P-Wave Resonances

    International Nuclear Information System (INIS)

    Fort, E.

    1982-01-01

    1 - Description of problem or function: ESTIMA calculates level spacing and neutron strength function of a mixed sequence of s- and p-wave resonances given a set of neutron widths as input parameters. Three algorithms are used, two of which calculate s-wave average parameters and assume that the reduced widths obey a Porter-Thomas distribution truncated by a minimum detection threshold. The third performs a maximum likelihood fit to a truncated chi-squared distribution of any specified number of degrees of freedom, i.e. it can be used for calculating s-wave or p-wave average parameters. Resonances of undeclared angular orbital momentum are divided into groups of probable s-wave and probable p-wave by a simple application of Bayes' Theorem. 2 - Method of solution: Three algorithms are used: i) GAMN method, based on simple moments properties of a Porter-Thomas distribution. ii) Missing Level Estimator, a simplified version of the algorithm used by the program BAYESZ. iii) ESTIMA, a maximum likelihood fit. 3 - Restrictions on the complexity of the problem: A maximum of 400 resonances is allowed in the version available from NEADB, however this restriction can be relaxed by increasing array dimensions

  13. BAYESZ, S-Wave, P-Wave Resonance Level Spacing and Strength Functions

    International Nuclear Information System (INIS)

    Moore, M.S.

    1982-01-01

    A - Description of problem or function: BAYESZ calculates average s- and p-wave level spacings, strength functions, and average radiation widths of a mixed sequence of s- and p-wave resonances whose parameters are supplied as input. The code is based on two physical assumptions: 1) The neutron reduced width distribution for each open channel is a chi-squared distribution with one degree of freedom, i.e. Porter-Thomas. 2) The spacing distribution follows the Gaussian Orthogonal Ensemble. This property is used, however, only to fix the s- to p-wave level density ratio as proportional to (2J+1) with a spin cut-off correction. B - Method of solution: The method used is an extension of that described by Moore et al. in reference (1), and is based on the method of moments of a truncated Porter-Thomas distribution. C - Restrictions on the complexity of the problem: Parameters for a maximum of 500 individual resonances can be specified. This restriction can be relaxed by increasing array dimensions

  14. Modeling of pseudoacoustic P-waves in orthorhombic media with a low-rank approximation

    KAUST Repository

    Song, Xiaolei

    2013-06-04

    Wavefield extrapolation in pseudoacoustic orthorhombic anisotropic media suffers from wave-mode coupling and stability limitations in the parameter range. We use the dispersion relation for scalar wave propagation in pseudoacoustic orthorhombic media to model acoustic wavefields. The wavenumber-domain application of the Laplacian operator allows us to propagate the P-waves exclusively, without imposing any conditions on the parameter range of stability. It also allows us to avoid dispersion artifacts commonly associated with evaluating the Laplacian operator in space domain using practical finite-difference stencils. To handle the corresponding space-wavenumber mixed-domain operator, we apply the low-rank approximation approach. Considering the number of parameters necessary to describe orthorhombic anisotropy, the low-rank approach yields space-wavenumber decomposition of the extrapolator operator that is dependent on space location regardless of the parameters, a feature necessary for orthorhombic anisotropy. Numerical experiments that the proposed wavefield extrapolator is accurate and practically free of dispersion. Furthermore, there is no coupling of qSv and qP waves because we use the analytical dispersion solution corresponding to the P-wave.

  15. Mantle Attenuation Estimated from Regional and Teleseismic P-waves of Deep Earthquakes and Surface Explosions

    Science.gov (United States)

    Ichinose, G.; Woods, M.; Dwyer, J.

    2014-03-01

    We estimated the network-averaged mantle attenuation t*(total) of 0.5 s beneath the North Korea test site (NKTS) by use of P-wave spectra and normalized spectral stacks from the 25 May 2009 declared nuclear test (mb 4.5; IDC). This value was checked using P-waves from seven deep (580-600 km) earthquakes (4.8 test, which confirms the equality with the sum of t*(u) and t*(d). We included constraints on seismic moment, depth, and radiation pattern by using results from a moment tensor analysis and corner frequencies from modeling of P-wave spectra recorded at local distances. We also avoided finite-faulting effects by excluding earthquakes with complex source time functions. We assumed ω2 source models for earthquakes and explosions. The mantle attenuation beneath the NKTS is clearly different when compared with the network-averaged t* of 0.75 s for the western US and is similar to values of approximately 0.5 s for the Semipalatinsk test site within the 0.5-2 Hz range.

  16. Dynamics of skyrmions and edge states in the resistive regime of mesoscopic p-wave superconductors

    Energy Technology Data Exchange (ETDEWEB)

    Fernández Becerra, V., E-mail: VictorLeonardo.FernandezBecerra@uantwerpen.be; Milošević, M.V., E-mail: milorad.milosevic@uantwerpen.be

    2017-02-15

    Highlights: • Voltage–current characterization of a mesoscopic p-wave superconducting sample. • Skyrmions and edge states are stabilized with an out-of-plane applied magnetic field. • In the resistive regime, moving skyrmions and the edge state behave distinctly different from the conventional kinematic vortices. - Abstract: In a mesoscopic sample of a chiral p-wave superconductor, novel states comprising skyrmions and edge states have been stabilized in out-of-plane applied magnetic field. Using the time-dependent Ginzburg–Landau equations we shed light on the dynamic response of such states to an external applied current. Three different regimes are obtained, namely, the superconducting (stationary), resistive (non-stationary) and normal regime, similarly to conventional s-wave superconductors. However, in the resistive regime and depending on the external current, we found that moving skyrmions and the edge state behave distinctly different from the conventional kinematic vortex, thereby providing new fingerprints for identification of p-wave superconductivity.

  17. Preliminary result of P-wave speed tomography beneath North Sumatera region

    Energy Technology Data Exchange (ETDEWEB)

    Jatnika, Jajat [Earth Science Study Program, Institute of Technology Bandung (Indonesia); Indonesian Meteorological, Climatological and Geophysical Agency (MCGA), Jakarta (Indonesia); Nugraha, Andri Dian, E-mail: nugraha@gf.itb.ac.id [Global Geophysical Research Group, Faculty of Mining and Petroleum Engineering, Insitute of Technology Bandung (Indonesia); Wandono [Indonesian Meteorological, Climatological and Geophysical Agency (MCGA), Jakarta (Indonesia)

    2015-04-24

    The structure of P-wave speed beneath the North Sumatra region was determined using P-wave arrival times compiled by MCGA from time periods of January 2009 to December 2012 combining with PASSCAL data for February to May 1995. In total, there are 2,246 local earthquake events with 10,666 P-wave phases from 63 stations seismic around the study area. Ray tracing to estimate travel time from source to receiver in this study by applying pseudo-bending method while the damped LSQR method was used for the tomographic inversion. Based on assessment of ray coverage, earthquakes and stations distribution, horizontal grid nodes was set up of 30×30 km2 for inside the study area and 80×80 km2 for outside the study area. The tomographic inversion results show low Vp anomaly beneath Toba caldera complex region and around the Sumatra Fault Zones (SFZ). These features are consistent with previous study. The low Vp anomaly beneath Toba caldera complex are observed around Mt. Pusuk Bukit at depths of 5 km down to 100 km. The interpretation is these anomalies may be associated with ascending hot materials from subduction processes at depths of 80 km down to 100 km. The obtained Vp structure from local tomography will give valuable information to enhance understanding of tectonic and volcanic in this study area.

  18. Illicit drugs and cardiac arrhythmias in athletes.

    Science.gov (United States)

    Furlanello, Francesco; Serdoz, Laura Vitali; Cappato, Riccardo; De Ambroggi, Luigi

    2007-08-01

    The current management of athletes with cardiac arrhythmias has become complicated by the widespread use of illicit drugs, which can be arrhythmogenic. The World Anti-Doping Agency annually updates a list of prohibited substances and methods banned by the International Olympic Committee that includes different classes of substances namely, anabolic androgenic steroids, hormones and related substances, beta2-agonists, diuretics, stimulants, narcotics, cannabinoids, glucocorticosteroids, alcohol, beta-blockers and others. Almost all illicit drugs may cause, through a direct or indirect arrhythmogenic effect, a wide range of cardiac arrhythmias (focal or reentry type, supraventricular and/or ventricular) that can even be lethal and which are frequently sport activity related. A large use of illicit drugs has been documented in competitive athletes, but the arrhythmogenic effect of specific substances is not precisely known. Precipitation of cardiac arrhythmias, particularly in the presence of a latent electrophysiologic substrate including some inherited cardiomyopathies, at risk of sudden death or due to long-term consumption of the substances, should raise the suspicion that illicit drugs may be a possible cause and lead cardiologists to investigate carefully this relationship and appropriately prevent the clinical consequences.

  19. Effects of Single Dose Energy Drink on QT and P-Wave Dispersion

    OpenAIRE

    Arınç, Hüseyin; Sarli, Bahadir; Baktir, Ahmet Oguz; Yolcu, Mustafa; Ozyildirim, Serhan; Kayardi, Mahmut; Cosgun, Mehmet; Erguzel, Nuri; Gunduz, Huseyin; Uyan, Cihangir

    2013-01-01

    Objective: Aim of this study is to evaluate the cardiac electrophysiological effects of energy drink (Red Bull) on QT and P duration and dispersion on surface electrocardiogram.Methods: Twenty healthy volunteers older than 17 years of age were included the study. Subjects with a cardiac rhythm except sinus rhythm, history of atrial or ventricular arrhythmia, family history of premature sudden cardiac death, palpitations, T-wave abnormalities, QTc interval greater than 440 milliseconds, or tho...

  20. Noninvasive evaluation of reverse atrial remodeling after catheter ablation of atrial fibrillation by P wave dispersion.

    Science.gov (United States)

    Fujimoto, Yuhi; Yodogawa, Kenji; Takahashi, Kenta; Tsuboi, Ippei; Hayashi, Hiroshi; Uetake, Shunsuke; Iwasaki, Yu-Ki; Hayashi, Meiso; Miyauchi, Yasushi; Shimizu, Wataru

    2017-11-01

    Atrial fibrillation (AF) itself creates structural and electrophysiological changes such as atrial enlargement, shortening of refractory period and decrease in conduction velocity, called "atrial remodeling", promoting its persistence. Although the remodeling process is considered to be reversible, it has not been elucidated in detail. The aim of this study was to assess the feasibility of P wave dispersion in the assessment of reverse atrial remodeling following catheter ablation of AF. Consecutive 126 patients (88 males, age 63.0 ± 10.4 years) who underwent catheter ablation for paroxysmal AF were investigated. P wave dispersion was calculated from the 12 lead ECG before, 1 day, 1 month, 3 months and 6 months after the procedure. Left atrial diameter (LAD), left atrial volume index (LAVI), left ventricular ejection fraction (LVEF), transmitral flow velocity waveform (E/A), and tissue Doppler (E/e') on echocardiography, plasma B-type natriuretic peptide (BNP) concentrations, serum creatinine, and estimated glomerular filtration rate (eGFR) were also measured. Of all patients, 103 subjects remained free of AF for 1 year follow-up. In these patients, P wave dispersion was not changed 1 day and 1 month after the procedure. However, it was significantly decreased at 3 and 6 months (50.1 ± 14.8 to 45.4 ± 14.4 ms, p < 0.05, 45.2 ± 9.9 ms, p < 0.05, respectively). Plasma BNP concentrations, LAD and LAVI were decreased (81.1 ± 103.8 to 44.8 ± 38.3 pg/mL, p < 0.05, 38.2 ± 5.7 to 35.9 ± 5.6 mm, p < 0.05, 33.3 ± 14.2 to 29.3 ± 12.3 mL/m 2 , p < 0.05) at 6 months after the procedure. There were no significant changes in LVEF, E/A, E/e', serum creatinine, and eGFR during the follow up period. P wave dispersion was decreased at 3 and 6 months after catheter ablation in patients without recurrence of AF. P wave dispersion is useful for assessment of reverse remodeling after catheter ablation of AF.

  1. Improvement of a picking algorithm real-time P-wave detection by kurtosis

    Science.gov (United States)

    Ishida, H.; Yamada, M.

    2016-12-01

    Earthquake early warning (EEW) requires fast and accurate P-wave detection. The current EEW system in Japan uses the STA/LTAalgorithm (Allen, 1978) to detect P-wave arrival.However, some stations did not trigger during the 2011 Great Tohoku Earthquake due to the emergent onset. In addition, accuracy of the P-wave detection is very important: on August 1, 2016, the EEW issued a false alarm with M9 in Tokyo region due to a thunder noise.To solve these problems, we use a P-wave detection method using kurtosis statistics. It detects the change of statistic distribution of the waveform amplitude. This method was recently developed (Saragiotis et al., 2002) and used for off-line analysis such as making seismic catalogs. To apply this method for EEW, we need to remove an acausal calculation and enable a real-time processing. Here, we propose a real-time P-wave detection method using kurtosis statistics with a noise filter.To avoid false triggering by a noise, we incorporated a simple filter to classify seismic signal and noise. Following Kong et al. (2016), we used the interquartilerange and zero cross rate for the classification. The interquartile range is an amplitude measure that is equal to the middle 50% of amplitude in a certain time window. The zero cross rate is a simple frequency measure that counts the number of times that the signal crosses baseline zero. A discriminant function including these measures was constructed by the linear discriminant analysis.To test this kurtosis method, we used strong motion records for 62 earthquakes between April, 2005 and July, 2015, which recorded the seismic intensity greater equal to 6 lower in the JMA intensity scale. The records with hypocentral distance picks. It shows that the median error is 0.13 sec and 0.035 sec for STA/LTA and kurtosis method. The kurtosis method tends to be more sensitive to small changes in amplitude.Our approach will contribute to improve the accuracy of source location determination of

  2. Energy-Saving Sintering of Electrically Conductive Powders by Modified Pulsed Electric Current Heating Using an Electrically Nonconductive Die

    Science.gov (United States)

    Ito, Mikio; Kawahara, Kenta; Araki, Keita

    2014-04-01

    Sintering of Cu and thermoelectric Ca3Co4O9 was tried using a modified pulsed electric current sintering (PECS) process, where an electrically nonconductive die was used instead of a conventional graphite die. The pulsed electric current flowed through graphite punches and sample powder, which caused the Joule heating of the powder compact itself, resulting in sintering under smaller power consumption. Especially for the Ca3Co4O9 powder, densification during sintering was also accelerated by this modified PECS process.

  3. Relation between the behaviors of P-wave and QT dispersions in elderly patients with heart failure

    Directory of Open Access Journals (Sweden)

    Szlejf Cláudia

    2002-01-01

    Full Text Available OBJECTIVE: To assess the relation between P-wave and QT dispersions in elderly patients with heart failure. METHODS: Forty-seven elderly patients (75.6±6 years with stable heart failure in NYHA functional classes II or III and with ejection fractions of 37±6% underwent body surface mapping to analyze P-wave and QT dispersions. The degree of correlation between P-wave and QT dispersions was assessed, and P-wave dispersion values in patients with QT dispersion greater than and smaller than 100 ms were compared. RESULTS: The mean values of P-wave and QT dispersions were 54±14 ms and 68±27 ms, respectively. The correlation between the 2 variables was R=0.41 (p=0.04. In patients with QT dispersion values > 100 ms, P-wave dispersion was significantly greater than in those with QT dispersion values < 100 ms (58±16 vs 53±12 ms, p=0.04 . CONCLUSION: Our results suggest that, in elderly patients with heart failure, a correlation between the values of P-wave and QT dispersions exists. These findings may have etiopathogenic, pathophysiologic, prognostic, and therapeutic implications, which should be investigated in other studies.

  4. [P wave dispersion increased in childhood depending on blood pressure, weight, height, and cardiac structure and function].

    Science.gov (United States)

    Chávez-González, Elibet; González-Rodríguez, Emilio; Llanes-Camacho, María Del Carmen; Garí-Llanes, Merlin; García-Nóbrega, Yosvany; García-Sáez, Julieta

    2014-01-01

    Increased P wave dispersion are identified as a predictor of atrial fibrillation. There are associations between hypertension, P wave dispersion, constitutional and echocardiographic variables. These relationships have been scarcely studied in pediatrics. The aim of this study was to determine the relationship between P wave dispersion, blood pressure, echocardiographic and constitutional variables, and determine the most influential variables on P wave dispersion increases in pediatrics. In the frame of the PROCDEC II project, children from 8 to 11 years old, without known heart conditions were studied. Arterial blood pressure was measured in all the children; a 12-lead surface electrocardiogram and an echocardiogram were done as well. Left ventricular mass index mean values for normotensive (25.91±5.96g/m(2.7)) and hypertensive (30.34±8.48g/m(2.7)) showed significant differences P=.000. When we add prehypertensive and hypertensive there are 50.38% with normal left ventricular mass index and P wave dispersion was increased versus 13.36% of normotensive. Multiple regression demonstrated that the mean blood pressure, duration of A wave of mitral inflow, weight and height have a value of r=0.88 as related to P wave dispersion. P wave dispersion is increased in pre- and hypertensive children compared to normotensive. There are pre- and hypertensive patients with normal left ventricular mass index and increased P wave dispersion. Mean arterial pressure, duration of the A wave of mitral inflow, weight and height are the variables with the highest influence on increased P wave dispersion. Copyright © 2013 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.

  5. Depth variations of P-wave azimuthal anisotropy beneath East Asia

    Science.gov (United States)

    Wei, W.; Zhao, D.; Xu, J.

    2017-12-01

    We present a new P-wave anisotropic tomographic model beneath East Asia by inverting a total of 1,488,531 P wave arrival-time data recorded by the regional seismic networks in East Asia and temporary seismic arrays deployed on the Tibetan Plateau. Our results provide important new insights into the subducting Indian, Pacific and Philippine Sea plates and mantle dynamics in East Asia. Our tomographic images show that the northern limit of the subducting Indian plate has reached the Jinsha River suture in eastern Tibet. A striking variation of P-wave azimuthal anisotropy is revealed in the Indian lithosphere: the fast velocity direction (FVD) is NE-SW beneath the Indian continent, whereas the FVD is arc parallel beneath the Himalaya and Tibetan Plateau, which may reflect re-orientation of minerals due to lithospheric extension, in response to the India-Eurasia collision. The FVD in the subducting Philippine Sea plate beneath the Ryukyu arc is NE-SW(trench parallel), which is consistent with the spreading direction of the West Philippine Basin during its initial opening stage, suggesting that it may reflect the fossil anisotropy. A circular pattern of FVDs is revealed around the Philippine Sea slab beneath SE China. We suggest that it reflects asthenospheric strain caused by toroidal mantle flow around the edge of the subducting slab. We find a striking variation of the FVD with depth in the subducting Pacific slab beneath the Northeast Japan arc. It may be caused by slab dehydration that changed elastic properties of the slab with depth. The FVD in the mantle wedge beneath the Northeast Japan and Ryukyu arcs is trench normal, which reflects subduction-induced convection. Beneath the Kuril and Izu-Bonin arcs where oblique subduction occurs, the FVD in the mantle wedge is nearly normal to the moving direction of the downgoing Pacific plate, suggesting that the oblique subduction together with the complex slab morphology have disturbed the mantle flow.

  6. Unconventional transport characteristics of p-wave superconducting junctions in Sr2RuO4-Ru eutectic system

    International Nuclear Information System (INIS)

    Kambara, H.; Kashiwaya, S.; Yaguchi, H.; Asano, Y.; Tanaka, Y.; Maeno, Y.

    2010-01-01

    We report on novel local transport characteristics of naturally formed p-wave superconducting junctions of Sr 2 RuO 4 -Ru eutectic system by using microfabrication technique. We observed quite anomalous voltage-current (differential resistance-current) characteristics for both I//ab and I//c directions, which are not seen in conventional Josephson junctions. The anomalous features suggest the internal degrees of freedom of the superconducting state, possibly due to chiral p-wave domain. The dc current acts as a driving force to move chiral p-wave domain walls and form larger critical current path to cause the anomalous hysteresis.

  7. Majorana zero modes in the hopping-modulated one-dimensional p-wave superconducting model.

    Science.gov (United States)

    Gao, Yi; Zhou, Tao; Huang, Huaixiang; Huang, Ran

    2015-11-20

    We investigate the one-dimensional p-wave superconducting model with periodically modulated hopping and show that under time-reversal symmetry, the number of the Majorana zero modes (MZMs) strongly depends on the modulation period. If the modulation period is odd, there can be at most one MZM. However if the period is even, the number of the MZMs can be zero, one and two. In addition, the MZMs will disappear as the chemical potential varies. We derive the condition for the existence of the MZMs and show that the topological properties in this model are dramatically different from the one with periodically modulated potential.

  8. Evasion of HSR in S-wave charmonium decaying to P-wave light hadrons

    Energy Technology Data Exchange (ETDEWEB)

    Li, Gang [Qufu Normal University, Department of Physics, Qufu (China); Liu, Xiao-Hai [Peking University, Department of Physics and State Key Laboratory of Nuclear Physics and Technology, Beijing (China); Zhao, Qiang [Chinese Academy of Sciences, Institute of High Energy Physics, Beijing (China); CAS, Theoretical Physics Center for Science Facilities, Beijing (China)

    2013-09-15

    The S-wave charmonium decaying to a P-wave and S-wave light hadron pairs are supposed to be suppressed by the helicity selection rule in the perturbative QCD framework. With an effective Lagrangian method, we show that the intermediate charmed meson loops can provide a possible mechanism for the evasion of the helicity selection rule, and result in sizeable decay branching ratios in some of those channels. The theoretical predictions can be examined by the forthcoming BES-III data in the near future. (orig.)

  9. How a change in the interaction potential affects the p-wave scattering volume

    International Nuclear Information System (INIS)

    Jamieson, M J; Dalgarno, A

    2012-01-01

    We derive a simple expression for the change in the s-wave scattering length in terms of zero-energy wavefunctions, we generalize it to obtain an expression for the change in the p-wave scattering volume and we use both expressions to derive the first order differential equations of variable phase theory that are satisfied by the closely related accumulated scattering length and volume. We provide numerical demonstrations for the example of a pair of hydrogen atoms interacting via the X 1 Σ + g molecular state. (fast track communication)

  10. Fermionic spectral functions in backreacting p-wave superconductors at finite temperature

    Energy Technology Data Exchange (ETDEWEB)

    Giordano, G.L.; Grandi, N.E.; Lugo, A.R. [Instituto de Física de La Plata - CONICET & Departamento de Física - UNLP,C.C. 67, 1900 La Plata (Argentina)

    2017-04-14

    We investigate the spectral function of fermions in a p-wave superconducting state, at finite both temperature and gravitational coupling, using the AdS/CFT correspondence and extending previous research. We found that, for any coupling below a critical value, the system behaves as its zero temperature limit. By increasing the coupling, the “peak-dip-hump” structure that characterizes the spectral function at fixed momenta disappears. In the region where the normal/superconductor phase transition is first order, the presence of a non-zero order parameter is reflected in the absence of rotational symmetry in the fermionic spectral function at the critical temperature.

  11. Physical modeling and analysis of P-wave attenuation anisotropy in transversely isotropic media

    Digital Repository Service at National Institute of Oceanography (India)

    Zhu, Y.; Tsvankin, I.; Dewangan, P.; Van Wijk, K.

    here H20849Figures 1 and 2aH20850 was to verify the accuracy of the parameter-esti- mation results obtained by Dewangan et al. H208492006H20850. The P-wave source H20849a flat-faced, cylindrical, piezoelectric-contact transducerH20850 was fixed... are assumed to be constant. Receivers 10.8 cm 60 cm Source 70? symmetry axis Figure 1. Physical model of a TI layer with the symmetry axis tilted at 70? H20849from Dewangan et al., 2006H20850. The transmitted wavefield is excited by an ultrasonic contact...

  12. Parity violation effects in the Josephson junction of a p-wave superconductor

    International Nuclear Information System (INIS)

    Belov, Nikolay A.; Harman, Zoltán

    2016-01-01

    The phenomenon of the parity violation due to weak interaction may be studied with superconducting systems. Previous research considered the case of conventional superconductors. We here theoretically investigate the parity violation effect in an unconventional p-wave ferromagnetic superconductor, and find that its magnitude can be increased by three orders of magnitude, as compared to results of earlier studies. For potential experimental observations, the superconductor UGe_2 is suggested, together with the description of a possible experimental scheme allowing one to effectively measure and control the phenomenon. Furthermore, we put forward a setup for a further significant enhancement of the signature of parity violation in the system considered.

  13. Effect of Floquet engineering on the p-wave superconductor with second-neighbor couplings

    Science.gov (United States)

    Li, X. P.; Li, C. F.; Wang, L. C.; Zhou, L.

    2018-06-01

    The influence of the Floquet engineering on a particular one-dimensional p-wave superconductor, Kitaev model, with second-neighbor couplings is investigated in this paper. The effective Hamiltonians in the rotated reference frames have been obtained, and the convergent regions of the approximated Hamiltonian as well as the topological phase diagrams have been analyzed and discussed. We show that by modulating the external driving field amplitude, frequency as well as the second-neighbor hopping amplitude, the rich phase diagrams and transitions between different topological phases can be obtained.

  14. An acoustic wave equation for pure P wave in 2D TTI media

    KAUST Repository

    Zhan, Ge; Pestana, Reynam C.; Stoffa, Paul L.

    2011-01-01

    In this paper, a pure P wave equation for an acoustic 2D TTI media is derived. Compared with conventional TTI coupled equations, the resulting equation is unconditionally stable due to the complete isolation of the SV wave mode. To avoid numerical dispersion and produce high quality images, the rapid expansion method REM is employed for numerical implementation. Synthetic results validate the proposed equation and show that it is a stable algorithm for modeling and reverse time migration RTM in a TTI media for any anisotropic parameter values. © 2011 Society of Exploration Geophysicists.

  15. Holographic s-wave and p-wave Josephson junction with backreaction

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Yong-Qiang; Liu, Shuai [Institute of Theoretical Physics, Lanzhou University,Lanzhou 730000, People’s Republic of (China)

    2016-11-22

    In this paper, we study the holographic models of s-wave and p-wave Josephoson junction away from probe limit in (3+1)-dimensional spacetime, respectively. With the backreaction of the matter, we obtained the anisotropic black hole solution with the condensation of matter fields. We observe that the critical temperature of Josephoson junction decreases with increasing backreaction. In addition to this, the tunneling current and condenstion of Josephoson junction become smaller as backreaction grows larger, but the relationship between current and phase difference still holds for sine function. Moreover, condenstion of Josephoson junction deceases with increasing width of junction exponentially.

  16. Elastic pion-nucleon P-wave scattering in soliton models

    International Nuclear Information System (INIS)

    Holzwarth, G.

    1990-01-01

    The equivalence of low-energy P-wave πN scattering in soliton models with the well-established Δ-isobar model is shown to hold even if all constraints on redundant collective variables are ignored. This provides strong support for the unusual (time-derivative) form of meson-baryon coupling in such models, and for the expectation that the soliton description of πN-scattering can be reliably extended down to pion threshold energies in a technically simple way. (orig.)

  17. Malignant Arrhythmia in Apical Ballooning Syndrome: Risk Factors and Outcomes

    Directory of Open Access Journals (Sweden)

    Samuel J. Asirvatham

    2008-08-01

    Full Text Available Objectives: We sought to determine the frequency and outcomes with symptomatic arrhythmia in patients with apical ballooning syndrome (ABS. Methods: A retrospective review of the Mayo Clinic Angiography database was conducted to identify patients who met the Mayo criteria for ABS. Patients with documented arrhythmias formed the study group, and 31 randomly selected patients with ABS but without arrhythmia formed the control group.Results: Out of 105 patients identified with ABS, 6 (5.7% women aged 69 +/- 9 years experienced significant arrhythmia (ventricular fibrillation, asystole, 2 patients died, and 1 required permanent pacemaker implantation. When compared with controls, the study group showed no significant difference with respect to ECG characteristics (QT, QRS duration or axis except for R-R interval variability (see comments below (30.6±6 vs 14.5±17 p = 0.0004, QTc, and P-R interval. Patients without arrhythmia were more likely to be on beta-blocker therapy than the study population (33% vs 80.6% p = 0.02. Conclusion: Life-threatening arrhythmia is uncommon (5.7% with ABS despite marked, structural abnormalities. When arrhythmias do occur, the outcome is poor. Prominent variability in R-R intervals appears to be predictive of significant arrhythmias in ABS. The role of beta-blocker therapy in preventing arrhythmia with ABS requires further investigation.

  18. Data on the electromagnetic pion form factor and p-wave

    International Nuclear Information System (INIS)

    Dubnicka, S.; Meshcheryakov, V.A.; Milko, J.

    1980-01-01

    The pion form factor absolute value data (free of the omega meson contribution) are unified with the P-wave isovector ππ phase shift. The resultant real and imaginary parts of the pion form factor are described by means of the Pade approximation. All the data, which involve the pion form factor experimental points from the range of momenta - 0.8432 GeV 2 2 , the pion charge radius, and the P-wave isovector ππ phase shift in the elastic region (including also the generally accepted value of the scattering length) are mutually consistent. The data themselves through the Pade approximation reveal that the aforementioned consistency can be achieved only if the pion form factor left-hand cut from the second Riemann sheet is taken into account. Almost in all of the considered Pade approximations one stable pion form factor zero is found in the space-like region, which might indicate the existence of a diffraction minimum in the differential cross section for elastic e - π scattering as a consequence of the constituent structure of the pion like in the case of the electron elastic scattering on nuclei

  19. Experimental study on p-wave neutron strength functions for light nuclei

    International Nuclear Information System (INIS)

    Koester, L.; Waschkowski, W.; Meier, J.; Rau, G.; Salehi, M.

    1988-01-01

    Broad energy distributions in fast neutron beams have been achieved by appropriate filtering of the 236 U fission radiation provided from the RENT converter facility at the FRM research reactor. Transmission measurements in such beams result in average cross sections to which resonance reactions and shape elastic scattering contribute. We used a silicon (124.5 cm) filtered beam with a median energy of 143 keV (width 20 keV) and beams with 1.3 MeV (0.55 to 3 MeV) and 2.1 MeV (1 to 5.5 MeV) obtained through different filter combinations of lead and polyethylene. The relative high energies and the broad spectra made it possible to determine experimentally the contributions of s- and p-wave resonance reactions to the average cross section even for light nuclei. Using the three different beams we determined the average cross sections for the elements in the mass region A = 9 to 65. Analysing the measured cross sections by means of the R matrix formalism provided a complete set of p-wave strength functions and distant level parameters. Moreover, single particle shell effects in the cross sections were observed. In conclusion we obtained information on the 2P and the 3S size resonances and about the validity of the optical model for neutron reactions with light nuclei. (orig.)

  20. Assessment of atrial electromechanical interval and P wave dispersion in patients with polycystic ovary syndrome.

    Science.gov (United States)

    Bayır, Pınar Türker; Güray, Ümit; Duyuler, Serkan; Demirkan, Burcu; Kayaalp, Oya; Kanat, Selçuk; Güray, Yeşim

    2016-02-01

    Polycystic ovary syndrome (PCOS) is associated with increased cardiovascular risk, including ischemic stroke. Prolonged atrial electromechanical interval (EMI) is related to increased atrial fibrillation (AF) risk. The aim of the study is to evaluate atrial EMI and electrocardiographic P-wave indices related to increased AF risk in patients with PCOS. Forty PCOS patients diagnosed on the basis of the Rotterdam criteria and 20 age-matched controls were prospectively included. patients with atrioventricular or intraventricular conduction abnormalities, dysrhythmia or taking antiarrhythmic drugs, atherosclerotic heart disease, cardiomyopathies, valvular lesions, pericardial disease, a history of pulmonary emboli or pulmonary hypertension, and abnormal thyroid function were excluded. Intra and interatrial EMI were measured by tissue Doppler imaging and P-wave dispersion (Pd) was calculated on 12-lead electrocardiography (ECG). The Isovolumetric relaxation time was the interval between the aortic valve closure artifact at the end of the LV outflow envelope and the mitral valve opening artifact at the beginning of the mitral E wave. Patients with PCOS had significantly higher interatrial [38 (24-65) ms vs. 16 (9-19) ms pPCOS group compared with control group [45 (27-60) ms vs. 30 (26-38) ms, pPCOS. PCOS is associated with prolonged inter- and intra-atrial conduction times, which are related to increased AF risk.

  1. Constraining dark matter late-time energy injection: decays and p-wave annihilations

    Energy Technology Data Exchange (ETDEWEB)

    Diamanti, Roberta; Mena, Olga; Palomares-Ruiz, Sergio; Vincent, Aaron C. [Instituto de Física Corpuscular (IFIC), CSIC-Universitat de València, Apartado de Correos 22085, E-46071 Valencia (Spain); Lopez-Honorez, Laura, E-mail: R.Diamanti@uva.nl, E-mail: llopezho@vub.ac.be, E-mail: omena@ific.uv.es, E-mail: sergio.palomares.ruiz@ific.uv.es, E-mail: vincent@ific.uv.es [Theoretische Natuurkunde Vrije Universiteit Brussel and The International Solvay Institutes Pleinlaan 2, B-1050 Brussels (Belgium)

    2014-02-01

    We use the latest cosmic microwave background (CMB) observations to provide updated constraints on the dark matter lifetime as well as on p-wave suppressed annihilation cross sections in the 1 MeV to 1 TeV mass range. In contrast to scenarios with an s-wave dominated annihilation cross section, which mainly affect the CMB close to the last scattering surface, signatures associated with these scenarios essentially appear at low redshifts (z∼<50) when structure began to form, and thus manifest at lower multipoles in the CMB power spectrum. We use data from Planck, WMAP9, SPT and ACT, as well as Lyman–α measurements of the matter temperature at z ∼ 4 to set a 95% confidence level lower bound on the dark matter lifetime of ∼ 4 × 10{sup 25} s for m{sub χ} = 100 MeV. This bound becomes lower by an order of magnitude at m{sub χ} = 1 TeV due to inefficient energy deposition into the intergalactic medium. We also show that structure formation can enhance the effect of p-wave suppressed annihilation cross sections by many orders of magnitude with respect to the background cosmological rate, although even with this enhancement, CMB constraints are not yet strong enough to reach the thermal relic value of the cross section.

  2. Dynamic Response of Underground Circular Lining Tunnels Subjected to Incident P Waves

    Directory of Open Access Journals (Sweden)

    Hua Xu

    2014-01-01

    Full Text Available Dynamic stress concentration in tunnels and underground structures during earthquakes often leads to serious structural damage. A series solution of wave equation for dynamic response of underground circular lining tunnels subjected to incident plane P waves is presented by Fourier-Bessel series expansion method in this paper. The deformation and stress fields of the whole medium of surrounding rock and tunnel were obtained by solving the equations of seismic wave propagation in an elastic half space. Based on the assumption of a large circular arc, a series of solutions for dynamic stress were deduced by using a wave function expansion approach for a circular lining tunnel in an elastic half space rock medium subjected to incident plane P waves. Then, the dynamic response of the circular lining tunnel was obtained by solving a series of algebraic equations after imposing its boundary conditions for displacement and stress of the circular lining tunnel. The effects of different factors on circular lining rock tunnels, including incident frequency, incident angle, buried depth, rock conditions, and lining stiffness, were derived and several application examples are presented. The results may provide a good reference for studies on the dynamic response and aseismic design of tunnels and underground structures.

  3. Loperamide Induced Life Threatening Ventricular Arrhythmia

    Directory of Open Access Journals (Sweden)

    Ankit Upadhyay

    2016-01-01

    Full Text Available Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient’s QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community.

  4. P Wave Duration And Dispersion In Patients With Hyperthyroidism And The Short-term Effects Of Antithyroid Treatment

    OpenAIRE

    Unal Guntekin; Yilmaz Gunes; Hakki Simsek; Mustafa Tuncer; Sevket Arslan

    2009-01-01

    Background: Prolonged P wave duration and P wave dispersion (PWD) have been associated with an increased risk for atrial fibrillation (AF). Hyperthytodism is a frequent cause of atrial fibrillation (AF). Methods: Forty-two patients with newly diagnosed overt hyperthyroidism and 20 healthy people were enrolled in the study. Transthoracic echocardiography, 12 lead surface ECG and thyroid hormone levels were studied at the time of enrollment and after achievement of euthyroid state with propylth...

  5. Significant correlation of P-wave parameters with left atrial volume index and left ventricular diastolic function.

    Science.gov (United States)

    Tsai, Wei-Chung; Lee, Kun-Tai; Wu, Ming-Tsang; Chu, Chih-Sheng; Lin, Tsung-Hsien; Hsu, Po-Chao; Su, Ho-Ming; Voon, Wen-Chol; Lai, Wen-Ter; Sheu, Sheng-Hsiung

    2013-07-01

    The 12-lead electrocardiogram (ECG) is a commonly used tool to access left atrial enlargement, which is a marker of left ventricular diastolic dysfunction (LVDD). The aim of this study was to evaluate any association of the P-wave measurements in ECG with left atrial volume (LAV) index and LVDD. This study enrolled 270 patients. In this study, 4 ECG P-wave parameters corrected by heart rate, that is, corrected P-wave maximum duration (PWdurMaxC), corrected P-wave dispersion (PWdisperC), corrected P-wave area (PWareaC) and corrected mean P-wave duration (meanPWdurC), were measured. LAV and left ventricular diastolic parameters were measured from echocardiography. LVDD was defined as a pseudonormal or restrictive mitral inflow pattern. The 4 P-wave parameters were significantly correlated with the LAV index after adjusting for age, sex, diabetes, hypertension, coronary artery disease, body mass index and diastolic blood pressure in multivariate analysis. The standardized β coefficients of PWdurMaxC, PWdisperC, meanPWdurC and PWareaC were 0.338, 0.298, 0.215 and 0.296, respectively. The 4 P-wave parameters were also significantly correlated with LVDD after multivariate logistic regression analysis. The odds ratios (95% confidence intervals) of PWdurMaxC, PWdisperC, meanPWdurC and PWareaC were 1.03 (1.01-1.04), 1.02 (1.04-1.04), 1.04 (1.02-1.07) and 1.01 (1.00-1.02), respectively. This study demonstrated that PWdurMaxC, PWdisperC, meanPWdurC and PWareaC were important determinants of the LAV index and LVDD. Therefore, screening patients by means of the 12-lead ECG may be helpful in identifying a high-risk group of increased LAV index and LVDD.

  6. Longitudinal evaluation of P-wave dispersion and P-wave maximum in children after transcatheter device closure of secundum atrial septal defect.

    Science.gov (United States)

    Grignani, Robert Teodoro; Tolentino, Kim Martin; Rajgor, Dimple Dayaram; Quek, Swee Chye

    2015-06-01

    Transcatheter device closure of the secundum atrial septal defect (ASD) in children prevents atrial arrhythmias in older age. However, the benefits of favourable atrial electrocardiographic markers in these children remain elusive. We aimed to review the electrocardiographic markers of atrial activity in a longitudinal fashion. We retrospectively reviewed longitudinal data of all children who underwent transcatheter device closure at the National University Hospital between 2004 and 2013. The inclusion criteria included the presence of a secundum-type ASD with left to right shunt and evidence of increased right ventricular volume load (Q p/Q s ratio >1.5 and/or right ventricular dilatation). A total of 25 patients with a mean follow-up of 44.7 ± 33.47 (7.3-117.4) months were included. P maximum and P dispersion decreased at 2 months, P amplitude at 1 week and remained so until last follow-up. A positive trend was seen with a correlation coefficient of +0.12 for P maximum, +0.08 for P dispersion and 0.34 for P amplitude. There was a higher baseline P amplitude and P dispersion in patients who were older than 10 years and a non-significant trend to support an increase in both P maximum (71.0 ± 8.8 vs. 73.2 ± 12.7), P dispersion (17.0 ± 6.5 vs. 22.0 ± 11.3) and P amplitude (0.88 ± 0.25 vs. 1.02 ± 0.23) in patients with an ASD more than 15 mm compared with an ASD <15 mm. There is reduction in both P maximum and P dispersion as early as 2 months, which persisted on follow-up. Earlier closure may result in more favourable electrocardiographic results.

  7. QTc-prolonging drugs and hospitalizations for cardiac arrhythmias

    NARCIS (Netherlands)

    De Bruin, ML; Hoes, AW; Leufkens, HGM

    2003-01-01

    Cardiac arrhythmia as an adverse effect of noncardiac drugs has been an issue of growing importance during the past few years. In this population-based study, we evaluated the risk for serious cardiac arrhythmias during the use of several noncardiac QTc-prolonging drugs in day-to-day practice, and

  8. Channelopathies - emerging trends in the management of inherited arrhythmias

    NARCIS (Netherlands)

    Chockalingam, Priya; Mizusawa, Yuka; Wilde, Arthur A. M.

    2015-01-01

    In spite of their relative rarity, inheritable arrhythmias have come to the forefront as a group of potentially fatal but preventable cause of sudden cardiac death in children and (young) adults. Comprehensive management of inherited arrhythmias includes diagnosing and treating the proband and

  9. Noninvasive predictors of perioperative atrial arrhythmias in patients with tetralogy of Fallot undergoing pulmonary valve replacement.

    Science.gov (United States)

    Cortez, Daniel; Barham, Waseem; Ruckdeschel, Emily; Sharma, Nandita; McCanta, Anthony C; von Alvensleben, Johannes; Sauer, William H; Collins, Kathryn K; Kay, Joseph; Patel, Sonali; Nguyen, Duy T

    2017-08-01

    Patients with tetralogy of Fallot (TOF) have increased risk of atrial arrhythmias. A measure of atrial dispersion, the P-wave vector magnitude (Pvm), can identify patients at risk for perioperative atrial flutter (AFL) or intra-atrial re-entrant tachycardia (IART) in a large TOF cohort. We performed a blinded, retrospective analysis of 158 TOF patients undergoing pulmonary valve replacement between 1997 and 2015. History of AFL/IART was documented using electrocardiogram, Holter monitor, exercise stress test, implanted cardiac device, and electrophysiology study. P-R intervals, Pvm, QRS duration, and QRS vector magnitude were assessed from resting sinus-rhythm 12-lead electrocardiograms and identification of those with AFL/IART was determined. Fourteen patients (8.9%) were found to have AFL/IART. Pvm, QRS duration, and QRS vector magnitude significantly differentiated those with AFL/IART from those without on univariate analysis: 0.09 ± 0.04 vs 0.18 ± 0.07 mV, 161.3 ± 21.9 vs 137.7 ± 31.4 ms, and 1.2 (interquartile range, 1.0-1.2) vs 1.6 mV (1.0-2.3), respectively (P < 0.05 for each). The Pvm had the highest area under the ROC curve (0.88) and was the only significant predictor on multivariate analysis, with odds ratio of 0.02 (95% confidence interval: 0.01-0.53). P-R duration, MRI volumes, and right-heart hemodynamics did not significantly differentiate those with vs those without AFL/IART. In TOF patients undergoing pulmonary valve replacement, Pvm has significant value in predicting those with perioperative AFL/IART. These clinical features may help further evaluate TOF patients at risk for perioperative atrial arrhythmias. Prospective studies are warranted. © 2017 Wiley Periodicals, Inc.

  10. The Effect of Raffaelea quercus-mongolicae Inoculations on the Formation of Non-conductive Sapwood of Quercus mongolica.

    Science.gov (United States)

    Torii, Masato; Matsuda, Yosuke; Seo, Sang Tae; Kim, Kyung Hee; Ito, Shin-Ichiro; Moon, Myung Jin; Kim, Seong Hwan; Yamada, Toshihiro

    2014-06-01

    In Korea, mass mortality of Quercus mongolica trees has become obvious since 2004. Raffaelea quercus-mongolicae is believed to be a causal fungus contributing the mortality. To evaluate the pathogenicity of the fungus to the trees, the fungus was multiple- and single-inoculated to the seedlings and twigs of the mature trees, respectively. In both the inoculations, the fungus was reisolated from more than 50% of inoculated twigs and seedlings. In the single inoculations, proportions of the transverse area of non-conductive sapwood at inoculation points and vertical lengths of discoloration expanded from the points were significantly different between the inoculation treatment and the control. In the multiple inoculations, no mortality was confirmed among the seedlings examined. These results showed that R. quercus-mongolicae can colonize sapwood, contribute to sapwood discoloration and disrupt sap flows around inoculation sites of Q. mongolica, although the pathogenicity of the fungus was not proven.

  11. Doubly excited P-wave resonance states of H− in Debye plasmas

    International Nuclear Information System (INIS)

    Jiao, L. G.; Ho, Y. K.

    2013-01-01

    We investigate the doubly excited P-wave resonance states of H − system in Debye plasmas modeled by static screened Coulomb potentials. The screening effects of the plasma environment on resonance parameters (energy and width) are investigated by employing the complex-scaling method with Hylleraas-type wave functions for both the shape and Feshbach resonances associated with the H(N = 2 to 6) thresholds. Under the screening conditions, the H(N) threshold states are no longer l degenerate, and all the H − resonance energy levels are shifted away from their unscreened values toward the continuum. The influence of Debye plasmas on resonance widths has also been investigated. The shape resonance widths are broadened with increasing plasma screening strength, whereas the Feshbach resonance widths would generally decrease. Our results associated with the H(N = 2) and H(N = 3) thresholds are compared with others in the literature

  12. P-wave and surface wave survey for permafrost analysis in alpine regions

    Science.gov (United States)

    Godio, A.; Socco, L. V.; Garofalo, F.; Arato, A.; Théodule, A.

    2012-04-01

    of seismic data involved the tomographic interpretation of traveltime P-wave first arrivals by considering the continuous refraction of the ray-paths. Several surface-wave dispersion curves were extracted in f-k domain along the seismic line and then inverted through a laterally constrained inversion algorithm to obtain a pseudo-2D section of S-wave velocity. Georadar investigation (about 2 km of georadar lines in the first site) confirmed the presence both of fine and coarse sediments in the uppermost layer; the seismic data allowed the moraines to be characterized down to 20-25 meters of depth. At the elevation of 2700 m asl, we observed a general decrease of the P-wave traveltimes collected in November, when the near surface layer was in frozen condition, respect to the data acquired in June. The frozen layer is responsible of the inversion of P-wave velocity with depth; the higher velocity layer (frozen) cannot be detected in the tomographic interpretation of refraction tomographic of the P-wave arrivals. Compressional wave velocity ranges from 700 m/s on the uppermost part, to 2000-2500 m/s in the internal part of the sediments reaching values higher than 5000 m/s at depth about 20 m. The analysis of surface wave permitted to estimate a slight increase from summer to winter of the S-wave velocity, in the depth range between 0 to 5 m.

  13. Teleseismic P-wave tomography of the Sunda-Banda Arc subduction zone

    Science.gov (United States)

    Harris, C. W.; Miller, M. S.; Widiyantoro, S.; Supendi, P.; O'Driscoll, L.; Roosmawati, N.; Porritt, R.

    2017-12-01

    The Sunda-Banda Arc is the site of multiple ongoing tectonic deformation processes and is perhaps the best example of the transition from subduction of oceanic lithosphere to an active arc-continent collision. Investigating the mantle structure that has resulted from the collision of continental Australia, as well as the concurrent phenomena of continental subduction, slab-rollback, lithospheric tearing, and subduction polarity reversal is possible through seismic tomography. While both regional scale and global tomographic models have previously been constructed to study the tectonics this region, here we use 250 seismic stations that span the length of this convergent margin to invert for P-wave velocity perturbations in the upper mantle. We combine data from a temporary deployment of 30 broadband instruments as part of the NSF-funded Banda Arc Project, along with data from permanent broadband stations maintained by the Meteorological, Climatological, and Geophysical Agency of Indonesia (BMKG) to image mantle structure, in particular the subducted Indo-Australian plate. The BMKG dataset spans 2009-2017 and includes >200 broadband seismometers. The Banda Arc array (network YS) adds coverage and resolution to southeastern Indonesia and Timor-Leste, where few permanent seismometers are located but the Australian continent-Banda Arc collision is most advanced. The preliminary model was computed using 50,000 teleseismic P-wave travel-time residuals and 3D finite frequency sensitivity kernels. Results from the inversion of the combined dataset are presented as well as resolution tests to assess the quality of the model. The velocity model shows an arcuate Sunda-Banda slab with morphological changes along strike that correlate with the tectonic collision. The model also features the double-sided Molucca Sea slab and regions of high velocity below the bottom of the transition zone. The resolution added by the targeted USC deployment is clear when comparing models that

  14. Anomalous Hall effect in semiconductor quantum wells in proximity to chiral p -wave superconductors

    Science.gov (United States)

    Yang, F.; Yu, T.; Wu, M. W.

    2018-05-01

    By using the gauge-invariant optical Bloch equation, we perform a microscopic kinetic investigation on the anomalous Hall effect in chiral p -wave superconducting states. Specifically, the intrinsic anomalous Hall conductivity in the absence of the magnetic field is zero as a consequence of Galilean invariance in our description. As for the extrinsic channel, a finite anomalous Hall current is obtained from the impurity scattering with the optically excited normal quasiparticle current even at zero temperature. From our kinetic description, it can be clearly seen that the excited normal quasiparticle current is due to an induced center-of-mass momentum of Cooper pairs through the acceleration driven by ac electric field. For the induced anomalous Hall current, we show that the conventional skew-scattering channel in the linear response makes the dominant contribution in the strong impurity interaction. In this case, our kinetic description as a supplementary viewpoint mostly confirms the results of Kubo formalism in the literature. Nevertheless, in the weak impurity interaction, this skew-scattering channel becomes marginal and we reveal that an induction channel from the Born contribution dominates the anomalous Hall current. This channel, which has long been overlooked in the literature, is due to the particle-hole asymmetry by nonlinear optical excitation. Finally, we study the case in the chiral p -wave superconducting state with a transverse conical magnetization, which breaks the Galilean invariance. In this situation, the intrinsic anomalous Hall conductivity is no longer zero. Comparison of this intrinsic channel with the extrinsic one from impurity scattering is addressed.

  15. Imaging the Mediterranean upper mantle by p- wave travel time tomography

    Directory of Open Access Journals (Sweden)

    A. Morelli

    1997-06-01

    Full Text Available Travel times of P-waves in the Euro-Mediterranean region show strong and consistent lateral variations, which can be associated to structural heterogeneity in the underlying crust and mantle. We analyze regional and tele- seismic data from the International Seismological Centre data base to construct a three-dimensional velocity model of the upper mantle. We parameterize the model by a 3D grid of nodes -with approximately 50 km spacing -with a linear interpolation law, which constitutes a three-dimensional continuous representation of P-wave velocity. We construct summary travel time residuals between pairs of cells of the Earth's surface, both inside our study area and -with a broader spacing -on the whole globe. We account for lower mantle heterogeneity outside the modeled region by using empirical corrections to teleseismic travel times. The tomo- graphic images show generai agreement with other seismological studies of this area, with apparently higher detail attained in some locations. The signature of past and present lithospheric subduction, connected to Euro- African convergence, is a prominent feature. Active subduction under the Tyrrhenian and Hellenic arcs is clearly imaged as high-velocity bodies spanning the whole upper mantle. A clear variation of the lithospheric structure beneath the Northem and Southern Apennines is observed, with the boundary running in correspon- dence of the Ortona-Roccamonfina tectonic lineament. The western section of the Alps appears to have better developed roots than the eastern, possibly reflecting à difference in past subduction of the Tethyan lithosphere and subsequent continental collision.

  16. P-wave dispersion and its relationship to aortic stiffness in patients with acute myocardial infarction after cardiac rehabilitation

    Directory of Open Access Journals (Sweden)

    Rezzan Deniz Acar

    2014-07-01

    Full Text Available BACKGROUND: The aim of our study was to investigate the P-wave dispersion from standard electrocardiograms (ECGs in patients with acute myocardial infarction (AMI after cardiac rehabilitation (CR and determine its relation to arterial stiffness. METHODS: This is a prospective study included 33 patients with AMI and successfully re-vascularized by percutaneous coronary intervention (PCI underwent CR. Left ventricular ejection fraction (LVEF was measured by biplane Simpson’s method. Left atrium (LA volume was calculated. The maximum and minimum durations of P-waves (Pmax and Pmin, respectively were detected, and the difference between Pmax and Pmin was defined as P-wave dispersion (Pd = Pmax–Pmin. Aortic elasticity parameters were measured. RESULTS: LVEF was better after CR. The systolic and diastolic blood pressures decreased after CR, these differences were statistically significant. With exercise training, LA volume decreased significantly. Pmax and Pd values were significantly shorter after the CR program. The maximum and minimum P-waves and P-wave dispersion after CR were 97 ± 6 ms, 53 ± 5 ms, and 44 ± 5 ms, respectively. Aortic strain and distensibility increased and aortic stiffness index was decreased significantly. Aortic stiffness index was 0.4 ± 0.2 versus 0.3 ± 0.2, P = 0.001. Aortic stiffness and left atrial volume showed a moderate positive correlation with P-wave dispersion (r = 0.52, P = 0.005; r = 0.64, P = 0.000, respectively. CONCLUSION: This study showed decreased arterial stiffness indexes in AMI patient’s participated CR, with a significant relationship between the electromechanical properties of the LA that may raise a question of the preventive effect of CR from atrial fibrillation and stroke in patients with acute myocardial infarction.   Keywords: Cardiac Rehabilitation, P-Wave Dispersion, Aortic Stiffness, Acute Myocardial Infarction 

  17. P wave duration and dispersion in patients with hyperthyroidism and the short-term effects of antithyroid treatment.

    Science.gov (United States)

    Guntekin, Unal; Gunes, Yilmaz; Simsek, Hakki; Tuncer, Mustafa; Arslan, Sevket

    2009-09-01

    Prolonged P wave duration and P wave dispersion (PWD) have been associated with an increased risk for atrial fibrillation (AF). Hyperthytodism is a frequent cause of atrial fibrillation (AF). Forty-two patients with newly diagnosed overt hyperthyroidism and 20 healthy people were enrolled in the study. Transthoracic echocardiography, 12 lead surface ECG and thyroid hormone levels were studied at the time of enrollment and after achievement of euthyroid state with propylthiouracil treatment. Maximum P wave duration (Pmax) (97.4+/-14.6 vs. 84.2+/-9.5 msec, phyperthyroid patients compared to control group. Pmax and PWD were significantly correlated with the presence of hyperthyroidism. Pmax (97.4+/-14.6 to 84.3+/-8.6 msec, phyperthyroidism. Diastolic dyfunction was seen in 5 patients at hyperthroid state but only in one patient at euthyroid state. Hyperthyroidism is associated with prolonged P wave duration and dispersion. Achievement of euthyroid state with propylthiouracil treatment results in shortening of P wave variables. Diastolic function may have a partial effect for the increased Pmax and PWD. Shortening of Pmax and PWD may be a marker for the prevention of AF with the anti-thyroid treatment.

  18. Obstructive sleep apnoea-hypopnoea and arrhythmias: new updates.

    Science.gov (United States)

    Vizzardi, Enrico; Sciatti, Edoardo; Bonadei, Ivano; D'Aloia, Antonio; Curnis, Antonio; Metra, Marco

    2017-07-01

    Obstructive sleep apnoea-hypopnoea (OSAH) is a prevalent condition characterized by repetitive pharyngeal collapse during sleep, leading to hypoxemia, hypercapnia, and persistent inspiratory efforts against an occluded airway until arousal. Several studies demonstrated that OSAH exerts acute and chronic effects on the cardiovascular system. Thus, although being a respiratory problem, the most important consequences of OSAH are cardiovascular, among which there are arrhythmias. The purpose of this review is to systematically analyse what has been recently published about the relationship between OSAH and every cardiac arrhythmia separately. We searched Pubmed, Scopus, Web of Science and Cochrane Collaboration databases for 'OSAHS arrhythmias', 'OSAH arrhythmias' and 'OSA arrhythmias'. We analyse 1298 articles and meta-analyses, excluding already edited reviews. Arrhythmias, especially of ventricular origin, are frequent in OSAH. Ventricular premature beats, couplets and ventricular tachycardia runs are even more frequent in patients suffering from heart failure. They may be due to left heart remodelling, overwork and ischaemia and can explain at least some sudden deaths occurring between midnight and 6 a.m. Sinus pauses and atrioventricular blocks are increased according to the severity of the disturbance and may be reduced by continuous positive airway pressure therapy, preventing pace-maker implantation. Finally, atrial fibrillation, resistance against antiarrhythmic drugs and recurrences after surgical procedures are strongly related to OSAH. Arrhythmias are frequent in OSAH. Treatment of OSAH may reduce some of them. An implantable cardioverter-defibrillator and continuous positive airway pressure should be considered in some patients.

  19. [Idiopathic ventricular arrhythmia in children. Apropos of 24 cases].

    Science.gov (United States)

    Coeurderoy, A; Almange, C; Laurent, M; Biron, Y; Leborgne, P

    1985-12-01

    The severity and prognosis of idiopathic ventricular arrhythmias in childhood were studied in 24 patients (12 boys, 12 girls) with an average age of 8 years at the time of diagnosis of the arrhythmia. Investigations included clinical assessment and analysis of basal ECG (morphology of the arrhythmias) and dynamic recordings (Holter and exercise stress testing). The clinical course was followed for an average of 3.8 years. The patients were classified in two groups: monomorphic arrhythmias (Group I) and polymorphic arrhythmias (Group II). Group I was divided into 4 subgroups: isolated ventricular extrasystoles (IA), 11 patients; ventricular extrasystoles with bursts of ventricular tachycardia (IB), 6 patients; sustained ventricular tachycardia without intercritical extrasystoles (IC), 1 patient; accelerated idioventricular rhythm (ID), 2 patients. Subgroups IA, IB and ID were characterised by the absence of symptoms, the disappearance of the arrhythmia on exercise, the decreased efficacy of antiarrhythmic drugs and an excellent prognosis. Therapeutic abstention was the rule in these patients. Patients in Group IC were characterised by the variability of their symptoms, the absence of exercise induced arrhythmias, the need for treatment in most cases and a good long-term prognosis. Group II was divided into 2 subgroups: adrenergic polymorphic ventricular tachycardia (IIA), 2 patients, and non-adrenergic polymorphic ventricular tachycardia (IIB), 2 patients. Patients in Subgroup IIA were characterised by syncope on exercise or emotion, the need for betablocker therapy which considerably improved the patients symptoms but which did not usually prevent sudden death.(ABSTRACT TRUNCATED AT 250 WORDS)

  20. Deep Downhole Seismic Testing at the Waste Treatment Plant Site, Hanford, WA. Volume I P-Wave Measurements in Borehole C4993 Seismic Records, Wave-Arrival Identifications and Interpreted P-Wave Velocity Profile.

    Energy Technology Data Exchange (ETDEWEB)

    Stokoe, Kenneth H.; Li, Song Cheng; Cox, Brady R.; Menq, Farn-Yuh

    2007-07-06

    In this volume (I), all P-wave measurements are presented that were performed in Borehole C4993 at the Waste Treatment Plant (WTP) with T-Rex as the seismic source and the Lawrence Berkeley National Laboratory (LBNL) 3-D wireline geophone as the at-depth borehole receiver. P-wave measurements were performed over the depth range of 370 to 1400 ft, typically in 10-ft intervals. However, in some interbeds, 5-ft depth intervals were used, while below about 1200 ft, depth intervals of 20 ft were used. Compression (P) waves were generated by moving the base plate of T-Rex for a given number of cycles at a fixed frequency as discussed in Section 2. This process was repeated so that signal averaging in the time domain was performed using 3 to about 15 averages, with 5 averages typically used. In addition to the LBNL 3-D geophone, called the lower receiver herein, a 3-D geophone from Redpath Geophysics was fixed at a depth of 22 ft in Borehole C4993, and a 3-D geophone from the University of Texas was embedded near the borehole at about 1.5 ft below the ground surface. This volume is organized into 12 sections as follows: Section 1: Introduction, Section 2: Explanation of Terminology, Section 3: Vp Profile at Borehole C4993, Sections 4 to 6: Unfiltered P-wave records of lower vertical receiver, reaction mass, and reference receiver, Sections 7 to 9: Filtered P-wave signals of lower vertical receiver, reaction mass and reference receiver, Section 10: Expanded and filtered P-wave signals of lower vertical receiver, and Sections 11 and 12: Waterfall plots of unfiltered and filtered lower vertical receiver signals.

  1. Deep Downhole Seismic Testing at the Waste Treatment Plant Site, Hanford, WA. Volume III P-Wave Measurements in Borehole C4997 Seismic Records, Wave-Arrival Identifications and Interpreted P-Wave Velocity Profile.

    Energy Technology Data Exchange (ETDEWEB)

    Stokoe, Kenneth H.; Li, Song Cheng; Cox, Brady R.; Menq, Farn-Yuh

    2007-06-06

    In this volume (III), all P-wave measurements are presented that were performed in Borehole C4997 at the Waste Treatment Plant (WTP) with T-Rex as the seismic source and the Lawrence Berkeley National Laboratory (LBNL) 3-D wireline geophone as the at-depth borehole receiver. P-wave measurements were performed over the depth range of 390 to 1220 ft, typically in 10-ft intervals. However, in some interbeds, 5-ft depth intervals were used. Compression (P) waves were generated by moving the base plate of T-Rex for a given number of cycles at a fixed frequency as discussed in Section 2. This process was repeated so that signal averaging in the time domain was performed using 3 to about 15 averages, with 5 averages typically used. In addition to the LBNL 3-D geophone, called the lower receiver herein, a 3-D geophone from Redpath Geophysics was fixed at a depth of 40 ft (later relocated to 27.5 ft due to visibility in borehole after rain) in Borehole C4997, and a 3-D geophone from the University of Texas was embedded near the borehole at about 1.5 ft below the ground surface. This volume is organized into 12 sections as follows: Section 1: Introduction, Section 2: Explanation of Terminology, Section 3: Vp Profile at Borehole C4997, Sections 4 to 6: Unfiltered P-wave records of lower vertical receiver, reaction mass, and reference receiver, Sections 7 to 9: Filtered P-wave signals of lower vertical receiver, reaction mass and reference receiver, Section 10: Expanded and filtered P-wave signals of lower vertical receiver, and Sections 11 and 12: Waterfall plots of unfiltered and filtered lower vertical receiver signals.

  2. Deep Downhole Seismic Testing at the Waste Treatment Plant Site, Hanford, WA. Volume II P-Wave Measurements in Borehole C4996 Seismic Records, Wave-Arrival Identifications and Interpreted P-Wave Velocity Profile.

    Energy Technology Data Exchange (ETDEWEB)

    Stokoe, Kenneth H.; Li, Song Cheng; Cox, Brady R.; Menq, Farn-Yuh

    2007-07-06

    In this volume (II), all P-wave measurements are presented that were performed in Borehole C4996 at the Waste Treatment Plant (WTP) with T-Rex as the seismic source and the Lawrence Berkeley National Laboratory (LBNL) 3-D wireline geophone as the at-depth borehole receiver. P-wave measurements were performed over the depth range of 360 to 1400 ft, typically in 10-ft intervals. However, in some interbeds, 5-ft depth intervals were used, while below about 1180 ft, depth intervals of 20 ft were used. Compression (P) waves were generated by moving the base plate of T-Rex for a given number of cycles at a fixed frequency as discussed in Section 2. This process was repeated so that signal averaging in the time domain was performed using 3 to about 15 averages, with 5 averages typically used. In addition to the LBNL 3-D geophone, called the lower receiver herein, a 3-D geophone from Redpath Geophysics was fixed at a depth of 22 ft in Borehole C4996, and a 3-D geophone from the University of Texas was embedded near the borehole at about 1.5 ft below the ground surface. This volume is organized into 12 sections as follows: Section 1: Introduction, Section 2: Explanation of Terminology, Section 3: Vp Profile at Borehole C4996, Sections 4 to 6: Unfiltered P-wave records of lower vertical receiver, reaction mass, and reference receiver, Sections 7 to 9: Filtered P-wave signals of lower vertical receiver, reaction mass and reference receiver, Section 10: Expanded and filtered P-wave signals of lower vertical receiver, and Sections 11 and 12: Waterfall plots of unfiltered and filtered lower vertical receiver signals.

  3. Whole-mantle P-wave velocity structure and azimuthal anisotropy

    Science.gov (United States)

    Yamamoto, Y.; Zhao, D.

    2009-12-01

    There are some hotspot volcanoes on Earth, such as Hawaii and Iceland. The mantle plume hypothesis was proposed forty years ago to explain hotspot volcanoes (e.g., Wilson, 1963; Morgan, 1971). Seismic tomography is a powerful technique to detect mantle plumes and determine their detailed structures. We determined a new whole-mantle 3-D P-wave velocity model (Tohoku model) using a global tomography method (Zhao, 2004, 2009). A flexible-grid approach with a grid interval of ~200 km is adopted to conduct the tomographic inversion. Our model shows that low-velocity (low-V) anomalies with diameters of several hundreds of kilometers are visible from the core-mantle boundary (CMB) to the surface under the major hotspot regions. Under South Pacific where several hotspots including Tahiti exist, there is a huge low-V anomaly from the CMB to the surface. This feature is consistent with the previous models. We conducted extensive resolution tests in order to understand whether this low-V anomaly shows a single superplume or a plume cluster. Unfortunately this problem is still not resolved because the ray path coverage in the mantle under South Pacific is not good enough. A network of ocean bottom seismometers is necessary to solve this problem. To better understand the whole-mantle structure and dynamics, we also conducted P-wave tomographic inversions for the 3-D velocity structure and azimuthal anisotropy. At each grid node there are three unknown parameters: one represents the isotropic velocity, the other two represent the azimuthal anisotropy. Our results show that in the shallow part of the mantle (Japan trench axis. In the Tonga subduction zone, the FVD is also perpendicular to the trench axis. Under the Tibetan region the FVD is NE-SW, which is parallel to the direction of the India-Asia collision. In the deeper part of the upper mantle and in the lower mantle, the amplitude of anisotropy is reduced. One interesting feature is that the FVD aligns in a radiated fashion

  4. P-wave excited {B}_{c}^{* * } meson photoproduction at the LHeC

    Science.gov (United States)

    Kai, He; Huan-Yu, Bi; Ren-You, Zhang; Xiao-Zhou, Li; Wen-Gan, Ma

    2018-05-01

    As an important sequential work of the S-wave {B}c(* ) ({}1{S}0({}3{S}1) ) meson production at the large hadron electron collider (LHeC), we investigate the production of the P-wave excited {B}c* * states (1 P 1 and 3 P J with J = 0, 1, 2) via photoproduction mechanism within the framework of nonrelativistic QCD at the LHeC. Generally, the {e}-+P\\to γ +g\\to {B}c* * +b+\\bar{c} process is considered as the main production mechanism at an electron–proton collider due to the large luminosity of the gluon. However, according to our experience on the S-wave {B}c(* ) meson production at the LHeC, the extrinsic production mechanism, i.e., {e}-+P\\to γ +c\\to {B}c* * +b and {e}-+P\\to γ +\\bar{b} \\to {B}c* * +\\bar{c}, could also provide dominating contributions at low p T region. A careful treatment between these channels is performed and the results on total and differential cross sections, together with main uncertainties are discussed. Taking the quark masses m b = 4.90 ± 0.40 GeV and m c = 1.50 ± 0.20 GeV into account and summing up all the production channels, we expect to accumulate ({2.48}-1.75+3.55)× {10}4 {B}c* * ({}1{P}1), ({1.14}-0.82+1.49)× {10}4 {B}c* * ({}3{P}0),({2.38}-1.74+3.39)× {10}4 {B}c* * ({}3{P}1) and ({5.59}-3.93+7.84)× {10}4 {B}c* * ({}3{P}2) events at the \\sqrt{S}=1.30 {{T}}{{e}}{{V}} LHeC in one operation year with luminosity { \\mathcal L }={10}33 cm‑2 s‑1. With such sizable events, it is worth studying the properties of excited P-wave {B}c* * states at the LHeC.

  5. Imaging the 2017 MW 8.2 Tehuantepec intermediate-depth earthquake using Teleseismic P Waves

    Science.gov (United States)

    Brudzinski, M.; Zhang, H.; Koper, K. D.; Pankow, K. L.

    2017-12-01

    The September 8, 2017 MW 8.1 Tehuantepec, Mexico earthquakes in the middle American subduction zone is one of the largest intermediate-depth earthquake ever recorded and could provide an unprecedented opportunity for understanding the mechanism of intermediate-depth earthquakes. While the hypocenter and centroid depths for this earthquake are shallower than typically considered for intermediate depth earthquakes, the normal faulting mechanism consistent with down-dip extension and location within the subducting plate align with properties of intermediate depth earthquakes. Back-projection of high-frequency teleseismic P-waves from two regional arrays for this earthquake shows unilateral rupture on a southeast-northwest striking fault that extends north of the Tehuantepec fracture zone (TFZ), with an average horizontal rupture speed of 3.0 km/s and total duration of 60 s. Guided by these back-projection results, 47 globally distributed low-frequency P-waves were inverted for a finite-fault model (FFM) of slip for both nodal planes. The FFM shows a slip deficit in proximity to the extension of the TFZ, as well as the minor rupture beyond the TFZ (confirmed by the synthetic tests), which indicates that the TFZ acted as a barrier for this earthquake. Analysis of waveform misfit leads to the preference of a subvertical plane as the causative fault. The FFM shows that the majority of the rupture is above the focal depth and consists of two large slip patches: the first one is near the hypocenter ( 55 km depth) and the second larger one near 30 km depth. The distribution of the two patches spatially agrees with seismicity that defines the upper and lower zones of a double Benioff zone (DBZ). It appears there was single fault rupture across the two depth zones of the DBZ. This is uncommon because a stark aseismic zone is typically observed between the upper and lower zones of the DBZ. This finding indicates that the mechanism for intraslab earthquakes must allow for

  6. What is the difference in the p-wave and s-wave photodetachment in an electric field?

    OpenAIRE

    Du, M. L.

    2009-01-01

    By applying closed-orbit theory to an existing model, a simple formula is derived for the modulation function of s-wave photo-detachment in the presence of a static electric field. We then compare the s-wave modulation function with the p-wave modulation function. We show the maximums (minimums) in the s-wave modulation function correspond to the minimums (maximums) in the p-wave modulation function because of a phase difference of $\\pi$ in their oscillations. The oscillation amplitude in the...

  7. Arrhythmias After Tetralogy of Fallot Repair

    Science.gov (United States)

    Folino, Antonio Franco; Daliento, Luciano

    2005-01-01

    Tetralogy of Fallot is the most common cyanotic congenital heart disease, with a good outcome after total surgical correction. In spite of a low perioperative mortality and a good quality of life, late sudden death remains a significant clinical problem, mainly related to episodes of sustained ventricular tachycardia and ventricular fibrillation. Fibro-fatty substitution around infundibular resection, intraventricular septal scar, and patchy myocardial fibrosis, may provide anatomical substrates of abnormal depolarization and repolarization causing reentrant ventricular arrhythmias. Several non-invasive indices based on classical examination such as ECG, signal-averaging ECG, and echocardiography have been proposed to identify patients at high risk of sudden death, with hopeful results. In the last years other more sophisticated invasive and non-invasive tools, such as heart rate variability, electroanatomic mapping and cardiac magnetic resonance added a relevant contribution to risk stratification. Even if each method per se is affected by some limitations, a comprehensive multifactorial clinical and investigative examination can provide an accurate risk evaluation for every patient. PMID:16943881

  8. Arrhythmias After Tetralogy of Fallot Repair

    Directory of Open Access Journals (Sweden)

    Antonio Franco Folino

    2005-10-01

    Full Text Available Tetralogy of Fallot is the most common cyanotic congenital heart disease, with a good outcome after total surgical correction. In spite of a low perioperative mortality and a good quality of life, late sudden death remains a significant clinical problem, mainly related to episodes of sustained ventricular tachycardia and ventricular fibrillation. Fibro-fatty substitution around infundibular resection, intraventricular septal scar, and patchy myocardial fibrosis, may provide anatomical substrates of abnormal depolarization and repolarization causing reentrant ventricular arrhythmias. Several non-invasive indices based on classical examination such as ECG, signal-averaging ECG, and echocardiography have been proposed to identify patients at high risk of sudden death, with hopeful results. In the last years other more sophisticated invasive and non-invasive tools, such as heart rate variability, electroanatomic mapping and cardiac magnetic resonance added a relevant contribution to risk stratification. Even if each method per se is affected by some limitations, a comprehensive multifactorial clinical and investigative examination can provide an accurate risk evaluation for every patient.

  9. QTc-prolonging drugs and hospitalizations for cardiac arrhythmias

    DEFF Research Database (Denmark)

    De Bruin, Marie L; Hoes, Arno W; Leufkens, Hubert G M

    2003-01-01

    Cardiac arrhythmia as an adverse effect of noncardiac drugs has been an issue of growing importance during the past few years. In this population-based study, we evaluated the risk for serious cardiac arrhythmias during the use of several noncardiac QTc-prolonging drugs in day-to-day practice......, and subsequently focused on several specific groups of patients who could be extremely vulnerable for drug-induced arrhythmias. We performed a case-control study in which patients (cases), hospitalized for nonatrial cardiac arrhythmias from 1987 to 1998, were compared with their matched controls regarding current...... use of QTc-prolonging drugs. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using multivariate conditional logistic regression, adjusting for potential confounding factors. Data were obtained from the PHARMO record linkage system. We identified 501 cases, 39 of whom used QTc...

  10. Emerging molecular therapies targeting myocardial infarction-related arrhythmias

    NARCIS (Netherlands)

    Driessen, Helen E.; van Veen, Toon A. B.; Boink, Gerard J. J.

    2017-01-01

    Cardiac disease is the leading cause of death in the developed world. Ventricular arrhythmias associated with myocardial ischaemia and/or infarction are a major contributor to cardiovascular mortality, and require improved prevention and treatment. Drugs, devices, and radiofrequency catheter

  11. Atrial Arrhythmias in Astronauts. Summary of a NASA Summit

    Science.gov (United States)

    Barr, Yael; Watkins, Sharmila; Polk, J. D.

    2011-01-01

    This slide presentation reviews the findings of a panel of heart experts brought together to study if atrial arrhythmias more prevalent in astronauts, and potential risk factors that may predispose astronauts to atrial arrhythmias. The objective of the panel was to solicit expert opinion on screening, diagnosis, and treatment options, identify gaps in knowledge, and propose relevant research initiatives. While Atrial Arrhythmias occur in approximately the same percents in astronauts as in the general population, they seem to occur at younger ages in astronauts. Several reasons for this predisposition were given: gender, hypertension, endurance training, and triggering events. Potential Space Flight-Related Risk factors that may play a role in precipitating lone atrial fibrillation were reviewed. There appears to be no evidence that any variable of the space flight environment increases the likelihood of developing atrial arrhythmias during space flight.

  12. Di-Neutral Pion Production in the Triplet P Wave States of Charmonium

    Energy Technology Data Exchange (ETDEWEB)

    Vidnovic, Theodore, III [Minnesota U.

    2002-12-01

    Fermilab experiment E835 has used proton-antiproton annihilations to perform a search for charmonium in the $\\pi^0 \\pi^0$ final state in the triplet P-wave region (3340-3570 MeV). States with even total angular momentum and positive Parity and C-parity have access to the $\\pi^0 \\pi^0$ final state. An enhancement in the $p\\bar{p} \\to \\pi^0 \\pi^0$ cross section was observed at the $X_{c0}$ resonance. The enhancement was found to be a factor of 20 larger than the expected resonant cross section and was attributed to interference between the $X_{c0}$ and the large non-resonant continuum. The general helicity structure of the $\\pi^0 \\pi^0$ differential cross section was studied and the product of the branching fractions, $Br(p\\bar{p}\\to X_{c0}$ ) x Br($X_{c0} \\to \\pi^0 \\pi^0$ ) = (5.09 ± 0.81(stat) ± 0.25 (sys) x $10^{-7}$ was measured.

  13. Finite nuclear size and Lamb shift of p-wave atomic states

    International Nuclear Information System (INIS)

    Milstein, A.I.; Sushkov, O.P.; Terekhov, I.S.

    2003-01-01

    We consider corrections to the Lamb shift of the p-wave atomic states due to the finite nuclear size (FNS). In other words, these are radiative corrections to the atomic isotope shift related to the FNS. It is shown that the structure of the corrections is qualitatively different to that for the s-wave states. The perturbation theory expansion for the relative correction for a p 1/2 state starts with a α ln(1/Zα) term, while for the s 1/2 states it starts with a Zα 2 term. Here, α is the fine-structure constant and Z is the nuclear charge. In the present work, we calculate the α terms for that 2p states, the result for the 2p 1/2 state reads (8α/9π){ln[1/(Zα) 2 ]+0.710}. Even more interesting are the p 3/2 states. In this case the 'correction' is several orders of magnitude larger than the 'leading' FNS shift. However, absolute values of energy shifts related to these corrections are very small

  14. Pure Quasi-P-wave calculation in transversely isotropic media using a hybrid method

    KAUST Repository

    Wu, Zedong

    2018-04-12

    The acoustic approximation for anisotropic media is widely used in current industry imaging and inversion algorithms mainly because P-waves constitute the majority of the energy recorded in seismic exploration. The resulting acoustic formulas tend to be simpler, resulting in more efficient implementations, and depend on fewer medium parameters. However, conventional solutions of the acoustic wave equation with higher-order derivatives suffer from shear wave artifacts. Thus, we derive a new acoustic wave equation for wave propagation in transversely isotropic (TI) media, which is based on a partially separable approximation of the dispersion relation for TI media and free of shear wave artifacts. Even though our resulting equation is not a partial differential equation, it is still a linear equation. Thus, we propose to implement this equation efficiently by combining the finite difference approximation with spectral evaluation of the space-independent parts. The resulting algorithm provides solutions without the constrain of ε ≥ δ. Numerical tests demonstrate the effectiveness of the approach.

  15. Triplicated P-wave measurements for waveform tomography of the mantle transition zone

    Directory of Open Access Journals (Sweden)

    S. C. Stähler

    2012-11-01

    Full Text Available Triplicated body waves sample the mantle transition zone more extensively than any other wave type, and interact strongly with the discontinuities at 410 km and 660 km. Since the seismograms bear a strong imprint of these geodynamically interesting features, it is highly desirable to invert them for structure of the transition zone. This has rarely been attempted, due to a mismatch between the complex and band-limited data and the (ray-theoretical modelling methods. Here we present a data processing and modelling strategy to harness such broadband seismograms for finite-frequency tomography. We include triplicated P-waves (epicentral distance range between 14 and 30° across their entire broadband frequency range, for both deep and shallow sources. We show that is it possible to predict the complex sequence of arrivals in these seismograms, but only after a careful effort to estimate source time functions and other source parameters from data, variables that strongly influence the waveforms. Modelled and observed waveforms then yield decent cross-correlation fits, from which we measure finite-frequency traveltime anomalies. We discuss two such data sets, for North America and Europe, and conclude that their signal quality and azimuthal coverage should be adequate for tomographic inversion. In order to compute sensitivity kernels at the pertinent high body wave frequencies, we use fully numerical forward modelling of the seismic wavefield through a spherically symmetric Earth.

  16. Acoustic VTI wavefield tomography of P-wave surface and VSP data

    KAUST Repository

    Li, Vladimir; Tsvankin, Ilya; Guitton, Antoine; Alkhalifah, Tariq Ali

    2017-01-01

    Transversely isotropic (TI) models have become standard in depth imaging and are often used in waveform inversion. Here, we develop a robust wave-equation-based tomographic algorithm for building acoustic VTI (transversely isotropic with a vertical symmetry axis) velocity models from P-wave surface reflection and vertical seismic profiling (VSP) data. Wavefield extrapolation is performed with an integral operator to avoid generating shear-wave artifacts. Focusing energy in extended images produced by reverse-time migration (RTM) makes it possible to update the zero-dip NMO velocity Vnmo and the anellipiticity parameter η. To constrain the anisotropy coefficient δ and improve the accuracy in Vnmo and η, we employ borehole information by introducing an additional objective-function term designed to fit VSP data. Image-guided smoothing is applied to both data- and image-domain gradients to steer the inversion towards geologically plausible solutions. Testing on the VTI Marmousi model shows that the joint inversion of surface and VSP data helps estimate all three relevant medium parameters.

  17. Hybrid Theory of P-Wave Electron-Hydrogen Elastic Scattering

    Science.gov (United States)

    Bhatia, Anand

    2012-01-01

    We report on a study of electron-hydrogen scattering, using a combination of a modified method of polarized orbitals and the optical potential formalism. The calculation is restricted to P waves in the elastic region, where the correlation functions are of Hylleraas type. It is found that the phase shifts are not significantly affected by the modification of the target function by a method similar to the method of polarized orbitals and they are close to the phase shifts calculated earlier by Bhatia. This indicates that the correlation function is general enough to include the target distortion (polarization) in the presence of the incident electron. The important fact is that in the present calculation, to obtain similar results only 35-term correlation function is needed in the wave function compared to the 220-term wave function required in the above-mentioned previous calculation. Results for the phase shifts, obtained in the present hybrid formalism, are rigorous lower bounds to the exact phase shifts.

  18. Acoustic VTI wavefield tomography of P-wave surface and VSP data

    KAUST Repository

    Li, Vladimir

    2017-08-17

    Transversely isotropic (TI) models have become standard in depth imaging and are often used in waveform inversion. Here, we develop a robust wave-equation-based tomographic algorithm for building acoustic VTI (transversely isotropic with a vertical symmetry axis) velocity models from P-wave surface reflection and vertical seismic profiling (VSP) data. Wavefield extrapolation is performed with an integral operator to avoid generating shear-wave artifacts. Focusing energy in extended images produced by reverse-time migration (RTM) makes it possible to update the zero-dip NMO velocity Vnmo and the anellipiticity parameter η. To constrain the anisotropy coefficient δ and improve the accuracy in Vnmo and η, we employ borehole information by introducing an additional objective-function term designed to fit VSP data. Image-guided smoothing is applied to both data- and image-domain gradients to steer the inversion towards geologically plausible solutions. Testing on the VTI Marmousi model shows that the joint inversion of surface and VSP data helps estimate all three relevant medium parameters.

  19. Inclusive decays of {eta}{sub b} into S- and P-wave charmonium states

    Energy Technology Data Exchange (ETDEWEB)

    He, Zhi-Guo, E-mail: hzgzlh@gmail.co [Institute of High Energy Physics, Chinese Academy of Science, P.O. Box 918(4), Beijing, 100049 (China); Theoretical Physics Center for Science Facilities, Beijing, 100049 (China); Li, Bai-Qing [Department of Physics, Huzhou Teachers College, Huzhou, 313000 (China)

    2010-09-20

    Inclusive S- and P-wave charmonium productions in the bottomonium ground state {eta}{sub b} decay are calculated at the leading order in the strong coupling constant {alpha}{sub s} and quarkonium internal relative velocity v in the framework of the NRQCD factorization approach. We find the contribution of {eta}{sub b{yields}{chi}c{sub J}}+gg followed by {chi}{sub c{sub J{yields}}}J/{psi}+{gamma} is also very important to inclusive J/{psi} production in the {eta}{sub b} decays, which maybe helpful to the investigation of the color-octet mechanism in the inclusive J/{psi} production in the {eta}{sub b} decays in the forthcoming LHCb and SuperB. As a complementary work, we also study the inclusive production of {eta}{sub c}, and {chi}{sub cJ} in the {eta}{sub b} decays, which may help us understand the X(3940) and X(3872) states.

  20. Investigation of Semileptonic {ital B} Meson Decays to {ital p} -Wave Charm Mesons

    Energy Technology Data Exchange (ETDEWEB)

    Anastassov, A.; Duboscq, J.E.; Fujino, D.; Gan, K.K.; Hart, T.; Honscheid, K.; Kagan, H.; Kass, R.; Lee, J.; Spencer, M.B.; Sung, M.; Undrus, A.; Wanke, R.; Wolf, A.; Zoeller, M.M. [Ohio State University, Columbus, Ohio 43210 (United States); Nemati, B.; Richichi, S.J.; Ross, W.R.; Skubic, P. [University of Oklahoma, Norman, Oklahoma 73019 (United States); Bishai, M.; Fast, J.; Hinson, J.W.; Menon, N.; Miller, D.H.; Shibata, E.I.; Shipsey, I.P.; Yurko, M. [Purdue University, West Lafayette, Indiana 47907 (United States); Glenn, S.; Johnson, S.D.; Kwon, Y.; Roberts, S.; Thorndike, E.H. [University of Rochester, Rochester, New York 14627 (United States); Jessop, C.P.; Lingel, K.; Marsiske, H.; Perl, M.L.; Savinov, V.; Ugolini, D.; Wang, R.; Zhou, X. [Stanford Linear Accelerator Center, Stanford University, Stanford, California 94309 (United States); Coan, T.E.; Fadeyev, V.; Korolkov, I.; Maravin, Y.; Narsky, I.; Shelkov, V.; Staeck, J.; Stroynowski, R.; Volobouev, I.; Ye, J. [Southern Methodist University, Dallas, Texas 75275 (United States); Artuso, M.; Efimov, A.; Goldberg, M.; He, D.; Kopp, S.; Moneti, G.C.; Mountain, R.; Schuh, S.; Skwarnicki, T.; Stone, S.; Viehhauser, G.; Xing, X. [Syracuse University, Syracuse, New York 13244 (United States); Bartelt, J.; Csorna, S.E.; Jain, V.; McLean, K.W.; Marka, S. [Vanderbilt University, Nashville, Tennessee 37235 (United States); Godang, R.; Kinoshita, K.; Lai, I.C.; Pomianowski, P.; Schrenk, S. [Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061 (United States); Bonvicini, G.; Cinabro, D.; Greene, R.; Perera, L.P.; Zhou, G.J. [Wayne State University, Detroit, Michigan 48202 (United States); Barish, B.; Chadha, M.; Chan, S.; Eigen, G.; Miller, J.S.; OGrady, C.; Schmidtler, M.; Urheim, J.; Weinstein, A.J.; Wuerthwein, F. [California Institute of Technology, Pasadena, California 91125 (United States); Bliss, D.W.; Masek, G.; Paar, H.P.; Prell, S.; Sharma, V. and others

    1998-05-01

    We have studied semileptonic B meson decays with a p -wave charm meson in the final state using 3.29{times}10{sup 6} B{ovr B} events collected with the CLEOII detector at the Cornell Electron-Positron Storage Ring. We find a value for the exclusive semileptonic product branching fraction B(B{sup {minus}}{r_arrow}D{sup 0}{sub 1} {ell}{sup {minus}}{ovr {nu}}{sub {ell}}) B(D{sup 0}{sub 1}{r_arrow}D{sup {asterisk}+} {pi}{sup {minus}})=(0.373{plus_minus}0.085{plus_minus} 0.052{plus_minus}0.024){percent} and an upper limit for B(B{sup {minus}}{r_arrow}D{sup {asterisk}0}{sub 2} {ell}{sup {minus}}{ovr {nu}}{sub {ell}}) B(D{sup {asterisk}0}{sub 2}{r_arrow}D{sup {asterisk}+ }{pi}{sup {minus}}){lt}0.16{percent} (90{percent} C.L.). Furthermore, we present the first measurement of the q{sup 2} spectrum for B{sup {minus}}{r_arrow}D{sup 0}{sub 1}{ell}{sup {minus}} {ovr {nu}}{sub {ell}} . {copyright} {ital 1998} {ital The American Physical Society}

  1. Pure Quasi-P-wave calculation in transversely isotropic media using a hybrid method

    KAUST Repository

    Wu, Zedong; Liu, Hongwei; Alkhalifah, Tariq Ali

    2018-01-01

    The acoustic approximation for anisotropic media is widely used in current industry imaging and inversion algorithms mainly because P-waves constitute the majority of the energy recorded in seismic exploration. The resulting acoustic formulas tend to be simpler, resulting in more efficient implementations, and depend on fewer medium parameters. However, conventional solutions of the acoustic wave equation with higher-order derivatives suffer from shear wave artifacts. Thus, we derive a new acoustic wave equation for wave propagation in transversely isotropic (TI) media, which is based on a partially separable approximation of the dispersion relation for TI media and free of shear wave artifacts. Even though our resulting equation is not a partial differential equation, it is still a linear equation. Thus, we propose to implement this equation efficiently by combining the finite difference approximation with spectral evaluation of the space-independent parts. The resulting algorithm provides solutions without the constrain of ε ≥ δ. Numerical tests demonstrate the effectiveness of the approach.

  2. Higher Fock states and power counting in exclusive P-wave quarkonium decays

    CERN Document Server

    Bolz, J; Schuler, G A; Bolz, Jan; Kroll, Peter; Schuler, Gerhard A.

    1998-01-01

    Exclusive processes at large momentum transfer Q factor into perturbatively calculable short-distance parts and long-distance hadronic wave functions. Usually, only contributions from the leading Fock states have to be included to leading order in 1/Q. We show that for exclusive decays of P-wave quarkonia the contribution from the next-higher Fock state |Q Qbar g> contributes at the same order in 1/Q. We investigate how the constituent gluon attaches to the hard process in order to form colour-singlet final-state hadrons and argue that a single additional long-distance factor is sufficient to parametrize the size of its contribution. Incorporating transverse degrees of freedom and Sudakov factors, our results are perturbatively stable in the sense that soft phase-space contributions are largely suppressed. Explicit calculations yield good agreement with data on chi_{c J} decays into pairs of pions, kaons, and etas. We also comment on J/psi decays into two pions.

  3. Diagnostic accuracy of electrocardiographic P wave related parameters in the assessment of left atrial size in dogs with degenerative mitral valve disease.

    Science.gov (United States)

    Soto-Bustos, Ángel; Caro-Vadillo, Alicia; Martínez-DE-Merlo, Elena; Alonso-Alegre, Elisa González

    2017-10-07

    The purpose of this research was to compare the accuracy of newly described P wave-related parameters (P wave area, Macruz index and mean electrical axis) with classical P wave-related parameters (voltage and duration of P wave) for the assessment of left atrial (LA) size in dogs with degenerative mitral valve disease. One hundred forty-six dogs (37 healthy control dogs and 109 dogs with degenerative mitral valve disease) were prospectively studied. Two-dimensional echocardiography examinations and a 6-lead ECG were performed prospectively in all dogs. Echocardiography parameters, including determination of the ratios LA diameter/aortic root diameter and LA area/aortic root area, were compared to P wave-related parameters: P wave area, Macruz index, mean electrical axis voltage and duration of P wave. The results showed that P wave-related parameters (classical and newly described) had low sensitivity (range=52.3 to 77%; median=60%) and low to moderate specificity (range=47.2 to 82.5%; median 56.3%) for the prediction of left atrial enlargement. The areas under the curve of P wave-related parameters were moderate to low due to poor sensitivity. In conclusion, newly P wave-related parameters do not increase the diagnostic capacity of ECG as a predictor of left atrial enlargement in dogs with degenerative mitral valve disease.

  4. Sleep Apnea and Nocturnal Cardiac Arrhythmia: A Populational Study

    Directory of Open Access Journals (Sweden)

    Fatima Dumas Cintra

    2014-11-01

    Full Text Available Background: The mechanisms associated with the cardiovascular consequences of obstructive sleep apnea include abrupt changes in autonomic tone, which can trigger cardiac arrhythmias. The authors hypothesized that nocturnal cardiac arrhythmia occurs more frequently in patients with obstructive sleep apnea. Objective: To analyze the relationship between obstructive sleep apnea and abnormal heart rhythm during sleep in a population sample. Methods: Cross-sectional study with 1,101 volunteers, who form a representative sample of the city of São Paulo. The overnight polysomnography was performed using an EMBLA® S7000 digital system during the regular sleep schedule of the individual. The electrocardiogram channel was extracted, duplicated, and then analyzed using a Holter (Cardio Smart® system. Results: A total of 767 participants (461 men with a mean age of 42.00 ± 0.53 years, were included in the analysis. At least one type of nocturnal cardiac rhythm disturbance (atrial/ventricular arrhythmia or beat was observed in 62.7% of the sample. The occurrence of nocturnal cardiac arrhythmias was more frequent with increased disease severity. Rhythm disturbance was observed in 53.3% of the sample without breathing sleep disorders, whereas 92.3% of patients with severe obstructive sleep apnea showed cardiac arrhythmia. Isolated atrial and ventricular ectopy was more frequent in patients with moderate/severe obstructive sleep apnea when compared to controls (p < 0.001. After controlling for potential confounding factors, age, sex and apnea-hypopnea index were associated with nocturnal cardiac arrhythmia. Conclusion: Nocturnal cardiac arrhythmia occurs more frequently in patients with obstructive sleep apnea and the prevalence increases with disease severity. Age, sex, and the Apnea-hypopnea index were predictors of arrhythmia in this sample.

  5. Frequency of Cardiac Arrhythmias in Patients with Aluminum Phosphide Poisoning

    Directory of Open Access Journals (Sweden)

    Umair Aziz

    2015-12-01

    Full Text Available Background: Cardiac failure is the major lethal consequence of aluminum phosphide (AlP poisoning. This study was designed to determine the frequency of cardiac arrhythmias in patients with AlP poisoning. Methods: In this prospective cross-sectional study, patients with definitive history of AlP poisoning treated at emergency department of Allied Hospital Faisalabad, Faisalabad, Pakistan, from July 2013 to November 2014 were included. On admission, twelve-lead electrocardiogram (ECG was performed for all patients. During admission, all patients underwent continuous cardiac monitoring using a cardiac monitor. If an arrhythmia was suspected on the cardiac monitor, another ECG was obtained immediately.  Results: During the study period, 100 patients with AlP poisoning (63% men were treated at Allied Hospital Faisalabad. Mean age of the patients was 26.7 ± 7.9 years ranging from 16 to 54 years. Tachycardia was detected in 68 patients and bradycardia in 12 patients. Hypotension was observed in 75 patients. Eighty patients developed cardiac arrhythmia. The most frequent arrhythmia was atrial fibrillation (31% of patients followed by ventricular fibrillation (20%, ventricular tachycardia (17%, 3rd degree AV block (7% and 2nd degree AV block (5%. In total, 78 patients died, depicting a 78% mortality rate following wheat pill poisoning. Among those who died, seventy-one patients had cardiac arrhythmia. Comparison of death rate between patients with and without cardiac arrhythmia showed a significant difference (71/80 (88.8% vs. 7/20 (35%; P < 0.001.  Conclusion: Wheat pill poisoning causes a very high mortality, and circulatory collapse is the major cause of death among these patients. Most of the patients with AlP poisoning develop cardiac arrhythmias which are invariably life threatening. Early detection of cardiac disorders and proper management of arrhythmias may reduce mortalities.

  6. Computer-assisted education system for arrhythmia (CAESAR).

    Science.gov (United States)

    Fukushima, M; Inoue, M; Fukunami, M; Ishikawa, K; Inada, H; Abe, H

    1984-08-01

    A computer-assisted education system for arrhythmia (CAESAR) was developed for students to acquire the ability to logically diagnose complicated arrhythmias. This system has a logical simulator of cardiac rhythm using a mathematical model of the impulse formation and conduction system of the heart. A simulated arrhythmia (ECG pattern) is given on a graphic display unit with simulated series of the action potential of five pacemaker centers and the "ladder diagram" of impulse formation and conduction, which show the mechanism of that arrhythmia. For the purpose of the evaluation of this system, 13 medical students were given two types of tests concerning arrhythmias before and after 2-hr learning with this system. The scores they obtained after learning increased significantly from 73.3 +/- 11.9 to 93.2 +/- 3.0 (P less than 0.001) in one test and from 47.2 +/- 17.9 to 64.9 +/- 19.6 (P less than 0.001) in another one. These results proved that this CAI system is useful and effective for training ECG interpretation of arrhythmias.

  7. Weak-anisotropy moveout approximations for P-waves in homogeneous layers of monoclinic or higher anisotropy symmetries

    Czech Academy of Sciences Publication Activity Database

    Farra, V.; Pšenčík, Ivan; Jílek, P.

    2016-01-01

    Roč. 81, č. 2 (2016), C39-C59 ISSN 0016-8033 R&D Projects: GA ČR(CZ) GAP210/11/0117 Institutional support: RVO:67985530 Keywords : anisotropy * P-wave * travel time * moveout Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 2.391, year: 2016

  8. Derivation of site-specific relationships between hydraulic parameters and p-wave velocities based on hydraulic and seismic tomography

    Energy Technology Data Exchange (ETDEWEB)

    Brauchler, R.; Doetsch, J.; Dietrich, P.; Sauter, M.

    2012-01-10

    In this study, hydraulic and seismic tomographic measurements were used to derive a site-specific relationship between the geophysical parameter p-wave velocity and the hydraulic parameters, diffusivity and specific storage. Our field study includes diffusivity tomograms derived from hydraulic travel time tomography, specific storage tomograms, derived from hydraulic attenuation tomography, and p-wave velocity tomograms, derived from seismic tomography. The tomographic inversion was performed in all three cases with the SIRT (Simultaneous Iterative Reconstruction Technique) algorithm, using a ray tracing technique with curved trajectories. The experimental set-up was designed such that the p-wave velocity tomogram overlaps the hydraulic tomograms by half. The experiments were performed at a wellcharacterized sand and gravel aquifer, located in the Leine River valley near Göttingen, Germany. Access to the shallow subsurface was provided by direct-push technology. The high spatial resolution of hydraulic and seismic tomography was exploited to derive representative site-specific relationships between the hydraulic and geophysical parameters, based on the area where geophysical and hydraulic tests were performed. The transformation of the p-wave velocities into hydraulic properties was undertaken using a k-means cluster analysis. Results demonstrate that the combination of hydraulic and geophysical tomographic data is a promising approach to improve hydrogeophysical site characterization.

  9. 3D elastic full waveform inversion using P-wave excitation amplitude: Application to OBC field data

    KAUST Repository

    Oh, Juwon; Kalita, Mahesh; Alkhalifah, Tariq Ali

    2017-01-01

    We propose an efficient elastic full waveform inversion (FWI) based on the P-wave excitation amplitude (maximum energy arrival) approximation in the source wavefields. Because, based on the P-wave excitation approximation (ExA), the gradient direction is approximated by the cross-correlation of source and receiver wavefields at only excitation time, it estimates the gradient direction faster than its conventional counterpart. In addition to this computational speedup, the P-wave excitation approximation automatically ignores SP and SS correlations in the approximated gradient direction. In elastic FWI for ocean bottom cable (OBC) data, the descent direction for the S-wave velocity is often degraded by undesired long-wavelength features from the SS correlation. For this reason, the P-wave excitation approach increases the convergence rate of multi-parameter FWI compared to the conventional approach. The modified 2D Marmousi model with OBC acquisition is used to verify the differences between the conventional method and ExA. Finally, the feasibility of the proposed method is demonstrated on a real OBC data from North Sea.

  10. 3D elastic full waveform inversion using P-wave excitation amplitude: Application to OBC field data

    KAUST Repository

    Oh, Juwon

    2017-12-05

    We propose an efficient elastic full waveform inversion (FWI) based on the P-wave excitation amplitude (maximum energy arrival) approximation in the source wavefields. Because, based on the P-wave excitation approximation (ExA), the gradient direction is approximated by the cross-correlation of source and receiver wavefields at only excitation time, it estimates the gradient direction faster than its conventional counterpart. In addition to this computational speedup, the P-wave excitation approximation automatically ignores SP and SS correlations in the approximated gradient direction. In elastic FWI for ocean bottom cable (OBC) data, the descent direction for the S-wave velocity is often degraded by undesired long-wavelength features from the SS correlation. For this reason, the P-wave excitation approach increases the convergence rate of multi-parameter FWI compared to the conventional approach. The modified 2D Marmousi model with OBC acquisition is used to verify the differences between the conventional method and ExA. Finally, the feasibility of the proposed method is demonstrated on a real OBC data from North Sea.

  11. Weak-anisotropy approximations of P-wave phase and ray velocities for anisotropy of arbitrary symmetry

    Czech Academy of Sciences Publication Activity Database

    Farra, V.; Pšenčík, Ivan

    2016-01-01

    Roč. 60, č. 3 (2016), s. 403-418 ISSN 0039-3169 Institutional support: RVO:67985530 Keywords : weak anisotropy * P-wave * phase velocity * ray velocity Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.764, year: 2016

  12. Evaluation of P-Wave Dispersion, Diastolic Function, and Atrial Electromechanical Conduction in Pediatric Patients with Subclinical Hypothyroidism.

    Science.gov (United States)

    Irdem, Ahmet; Aydın Sahin, Derya; Kervancioglu, Mehmet; Baspinar, Osman; Sucu, Murat; Keskin, Mehmet; Kilinc, Metin

    2016-09-01

    This study aimed to evaluate ventricular diastolic dysfunction, inter- and intraatrial conduction delay, and P-wave dispersion in pediatric patients with subclinical hypothyroidism. The study comprised a total of 30 pediatric patients with subclinical hypothyroidism (SH) (mean age 7.8 ± 3.2 years) and 30 healthy children (mean age 8.4 ± 3.6 years) as the control group. A SH diagnosis was made in the event of increased serum thyroid-stimulating hormone (TSH) and decreased serum free triiodothyronine (T3 ) and free thyroxine (T4 ) concentrations. Conventional Doppler imaging (TDI) showed low mitral early diastolic E-wave velocity and E/A ratio (P wave velocity (P = 0.001) in hypothyroidism patients. Moreover, patients with hypothyroidism had significantly lower left ventricular (LV) septal Em velocity and Em /Am ratios compared with the control group (P wave dispersion was significantly different in the pediatric patients with hypothyroidism (P wave dispersion, and ventricle diastolic dysfunction in pediatric patients with hypothyroidism. © 2016, Wiley Periodicals, Inc.

  13. Balancing surface adsorption and diffusion of lithium-polysulfides on nonconductive oxides for lithium-sulfur battery design.

    Science.gov (United States)

    Tao, Xinyong; Wang, Jianguo; Liu, Chong; Wang, Haotian; Yao, Hongbin; Zheng, Guangyuan; Seh, Zhi Wei; Cai, Qiuxia; Li, Weiyang; Zhou, Guangmin; Zu, Chenxi; Cui, Yi

    2016-04-05

    Lithium-sulfur batteries have attracted attention due to their six-fold specific energy compared with conventional lithium-ion batteries. Dissolution of lithium polysulfides, volume expansion of sulfur and uncontrollable deposition of lithium sulfide are three of the main challenges for this technology. State-of-the-art sulfur cathodes based on metal-oxide nanostructures can suppress the shuttle-effect and enable controlled lithium sulfide deposition. However, a clear mechanistic understanding and corresponding selection criteria for the oxides are still lacking. Herein, various nonconductive metal-oxide nanoparticle-decorated carbon flakes are synthesized via a facile biotemplating method. The cathodes based on magnesium oxide, cerium oxide and lanthanum oxide show enhanced cycling performance. Adsorption experiments and theoretical calculations reveal that polysulfide capture by the oxides is via monolayered chemisorption. Moreover, we show that better surface diffusion leads to higher deposition efficiency of sulfide species on electrodes. Hence, oxide selection is proposed to balance optimization between sulfide-adsorption and diffusion on the oxides.

  14. Balancing surface adsorption and diffusion of lithium-polysulfides on nonconductive oxides for lithium–sulfur battery design

    Science.gov (United States)

    Tao, Xinyong; Wang, Jianguo; Liu, Chong; Wang, Haotian; Yao, Hongbin; Zheng, Guangyuan; Seh, Zhi Wei; Cai, Qiuxia; Li, Weiyang; Zhou, Guangmin; Zu, Chenxi; Cui, Yi

    2016-01-01

    Lithium–sulfur batteries have attracted attention due to their six-fold specific energy compared with conventional lithium-ion batteries. Dissolution of lithium polysulfides, volume expansion of sulfur and uncontrollable deposition of lithium sulfide are three of the main challenges for this technology. State-of-the-art sulfur cathodes based on metal-oxide nanostructures can suppress the shuttle-effect and enable controlled lithium sulfide deposition. However, a clear mechanistic understanding and corresponding selection criteria for the oxides are still lacking. Herein, various nonconductive metal-oxide nanoparticle-decorated carbon flakes are synthesized via a facile biotemplating method. The cathodes based on magnesium oxide, cerium oxide and lanthanum oxide show enhanced cycling performance. Adsorption experiments and theoretical calculations reveal that polysulfide capture by the oxides is via monolayered chemisorption. Moreover, we show that better surface diffusion leads to higher deposition efficiency of sulfide species on electrodes. Hence, oxide selection is proposed to balance optimization between sulfide-adsorption and diffusion on the oxides. PMID:27046216

  15. Design of instantaneous liquid film thickness measurement system for conductive or non-conductive fluid with high viscosity

    Directory of Open Access Journals (Sweden)

    Yongxin Yu

    2017-06-01

    Full Text Available In the paper, a new capacitive sensor with a dielectric film coating was designed to measure the thickness of the liquid film on a flat surface. The measured medium can be conductive or non-conductive fluid with high viscosity such as silicone oil, syrup, CMC solution and melt. With the dielectric film coating, the defects caused by the humidity in a capacitor can be avoided completely. With a excitation frequency 0-20kHz, the static permittivity of capacitive sensor is obtained and stable when small thicknesses are monitored within the frequency of 0-3kHz. Based on the measurement principle, an experimental system was designed and verified including calibration and actual measurement for different liquid film thickness. Experimental results showed that the sensitivity, the resolution, repeatability and linear range of the capacitive sensor are satisfied to the liquid film thickness measurement. Finally, the capacitive measuring system was successfully applied to the water, silicone oil and syrup film thickness measurement.

  16. Fractal ventilation enhances respiratory sinus arrhythmia

    Directory of Open Access Journals (Sweden)

    Girling Linda G

    2005-05-01

    Full Text Available Abstract Background Programming a mechanical ventilator with a biologically variable or fractal breathing pattern (an example of 1/f noise improves gas exchange and respiratory mechanics. Here we show that fractal ventilation increases respiratory sinus arrhythmia (RSA – a mechanism known to improve ventilation/perfusion matching. Methods Pigs were anaesthetised with propofol/ketamine, paralysed with doxacurium, and ventilated in either control mode (CV or in fractal mode (FV at baseline and then following infusion of oleic acid to result in lung injury. Results Mean RSA and mean positive RSA were nearly double with FV, both at baseline and following oleic acid. At baseline, mean RSA = 18.6 msec with CV and 36.8 msec with FV (n = 10; p = 0.043; post oleic acid, mean RSA = 11.1 msec with CV and 21.8 msec with FV (n = 9, p = 0.028; at baseline, mean positive RSA = 20.8 msec with CV and 38.1 msec with FV (p = 0.047; post oleic acid, mean positive RSA = 13.2 msec with CV and 24.4 msec with FV (p = 0.026. Heart rate variability was also greater with FV. At baseline the coefficient of variation for heart rate was 2.2% during CV and 4.0% during FV. Following oleic acid the variation was 2.1 vs. 5.6% respectively. Conclusion These findings suggest FV enhances physiological entrainment between respiratory, brain stem and cardiac nonlinear oscillators, further supporting the concept that RSA itself reflects cardiorespiratory interaction. In addition, these results provide another mechanism whereby FV may be superior to conventional CV.

  17. P-wave Velocity Structure Across the Mariana Trench and Implications for Hydration

    Science.gov (United States)

    Eimer, M. O.; Wiens, D.; Lizarralde, D.; Cai, C.

    2017-12-01

    Estimates of the water flux at subduction zones remain uncertain, particularly the amount of water brought into the trench by the subducting plate. Normal faulting related to the bending of the incoming plate has been proposed to provide pathways for water to hydrate the crust and upper mantle. A passive and active source seismic experiment spanning both the incoming plate and forearc was conducted in 2012 in central Mariana to examine the role of hydration at subduction zones. The active-source component of the survey used the R/V M.G. Langsethairgun array and 68 short period sensors, including suspended hydrophones, deployed on 4 transects. This study at the Mariana trench offers a comparison to related studies of incoming plate hydration in Middle America, where differing thermal structures related to plate age predict different stability fields for hydrous minerals. The forearc structure is also of interest, since Mariana is characterized by large serpentine seamounts and may have a serpentinized mantle wedge. The velocity structure will also be important for the relocation of earthquakes in the incoming plate, since the seismicity can offer a constraint for the depth extent of these bending faults. We examine the P-wave velocity structure along a 400-km long wide-angle refraction transect perpendicular to the trench and spanning both the forearc and incoming plate. Preliminary results indicate a velocity reduction in the crust and uppermost mantle at the bending region of the incoming plate, relative to the plate's structure away from the trench. This reduction suggests that outer-rise faults extend into the upper mantle and may have promoted serpentinization of that material. Mantle Pn refraction phases are not observed in the forearc, consistent with the ambient noise tomography results that show upper-mantle velocities similar to that of the lower crust. The lack of contrast between the upper mantle and crustal velocities from the ambient noise has been

  18. Towards routine determination of focal mechanisms obtained from first motion P-wave arrivals

    Science.gov (United States)

    Lentas, K.

    2018-03-01

    The Bulletin of the International Seismological Centre (ISC) contains information on earthquake mechanisms collected from many different sources including national and global agencies, resulting in a satisfactory coverage over a wide magnitude range (M ˜2-9). Nevertheless, there are still a vast number of earthquakes with no reported source mechanisms especially for magnitudes up to 5. This study investigates the possibility of calculating earthquake focal mechanisms in a routine and systematic way based on P-wave first motion polarities. Any available parametric data in the ISC database is being used, as well as auto-picked polarities from waveform data up to teleseismic epicentral distances (90°) for stations that are not reported to the ISC. The determination of the earthquake mechanisms is carried out with a modified version of the HASH algorithm that is compatible with a wide range of epicentral distances and takes into account the ellipsoids defined by the ISC location errors, and the Earth's structure uncertainties. Initially, benchmark tests for a set of ISC reviewed earthquakes (mb > 4.5) are carried out and the HASH mechanism classification scheme is used to define the mechanism quality. Focal mechanisms of quality A, B and C with an azimuthal gap up to 90° compare well to the benchmark mechanisms. Nevertheless, the majority of the obtained mechanisms fall into class D as a result of limited polarity data from stations in local/regional epicentral distances. Specifically, the computation of the minimum rotation angle between the obtained mechanisms and the benchmarks, reveals that 41 per cent of the examined earthquakes show rotation angles up to 35°. Finally, the current technique is applied to a small set of earthquakes from the reviewed ISC bulletin where 62 earthquakes, with no previously reported source mechanisms, are successfully obtained.

  19. P-wave velocity anisotropy related to sealed fractures reactivation tracing the structural diagenesis in carbonates

    Science.gov (United States)

    Matonti, C.; Guglielmi, Y.; Viseur, S.; Garambois, S.; Marié, L.

    2017-05-01

    Fracture properties are important in carbonate reservoir characterization, as they are responsible for a large part of the fluid transfer properties at all scales. It is especially true in tight rocks where the matrix transfer properties only slightly contribute to the fluid flow. Open fractures are known to strongly affect seismic velocities, amplitudes and anisotropy. Here, we explore the impact of fracture evolution on the geophysical signature and directional Vp anisotropy of fractured carbonates through diagenesis. For that purpose, we studied a meter-scale, parallelepiped quarry block of limestone using a detailed structural and diagenetic characterization, and numerous Vp measurements. The block is affected by two en-échelon fracture clusters, both being formed in opening mode (mode 1) and cemented, but only one being reactivated in shear. We compared the diagenetic evolution of the fractures, which are almost all 100% filled with successive calcite cements, with the P-wave velocities measured across this meter-scale block of carbonate, which recorded the tectonic and diagenetic changes of a South Provence sedimentary basin. We found that a directional Vp anisotropy magnitude as high as 8-16% correlates with the reactivated fractures' cluster dip angle, which is explained by the complex filling sequence and softer material present inside the fractures that have been reactivated during the basin's tectonic inversion. We show that although a late karstification phase preferentially affected these reactivated fractures, it only amplified the pre-existing anisotropy due to tectonic shear. We conclude that Vp anisotropy measurements may help to identify the fracture sealing/opening processes associated with polyphased tectonic history, the anisotropy being independent of the current stress-state. This case shows that velocity anisotropies induced by fractures resulted here from a cause that is different from how these features have often been interpreted

  20. P-wave attenuation in the Pacific slab beneath northeastern Japan revealed by the spectral ratio of intraslab earthquakes

    Science.gov (United States)

    Shiina, Takahiro; Nakajima, Junichi; Matsuzawa, Toru

    2018-05-01

    We investigate P-wave attenuation, Qp-1, in the Pacific slab beneath northeastern (NE) Japan, adopting for the first time the spectral ratio technique for intraslab earthquakes. When seismograms of two earthquakes are recorded at a station and their ray paths to the station are largely overlapped, station-dependent amplification and structural effects on the overlapped rays can be canceled out from the ratio of the spectral amplitudes of the seismograms. Therefore, adopting the spectral ratio technique for intraslab earthquakes has a great advantage for the precise evaluation of Qp-1 in the slab because the structural effects above the slab, including the high-attenuation mantle wedge, are removed. For estimating the intraslab Qp-1, we determined corner frequency of the intraslab earthquakes using the S-coda wave spectral ratio as the first step. Then, we evaluated the inter-event path attenuation, Δt*, from the ratio of the spectral amplitudes of P waves. The obtained result shows that P-wave attenuation in the Pacific slab marks Qp-1 of 0.0015 (Qp of ∼670) at depths of 50-250 km. This indicates that the P-wave attenuation in the Pacific slab is weaker than that in the mantle wedge. The relatively high-Qp-1 is correlated with the distributions of intraslab earthquakes, suggesting that the P-wave amplitude is more attenuated around active seismicity zones in the slab. Therefore, our observations likely indicate the presence of fractures, hydrous minerals, and dehydrated fluid around seismogenic zones in the slab at intermediate depths.

  1. Dobutamine use for arrhythmia induction during electrical programmed heart stimulation

    International Nuclear Information System (INIS)

    Vanegas, Diego I; Perez, Climaco de J; Montenegro, Juan de J; Orjuela, Alejandro

    2006-01-01

    isoproterenol is the traditionally used drug for incrementing arrhythmia induction when this induction is not achieved during electric programmed heart stimulation under basal conditions. Dobutamine is an adrenergic agent, chemical precursor of isoproterenol, which can be an alternative for inducing arrhythmia during electrical programmed heart stimulation (PES). Patients and methods: a retrospective comparative study of the experience with dobutamine for inducing arrhythmia during electrical programmed heart stimulation was performed. The following data were collected: number of studies, data about the patient (medical record, age, gender, and study indication) protocol of programmed electrical stimulation, basal and under dobutamine or isoproterenol, and result of the study. Isoproterenol was used in doses of 1 to 3 micrograms per minute until the basal heart rate was incremented at least in 25%. Dobutamine was used in doses of 10 to 40 micrograms per kg of body weight, until obtaining the same increment in the basal heart rate. Results: 1054 electrophysiological studies were evaluated. In 144 patients (group A) isoproterenol was used and in 140, dobutamine (group B). In A group the mean age was 39.2 ± 16.2 and 58.3% were females. In-group B, mean age was 41.9 ± 18.6 and 51% were females. The most frequent symptom was palpitation and the most commonly induced arrhythmia was AV nodal reentry tachycardia in both groups. The induction of arrhythmia during the electrical programmed heat stimulation under drugs was similar in-group A (isoproterenol) respect to group B (dobutamine). Conclusions: There were no statistical significant differences in the induction of arrhythmia during electrical programmed heart stimulation using dobutamine or isoproterenol. Dobutamine may be safe and may be successfully used as an alternative to isoproterenol for arrhythmia induction during electrical programmed stimulation

  2. P-wave indices in patients with pulmonary emphysema: do P-terminal force and interatrial block have confounding effects?

    Science.gov (United States)

    Chhabra, Lovely; Chaubey, Vinod K; Kothagundla, Chandrasekhar; Bajaj, Rishi; Kaul, Sudesh; Spodick, David H

    2013-01-01

    Pulmonary emphysema causes several electrocardiogram changes, and one of the most common and well known is on the frontal P-wave axis. P-axis verticalization (P-axis > 60°) serves as a quasidiagnostic indicator of emphysema. The correlation of P-axis verticalization with the radiological severity of emphysema and severity of chronic obstructive lung function have been previously investigated and well described in the literature. However, the correlation of P-axis verticalization in emphysema with other P-indices like P-terminal force in V1 (Ptf), amplitude of initial positive component of P-waves in V1 (i-PV1), and interatrial block (IAB) have not been well studied. Our current study was undertaken to investigate the effects of emphysema on these P-wave indices in correlation with the verticalization of the P-vector. Unselected, routinely recorded electrocardiograms of 170 hospitalized emphysema patients were studied. Significant Ptf (s-Ptf) was considered ≥40 mm.ms and was divided into two types based on the morphology of P-waves in V1: either a totally negative (-) P wave in V1 or a biphasic (+/-) P wave in V1. s-Ptf correlated better with vertical P-vectors than nonvertical P-vectors (P = 0.03). s-Ptf also significantly correlated with IAB (P = 0.001); however, IAB and P-vector verticalization did not appear to have any significant correlation (P = 0.23). There was a very weak correlation between i-PV1 and frontal P-vector (r = 0.15; P = 0.047); however, no significant correlation was found between i-PV1 and P-amplitude in lead III (r = 0.07; P = 0.36). We conclude that increased P-tf in emphysema may be due to downward right atrial position caused by right atrial displacement, and thus the common assumption that increased P-tf implies left atrial enlargement should be made with caution in patients with emphysema. Also, the lack of strong correlation between i-PV1 and P-amplitude in lead III or vertical P-vector may suggest the predominant role of downward

  3. P-Wave Velocity Tomography from Local Earthquakes in Western Mexico

    Science.gov (United States)

    Ochoa-Chávez, Juan A.; Escudero, Christian R.; Núñez-Cornú, Francisco J.; Bandy, William L.

    2016-10-01

    In western Mexico, the subduction of the Rivera and Cocos plates beneath the North America plate has deformed and fragmented the overriding plate, forming several structural rifts and crustal blocks. To obtain a reliable subsurface image of the continental crust and uppermost mantle in this complex area, we used P-wave arrivals of local earthquakes along with the Fast Marching Method tomography technique. We followed an inversion scheme consisting of (1) the use of a high-quality earthquake catalog and corrected phase picks, (2) the selection of earthquakes using a maximum location error threshold, (3) the estimation of an improved 1-D reference velocity model, and (4) the use of checkerboard testing to determine the optimum configuration of the velocity nodes and inversion parameters. Surprisingly, the tomography results show a very simple δVp distribution that can be described as being controlled by geologic structures formed during two stages of the separation of the Rivera and Cocos plates. The earlier period represents the initial stages of the separation of the Rivera and Cocos plates beneath western Mexico; the later period represents the more advanced stage of rifting where the Rivera and Cocos plates had separated sufficiently to allow melt to accumulate below the Colima Volcanic complex. During the earlier period (14 or 10-1.6 Ma), NE-SW-oriented structures/lineaments (such as the Southern Colima Rift) were formed as the two plates separated. During the second period (1.6 Ma to the present), the deformation is attributed to magma, generated within and above the tear zone between the Rivera and Cocos plates, rising beneath the region of the Colima Volcanic Complex. The rising magma fractured the overlying crust, forming a classic triple-rift junction geometry. This triple-rift system is confined to the mid- to lower crust perhaps indicating that this rifting process is still in an early stage. This fracturing, along with fluid circulation and associated

  4. Regional P-wave Tomography in the Caribbean Region for Plate Reconstruction

    Science.gov (United States)

    Li, X.; Bedle, H.; Suppe, J.

    2017-12-01

    The complex plate-tectonic interactions around the Caribbean Sea have been studied and interpreted by many researchers, but questions still remain regarding the formation and subduction history of the region. Here we report current progress towards creating a new regional tomographic model, with better lateral and spatial coverage and higher resolution than has been presented previously. This new model will provide improved constraints on the plate-tectonic evolution around the Caribbean Plate. Our three-dimensional velocity model is created using taut spline parameterization. The inversion is computed by the code of VanDecar (1991), which is based on the ray theory method. The seismic data used in this inversion are absolute P wave arrival times from over 700 global earthquakes that were recorded by over 400 near Caribbean stations. There are over 25000 arrival times that were picked and quality checked within frequency band of 0.01 - 0.6 Hz by using a MATLAB GUI-based software named Crazyseismic. The picked seismic delay time data are analyzed and compared with other studies ahead of doing the inversion model, in order to examine the quality of our dataset. From our initial observations of the delay time data, the more equalized the ray azimuth coverage, the smaller the deviation of the observed travel times from the theoretical travel time. Networks around the NE and SE side of the Caribbean Sea generally have better ray coverage, and smaller delay times. Specifically, seismic rays reaching SE Caribbean networks, such as XT network, generally pass through slabs under South American, Central American, Lesser Antilles, Southwest Caribbean, and the North Caribbean transform boundary, which leads to slightly positive average delay times. In contrast, the Puerto Rico network records seismic rays passing through regions that may lack slabs in the upper mantle and show slightly negative or near zero average delay times. These results agree with previous tomographic

  5. Andrographolide inhibits arrhythmias and is cardioprotective in rabbits.

    Science.gov (United States)

    Zeng, Mengliu; Jiang, Wanzhen; Tian, Youjia; Hao, Jie; Cao, Zhenzhen; Liu, Zhipei; Fu, Chen; Zhang, Peihua; Ma, Jihua

    2017-09-22

    Andrographolide has a protective effect on the cardiovascular system. To study its cardic-electrophysiological effects, action potentials and voltage-gated Na + (I Na ), Ca 2+ (I CaL ), and K + (I K1 , I Kr , I to and I Kur ) currents were recorded using whole-cell patch clamp and current clamp techniques. Additionally, the effects of andrographolide on aconitine-induced arrhythmias were assessed on electrocardiograms in vivo . We found that andrographolide shortened action potential duration and reduced maximum upstroke velocity in rabbit left ventricular and left atrial myocytes. Andrographolide attenuated rate-dependence of action potential duration, and reduced or abolished delayed afterdepolarizations and triggered activities induced by isoproterenol (1 μM) and high calcium ([Ca 2+ ] o =3.6 mM) in left ventricular myocytes. Andrographolide also concentration-dependently inhibited I Na and I CaL , but had no effect on I to , I Kur , I K1 , or I Kr in rabbit left ventricular and left atrial myocytes. Andrographolide treatment increased the time and dosage thresholds of aconitine-induced arrhythmias, and reduced arrhythmia incidence and mortality in rabbits. Our results indicate that andrographolide inhibits cellular arrhythmias (delayed afterdepolarizations and triggered activities) and aconitine-induced arrhythmias in vivo , and these effects result from I Na and I CaL inhibition. Andrographolide may be useful as a class I and IV antiarrhythmic therapeutic.

  6. Calcium-dependent arrhythmias in transgenic mice with heart failure.

    Science.gov (United States)

    London, Barry; Baker, Linda C; Lee, Joon S; Shusterman, Vladimir; Choi, Bum-Rak; Kubota, Toru; McTiernan, Charles F; Feldman, Arthur M; Salama, Guy

    2003-02-01

    Transgenic mice overexpressing the inflammatory cytokine tumor necrosis factor (TNF)-alpha (TNF-alpha mice) in the heart develop a progressive heart failure syndrome characterized by biventricular dilatation, decreased ejection fraction, atrial and ventricular arrhythmias on ambulatory telemetry monitoring, and decreased survival compared with nontransgenic littermates. Programmed stimulation in vitro with single extra beats elicits reentrant ventricular arrhythmias in TNF-alpha (n = 12 of 13 hearts) but not in control hearts. We performed optical mapping of voltage and Ca(2+) in isolated perfused ventricles of TNF-alpha mice to study the mechanisms that lead to the initiation and maintenance of the arrhythmias. When compared with controls, hearts from TNF-alpha mice have prolonged of action potential durations (action potential duration at 90% repolarization: 23 +/- 2 ms, n = 7, vs. 18 +/- 1 ms, n = 5; P < 0.05), no increased dispersion of refractoriness between apex and base, elevated diastolic and depressed systolic [Ca(2+)], and prolonged Ca(2+) transients (72 +/- 6 ms, n = 10, vs. 54 +/- 5 ms, n = 8; P < 0.01). Premature beats have diminished action potential amplitudes and conduct in a slow, heterogeneous manner. Lowering extracellular [Ca(2+)] normalizes conduction and prevents inducible arrhythmias. Thus both action potential prolongation and abnormal Ca(2+) handling may contribute to the initiation of reentrant arrhythmias in this heart failure model by mechanisms distinct from enhanced dispersion of refractoriness or triggered activity.

  7. Associations between high callous-unemotional traits and quality of life across youths with non-conduct disorder diagnoses.

    Science.gov (United States)

    Herpers, Pierre C M; Klip, Helen; Rommelse, Nanda N J; Greven, Corina U; Buitelaar, Jan K

    2016-05-01

    Research regarding callous-unemotional (CU) traits in non-conduct disorder (CD) diagnoses is sparse. We investigated the presence of high CU traits and their associations with quality of life (QoL) in a clinically referred sample of youths with non-CD diagnoses. Parents of 1018 children referred to a child and adolescent psychiatric clinic and rated their child's CU traits and QoL. Experienced clinicians derived DSM-IV-TR diagnoses based on systematic clinical evaluations of these children. High CU traits compared to low CU traits were present in 38.5 % of the sample, and more often in boys than girls (69.4 vs. 30.6 %, p = .004), and were associated with more police contacts (12.2 vs. 3.5 %, p disorder (odds ratio; OR = 1.61; 95 % CI 1.24-2.09; p disorder not otherwise specified/oppositional defiant disorder (OR = 4.98; 95 % CI 2.93-8.64; p disorder (OR = 1.01; 95 % CI .79-1.31; p = .94), were more likely to have high than low CU traits. Those with anxiety/mood disorders were more likely to have low than high CU traits (OR = .59; 95 % CI .42-82; p = .002). In all diagnostic groups, high CU compared to low CU traits were associated with significantly lower QoL, while controlling for gender, age, and comorbidity. As such, high CU traits significantly modify QoL in non-CD disorders.

  8. Nucleon-deuteron breakup quantities calculated with separable interactions including tensor forces and P-wave interactions

    International Nuclear Information System (INIS)

    Bruinsma, J.; Wageningen, R. van

    1977-01-01

    Nucleon-deuteron breakup calculations at a nucleon bombarding energy of 22.7 MeV have been performed with separable interactions including a tensor force and P-wave interactions. Differential cross sections and a selection of polarization quantities have been computed for special regions of the phase space. The influence of a tensor force and P-wave interactions on the differential cross section is of the order of 20%. Large discrepancies between theory and experiment occur for the vector analyzing powers, both for the kinematically complete and for the incomplete situation. The calculations show that there are kinematical situations in which the differential cross sections and the tensor analyzing powers are sufficiently large to make measurements feasible. (Auth.)

  9. A Proposal for Cardiac Arrhythmia Classification using Complexity Measures

    Directory of Open Access Journals (Sweden)

    AROTARITEI, D.

    2017-08-01

    Full Text Available Cardiovascular diseases are one of the major problems of humanity and therefore one of their component, arrhythmia detection and classification drawn an increased attention worldwide. The presence of randomness in discrete time series, like those arising in electrophysiology, is firmly connected with computational complexity measure. This connection can be used, for instance, in the analysis of RR-intervals of electrocardiographic (ECG signal, coded as binary string, to detect and classify arrhythmia. Our approach uses three algorithms (Lempel-Ziv, Sample Entropy and T-Code to compute the information complexity applied and a classification tree to detect 13 types of arrhythmia with encouraging results. To overcome the computational effort required for complexity calculus, a cloud computing solution with executable code deployment is also proposed.

  10. ECG scaling properties of cardiac arrhythmias using detrended fluctuation analysis

    International Nuclear Information System (INIS)

    Rodriguez, E; Echeverria, J C; Alvarez-Ramirez, J; Lerma, C

    2008-01-01

    We applied detrended fluctuation analysis to characterize at very short time scales during episodes of cardiac arrhythmias the raw electrocardiogram (ECG) waveform, aiming to get a global insight into its dynamical behaviour in patients who experienced sudden death. We found that in 15 recordings involving different types of arrhythmias (taken from PhysioNet's Sudden Cardiac Death Holter Database), the ECG waveform, besides showing a less-random dynamics, becomes more regular during bigeminy, ventricular tachycardia or even atrial fibrillation and ventricular fibrillation. The ECG waveform scaling properties thus suggest that reduced complexity dominates the underlying mechanisms of arrhythmias. Among other explanations, this may result from shorted or restricted (i.e. less diverse) pathways of conduction of the electrical activity within ventricles

  11. Local determination of weak anisotropy parameters from walkaway VSP qP-wave data in the Java Sea region

    Czech Academy of Sciences Publication Activity Database

    Gomes, E.; Zheng, Xuyao; Pšenčík, Ivan; Horne, S.; Leaney, S.

    2004-01-01

    Roč. 48, č. 1 (2004), s. 215-231 ISSN 0039-3169 R&D Projects: GA AV ČR IAA3012309; GA AV ČR KSK3012103 Grant - others:CHJFSS(CN) No.103021 Institutional research plan: CEZ:AV0Z3012916 Keywords : weak anisotropy * qP waves * walkaway VSP Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.447, year: 2004

  12. P-Wave Amplitude and PR Changes in Patients With Inappropriate Sinus Tachycardia: Findings Supportive of a Central Mechanism.

    Science.gov (United States)

    Field, Michael E; Donateo, Paolo; Bottoni, Nicola; Iori, Matteo; Brignole, Michele; Kipp, Ryan T; Kopp, Douglas E; Leal, Miguel A; Eckhardt, Lee L; Wright, Jennifer M; Walsh, Kathleen E; Page, Richard L; Hamdan, Mohamed H

    2018-04-19

    The mechanism of inappropriate sinus tachycardia (IST) remains incompletely understood. We prospectively compared 3 patient groups: 11 patients with IST (IST Group), 9 control patients administered isoproterenol (Isuprel Group), and 15 patients with cristae terminalis atrial tachycardia (AT Group). P-wave amplitude in lead II and PR interval were measured at a lower and higher heart rate (HR1 and HR2, respectively). P-wave amplitude increased significantly with the increase in HR in the IST Group (0.16±0.07 mV at HR1=97±12 beats per minute versus 0.21±0.08 mV at HR2=135±21 beats per minute, P =0.001). The average increase in P-wave amplitude in the IST Group was similar to the Isuprel Group ( P =0.26). PR interval significantly shortened with the increases in HR in the IST Group (146±15 ms at HR1 versus 128±16 ms at HR2, P PR interval was noted in the Isuprel Group ( P =0.6). In contrast, patients in the atrial tachycardia Group experienced PR lengthening during atrial tachycardia when compared with baseline normal sinus rhythm (153±25 ms at HR1=78±17 beats per minute versus 179±29 ms at HR2=140±28 beats per minute, P PR shortening similar to what is seen in healthy controls following isoproterenol infusion. The increase in P-wave amplitude and absence of PR lengthening in IST support an extrinsic mechanism consistent with a state of sympatho-excitation with cephalic shift in sinus node activation and enhanced atrioventricular nodal conduction. © 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  13. P-wave velocity changes in freezing hard low-porosity rocks: a laboratory-based time-average model

    Directory of Open Access Journals (Sweden)

    D. Draebing

    2012-10-01

    Full Text Available P-wave refraction seismics is a key method in permafrost research but its applicability to low-porosity rocks, which constitute alpine rock walls, has been denied in prior studies. These studies explain p-wave velocity changes in freezing rocks exclusively due to changing velocities of pore infill, i.e. water, air and ice. In existing models, no significant velocity increase is expected for low-porosity bedrock. We postulate, that mixing laws apply for high-porosity rocks, but freezing in confined space in low-porosity bedrock also alters physical rock matrix properties. In the laboratory, we measured p-wave velocities of 22 decimetre-large low-porosity (< 10% metamorphic, magmatic and sedimentary rock samples from permafrost sites with a natural texture (> 100 micro-fissures from 25 °C to −15 °C in 0.3 °C increments close to the freezing point. When freezing, p-wave velocity increases by 11–166% perpendicular to cleavage/bedding and equivalent to a matrix velocity increase from 11–200% coincident to an anisotropy decrease in most samples. The expansion of rigid bedrock upon freezing is restricted and ice pressure will increase matrix velocity and decrease anisotropy while changing velocities of the pore infill are insignificant. Here, we present a modified Timur's two-phase-equation implementing changes in matrix velocity dependent on lithology and demonstrate the general applicability of refraction seismics to differentiate frozen and unfrozen low-porosity bedrock.

  14. Dual chamber arrhythmia detection in the implantable cardioverter defibrillator.

    Science.gov (United States)

    Dijkman, B; Wellens, H J

    2000-10-01

    Dual chamber implantable cardioverter defibrillator (ICD) technology extended ICD therapy to more than termination of hemodynamically unstable ventricular tachyarrhythmias. It created the basis for dual chamber arrhythmia management in which dependable detection is important for treatment and prevention of both ventricular and atrial arrhythmias. Dual chamber detection algorithms were investigated in two Medtronic dual chamber ICDs: the 7250 Jewel AF (33 patients) and the 7271 Gem DR (31 patients). Both ICDs use the same PR Logic algorithm to interpret tachycardia as ventricular tachycardia (VT), supraventricular tachycardia (SVT), or dual (VT+ SVT). The accuracy of dual chamber detection was studied in 310 of 1,367 spontaneously occurring tachycardias in which rate criterion only was not sufficient for arrhythmia diagnosis. In 78 episodes there was a double tachycardia, in 223 episodes SVT was detected in the VT or ventricular fibrillation zone, and in 9 episodes arrhythmia was detected outside the boundaries of the PR Logic functioning. In 100% of double tachycardias the VT was correctly diagnosed and received priority treatment. SVT was seen in 59 (19%) episodes diagnosed as VT. The causes of inappropriate detection were (1) algorithm failure (inability to fulfill the PRarrhythmias. Dual chamber detection algorithms evaluated in a subset of diagnostically difficult arrhythmias allow safe detection of double tachycardias but require further extension and programmability to

  15. Arrhythmia phenotype in mouse models of human long QT.

    Science.gov (United States)

    Salama, Guy; Baker, Linda; Wolk, Robert; Barhanin, Jacques; London, Barry

    2009-03-01

    Enhanced dispersion of repolarization (DR) was proposed as a unifying mechanism, central to arrhythmia genesis in the long QT (LQT) syndrome. In mammalian hearts, K(+) channels are heterogeneously expressed across the ventricles resulting in 'intrinsic' DR that may worsen in long QT. DR was shown to be central to the arrhythmia phenotype of transgenic mice with LQT caused by loss of function of the dominant mouse K(+) currents. Here, we investigated the arrhythmia phenotype of mice with targeted deletions of KCNE1 and KCNH2 genes which encode for minK/IsK and Merg1 (mouse homolog of human ERG) proteins resulting in loss of function of I(Ks) and I(Kr), respectively. Both currents are important human K(+) currents associated with LQT5 and LQT2. Loss of minK, a protein subunit that interacts with KvLQT1, results in a marked reduction of I(Ks) giving rise to the Jervell and Lange-Nielsen syndrome and the reduced KCNH2 gene reduces MERG and I(Kr). Hearts were perfused, stained with di-4-ANEPPS and optically mapped to compare action potential durations (APDs) and arrhythmia phenotype in homozygous minK (minK(-/-)) and heterozygous Merg1 (Merg(+/-)) deletions and littermate control mice. MinK(-/-) mice has similar APDs and no arrhythmias (n = 4). Merg(+/-) mice had prolonged APDs (from 20 +/- 6 to 32 +/- 9 ms at the base, p mice (60% vs. 10%). A comparison of mouse models of LQT based on K(+) channel mutations important to human and mouse repolarization emphasizes DR as a major determinant of arrhythmia vulnerability.

  16. Prolonged signal-averaged P wave duration as a prognostic marker for morbidity and mortality in patients with congestive heart failure

    DEFF Research Database (Denmark)

    Dixen, Ulrik; Wallevik, Laura; Hansen, Maja

    2003-01-01

    To evaluate the prognostic roles of prolonged signal-averaged P wave duration (SAPWD), raised levels of natriuretic peptides, and clinical characteristics in patients with stable congestive heart failure (CHF).......To evaluate the prognostic roles of prolonged signal-averaged P wave duration (SAPWD), raised levels of natriuretic peptides, and clinical characteristics in patients with stable congestive heart failure (CHF)....

  17. Sensitivity analysis of P-waves and S-waves to gas hydrate in the Shenhu area using OBS

    Science.gov (United States)

    Xing, Lei; Liu, Xueqin; Zhang, Jin; Liu, Huaishan; Zhang, Jing; Li, Zizheng; Wang, Jianhua

    2018-02-01

    Compared to towed streamers, ocean-bottom seismometers (OBS) obtain both S-wave data and richer wavefield information. In this paper, the induced polarization method is used to conduct wavefield separation on OBS data obtained from the Shenhu area in the South China Sea. A comparison of the changes in P- and S-waves, and a comprehensive analysis of geological factors within the area, enable analysis and description of the occurrence of natural gas hydrate in the study area. Results show an increase in P-wave velocity when natural gas hydrate exists in the formation, whereas the S-wave velocity remains almost constant, as S-waves can only propagate through the rock skeleton. Therefore, the bottom-simulating reflection (BSR) response of the P-wave is better than that of the S-wave in the frequency analysis profile. In a wide-angle section, the refractive wave of the hydrate layer is evident when using P-wave components but identification is difficult with S-wave components. This velocity model illustrates the sensitivity of P- and S-wave components to gas hydrate. The use of this polarization method and results of analysis provide technical and theoretical support for research on hydrate deposits and other geological features in the Shenhu area.

  18. An efficient hybrid pseudospectral/finite-difference scheme for solving the TTI pure P-wave equation

    KAUST Repository

    Zhan, Ge

    2013-02-19

    The pure P-wave equation for modelling and migration in tilted transversely isotropic (TTI) media has attracted more and more attention in imaging seismic data with anisotropy. The desirable feature is that it is absolutely free of shear-wave artefacts and the consequent alleviation of numerical instabilities generally suffered by some systems of coupled equations. However, due to several forward-backward Fourier transforms in wavefield updating at each time step, the computational cost is significant, and thereby hampers its prevalence. We propose to use a hybrid pseudospectral (PS) and finite-difference (FD) scheme to solve the pure P-wave equation. In the hybrid solution, most of the cost-consuming wavenumber terms in the equation are replaced by inexpensive FD operators, which in turn accelerates the computation and reduces the computational cost. To demonstrate the benefit in cost saving of the new scheme, 2D and 3D reverse-time migration (RTM) examples using the hybrid solution to the pure P-wave equation are carried out, and respective runtimes are listed and compared. Numerical results show that the hybrid strategy demands less computation time and is faster than using the PS method alone. Furthermore, this new TTI RTM algorithm with the hybrid method is computationally less expensive than that with the FD solution to conventional TTI coupled equations. © 2013 Sinopec Geophysical Research Institute.

  19. An efficient hybrid pseudospectral/finite-difference scheme for solving the TTI pure P-wave equation

    International Nuclear Information System (INIS)

    Zhan, Ge; Pestana, Reynam C; Stoffa, Paul L

    2013-01-01

    The pure P-wave equation for modelling and migration in tilted transversely isotropic (TTI) media has attracted more and more attention in imaging seismic data with anisotropy. The desirable feature is that it is absolutely free of shear-wave artefacts and the consequent alleviation of numerical instabilities generally suffered by some systems of coupled equations. However, due to several forward–backward Fourier transforms in wavefield updating at each time step, the computational cost is significant, and thereby hampers its prevalence. We propose to use a hybrid pseudospectral (PS) and finite-difference (FD) scheme to solve the pure P-wave equation. In the hybrid solution, most of the cost-consuming wavenumber terms in the equation are replaced by inexpensive FD operators, which in turn accelerates the computation and reduces the computational cost. To demonstrate the benefit in cost saving of the new scheme, 2D and 3D reverse-time migration (RTM) examples using the hybrid solution to the pure P-wave equation are carried out, and respective runtimes are listed and compared. Numerical results show that the hybrid strategy demands less computation time and is faster than using the PS method alone. Furthermore, this new TTI RTM algorithm with the hybrid method is computationally less expensive than that with the FD solution to conventional TTI coupled equations. (paper)

  20. P-wave anisotropic velocity tomography beneath the Japan islands: Large-scale images and details in the Kanto district

    Science.gov (United States)

    Ishise, M.; Koketsu, K.; Miyake, H.; Oda, H.

    2006-12-01

    The Japan islands arc is located in the convergence zone of the North American (NA), Amurian (AM), Pacific (PAC) and Philippine Sea (PHS) plates, and its parts are exposed to various tectonic settings. For example, at the Kanto district in its central part, these four plates directly interact with each, so that disastrous future earthquakes are expected along the plate boundaries and within the inland areas. In order to understand this sort of complex tectonic setting, it is necessary to know the seismological structure in various perspectives. We investigate the seismic velocity structure beneath the Japan islands in view of P-wave anisotropy. We improved a hitherto-known P-wave tomography technique so that the 3-D structure of isotropic and anisotropic velocities and earthquake hypocenter locations are determined from P-wave arrival times of local earthquakes [Ishise and Oda, 2005]. In the tomography technique, P-wave anisotropy is assumed to hold hexagonal symmetry with horizontal symmetry axis. The P-wave arrival times used in this study are complied in the Japan University Network Earthquake Catalog. The results obtained are summarized as follows; (1) the upper crust anisotropy is governed by the present-day stress field arising from the interaction between the plates surrounding the Japan islands arc, (2) the mantle anisotropy is caused by the present-day mantle flow induced by slab subduction and continental plate motion, (3) the old PAC slab keeps its original slab anisotropy which was captured when the plate was formed, while the youngest part of the PHS slab has lost the original anisotropy during its subduction and has gained new anisotropy which is controlled by the present-day stress field. We also carried out a further study on high-resolution seismic tomography for understanding the specific characteristics of the Kanto district. We mostly focused on the elucidation of the dual subduction formed by the PHS and PAC slabs using seismological data

  1. P Wave Duration And Dispersion In Patients With Hyperthyroidism And The Short-term Effects Of Antithyroid Treatment

    Directory of Open Access Journals (Sweden)

    Unal Guntekin

    2009-09-01

    Full Text Available Background: Prolonged P wave duration and P wave dispersion (PWD have been associated with an increased risk for atrial fibrillation (AF. Hyperthytodism is a frequent cause of atrial fibrillation (AF. Methods: Forty-two patients with newly diagnosed overt hyperthyroidism and 20 healthy people were enrolled in the study. Transthoracic echocardiography, 12 lead surface ECG and thyroid hormone levels were studied at the time of enrollment and after achievement of euthyroid state with propylthiouracil treatment. Results: Maximum P wave duration (Pmax (97.4±14.6 vs. 84.2±9.5 msec, p<0.001, PWD (42.9±10.7 vs. 31.0±6.2 msec, p<0.001, deceleration (DT (190.7±22.6 vs. 177.0±10.2 msec, p=0.013 and isovolumetric relaxation times (IVRT (90.9±11.2 vs. 79.6±10.5 msec, p<0.001 were significantly higher in hyperthyroid patients compared to control group. Pmax and PWD were significantly correlated with the presence of hyperthyroidism. Pmax (97.4±14.6 to 84.3±8.6 msec, p<0,001 Pmin (54.1±8.6 to 48.1±8.5 msec, p=0.002, PWD (42.9±10.7 to 35.9±8.1 msec, p=0.002 and DT (190.7±22.6 to 185.5±18.3, p=0.036 were significantly decreased after achievement of euthyroid state in patients with hyperthyroidism. Diastolic dyfunction was seen in 5 patients at hyperthroid state but only in one patient at euthyroid state. Conclusions: Hyperthyroidism is associated with prolonged P wave duration and dispersion. Achievement of euthyroid state with propylthiouracil treatment results in shortening of P wave variables. Diastolic function may have a partial effect for the increased Pmax and PWD. Shortening of Pmax and PWD may be a marker for the prevention of AF with the anti-thyroid treatment.

  2. Disease and drug-induced arrhythmias : the example of obstructive pulmonary disease

    NARCIS (Netherlands)

    Warnier, M.J.

    2014-01-01

    Notwithstanding the clinical importance of cardiac arrhythmias, relevant information about the background risk and the exact underlying mechanisms of cardiac arrhythmias in patients with obstructive pulmonary disease (asthma and chronic obstructive pulmonary disease [COPD]) is still lacking. The

  3. Ischaemic stroke in hyperthyroidism without cardiac arrhythmia - A ...

    African Journals Online (AJOL)

    BACKGROUND: The relationship between hyperthyroidism and stroke is well established in the setting of atrial fibrillation. However there is limited literature for ischaemic stroke occurring in hyperthyroidism without cardiac arrhythmia. No such case had been described in South East Nigeria. METHOD: This report highlights ...

  4. Mortality of Inherited Arrhythmia Syndromes Insight Into Their Natural History

    NARCIS (Netherlands)

    Nannenberg, Eline A.; Sijbrands, Eric J. G.; Dijksman, Lea M.; Alders, Marielle; van Tintelen, J. Peter; Birnie, Martijn; van Langen, Irene M.; Wilde, Arthur A. M.

    Background-For most arrhythmia syndromes, the risk of sudden cardiac death for asymptomatic mutation carriers is ill defined. Data on the natural history of these diseases, therefore, are essential. The family tree mortality ratio method offers the unique possibility to study the natural history at

  5. Dofetilide: a new drug to control cardiac arrhythmia

    DEFF Research Database (Denmark)

    Elming, Hanne; Brendorp, Bente; Pedersen, Ole Dyg

    2003-01-01

    Atrial fibrillation (AF) is the most common cardiac arrhythmia. Mortality, and especially morbidity caused by AF, are major and growing health problems in the western world. AF is strongly associated with arterial hypertension, congestive heart failure, valvular heart disease, ischaemic heart...

  6. Long-term neurodevelopmental outcome after fetal arrhythmia

    NARCIS (Netherlands)

    Lopriore, Enrico; Aziz, Muhammed I.; Nagel, Helene T.; Blom, Nico A.; Rozendaal, Lieke; Kanhai, Humphrey H. H.; Vandenbussche, Frank P. H. A.

    2009-01-01

    OBJECTIVE: The purpose of this study was to determine the long-term neurodevelopmental outcome in fetuses with severe tachy- or bradyarrhythmia. STUDY DESIGN: This was a follow-up study to assess the neurologic, mental, and psychomotor development in cases with fetal cardiac arrhythmia. RESULTS: A

  7. Life threatening arrhythmias: Knowledge and skills among nurses ...

    African Journals Online (AJOL)

    Conclusion: Although the majority of the participants scored highly in their level of knowledge regarding life threatening arrhythmias, they scored poorly in most of the observed skills when identifying and treating this patient group. It is important that hospital administration take into consideration the identified areas of ...

  8. Life threatening arrhythmias: Knowledge and skills among nurses ...

    African Journals Online (AJOL)

    User

    this study was to assess knowledge and skills of nurses in identifying life ... Much of the literature considers ventricular tachycardia, ventricular fibrillation, ... In critical care settings, bedside nurses play a critical role in arrhythmia identification and ..... Lambert, V.A. & Lambert, C.E. (2008) Nurses' workplace stressors and ...

  9. Cardiac Arrhythmia: Atrial Flutter in a Newborn. Case Study

    Directory of Open Access Journals (Sweden)

    T.M. Klimenko

    2014-09-01

    Full Text Available The article gives case report of rare in neonatal period cardiac arrhythmia — atrial flutter. The disease is one of the manifestations of life-threatening heart rhythm disorders, has no characteristic clinical picture, is diagnosed only by means of an electrocardiogram.

  10. Ventricular arrhythmias in the absence of structural heart disease.

    Science.gov (United States)

    Prystowsky, Eric N; Padanilam, Benzy J; Joshi, Sandeep; Fogel, Richard I

    2012-05-15

    Ventricular arrhythmia (VA) in structurally normal hearts can be broadly considered under non-life-threatening monomorphic and life-threatening polymorphic rhythms. Monomorphic VA is classified on the basis of site of origin in the heart, and the most common areas are the ventricular outflow tracts and left ventricular fascicles. The morphology of the QRS complexes on electrocardiogram is an excellent tool to identify the site of origin of the rhythm. Although these arrhythmias are common and generally carry an excellent prognosis, rare sudden death events have been reported. Very frequent ventricular ectopy may also result in a cardiomyopathy in a minority of patients. Suppression of VA may be achieved using calcium-channel blockers, beta-adrenergic blockers, and class I or III antiarrhythmic drugs. Radiofrequency ablation has emerged as an excellent option to eliminate these arrhythmias, although certain foci including aortic cusps and epicardium may be technically challenging. Polymorphic ventricular tachycardia (VT) is rare and generally occurs in patients with genetic ion channel disorders including long QT syndrome, Brugada syndrome, catecholaminergic polymorphic VT, and short QT syndrome. Unlike monomorphic VT, these arrhythmic syndromes are associated with sudden death. While the cardiac gross morphology is normal, suggesting a structurally normal heart, abnormalities exist at the molecular level and predispose them to arrhythmias. Another fascinating area, idiopathic ventricular fibrillation and early repolarization syndrome, are undergoing research for a genetic basis. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  11. Channelopathies - Emerging Trends in The Management of Inherited Arrhythmias

    Directory of Open Access Journals (Sweden)

    Priya Chockalingam, MBBS, MRCPCH, PhD

    2015-01-01

    Full Text Available In spite of their relative rarity, inheritable arrhythmias have come to the forefront as a group of potentially fatal but preventable cause of sudden cardiac death in children and (young adults. Comprehensive management of inherited arrhythmias includes diagnosing and treating the proband and identifying and protecting affected family members. This has been made possible by the vast advances in the field of molecular biology enabling better understanding of the genetic underpinnings of some of these disease groups, namely congenital long QT syndrome, catecholaminergic polymorphic ventricular tachycardia and Brugada syndrome. The ensuing knowledge of the genotype-phenotype correlations enables us to risk-stratify, prognosticate and treat based on the genetic test results. The various diagnostic modalities currently available to us, including clinical tools and genetic technologies, have to be applied judiciously in order to promptly identify those affected and to spare the emotional burden of a potentially lethal disease in the unaffected individuals. The therapeutic armamentarium of inherited arrhythmias includes pharmacological agents, device therapies and surgical interventions. A treatment strategy keeping in mind the risk profile of the patients, the local availability of drugs and the expertise of the treating personnel is proving effective. While opportunities for research are numerous in this expanding field of medicine, there is also tremendous scope for incorporating the emerging trends in managing patients and families with inherited arrhythmias in the Indian subcontinent.

  12. Cardiac arrhythmias and left ventricular hypertrophy in systemic hypertension

    International Nuclear Information System (INIS)

    Sultana, R.; Sultana, N.; Rashid, A.; Rasheed, S.Z.; Ahmed, M.; Ishaq, M.; Samad, A.

    2010-01-01

    Background: Hypertensive left ventricular hypertrophy (LVH) is associated with increased risk of arrhythmias and mortality. Objective was to investigate the prevalence of cardiac arrhythmias and LVH in systemic hypertension. Methods: In all subjects blood pressure was measured, electrocardiography and echocardiography was done. Holter monitoring and exercise test perform in certain cases. There were 500 hypertensive patients, 156 (31.2%) men and 344 (69%) women >30 years of age in the study. Among them 177 (35.4%) were diabetic, 224 (45%) were dyslipidemia, 188 (37.6%) were smokers, and 14 (3%) had homocysteinemia. Mean systolic BP (SBP) was 180 +- 20 mm Hg and diastolic BP (DBP) was 95 +- 12 in male and female patients. Left ventricular mass index (LVMI) was 119.2 +- 30 2 2gm/m in male while 103 +- 22 gm/m in female patients. Palpitation was seen in 126 (25%) male and 299 (59.8%) female patients. Atrial fibrillation was noted in 108 (21.6%) male and 125 (25%) female patients, 30 (6%) male and 82 (16.4%) female patients had atrial flutter. Ventricular tachycardia was noted in 37 (7.4%) male and 59 (11.8%) female patients. Holter monitoring showed significant premature ventricular contractions (PVC'S) in 109 (21.8%) male and 128 (25.69%) female patients while Holter showed atrial arrhythmias (APC'S) in 89 (17.8%) males and 119 (23.8%) females. Angiography findings diagnosed coronary artery disease in 119 (23.8%) with CAD male and 225 (45%) without CAD while 47 (9.4%) females presented with CAD and 109 (21.8%) without CAD. Conclusion: A significant association has been demonstrated between hypertension and arrhythmias. Diastolic dysfunction of the left ventricle, left atrial size and function, as well as LVH have been suggested as the underlying risk factors for supraventricular, ventricular arrhythmias and sudden death in hypertensives with LVH. (author)

  13. Cardiac arrhythmias and left ventricular hypertrophy in systemic hypertension

    Energy Technology Data Exchange (ETDEWEB)

    Sultana, R; Sultana, N; Rashid, A; Rasheed, S Z; Ahmed, M; Ishaq, M; Samad, A [Karachi Institute of Heart Diseases, Karachi (Pakistan)

    2010-10-15

    Background: Hypertensive left ventricular hypertrophy (LVH) is associated with increased risk of arrhythmias and mortality. Objective was to investigate the prevalence of cardiac arrhythmias and LVH in systemic hypertension. Methods: In all subjects blood pressure was measured, electrocardiography and echocardiography was done. Holter monitoring and exercise test perform in certain cases. There were 500 hypertensive patients, 156 (31.2%) men and 344 (69%) women >30 years of age in the study. Among them 177 (35.4%) were diabetic, 224 (45%) were dyslipidemia, 188 (37.6%) were smokers, and 14 (3%) had homocysteinemia. Mean systolic BP (SBP) was 180 +- 20 mm Hg and diastolic BP (DBP) was 95 +- 12 in male and female patients. Left ventricular mass index (LVMI) was 119.2 +- 30 2 2gm/m in male while 103 +- 22 gm/m in female patients. Palpitation was seen in 126 (25%) male and 299 (59.8%) female patients. Atrial fibrillation was noted in 108 (21.6%) male and 125 (25%) female patients, 30 (6%) male and 82 (16.4%) female patients had atrial flutter. Ventricular tachycardia was noted in 37 (7.4%) male and 59 (11.8%) female patients. Holter monitoring showed significant premature ventricular contractions (PVC'S) in 109 (21.8%) male and 128 (25.69%) female patients while Holter showed atrial arrhythmias (APC'S) in 89 (17.8%) males and 119 (23.8%) females. Angiography findings diagnosed coronary artery disease in 119 (23.8%) with CAD male and 225 (45%) without CAD while 47 (9.4%) females presented with CAD and 109 (21.8%) without CAD. Conclusion: A significant association has been demonstrated between hypertension and arrhythmias. Diastolic dysfunction of the left ventricle, left atrial size and function, as well as LVH have been suggested as the underlying risk factors for supraventricular, ventricular arrhythmias and sudden death in hypertensives with LVH. (author)

  14. P-wave indices in patients with pulmonary emphysema: do P-terminal force and interatrial block have confounding effects?

    Directory of Open Access Journals (Sweden)

    Chhabra L

    2013-05-01

    Full Text Available Lovely Chhabra,1 Vinod K Chaubey,1 Chandrasekhar Kothagundla,1 Rishi Bajaj,1 Sudesh Kaul,1 David H Spodick2 1Department of Internal Medicine, 2Department of Cardiovascular Diseases, University of Massachusetts Medical School, Worcester, MA, USA Introduction: Pulmonary emphysema causes several electrocardiogram changes, and one of the most common and well known is on the frontal P-wave axis. P-axis verticalization (P-axis > 60° serves as a quasidiagnostic indicator of emphysema. The correlation of P-axis verticalization with the radiological severity of emphysema and severity of chronic obstructive lung function have been previously investigated and well described in the literature. However, the correlation of P-axis verticalization in emphysema with other P-indices like P-terminal force in V1 (Ptf, amplitude of initial positive component of P-waves in V1 (i-PV1, and interatrial block (IAB have not been well studied. Our current study was undertaken to investigate the effects of emphysema on these P-wave indices in correlation with the verticalization of the P-vector. Materials and methods: Unselected, routinely recorded electrocardiograms of 170 hospitalized emphysema patients were studied. Significant Ptf (s-Ptf was considered ≥40 mm.ms and was divided into two types based on the morphology of P-waves in V1: either a totally negative (- P wave in V1 or a biphasic (+/- P wave in V1. Results: s-Ptf correlated better with vertical P-vectors than nonvertical P-vectors (P = 0.03. s-Ptf also significantly correlated with IAB (P = 0.001; however, IAB and P-vector verticalization did not appear to have any significant correlation (P = 0.23. There was a very weak correlation between i-PV1 and frontal P-vector (r = 0.15; P = 0.047; however, no significant correlation was found between i-PV1 and P-amplitude in lead III (r = 0.07; P = 0.36. Conclusion: We conclude that increased P-tf in emphysema may be due to downward right atrial position caused by

  15. Optimal Analysis of Left Atrial Strain by Speckle Tracking Echocardiography: P-wave versus R-wave Trigger.

    Science.gov (United States)

    Hayashi, Shuji; Yamada, Hirotsugu; Bando, Mika; Saijo, Yoshihito; Nishio, Susumu; Hirata, Yukina; Klein, Allan L; Sata, Masataka

    2015-08-01

    Left atrial (LA) strain analysis using speckle tracking echocardiography is useful for assessing LA function. However, there is no established procedure for this method. Most investigators have determined the electrocardiographic R-wave peak as the starting point for LA strain analysis. To test our hypothesis that P-wave onset should be used as the starting point, we measured LA strain using 2 different starting points and compared the strain values with the corresponding LA volume indices obtained by three-dimensional (3D) echocardiography. We enrolled 78 subjects (61 ± 17 years, 25 males) with and without various cardiac diseases in this study and assessed global longitudinal LA strain by two-dimensional speckle tracking strain echocardiography using EchoPac software. We used either R-wave peak or P-wave onset as the starting point for determining LA strains during the reservoir (Rres, Pres), conduit (Rcon, Pcon), and booster pump (Rpump, Ppump) phases. We determined the maximum, minimum, and preatrial contraction LA volumes, and calculated the LA total, passive, and active emptying fractions using 3D echocardiography. The correlation between Pres and LA total emptying fraction was better than the correlation between Rres and LA total emptying fraction (r = 0.458 vs. 0.308, P = 0.026). Pcon and Ppump exhibited better correlation with the corresponding 3D echocardiographic parameters than Rcon (r = 0.560 vs. 0.479, P = 0.133) and Rpump (r = 0.577 vs. 0.345, P = 0.003), respectively. LA strain in any phase should be analyzed using P-wave onset as the starting point rather than R-wave peak. © 2014, Wiley Periodicals, Inc.

  16. Three-dimensional modeling of the Nevada Test Site and vicinity from teleseismic p-wave residuals

    International Nuclear Information System (INIS)

    Monfort, M.E.; Evans, J.R.

    1982-01-01

    A teleseismic P-wave travel-time residual study is described which reveals the regional compressional-velocity structure of southern Nevada and neighboring parts of California to a depth of 280 km. During 1980, 98 teleseismic events were recorded at 53 sites. P-wave residuals were calculated relative to a network-wide average residual for each event and are displayed on maps of the stations for each of four event-azimuth quadrants. Fluctuations in these map-patterns of residuals with approach azimuth combined with results of linear, three-dimensional inversions of some 2887 residuals indicate the following characteristics of the velocity structure of the southern Nevada region: (1) a low-velocity body exists in the upper crust 50 km northeast of Beatty, Nevada, near the Miocene Timber Mountain-Silent Canyon caldera complex. Another highly localized low-velocity anomaly occurs near the southwest corner of the Nevada Test Site (NTS). These two anomalies seem to be part of a low-velocity trough extending from Death Valley, California, to about 50 km north of NTS; (2) there is a high-velocity body in the mantle between 81 and 131 km deep centered about 10 km north of the edge of the Timber Mountain caldera; (3) a broad low-velocity body is delineated between 81 and 131 km deep centered about 30 km north of Las Vegas; (4) there is a monotonic increase in travel-time delays from west to east across the region, probably indicating an eastward decrease in velocity, and lower than average velocities in southeastern Nevada below 31 km; and (5) considerable complexity in three-dimensional velocity structure exists in this part of the southern Great Basin. Inversions of teleseismic P-wave travel-time residuals were also performed on data from 12 seismometers in the immediate vicinity of the NTS to make good use of the closer station spacing in that area

  17. Testing T-odd, p-even interactions with gamma-rays from neutron p-wave resonances

    International Nuclear Information System (INIS)

    Barabanov, A.L.

    1992-01-01

    A new method for the study of time reversal violation is described. It consists of measurements of the forward-backward asymmetry in individual gamma-ray transitions resulting from unpolarized neutron capture in p-wave resonance. An experiment with a 113 Cd target performed at the Dubna pulsed neutron source has been analyzed and a limit on the time reversal odd, parity even interaction extracted. The possibilities of experiments using the powerful pulsed neutron source at Los Alamos are considered. 23 refs.; 2 figs

  18. Topological aspect and the pairing symmetries on spin-triplet chiral p-wave superconductor under strain

    Science.gov (United States)

    Imai, Yoshiki; Sigrist, Manfred

    2018-05-01

    Motivated by recent experiments on Sr2RuO4, the effect of uniaxial strain on the chiral p-wave superconductor is discussed. We study particularly the relation between the topological indices and different pairing states in the superconducting phase through the thermal Hall conductivity, which is proportional to temperature and the Chern number in the very low-temperature limit. We show that the temperature-dependence of the thermal Hall conductivity under uniaxial strain depends strongly on the form of the pairing state. The obtained result may provide a possible experimental probe for the pairing structure in Sr2RuO4.

  19. Approximate P-wave ray tracing and dynamic ray tracing in weakly orthorhombic media of varying symmetry orientation

    KAUST Repository

    Masmoudi, Nabil; Pšenčí k, Ivan

    2014-01-01

    We present an approximate, but efficient and sufficiently accurate P-wave ray tracing and dynamic ray tracing procedure for 3D inhomogeneous, weakly orthorhombic media with varying orientation of symmetry planes. In contrast to commonly used approaches, the orthorhombic symmetry is preserved at any point of the model. The model is described by six weak-anisotropy parameters and three Euler angles, which may vary arbitrarily, but smoothly, throughout the model. We use the procedure for the calculation of rays and corresponding two-point traveltimes in a VSP experiment in a part of the BP benchmark model generalized to orthorhombic symmetry.

  20. A Maxwell-vector p-wave holographic superconductor in a particular background AdS black hole metric

    Directory of Open Access Journals (Sweden)

    Dan Wen

    2018-05-01

    Full Text Available We study the p-wave holographic superconductor for AdS black holes with planar event horizon topology for a particular Lovelock gravity, in which the action is characterized by a self-interacting scalar field nonminimally coupled to the gravity theory which is labeled by an integer k. As the Lovelock theory of gravity is the most general metric theory of gravity based on the fundamental assumptions of general relativity, it is a desirable theory to describe the higher dimensional spacetime geometry. The present work is devoted to studying the properties of the p-wave holographic superconductor by including a Maxwell field which nonminimally couples to a complex vector field in a higher dimensional background metric. In the probe limit, we find that the critical temperature decreases with the increase of the index k of the background black hole metric, which shows that a larger k makes it harder for the condensation to form. We also observe that the index k affects the conductivity and the gap frequency of the holographic superconductors.

  1. A Maxwell-vector p-wave holographic superconductor in a particular background AdS black hole metric

    Science.gov (United States)

    Wen, Dan; Yu, Hongwei; Pan, Qiyuan; Lin, Kai; Qian, Wei-Liang

    2018-05-01

    We study the p-wave holographic superconductor for AdS black holes with planar event horizon topology for a particular Lovelock gravity, in which the action is characterized by a self-interacting scalar field nonminimally coupled to the gravity theory which is labeled by an integer k. As the Lovelock theory of gravity is the most general metric theory of gravity based on the fundamental assumptions of general relativity, it is a desirable theory to describe the higher dimensional spacetime geometry. The present work is devoted to studying the properties of the p-wave holographic superconductor by including a Maxwell field which nonminimally couples to a complex vector field in a higher dimensional background metric. In the probe limit, we find that the critical temperature decreases with the increase of the index k of the background black hole metric, which shows that a larger k makes it harder for the condensation to form. We also observe that the index k affects the conductivity and the gap frequency of the holographic superconductors.

  2. 3-D crustal P-wave velocity tomography of the Italian region using local and regional seismicity data

    Directory of Open Access Journals (Sweden)

    F. M. Mele

    1995-06-01

    Full Text Available A tomographic experiment was performed in the Italian region using local and regional arrivaI times of p and S seismological phases selected from the Italian National Bulletin in the time interval 1984-1991. We deter- mined a 3-D crustal P-wave velocity model using a simultaneous inversion method that iteratively re1ocates the hypocenters and computes the unknown model parameters. A fast two-point ray tracing algorithm was adopted to compute the ray paths and travel times of P", S", P g' Sg phases with good accuracy. Synthetic tests were performed using the "true" hypocenter and station distribution to rough1y evaluate the extension of the areas most densely spanned by the ray paths; the agreement between synthetic and computed models is more satisfactory at Moho depths than in the upper crust. The qua1ity of the model resulting from inversion of real data is examined by the ca1culation of the Spread Function (Toomey and Foulger, 1989. The 3-D crustal P-wave velocity mode1 of the Italian region shows remarkab1e trends at Moho depths: the areas east of the Apennines call for positive adjustments of the initial velocity va1ue, while the west region shows negative ad- justments. The correspondence among the main features of the velocity field, the map of Moho isobaths and the map of the gravity anoma1ies is also outlined.

  3. Comparison of P-wave dispersion in healthy dogs, dogs with chronic valvular disease and dogs with disturbances of supraventricular conduction

    Directory of Open Access Journals (Sweden)

    Nicpoń Józef

    2011-03-01

    Full Text Available Abstract Background P-wave dispersion (Pd is a new ECG index used in human cardiology and veterinary medicine. It is defined as the difference between the maximum and the minimum P-wave duration recorded from multiple different ECG leads. So far no studies were performed assessing the importance of P-wave dispersion in dogs. Methods The current study was aimed at determining proper value of Pd in healthy dogs (group I, dogs with chronic valvular disease (group II and dogs with disturbances of supraventricular conduction (group III. The tests were carried out in 53 healthy dogs, 23 dogs with chronic valvular disease and 12 dogs with disturbances of supraventricular conduction of various breeds, sexes and body weight from 1,5 to 80 kg, aged between 0,5 and 17 years, submitted to the ECG examination. ECG was acquired in dogs in a standing position with BTL SD-8 electrocardiographic device and analyzed once the recording was enlarged. P-wave duration was calculated in 9 ECG leads (I, II, III, aVR, aVL, aVF, V1, V2, V4 from 5 cardiac cycles. Results The proper P-wave dispersion in healthy dogs was determined at up to 24 ms. P-wave dispersion was statistically significant increased (p Conclusions The P-wave dispersion is a constant index in healthy dogs, that is why it can be used for evaluating P wave change in dogs with chronic valvular disease and in dogs with disturbances of supraventricular conduction.

  4. 320-detector row CT coronary angiography in patients with arrhythmia

    International Nuclear Information System (INIS)

    Lu Li; Zhang Zhaoqi; Xu Lei; Yang Lin

    2011-01-01

    Objective: To evaluate the feasibility of CT coronary angiography (CTCA) in patients with arrhythmia using 320-detector row CT. Methods: Thirty-one patients with persistent atrial fibrillation and 8 patients with premature ventricular contraction were enrolled in this study. All patients underwent 320- detector row CTCA. CT image quality was evaluated with 4-point grading scale by two radiologists. Inter- observer agreement was evaluated by Kappa statistics. The radiation dose was calculated. Results: In total 510 coronary segments, 496 (97.2%) segments met diagnostic standard. The mean effective dose was (12.7±4.8) mSv in this study. There was a good agreement in image quality scoring between the two reviewers (Kappa = 0.72). Conclusion: 320-detector row CTCA is feasible in patients with atrial fibrillation and premature ventricular contraction. Arrhythmia may not be considered as a contraindication to CTCA. (authors)

  5. Hereditary arrhythmias and cardiomyopathies: decision-making about genetic testing.

    Science.gov (United States)

    Louis, Clauden; Calamaro, Emily; Vinocur, Jeffrey M

    2018-01-01

    The modern field of clinical genetics has advanced beyond the traditional teachings familiar to most practicing cardiologists. Increased understanding of the roles of genetic testing may improve uptake and appropriateness of use. Clinical genetics has become integral to the management of patients with hereditary arrhythmia and cardiomyopathy diagnoses. Depending on the condition, genetic testing may be useful for diagnosis, prognosis, treatment, family screening, and reproductive planning. However, genetic testing is a powerful tool with potential for underuse, overuse, and misuse. In the absence of a substantial body of literature on how these guidelines are applied in clinical practice, we use a case-based approach to highlight key lessons and pitfalls. Importantly, in many scenarios genetic testing has become the standard of care supported by numerous class I recommendations; genetic counselors can improve accessibility to and appropriate use and application of testing. Optimal management of hereditary arrhythmias and cardiomyopathies incorporates genetic testing, applied as per consensus guidelines, with involvement of a multidisciplinary team.

  6. Andrographolide inhibits arrhythmias and is cardioprotective in rabbits

    OpenAIRE

    Zeng, Mengliu; Jiang, Wanzhen; Tian, Youjia; Hao, Jie; Cao, Zhenzhen; Liu, Zhipei; Fu, Chen; Zhang, Peihua; Ma, Jihua

    2017-01-01

    Andrographolide has a protective effect on the cardiovascular system. To study its cardic-electrophysiological effects, action potentials and voltage-gated Na+ (INa), Ca2+ (ICaL), and K+ (IK1, IKr, Ito and IKur) currents were recorded using whole-cell patch clamp and current clamp techniques. Additionally, the effects of andrographolide on aconitine-induced arrhythmias were assessed on electrocardiograms in vivo. We found that andrographolide shortened action potential duration and reduced ma...

  7. Arrhythmia as a cardiac manifestation in MELAS syndrome.

    Science.gov (United States)

    Thomas, Tamara; Craigen, William J; Moore, Ryan; Czosek, Richard; Jefferies, John L

    2015-09-01

    A 44-year-old female with a diagnosis of mitochondrial myopathy, encephalopathy and stroke-like episodes (MELAS) syndrome had progressive left ventricular hypertrophy (LVH) on echocardiogram. A Holter monitor demonstrated episodes of non-sustained atrial tachycardia, a finding not been previously described in this population. This unique case of MELAS syndrome demonstrates the known associated cardiac manifestation of LVH and the new finding of atrial tachycardia which may represent the potential for subclinical arrhythmia in this population.

  8. Intracoronary infusion of catecholamines causes focal arrhythmias in pigs.

    Science.gov (United States)

    Doppalapudi, Harish; Jin, Qi; Dosdall, Derek J; Qin, Hao; Walcott, Gregory P; Killingsworth, Cheryl R; Smith, William M; Ideker, Raymond E; Huang, Jian

    2008-09-01

    Acute ischemia causes myriad changes including increased catecholamines. We tested the hypothesis that elevated catecholamines alone are arrhythmogenic. A 504 electrode sock was placed over both ventricles in six open-chest pigs. During control infusion of saline through a catheter in the left anterior descending coronary artery (LAD), no sustained arrhythmias occurred, and the refractory period estimated by the activation recovery interval (ARI) was 175 +/- 14 ms in the LAD bed below the catheter. After infusion of isoproterenol at 0.1 microg/kg/min through the catheter, the ARI in this bed was significantly reduced to 109 +/- 10 ms. A sharp gradient of refractoriness of 43 +/- 10 ms was at the border of the perfused bed. Sustained monomorphic ventricular tachycardia occurred after drug infusion in the perfused bed or near its boundary in all animals with a cycle length of 329 +/- 26 ms and a focal origin. The maximum slope of the ARI restitution curve at the focal origins of the tachyarrhythmias was always <1 (0.62 +/- 0.15). Similar results with a focal arrhythmia origin occurred in two additional pigs in which intramural mapping was performed with 36 plunge needle electrodes in the left ventricular perfused bed. Regional elevation of a catecholamine, which is one of the alterations produced by acute ischemia, can by itself cause tachyarrhythmias. These arrhythmias are closely associated with a shortened refractory period and a large gradient of the spatial distribution of refractoriness but not with a steep restitution curve.

  9. The association of air temperature with cardiac arrhythmias

    Science.gov (United States)

    Čulić, Viktor

    2017-11-01

    The body response to meteorological influences may activate pathophysiological mechanisms facilitating the occurrence of cardiac arrhythmias in susceptible patients. Putative underlying mechanisms include changes in systemic vascular resistance and blood pressure, as well as a network of proinflammatory and procoagulant processes. Such a chain reaction probably occurs within the time window of several hours, so use of daily average values of meteorological elements do not seem appropriate for investigation in this area. In addition, overall synoptic situation, and season-specific combinations of meteorological elements and air pollutant levels probably cause the overall effect rather than a single atmospheric element. Particularly strong interrelations have been described among wind speed, air pressure and temperature, relative air humidity, and suspended particulate matter. This may be the main reason why studies examining the association between temperature and ventricular arrhythmias have found linear positive, negative, J-shaped or no association. Further understanding of the pathophysiological adaptation to atmospheric environment may help in providing recommendations for protective measures during "bad" weather conditions in patients with cardiac arrhythmias.

  10. A P-wave velocity model of the upper crust of the Sannio region (Southern Apennines, Italy

    Directory of Open Access Journals (Sweden)

    M. Cocco

    1998-06-01

    Full Text Available This paper describes the results of a seismic refraction profile conducted in October 1992 in the Sannio region, Southern Italy, to obtain a detailed P-wave velocity model of the upper crust. The profile, 75 km long, extended parallel to the Apenninic chain in a region frequently damaged in historical time by strong earthquakes. Six shots were fired at five sites and recorded by a number of seismic stations ranging from 41 to 71 with a spacing of 1-2 km along the recording line. We used a two-dimensional raytracing technique to model travel times and amplitudes of first and second arrivals. The obtained P-wave velocity model has a shallow structure with strong lateral variations in the southern portion of the profile. Near surface sediments of the Tertiary age are characterized by seismic velocities in the 3.0-4.1 km/s range. In the northern part of the profile these deposits overlie a layer with a velocity of 4.8 km/s that has been interpreted as a Mesozoic sedimentary succession. A high velocity body, corresponding to the limestones of the Western Carbonate Platform with a velocity of 6 km/s, characterizes the southernmost part of the profile at shallow depths. At a depth of about 4 km the model becomes laterally homogeneous showing a continuous layer with a thickness in the 3-4 km range and a velocity of 6 km/s corresponding to the Meso-Cenozoic limestone succession of the Apulia Carbonate Platform. This platform appears to be layered, as indicated by an increase in seismic velocity from 6 to 6.7 km/s at depths in the 6-8 km range, that has been interpreted as a lithological transition from limestones to Triassic dolomites and anhydrites of the Burano formation. A lower P-wave velocity of about 5.0-5.5 km/s is hypothesized at the bottom of the Apulia Platform at depths ranging from 10 km down to 12.5 km; these low velocities could be related to Permo-Triassic siliciclastic deposits of the Verrucano sequence drilled at the bottom of the Apulia

  11. Rupture imaging of the Mw 7.9 12 May 2008 Wenchuan earthquake from back projection of teleseismic P waves

    Science.gov (United States)

    Xu, Yan; Koper, Keith D.; Sufri, Oner; Zhu, Lupei; Hutko, Alexander R.

    2009-04-01

    The Mw 7.9 Wenchuan earthquake of 12 May 2008 was the most destructive Chinese earthquake since the 1976 Tangshan event. Tens of thousands of people were killed, hundreds of thousands were injured, and millions were left homeless. Here we infer the detailed rupture process of the Wenchuan earthquake by back-projecting teleseismic P energy from several arrays of seismometers. This technique has only recently become feasible and is potentially faster than traditional finite-fault inversion of teleseismic body waves; therefore, it may reduce the notification time to emergency response agencies. Using the IRIS DMC, we collected 255 vertical component broadband P waves at 30-95° from the epicenter. We found that at periods of 5 s and greater, nearly all of these P waves were coherent enough to be used in a global array. We applied a simple down-sampling heuristic to define a global subarray of 70 stations that reduced the asymmetry and sidelobes of the array response function (ARF). We also considered three regional subarrays of seismometers in Alaska, Australia, and Europe that had apertures less than 30° and P waves that were coherent to periods as short as 1 s. Individual ARFs for these subarrays were skewed toward the subarrays; however, the linear sum of the regional subarray beams at 1 s produced a symmetric ARF, similar to that of the groomed global subarray at 5 s. For both configurations we obtained the same rupture direction, rupture length, and rupture time. We found that the Wenchuan earthquake had three distinct pulses of high beam power at 0, 23, and 57 s after the origin time, with the pulse at 23 s being highest, and that it ruptured unilaterally to the northeast for about 300 km and 110 s, with an average speed of 2.8 km/s. It is possible that similar results can be determined for future large dip-slip earthquakes within 20-30 min of the origin time using relatively sparse global networks of seismometers such as those the USGS uses to locate

  12. Rupture imaging of the Mw 7.9 12 May 2008 Wenchuan earthquake from back projection of teleseismic P waves

    Science.gov (United States)

    Xu, Y.; Koper, K.D.; Sufri, O.; Zhu, L.; Hutko, Alexander R.

    2009-01-01

    [1] The Mw 7.9 Wenchuan earthquake of 12 May 2008 was the most destructive Chinese earthquake since the 1976 Tangshan event. Tens of thousands of people were killed, hundreds of thousands were injured, and millions were left homeless. Here we infer the detailed rupture process of the Wenchuan earthquake by back-projecting teleseismic P energy from several arrays of seismometers. This technique has only recently become feasible and is potentially faster than traditional finite-fault inversion of teleseismic body waves; therefore, it may reduce the notification time to emergency response agencies. Using the IRIS DMC, we collected 255 vertical component broadband P waves at 30-95?? from the epicenter. We found that at periods of 5 s and greater, nearly all of these P waves were coherent enough to be used in a global array. We applied a simple down-sampling heuristic to define a global subarray of 70 stations that reduced the asymmetry and sidelobes of the array response function (ARF). We also considered three regional subarrays of seismometers in Alaska, Australia, and Europe that had apertures less than 30?? and P waves that were coherent to periods as short as 1 s. Individual ARFs for these subarrays were skewed toward the subarrays; however, the linear sum of the regional subarray beams at 1 s produced a symmetric ARF, similar to that of the groomed global subarray at 5 s. For both configurations we obtained the same rupture direction, rupture length, and rupture time. We found that the Wenchuan earthquake had three distinct pulses of high beam power at 0, 23, and 57 s after the origin time, with the pulse at 23 s being highest, and that it ruptured unilaterally to the northeast for about 300 km and 110 s, with an average speed of 2.8 km/s. It is possible that similar results can be determined for future large dip-slip earthquakes within 20-30 min of the origin time using relatively sparse global networks of seismometers such as those the USGS uses to locate

  13. Patient characteristics associated with false arrhythmia alarms in intensive care

    Directory of Open Access Journals (Sweden)

    Harris PR

    2017-04-01

    Full Text Available Patricia R Harris,1,2 Jessica K Zègre-Hemsey,3,4 Daniel Schindler,5 Yong Bai,6 Michele M Pelter,2,7 Xiao Hu2,8 1Department of Nursing, School of Health and Natural Sciences, Dominican University of California, San Rafael, 2Department of Physiological Nursing, School of Nursing, University of California, San Francisco, CA, 3School of Nursing, 4Department of Emergency Medicine, School of Medicine, University of North Carolina at Chapel Hill, NC, 5Intensive Care Unit, The Neuroscience Center, Sutter Eden Medical Center, Castro Valley, 6Hu Research Laboratory, Department of Physiological Nursing, School of Nursing, University of California, San Francisco, 7ECG Monitoring Research Lab, Department of Physiological Nursing, School of Nursing, 8Physiological Nursing and Neurological Surgery, Affiliate Faculty of Institute for Computational Health Sciences Core Faculty UCB/UCSF Joint Bio-Engineering Graduate Program, University of California, San Francisco, CA, USA Introduction: A high rate of false arrhythmia alarms in the intensive care unit (ICU leads to alarm fatigue, the condition of desensitization and potentially inappropriate silencing of alarms due to frequent invalid and nonactionable alarms, often referred to as false alarms. Objective: The aim of this study was to identify patient characteristics, such as gender, age, body mass index, and diagnosis associated with frequent false arrhythmia alarms in the ICU. Methods: This descriptive, observational study prospectively enrolled patients who were consecutively admitted to one of five adult ICUs (77 beds at an urban medical center over a period of 31 days in 2013. All monitor alarms and continuous waveforms were stored on a secure server. Nurse scientists with expertise in cardiac monitoring used a standardized protocol to annotate six clinically important types of arrhythmia alarms (asystole, pause, ventricular fibrillation, ventricular tachycardia, accelerated ventricular rhythm, and

  14. Low-energy P-wave phaseshifts for positron-hydrogen elastic scattering using an adiabatic approximation

    International Nuclear Information System (INIS)

    Armour, E.A.G.; Beker, C.A.; Farina, J.E.G.

    1981-01-01

    P-wave phaseshifts for positron-hydrogen elastic scattering are calculated using a new adiabatic approximation in which the length of the radius vector from the proton to the positron is fixed but its direction is allowed to vary. This adiabatic approximation makes possible the full inclusion in the calculation of virtual states in which angular momentum is transferred to the target H atom. The results obtained agree qualitatively with the highly accurate results of Bhatia and co-workers (Phys. Rev.; A9:219 (1974)) and are much closer to them than the results obtained using the usual adiabatic approximation in which the radius vector from the proton to the positron is fixed. (author)

  15. One dimensional P wave velocity structure of the crust beneath west Java and accurate hypocentre locations from local earthquake inversion

    International Nuclear Information System (INIS)

    Supardiyono; Santosa, Bagus Jaya

    2012-01-01

    A one-dimensional (1-D) velocity model and station corrections for the West Java zone were computed by inverting P-wave arrival times recorded on a local seismic network of 14 stations. A total of 61 local events with a minimum of 6 P-phases, rms 0.56 s and a maximum gap of 299° were selected. Comparison with previous earthquake locations shows an improvement for the relocated earthquakes. Tests were carried out to verify the robustness of inversion results in order to corroborate the conclusions drawn out from our reasearch. The obtained minimum 1-D velocity model can be used to improve routine earthquake locations and represents a further step toward more detailed seismotectonic studies in this area of West Java.

  16. 3D elastic full-waveform inversion for OBC data using the P-wave excitation amplitude

    KAUST Repository

    Oh, Juwon

    2017-08-17

    We suggest a fast and efficient 3D elastic full waveform inversion (FWI) algorithm based on the excitation amplitude (maximum energy arrival) of the P-wave in the source wavefield. It evaluates the gradient direction significantly faster than its conventional counterpart. In addition, it removes the long-wavelength artifacts from the gradient, which are often originated from SS correlation process. From these advantages, the excitation approach offers faster convergence not only for the S wave velocity, but also for the entire process of multi-parameter inversion, compared to the conventional FWI. The feasibility of the proposed method is demonstrated through the synthetic Marmousi and a real OBC data from North Sea.

  17. 3D elastic full-waveform inversion for OBC data using the P-wave excitation amplitude

    KAUST Repository

    Oh, Juwon; Kalita, Mahesh; Alkhalifah, Tariq Ali

    2017-01-01

    We suggest a fast and efficient 3D elastic full waveform inversion (FWI) algorithm based on the excitation amplitude (maximum energy arrival) of the P-wave in the source wavefield. It evaluates the gradient direction significantly faster than its conventional counterpart. In addition, it removes the long-wavelength artifacts from the gradient, which are often originated from SS correlation process. From these advantages, the excitation approach offers faster convergence not only for the S wave velocity, but also for the entire process of multi-parameter inversion, compared to the conventional FWI. The feasibility of the proposed method is demonstrated through the synthetic Marmousi and a real OBC data from North Sea.

  18. One dimensional P wave velocity structure of the crust beneath west Java and accurate hypocentre locations from local earthquake inversion

    Energy Technology Data Exchange (ETDEWEB)

    Supardiyono; Santosa, Bagus Jaya [Physics Department, Faculty of Mathematics and Natural Sciences, State University of Surabaya, Surabaya (Indonesia) and Physics Department, Faculty of Mathematics and Natural Sciences, Sepuluh Nopember Institute of Technology, Surabaya (Indonesia); Physics Department, Faculty of Mathematics and Natural Sciences, Sepuluh Nopember Institute of Technology, Surabaya (Indonesia)

    2012-06-20

    A one-dimensional (1-D) velocity model and station corrections for the West Java zone were computed by inverting P-wave arrival times recorded on a local seismic network of 14 stations. A total of 61 local events with a minimum of 6 P-phases, rms 0.56 s and a maximum gap of 299 Degree-Sign were selected. Comparison with previous earthquake locations shows an improvement for the relocated earthquakes. Tests were carried out to verify the robustness of inversion results in order to corroborate the conclusions drawn out from our reasearch. The obtained minimum 1-D velocity model can be used to improve routine earthquake locations and represents a further step toward more detailed seismotectonic studies in this area of West Java.

  19. P-wave pulse analysis to retrieve source and propagation effects in the case of Vrancea earthquakes

    International Nuclear Information System (INIS)

    Popescu, E.; Popa, M.; Placinta, A.; Grecu, B.; Radulian, M.

    2004-01-01

    Seismic source parameters and attenuation structure properties are obtained from the first P-wave pulse analysis and empirical Green's function deconvolution. The P pulse characteristics are combined effects of source and path properties. To reproduce the real source and structure parameters it is crucial to apply a method able to distinguish between the different factors affecting the observed seismograms. For example the empirical Green's function deconvolution method (Hartzell, 1978) allows the retrieval of the apparent source time function or source spectrum corrected for path, site and instrumental effects. The apparent source duration is given by the width of the deconvoluted source pulse and is directly related to the source dimension. Once the source time function established, next we can extract the parameters related to path effects. The difference between the pulse recorded at a given station and the source pulse obtained by deconvolution is a measure of the attenuation along the path from focus to the station. On the other hand, the pulse width variations with azimuth depend critically on the fault plane orientation and source directivity. In favourable circumstances (high signal/noise ratio, high resolution and station coverage), the method of analysis proposed in this paper allows the constraint of the rupture plane among the two nodal planes characterizing the fault plane solution, even for small events. P-wave pulse analysis was applied for 25 Vrancea earthquakes recorded between 1999 and 2003 by the Romanian local network to determine source parameters and attenuation properties. Our results outline high-stress drop seismic energy release with relatively simple rupture process for the considered events and strong lateral variation of attenuation of seismic waves across Carpathians Arc. (authors)

  20. Splitting and oscillation of Majorana zero modes in the p-wave BCS-BEC evolution with plural vortices

    International Nuclear Information System (INIS)

    Mizushima, T.; Machida, K.

    2010-01-01

    We investigate how the vortex-vortex separation changes Majorana zero modes in the vicinity of the BCS-BEC (Bose-Einstein condensation) topological phase transition of p-wave resonant Fermi gases. By analytically and numerically solving the Bogoliubov-de Gennes equation for spinless p-wave superfluids with plural vortices, it is demonstrated that the quasiparticle tunneling between neighboring vortices gives rise to the quantum oscillation of the low-lying spectra on the scale of the Fermi wavelength in addition to the exponential splitting. This rapid oscillation, which appears in the weak-coupling regime as a consequence of quantum oscillations of quasiparticle wave functions, disappears in the vicinity of the BCS-BEC topological phase transition. This is understandable from that the wave function of the Majorana zero modes is described by the modified Bessel function in the strong-coupling regime, and thus it becomes spread over the vortex core region. Due to the exponential divergence of the modified Bessel function, the concrete realization of the Majorana zero modes near the topological phase transition requires the neighboring vortices to be separated beyond the length scale defined by the coherence length and the dimensionless coupling constant. All these behaviors are also confirmed by carrying out the full numerical diagonalization of the nonlocal Bogoliubov-de Gennes equation in a two-dimensional geometry. Furthermore, this argument is expanded into the case of three-vortex systems, where a pair of core-bound and edge-bound Majorana states survive at zero-energy state regardless of the vortex separation.

  1. Cardiac arrhythmia beat classification using DOST and PSO tuned SVM.

    Science.gov (United States)

    Raj, Sandeep; Ray, Kailash Chandra; Shankar, Om

    2016-11-01

    The increase in the number of deaths due to cardiovascular diseases (CVDs) has gained significant attention from the study of electrocardiogram (ECG) signals. These ECG signals are studied by the experienced cardiologist for accurate and proper diagnosis, but it becomes difficult and time-consuming for long-term recordings. Various signal processing techniques are studied to analyze the ECG signal, but they bear limitations due to the non-stationary behavior of ECG signals. Hence, this study aims to improve the classification accuracy rate and provide an automated diagnostic solution for the detection of cardiac arrhythmias. The proposed methodology consists of four stages, i.e. filtering, R-peak detection, feature extraction and classification stages. In this study, Wavelet based approach is used to filter the raw ECG signal, whereas Pan-Tompkins algorithm is used for detecting the R-peak inside the ECG signal. In the feature extraction stage, discrete orthogonal Stockwell transform (DOST) approach is presented for an efficient time-frequency representation (i.e. morphological descriptors) of a time domain signal and retains the absolute phase information to distinguish the various non-stationary behavior ECG signals. Moreover, these morphological descriptors are further reduced in lower dimensional space by using principal component analysis and combined with the dynamic features (i.e based on RR-interval of the ECG signals) of the input signal. This combination of two different kinds of descriptors represents each feature set of an input signal that is utilized for classification into subsequent categories by employing PSO tuned support vector machines (SVM). The proposed methodology is validated on the baseline MIT-BIH arrhythmia database and evaluated under two assessment schemes, yielding an improved overall accuracy of 99.18% for sixteen classes in the category-based and 89.10% for five classes (mapped according to AAMI standard) in the patient

  2. A multiprocessor system for the analysis of cardiac arrhythmias

    International Nuclear Information System (INIS)

    Jugo, G. Diego J.

    1983-01-01

    The study presented here forms part of a real-time electrocardiographic signal analysis system project. The medical data analysis system consists of eight independent analyser units, all of which are connected to a controller unit by the standard IEEE-488 bus. Each bed is monitored by an arrhythmias analyser which has the facilities for analysing a patient's electrocardiogram automatically in real time. The measurements may be made in the presence of a pacemaker. The system described presents the technique of a separate and a simultaneous data analysis on two different ECG channels. This permit: a better diagnosis and an optimum use of the bus. (author) [fr

  3. Exercising arrhythmias and sudden cardiac death in horses: Review of the literature and comparative aspects.

    Science.gov (United States)

    Navas de Solis, C

    2016-07-01

    Arrhythmias are common in equine athletes during and immediately after exercise. Many of these rhythm variations are not clinically relevant. In horses, a link between different exercising arrhythmias and poor performance or between exercising arrhythmias and sudden cardiac death (SCD) is strongly suspected but not fully understood or proven. SCD during races or competitions is rare, but has catastrophic consequences for the safety of the human partner and public perceptions of welfare during equestrian sports. This review summarises current knowledge of equine exercise arrhythmias and their implications in SCD and compares existing principles and recommendations for equine subjects with those for human athletes. © 2016 EVJ Ltd.

  4. Left ventricular function in patients with ventricular arrhythmias and aortic valve disease

    International Nuclear Information System (INIS)

    Santinga, J.T.; Kirsh, M.M.; Brady, T.J.; Thrall, J.; Pitt, B.

    1983-01-01

    Forty patients having aortic valve replacement were evaluated preoperatively for ventricular arrhythmia and left ventricular ejection fraction. Arrhythmias were classified as complex or simple using the Lown criteria on the 24-hour ambulatory electrocardiogram; ejection fractions were determined by radionuclide gated blood pool analysis and contrast angiography. The ejection fractions determined by radionuclide angiography were 59.1 +/- 13.1% for 26 patients with simple or no ventricular arrhythmias, and 43.9 +/- 20.3% for 14 patients with complex ventricular arrhythmias (p less than 0.01). Ejection fractions determined by angiography, available for 31 patients, were also lower in patients with complex ventricular arrhythmias (61.1 +/- 16.3% versus 51.4 +/- 13.4%; p less than 0.05). Seven of 9 patients showing conduction abnormalities on the electrocardiogram had complex ventricular arrhythmias. Eight of 20 patients with aortic stenosis had complex ventricular arrhythmias, while 2 of 13 patients with aortic insufficiency had such arrhythmias. It is concluded that decreased left ventricular ejection fraction, intraventricular conduction abnormalities, and aortic stenosis are associated with an increased frequency of complex ventricular arrhythmias in patients with aortic valve disease

  5. Qt interval prolongation and ventricular arrhythmias in patients with chronic heart failure

    International Nuclear Information System (INIS)

    Sarwar, M.; Majeed, S.M.I.; Khan, M.A.; Majeed, S.M.

    2014-01-01

    To determine the association of QTc interval prolongation with ventricular arrhythmias in patients with chronic heart failure. Study Design: Descriptive study. Place and Duration of Study: This study was conducted at Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, Pakistan from April 2013 to August 2013. Patients and Methods: Fifty three heart failure patients were monitored for 48 hours using ambulatory holter electrocardiography recorders. Digital ECG data was analyzed for QTc interval along with frequency and severity of arrhythmias. Association of prolonged QTc interval with ventricular arrhythmias and severity of arrhythmias was analyzed. Results: Cardiac arrhythmias were observed in 79.2% patients. QT analysis revealed that 69.8% patients had prolonged QTc interval, 86.4% patients with prolonged QTc had ventricular arrhythmias. Of these 66% patients were found to have severe ventricular arrhythmias. Comparison of mean QTc interval of our study population with a reference value showed significantly higher QTc interval of our study group than the test value. Conclusion: Arrhythmia frequency and severity significantly increases with an increase in QTc interval in heart failure demonstrating association of prolonged QTc interval with high risk of severe ventricular arrhythmias and sudden cardiac death in chronic heart failure. (author)

  6. T20 measurements for 1H(d searrow,γ)3He and the P-wave component of the nucleon-nucleon force

    International Nuclear Information System (INIS)

    Schmid, G.J.; Chasteler, R.M.; Weller, H.R.; Tilley, D.R.; Fonseca, A.C.; Lehman, D.R.

    1996-01-01

    Measurements of T 20 (θ lab =90 degree) for 1 H(d searrow,γ) 3 He, in the energy range E d (lab)=12.7 endash 19.8 MeV, have been compared with the results of new exact three-body Faddeev calculations using the Paris and Bonn-A nucleon-nucleon (NN) potentials. This comparison indicates a strong sensitivity of the T 20 observable to the p-wave part of the NN force. In particular, we find that the 3 P 1 component of the P-wave interaction is the dominant P-wave term affecting the value of T 20 (θ lab =90 degree) at these energies. This contrasts with the results of polarized N-D scattering studies where the 3 P 0 component has been found to dominate. cents 1996 The American Physical Society

  7. P-wave velocity models of continental shelf of East Siberian Sea using the Laplace-domain full waveform inversion

    Science.gov (United States)

    Kang, S. G.; Hong, J. K.; Jin, Y. K.; Jang, U.; Niessen, F.; Baranov, B.

    2017-12-01

    2016 IBRV ARAON Arctic Cruise Leg-2, Expedition ARA07C was a multidisciplinary undertaking carried out in the East Siberian Sea (ESS) from August 25 to September 10, 2016. The program was conducted as a collaboration between the Korea Polar Research Institute (KOPRI), P.P. Shirshov Institute of Oceanology (IORAS), and Alfred Wegener Institute (AWI). During this expedition, the multi-channel seismic (MCS) data were acquired on the continental shelf and the upper slope of the ESS, totaling 3 lines with 660 line-kilometers. The continental shelf of ESS is one of the widest shelf seas in the world and it is believed to cover the largest area of sub-sea permafrost in the Arctic. According to the present knowledge of the glacial history of the western Arctic Ocean, it is likely that during the LGM with a sea level approximately 120 m below present, the entire shelf area of the ESS was exposed to very cold air temperatures so that thick permafrost should have formed. Indeed, in water depths shallower than 80 m, sub-bottom profiles in the ESS recorded from the shelf edge to a latitude of 74°30' N in 60 m water depth exhibited acoustic facies, suggesting that at least relicts of submarine permafrost are present. In order to identify the existence and/or non-existence of subsea permafrost in our study area, we analyze the MCS data using the Laplace domain full waveform inversion (FWI). In case of the Canadian continental shelf of the Beaufort Sea, subsea permafrost has high seismic velocity values (over 2.6 km/sec) and strong refraction events were found in the MCS shotgathers. However, in the EES our proposed P-wave velocity models derived from FWI have neither found high velocity structures (over 2.6 km/sec) nor indicate strong refraction events by subsea permafrost. Instead, in 300 m depth below sea floor higher P-wave velocity structures (1.8 2.2 km/s) than normal subsea sediment layers were found, which are interpreted as cemented strata by glaciation activities.

  8. Heart rate turbulence and variability in patients with ventricular arrhythmias

    Directory of Open Access Journals (Sweden)

    Diego Tarricone

    2009-08-01

    Full Text Available Background: To evaluate the changes in autonomic neural control mechanisms before malignant ventricular arrhythmias, we measured heart rate variability (HRV and heart rate turbulence (HRT in patients with ventricular tachycardia or fibrillation (Group I; n=6, non sustained ventricular tachycardia (Group II; n=32, frequent premature ventricular beats (Group III; n=26 and with ICD implantation (Group IV; n=11. Methods: Time domain parameters of HRV and turbulence onset (TO and slope (TS were calculated on 24 hour Holter recordings. Normal values were: SDNN > 70 msec for HRV, TO <0% and TS >2.5 msec/RR-I for HRT. Results: Whereas SDNN was within normal range and similar in all study groups, HRT parameters were significantly different in patients who experienced VT/VF during Holter recording. Abnormal TO and/or TS were present in 100% of Group I patients and only in about 50% of Group II and IV. On the contrary, normal HRT parameters were present in 40-70% of Group II, III and IV patients and none of Group I. Conclusions: These data suggest that HRT analysis is more suitable than HRV to detect those transient alterations in autonomic control mechanisms that are likely to play a major trigger role in the genesis of malignant cardiac arrhythmias. (Heart International 2007; 3: 51-7

  9. Automated testing of arrhythmia monitors using annotated databases.

    Science.gov (United States)

    Elghazzawi, Z; Murray, W; Porter, M; Ezekiel, E; Goodall, M; Staats, S; Geheb, F

    1992-01-01

    Arrhythmia-algorithm performance is typically tested using the AHA and MIT/BIH databases. The tools for this test are simulation software programs. While these simulations provide rapid results, they neglect hardware and software effects in the monitor. To provide a more accurate measure of performance in the actual monitor, a system has been developed for automated arrhythmia testing. The testing system incorporates an IBM-compatible personal computer, a digital-to-analog converter, an RS232 board, a patient-simulator interface to the monitor, and a multi-tasking software package for data conversion and communication with the monitor. This system "plays" patient data files into the monitor and saves beat classifications in detection files. Tests were performed using the MIT/BIH and AHA databases. Statistics were generated by comparing the detection files with the annotation files. These statistics were marginally different from those that resulted from the simulation. Differences were then examined. As expected, the differences were related to monitor hardware effects.

  10. Privacy-Preserving Electrocardiogram Monitoring for Intelligent Arrhythmia Detection.

    Science.gov (United States)

    Son, Junggab; Park, Juyoung; Oh, Heekuck; Bhuiyan, Md Zakirul Alam; Hur, Junbeom; Kang, Kyungtae

    2017-06-12

    Long-term electrocardiogram (ECG) monitoring, as a representative application of cyber-physical systems, facilitates the early detection of arrhythmia. A considerable number of previous studies has explored monitoring techniques and the automated analysis of sensing data. However, ensuring patient privacy or confidentiality has not been a primary concern in ECG monitoring. First, we propose an intelligent heart monitoring system, which involves a patient-worn ECG sensor (e.g., a smartphone) and a remote monitoring station, as well as a decision support server that interconnects these components. The decision support server analyzes the heart activity, using the Pan-Tompkins algorithm to detect heartbeats and a decision tree to classify them. Our system protects sensing data and user privacy, which is an essential attribute of dependability, by adopting signal scrambling and anonymous identity schemes. We also employ a public key cryptosystem to enable secure communication between the entities. Simulations using data from the MIT-BIH arrhythmia database demonstrate that our system achieves a 95.74% success rate in heartbeat detection and almost a 96.63% accuracy in heartbeat classification, while successfully preserving privacy and securing communications among the involved entities.

  11. Privacy-Preserving Electrocardiogram Monitoring for Intelligent Arrhythmia Detection †

    Science.gov (United States)

    Son, Junggab; Park, Juyoung; Oh, Heekuck; Bhuiyan, Md Zakirul Alam; Hur, Junbeom; Kang, Kyungtae

    2017-01-01

    Long-term electrocardiogram (ECG) monitoring, as a representative application of cyber-physical systems, facilitates the early detection of arrhythmia. A considerable number of previous studies has explored monitoring techniques and the automated analysis of sensing data. However, ensuring patient privacy or confidentiality has not been a primary concern in ECG monitoring. First, we propose an intelligent heart monitoring system, which involves a patient-worn ECG sensor (e.g., a smartphone) and a remote monitoring station, as well as a decision support server that interconnects these components. The decision support server analyzes the heart activity, using the Pan–Tompkins algorithm to detect heartbeats and a decision tree to classify them. Our system protects sensing data and user privacy, which is an essential attribute of dependability, by adopting signal scrambling and anonymous identity schemes. We also employ a public key cryptosystem to enable secure communication between the entities. Simulations using data from the MIT-BIH arrhythmia database demonstrate that our system achieves a 95.74% success rate in heartbeat detection and almost a 96.63% accuracy in heartbeat classification, while successfully preserving privacy and securing communications among the involved entities. PMID:28604628

  12. Arrhythmias and hemodialysis: role of potassium and new diagnostic tools.

    Science.gov (United States)

    Buemi, Michele; Coppolino, Giuseppe; Bolignano, Davide; Sturiale, Alessio; Campo, Susanna; Buemi, Antoine; Crascì, Eleonora; Romeo, Adolfo

    2009-01-01

    Cardiovascular diseases represent the main causes of death in patients affected by renal failure, and arrhythmias are frequently observed in patients undergoing hemodialysis. Dialytic treatment per se can be considered as an arrhythmogenic stimulus; moreover, uraemic patients are characterized by a "pro-arrhythmic substrate" because of the high prevalence of ischaemic heart disease, left ventricular hypertrophy and autonomic neuropathy. One of the most important pathogenetic element involved in the onset of intra-dialytic arrhythmias is the alteration in electrolytes concentration, particularly calcium and potassium. It may be very useful to monitor the patient's cardiac activity during the whole hemodilaytic session. Nevertheless, the application of an extended intradialytic electrocardiographic monitoring is not simple because of several technical and structural impairments. We tried to overcome these difficulties using Whealthy, a wearable system consisting in a t-shirt composed of conductors and piezoresistive materials, integrated to form fibers and threads connected to tissutal sensors, electrodes, and connectors. ECG and pneumographic impedance signals are acquired by the electrodes in the tissue, and the data are registered by a small computer and transmitted via GPRS or Bluetooth.

  13. Universal shift of the Brewster angle and disorder-enhanced delocalization of p waves in stratified random media.

    Science.gov (United States)

    Lee, Kwang Jin; Kim, Kihong

    2011-10-10

    We study theoretically the propagation and the Anderson localization of p-polarized electromagnetic waves incident obliquely on randomly stratified dielectric media with weak uncorrelated Gaussian disorder. Using the invariant imbedding method, we calculate the localization length and the disorder-averaged transmittance in a numerically precise manner. We find that the localization length takes an extremely large maximum value at some critical incident angle, which we call the generalized Brewster angle. The disorder-averaged transmittance also takes a maximum very close to one at the same incident angle. Even in the presence of an arbitrarily weak disorder, the generalized Brewster angle is found to be substantially different from the ordinary Brewster angle in uniform media. It is a rapidly increasing function of the average dielectric permittivity and approaches 90° when the average relative dielectric permittivity is slightly larger than two. We make a remarkable observation that the dependence of the generalized Brewster angle on the average dielectric permittivity is universal in the sense that it is independent of the strength of disorder. We also find, surprisingly, that when the average relative dielectric permittivity is less than one and the incident angle is larger than the generalized Brewster angle, both the localization length and the disorder-averaged transmittance increase substantially as the strength of disorder increases in a wide range of the disorder parameter. In other words, the Anderson localization of incident p waves can be weakened by disorder in a certain parameter regime.

  14. P-wave characteristics on routine preoperative electrocardiogram improve prediction of new-onset postoperative atrial fibrillation in cardiac surgery.

    Science.gov (United States)

    Wong, Jim K; Lobato, Robert L; Pinesett, Andre; Maxwell, Bryan G; Mora-Mangano, Christina T; Perez, Marco V

    2014-12-01

    To test the hypothesis that including preoperative electrocardiogram (ECG) characteristics with clinical variables significantly improves the new-onset postoperative atrial fibrillation prediction model. Retrospective analysis. Single-center university hospital. Five hundred twenty-six patients, ≥ 18 years of age, who underwent coronary artery bypass grafting, aortic valve replacement, mitral valve replacement/repair, or a combination of valve surgery and coronary artery bypass grafting requiring cardiopulmonary bypass. Retrospective review of medical records. Baseline characteristics and cardiopulmonary bypass times were collected. Digitally-measured timing and voltages from preoperative electrocardiograms were extracted. Postoperative atrial fibrillation was defined as atrial fibrillation requiring therapeutic intervention. Two hundred eight (39.5%) patients developed postoperative atrial fibrillation. Clinical predictors were age, ejection fractionelectrocardiogram variables to the prediction model with only clinical predictors significantly improved the area under the receiver operating characteristic curve, from 0.71 to 0.78 (p<0.01). Overall net reclassification improvement was 0.059 (p = 0.09). Among those who developed postoperative atrial fibrillation, the net reclassification improvement was 0.063 (p = 0.03). Several p-wave characteristics are independently associated with postoperative atrial fibrillation. Addition of these parameters improves the postoperative atrial fibrillation prediction model. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

  15. p -wave superconductivity in weakly repulsive 2D Hubbard model with Zeeman splitting and weak Rashba spin-orbit coupling

    Science.gov (United States)

    Hugdal, Henning G.; Sudbø, Asle

    2018-01-01

    We study the superconducting order in a two-dimensional square lattice Hubbard model with weak repulsive interactions, subject to a Zeeman field and weak Rashba spin-orbit interactions. Diagonalizing the noninteracting Hamiltonian leads to two separate bands, and by deriving an effective low-energy interaction we find the mean field gap equations for the superconducting order parameter on the bands. Solving the gap equations just below the critical temperature, we find that superconductivity is caused by Kohn-Luttinger-type interaction, while the pairing symmetry of the bands is indirectly affected by the spin-orbit coupling. The dominating attractive momentum channel of the Kohn-Luttinger term depends on the filling fraction n of the system, and it is therefore possible to change the momentum dependence of the order parameter by tuning n . Moreover, n also determines which band has the highest critical temperature. Rotating the magnetic field changes the momentum dependence from states that for small momenta reduce to a chiral px±i py type state for out-of-plane fields, to a nodal p -wave-type state for purely in-plane fields.

  16. S-P wave travel time residuals and lateral inhomogeneity in the mantle beneath Tibet and the Himalaya

    Science.gov (United States)

    Molnar, P.; Chen, W.-P.

    1984-01-01

    S-P wave travel time residuals were measured in earthquakes in Tibet and the Himalaya in order to study lateral inhomogeneities in the earth's mantle. Average S-P residuals, measured with respect to Jeffrey-Bullen (J-B) tables for 11 earthquakes in the Himalaya are less than +1 second. Average J-B S-P from 10 of 11 earthquakes in Tibet, however, are greater than +1 second even when corrected for local crustal thickness. The largest values, ranging between 2.5 and 4.9 seconds are for five events in central and northern Tibet, and they imply that the average velocities in the crust and upper mantle in this part of Tibet are 4 to 10 percent lower than those beneath the Himalaya. On the basis of the data, it is concluded that it is unlikely that a shield structure lies beneath north central Tibet unless the S-P residuals are due to structural variations occurring deeper than 250 km.

  17. LLNL-G3Dv3: Global P wave tomography model for improved regional and teleseismic travel time prediction: LLNL-G3DV3---GLOBAL P WAVE TOMOGRAPHY

    Energy Technology Data Exchange (ETDEWEB)

    Simmons, N. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Myers, S. C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Johannesson, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Matzel, E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2012-10-06

    [1] We develop a global-scale P wave velocity model (LLNL-G3Dv3) designed to accurately predict seismic travel times at regional and teleseismic distances simultaneously. The model provides a new image of Earth's interior, but the underlying practical purpose of the model is to provide enhanced seismic event location capabilities. The LLNL-G3Dv3 model is based on ∼2.8 millionP and Pnarrivals that are re-processed using our global multiple-event locator called Bayesloc. We construct LLNL-G3Dv3 within a spherical tessellation based framework, allowing for explicit representation of undulating and discontinuous layers including the crust and transition zone layers. Using a multiscale inversion technique, regional trends as well as fine details are captured where the data allow. LLNL-G3Dv3 exhibits large-scale structures including cratons and superplumes as well numerous complex details in the upper mantle including within the transition zone. Particularly, the model reveals new details of a vast network of subducted slabs trapped within the transition beneath much of Eurasia, including beneath the Tibetan Plateau. We demonstrate the impact of Bayesloc multiple-event location on the resulting tomographic images through comparison with images produced without the benefit of multiple-event constraints (single-event locations). We find that the multiple-event locations allow for better reconciliation of the large set of direct P phases recorded at 0–97° distance and yield a smoother and more continuous image relative to the single-event locations. Travel times predicted from a 3-D model are also found to be strongly influenced by the initial locations of the input data, even when an iterative inversion/relocation technique is employed.

  18. The risk of arrhythmias following coronary artery bypass surgery: do smokers have a paradox effect?

    LENUS (Irish Health Repository)

    Al-Sarraf, Nael

    2010-11-01

    Smoking is reported to increase the risk of arrhythmias. However, there are limited data on its effects on arrhythmias following coronary artery bypass graft (CABG). This is a retrospective review of a prospective database of all CABG patients over an eight-year period. Our cohort (n=2813) was subdivided into: current (n=1169), former (n=837), and non-smokers (n=807). Predictors of arrhythmias following CABG in relation to smoking status were analysed. Atrial arrhythmias occurred in 942 patients (33%). Ventricular arrhythmias occurred in 48 patients (2%) and high-grade atrioventricular block occurred in five patients (0.2%). Arrhythmias were lower in current smokers than former and non-smokers (29% vs. 40% vs. 39%, respectively P<0.001). Logistic regression analysis showed 30% arrhythmia risk reduction in smokers compared to non-smokers [odds ratio (OR) 0.7, 95% confidence intervals (CI) 0.5-0.8] and this effect persisted after accounting for potential confounders while former smokers had the same risk as non-smokers (OR 1.04, CI 0.9-1.3). There were no significant differences in mortality. Smokers are less prone to develop arrhythmias following CABG. This paradox effect is lost in former smokers. This effect is possibly due to a lower state of hyper adrenergic stimulation observed in smokers than non-smokers following the stress of surgery.

  19. Decreasing the false alarm rate of arrhythmias in intensive care using a machine learning approach

    NARCIS (Netherlands)

    Eerikäinen, L.M.; Vanschoren, J.; Rooijakkers, M.J.; Vullings, R.; Aarts, R.M.

    2015-01-01

    We present a novel algorithm for classifying true and false alarms of five life-threatening arrhythmias in intensive care. This algorithm was entered in the PhysioNet/Computing in Cardiology Challenge 2015 Reducing False Arrhythmia Alarms in the ICU. The algorithm performs a binary classification of

  20. Risk prediction of ventricular arrhythmias and myocardial function in Lamin A/C mutation positive subjects

    DEFF Research Database (Denmark)

    Hasselberg, Nina E; Edvardsen, Thor; Petri, Helle

    2014-01-01

    Mutations in the Lamin A/C gene may cause atrioventricular block, supraventricular arrhythmias, ventricular arrhythmias (VA), and dilated cardiomyopathy. We aimed to explore the predictors and the mechanisms of VA in Lamin A/C mutation-positive subjects.METHODS AND RESULTS: We included 41 Lamin A/C...

  1. Prediction of tonic parasympathetic cardiac control using respiratory sinus arrhythmia: the need for respiratory control

    NARCIS (Netherlands)

    GROSSMAN, P.; Karemaker, J.; Wieling, W.

    1991-01-01

    Respiratory sinus arrhythmia (RSA) has received much attention in recent years due to the large body of evidence indicating that variations in this phenomenon represent alterations in parasympathetic cardiac control. Although it appears that respiratory sinus arrhythmia is mediated by vagal

  2. Novel energy modalities for catheter ablation of cardiac arrhythmias : Pitfalls and possibilities of potent power sources

    NARCIS (Netherlands)

    Neven, K.G.E.J.

    2014-01-01

    The acceptance of catheter ablation as treatment for cardiac arrhythmias is amongst others dependent on its success rate, a high initial success rate will increase physician and patient acceptance. One of the reasons why recurrence of arrhythmia after ablation is substantial is non-transmurality of

  3. Increasing Prevalence of Atrial Fibrillation and Permanent Atrial Arrhythmias in Congenital Heart Disease.

    Science.gov (United States)

    Labombarda, Fabien; Hamilton, Robert; Shohoudi, Azadeh; Aboulhosn, Jamil; Broberg, Craig S; Chaix, Marie A; Cohen, Scott; Cook, Stephen; Dore, Annie; Fernandes, Susan M; Fournier, Anne; Kay, Joseph; Macle, Laurent; Mondésert, Blandine; Mongeon, François-Pierre; Opotowsky, Alexander R; Proietti, Anna; Rivard, Lena; Ting, Jennifer; Thibault, Bernard; Zaidi, Ali; Khairy, Paul

    2017-08-15

    Atrial arrhythmias are the most common complication encountered in the growing and aging population with congenital heart disease. This study sought to assess the types and patterns of atrial arrhythmias, associated factors, and age-related trends. A multicenter cohort study enrolled 482 patients with congenital heart disease and atrial arrhythmias, age 32.0 ± 18.0 years, 45.2% female, from 12 North American centers. Qualifying arrhythmias were classified by a blinded adjudicating committee. The most common presenting arrhythmia was intra-atrial re-entrant tachycardia (IART) (61.6%), followed by atrial fibrillation (28.8%), and focal atrial tachycardia (9.5%). The proportion of arrhythmias due to IART increased with congenital heart disease complexity from 47.2% to 62.1% to 67.0% in patients with simple, moderate, and complex defects, respectively (p = 0.0013). Atrial fibrillation increased with age to surpass IART as the most common arrhythmia in those ≥50 years of age (51.2% vs. 44.2%; p congenital heart disease, with a predominantly paroxysmal pattern. However, atrial fibrillation increases in prevalence and atrial arrhythmias progressively become permanent as the population ages. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  4. Predictors of the left ventricular dysfunction induced by ventricular arrhythmia

    Directory of Open Access Journals (Sweden)

    А. І. Vytryhovskiy

    2016-08-01

    Full Text Available The most powerful predictor of life-threatening arrhythmia risk is a combination of low heart rate variability with low ejection fraction (EF of the left ventricle. Aim. To identify predictors of left ventricle dysfunction which is induced by ventricular arrhythmia. Materials and methods. To diagnose structural changes of left ventricular functional capacity and reserves in patients with previous myocardial infarction and patients with high and very high cardiovascular risk by SCORE scale and for establishment the relationship between morphological heart changes and pathological phenomenon of heart turbulence echocardiography and study of heart rate turbulence variability were performed. 603 patients were selected for the research. All patients were divided into groups: group 1 – patients with coronary heart disease, but without associated risk factors, such as smoking, obesity, metabolic syndrome; group 2 – patients who smoke tobacco more than 2 years (very high cardiovascular risk by scale SCORE; group 3 – patients with metabolic syndrome without coronary heart disease or arterial hypertension (very high cardiovascular risk by scale SCORE. The control group consisted of 149 persons. Results. The feature of structural changes in patients with myocardial infarction and in patients with a high cardiovascular risk by SCORE with heart rate turbulence compared with cases without НRT is considerably thickening of the left interventricular septum in systole. Based on this, it can be argued that the emergence of ventricular arrhythmia and accordingly phenomenon of heart rate turbulence in patients with existing cardiovascular diseases and risk factors has both morphological and functional character. Significant difference of echocardioscopy parameters in patients with postinfarction cardiosclerosis and risk factors by the SCORE system was established by index of intraventricular septum thickness in systole, and in persons with high risk – in

  5. [Analysis of the heart sound with arrhythmia based on nonlinear chaos theory].

    Science.gov (United States)

    Ding, Xiaorong; Guo, Xingming; Zhong, Lisha; Xiao, Shouzhong

    2012-10-01

    In this paper, a new method based on the nonlinear chaos theory was proposed to study the arrhythmia with the combination of the correlation dimension and largest Lyapunov exponent, through computing and analyzing these two parameters of 30 cases normal heart sound and 30 cases with arrhythmia. The results showed that the two parameters of the heart sounds with arrhythmia were higher than those with the normal, and there was significant difference between these two kinds of heart sounds. That is probably due to the irregularity of the arrhythmia which causes the decrease of predictability, and it's more complex than the normal heart sound. Therefore, the correlation dimension and the largest Lyapunov exponent can be used to analyze the arrhythmia and for its feature extraction.

  6. A Novel Automatic Detection System for ECG Arrhythmias Using Maximum Margin Clustering with Immune Evolutionary Algorithm

    Directory of Open Access Journals (Sweden)

    Bohui Zhu

    2013-01-01

    Full Text Available This paper presents a novel maximum margin clustering method with immune evolution (IEMMC for automatic diagnosis of electrocardiogram (ECG arrhythmias. This diagnostic system consists of signal processing, feature extraction, and the IEMMC algorithm for clustering of ECG arrhythmias. First, raw ECG signal is processed by an adaptive ECG filter based on wavelet transforms, and waveform of the ECG signal is detected; then, features are extracted from ECG signal to cluster different types of arrhythmias by the IEMMC algorithm. Three types of performance evaluation indicators are used to assess the effect of the IEMMC method for ECG arrhythmias, such as sensitivity, specificity, and accuracy. Compared with K-means and iterSVR algorithms, the IEMMC algorithm reflects better performance not only in clustering result but also in terms of global search ability and convergence ability, which proves its effectiveness for the detection of ECG arrhythmias.

  7. The occurrence of new arrhythmias after catheter-ablation of accessory pathway: Delayed arrhythmic side-effect of curative radiofrequency lesion?

    Directory of Open Access Journals (Sweden)

    Mujović Nebojša

    2011-01-01

    Full Text Available Introduction. New arrhythmias (NA may appear late after accessory pathway (AP ablation, but their relation to curative radiofrequency (RF lesion is unknown. Objective. The aim of this study was to determine the prevalence and predictors for NA occurrence after AP ablation and to investigate pro-arrhythmic effect of RF. Methods. Total of 124 patients (88 males, mean age 43±14 years with Wolff-Parkinson-White syndrome and single AP have been followed after successful RF ablation. Post-ablation finding of arrhythmia, not recorded before the procedure, was considered a NA. The origin of NA was assessed by analysis of P-wave and/or QRS-complex morphology, and, thereafter, it was compared with locations of previously ablated APs. Results. Over the follow-up of 4.3±3.9 years, NA was registered in 20 patients (16%. The prevalence of specific NAs was as follows: atrioventricular (AV block 0.8%, atrial premature beats 1.6%, atrial fibrillation 5.4%, atrial flutter 0.8%, sinus tachycardia 4.8%, ventricular premature beats (VPBs 7.3%. Multivariate Cox-regression analysis identified (1 pre-ablation history of pathway-mediated tachyarrhythmias >10 years (HR=3.54, p=0.016 and (2 septal AP location (HR=4.25, p=0.003, as the independent predictors for NA occurrence. In four NA cases (two cases of septal VPBs, one of typical AFL and one of AV-block presumed NA origin was identified in the vicinity of previous ablation target. Conclusion. NAs were found in 16% of patients after AP elimination. In few of these cases, late on-site arrhythmic effect of initially curative RF lesion might be possible. While earlier intervention could prevent NA occurrence, closer follow-up is advised after ablation of septal AP.

  8. Importance of the atrial channel for ventricular arrhythmia therapy in the dual chamber implantable cardioverter defibrillator.

    Science.gov (United States)

    Dijkman, B; Wellens, H J

    2000-12-01

    Performance of dual chamber implantable cardioverter defibrillator (ICD) systems has been judged based on functioning of the ventricular tachycardia:supraventricular tachycardia (VT:SVT) discrimination criteria and DDD pacing. The purpose of this study was to evaluate the use of dual chamber diagnostics to improve the electrical and antiarrhythmic therapy of ventricular arrhythmias. Information about atrial and ventricular rhythm in relation to ventricular arrhythmia occurrence and therapy was evaluated in 724 spontaneous arrhythmia episodes detected and treated by three types of dual chamber ICDs in 41 patients with structural heart disease. Device programming was based on clinically documented and induced ventricular arrhythmias. In ambulatory patients, sinus tachycardia preceded ventricular arrhythmias more often than in the hospital during exercise testing. The incidence of these VTs could be reduced by increasing the dose of a beta-blocking agent in only two patients. In five patients in whom sinus tachycardia developed after onset of hemodynamic stable VT, propranolol was more effective than Class III antiarrhythmics combined with another beta-blocking agent with regard to the incidence of VT and pace termination. In all but three cases, atrial arrhythmias were present for a longer time before the onset of ventricular arrhythmias. During atrial arrhythmias, fast ventricular rates before the onset of ventricular rate were observed more often than RR irregularities and short-long RR sequences. Dual chamber diagnostics allowed proper interpretation of detection and therapy outcome in patients with different types of ventricular arrhythmia. The advantages of the dual chamber ICD system go further than avoiding the shortcomings of the single chamber system. Information from the atrial chamber allows better device programming and individualization of drug therapy for ventricular arrhythmia.

  9. Serious arrhythmias in patients with apical hypertrophic cardiomyopathy

    Energy Technology Data Exchange (ETDEWEB)

    Okishige, Kaoru; Sasano, Tetsuo; Yano, Kei; Azegami, Kouji; Suzuki, Kou; Itoh, Kuniyasu [Yokohama Red Cross Hospital (Japan)

    2001-05-01

    We report cases of serious arrhythmias associated with apical hypertrophic cardiomyopathy (AHCM). Thirty-one patients were referred to our institute to undergo further assessment of their AHCM from 1988 to 1999. Three patients with nonsustained ventricular tachycardia demonstrated an {sup 123}I-MIBG regional reduction in the tracer uptake. In two patients with ventricular fibrillation (VF), the findings from {sup 123}I-MIBG imaging revealed regional sympathetic denervation in the inferior and lateral regions. Electrophysiologic study demonstrated reproducible induction of VF in aborted sudden death and presyncopal patients, resulting in the need for an implantable defibrillator device and amiodarone in each patient. Patients with refractory atrial fibrillation with a rapid ventricular response suffered from serious congestive heart failure. A prudent assessment and strategy in patients with this disease would be indispensable in avoiding a disastrous outcome. (author)

  10. Resting respiratory sinus arrhythmia is associated with tonic positive emotionality.

    Science.gov (United States)

    Oveis, Christopher; Cohen, Adam B; Gruber, June; Shiota, Michelle N; Haidt, Jonathan; Keltner, Dacher

    2009-04-01

    Resting respiratory sinus arrhythmia (RSAREST) indexes important aspects of individual differences in emotionality. In the present investigation, the authors address whether RSAREST is associated with tonic positive or negative emotionality, and whether RSAREST relates to phasic emotional responding to discrete positive emotion-eliciting stimuli. Across an 8-month, multiassessment study of first-year university students (n = 80), individual differences in RSAREST were associated with positive but not negative tonic emotionality, assessed at the level of personality traits, long-term moods, the disposition toward optimism, and baseline reports of current emotional states. RSAREST was not related to increased positive emotion, or stimulus-specific emotion, in response to compassion-, awe-, or pride-inducing stimuli. These findings suggest that resting RSA indexes aspects of a person's tonic positive emotionality. (c) 2009 APA, all rights reserved.

  11. Static and Dynamic Reservoir Characterization Using High Resolution P-Wave Velocity Data in Delhi Field, la

    Science.gov (United States)

    Hussain, S.; Davis, T.

    2012-12-01

    Static and dynamic reservoir characterization was done on high resolution P-wave seismic data in Delhi Field, LA to study the complex stratigraphy of the Holt-Bryant sands and to delineate the CO2 flow path. The field is undergoing CO2 injection for enhanced oil recovery. The seismic data was bandwidth extended by Geotrace to decrease the tuning thickness effect. Once the authenticity of the added frequencies in the data was determined, the interpretation helped map thin Tuscaloosa and Paluxy sands. Cross-equalization was done on the baseline and monitor surveys to remove the non-repeatable noise in the data. Acoustic impedance (AI) inversion was done on the baseline and monitor surveys to map the changes in AI with CO2 injection in the field. Figure 1 shows the AI percentage change at Base Paluxy. The analysis helped identify areas that were not being swept by CO2. Figure 2 shows the CO2 flow paths in Tuscaloosa formation. The percentage change of AI with CO2 injection and pressure increase corresponded with the fluid substitution modeling results. Time-lapse interpretation helped in delineating the channels, high permeability zones and the bypassed zones in the reservoir.; Figure 1: P-impedance percentage difference map with a 2 ms window centered at the base of Paluxy with the production data from June 2010 overlain; the black dashed line is the oil-water contact; notice the negative impedance change below the OWC. The lighter yellow color shows area where Paluxy is not being swept completely. ; Figure 2: P-impedance percentage difference map at TUSC 7 top; the white triangles are TUSC 7 injectors and the white circles are TUSC 7 producers; the black polygons show the flow paths of CO2.

  12. Arrhythmia causes lipid accumulation and reduced glucose uptake.

    Science.gov (United States)

    Lenski, Matthias; Schleider, Gregor; Kohlhaas, Michael; Adrian, Lucas; Adam, Oliver; Tian, Qinghai; Kaestner, Lars; Lipp, Peter; Lehrke, Michael; Maack, Christoph; Böhm, Michael; Laufs, Ulrich

    2015-01-01

    Atrial fibrillation (AF) is characterized by irregular contractions of atrial cardiomyocytes and increased energy demand. The aim of this study was to characterize the influence of arrhythmia on glucose and fatty acid (FA) metabolism in cardiomyocytes, mice and human left atrial myocardium. Compared to regular pacing, irregular (pseudo-random variation at the same number of contractions/min) pacing of neonatal rat cardiomyocytes induced shorter action potential durations and effective refractory periods and increased diastolic [Ca(2+)]c. This was associated with the activation of Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) and AMP-activated protein kinase (AMPK). Membrane expression of fatty acid translocase (FAT/CD36) and (14)C-palmitic acid uptake were augmented while membrane expression of glucose transporter subtype 4 (GLUT-4) as well as (3)H-glucose uptake were reduced. Inhibition of AMPK and CaMKII prevented these arrhythmia-induced metabolic changes. Similar alterations of FA metabolism were observed in a transgenic mouse model (RacET) for spontaneous AF. Consistent with these findings samples of left atrial myocardium of patients with AF compared to matched samples of patients with sinus rhythm showed up-regulation of CaMKII and AMPK and increased membrane expression of FAT/CD36, resulting in lipid accumulation. These changes of FA metabolism were accompanied by decreased membrane expression of GLUT-4, increased glycogen content and increased expression of the pro-apoptotic protein bax. Irregular pacing of cardiomyocytes increases diastolic [Ca(2+)]c and activation of CaMKII and AMPK resulting in lipid accumulation, reduced glucose uptake and increased glycogen synthesis. These metabolic changes are accompanied by an activation of pro-apoptotic signalling pathways.

  13. Novel Calmodulin (CALM2) Mutations Associated with Congenital Arrhythmia Susceptibility

    Science.gov (United States)

    Makita, Naomasa; Yagihara, Nobue; Crotti, Lia; Johnson, Christopher N.; Beckmann, Britt-Maria; Roh, Michelle S.; Shigemizu, Daichi; Lichtner, Peter; Ishikawa, Taisuke; Aiba, Takeshi; Homfray, Tessa; Behr, Elijah R.; Klug, Didier; Denjoy, Isabelle; Mastantuono, Elisa; Theisen, Daniel; Tsunoda, Tatsuhiko; Satake, Wataru; Toda, Tatsushi; Nakagawa, Hidewaki; Tsuji, Yukiomi; Tsuchiya, Takeshi; Yamamoto, Hirokazu; Miyamoto, Yoshihiro; Endo, Naoto; Kimura, Akinori; Ozaki, Kouichi; Motomura, Hideki; Suda, Kenji; Tanaka, Toshihiro; Schwartz, Peter J.; Meitinger, Thomas; Kääb, Stefan; Guicheney, Pascale; Shimizu, Wataru; Bhuiyan, Zahurul A.; Watanabe, Hiroshi; Chazin, Walter J.; George, Alfred L.

    2014-01-01

    Background Genetic predisposition to life-threatening cardiac arrhythmias such as in congenital long-QT syndrome (LQTS) and catecholaminergic polymorphic ventricular tachycardia (CPVT) represent treatable causes of sudden cardiac death in young adults and children. Recently, mutations in calmodulin (CALM1, CALM2) have been associated with severe forms of LQTS and CPVT, with life-threatening arrhythmias occurring very early in life. Additional mutation-positive cases are needed to discern genotype-phenotype correlations associated with calmodulin mutations. Methods and Results We employed conventional and next-generation sequencing approaches including exome analysis in genotype-negative LQTS probands. We identified five novel de novo missense mutations in CALM2 in three subjects with LQTS (p.N98S, p.N98I, p.D134H) and two subjects with clinical features of both LQTS and CPVT (p.D132E, p.Q136P). Age of onset of major symptoms (syncope or cardiac arrest) ranged from 1–9 years. Three of five probands had cardiac arrest and one of these subjects did not survive. Although all probands had LQTS, two subjects also exhibited electrocardiographic features consistent with CPVT. The clinical severity among subjects in this series was generally less than that originally reported for CALM1 and CALM2 associated with recurrent cardiac arrest during infancy. Four of five probands responded to β-blocker therapy whereas one subject with mutation p.Q136P died suddenly during exertion despite this treatment. Mutations affect conserved residues located within calcium binding loops III (p.N98S, p.N98I) or IV (p.D132E, p.D134H, p.Q136P) and caused reduced calcium binding affinity. Conclusions CALM2 mutations can be associated with LQTS and with overlapping features of LQTS and CPVT. PMID:24917665

  14. Modeling the effects of electrical and non-electrical parameters on the material removal and surface integrity in case of µEDM of a non-conductive ceramic material using a combined fuzzy-AOM approach

    DEFF Research Database (Denmark)

    Puthumana, Govindan

    2016-01-01

    Micro-EDM is a non-contact process based on the thermoelectric energy between a tool electrode and a workpiece. In μEDM process, the mechanism of material removal is melting and evaporation. The thermal energy in the discharge plasma helps remove material from the workpiece, at the same time...... and surface integrity for a non-conductive ceramic material. The fuzzy logic modeling system is employed for predicting the μEDM process responses. The trends in the material removal rate and hardness values with the chosen electrical and non-electrical parameter for the model and obtained using AOM approach...... are compared. The average deviation between the model predictions and the results obtained using AOM plots is less than 10%. The material removal rate (MRR) decreases linearly with voltage, indicating a difference in material removal mechanism in the μEDM of non-conductive materials....

  15. Determining Ocean-Bottom Seismometer Orientations from the RHUM-RUM experiment from P-wave and Rayleigh wave polarizations

    Science.gov (United States)

    Scholz, John-Robert; Barruol, Guilhem; Fontaine, Fabrice R.; Sigloch, Karin

    2016-04-01

    sensor orientations. In this study, we analyzed particle motions of P-waves (P-pol) and of Rayleigh waves (R-pol) to quantify the orientation of each of the 57 OBS. We performed 213 polarization measurements based on 35 earthquakes for P-pol, and 381 polarization measurements based on 48 earthquakes for R-pol. This allowed us to successfully determine the North/South orientations for 40 out of 57 OBS: 13 stations were devoid of usable data and 4 stations were too noisy. From twice the standard deviation (95% confidence interval), we estimate the errors between 1° and 20°.

  16. Lateral Variations of the Mantle Transition Zone Structure beneath the Southeastern Tibetan Plateau Revealed by P-wave Receiver Functions

    Science.gov (United States)

    Bai, Y.; Ai, Y.; Jiang, M.; He, Y.; Chen, Q.

    2017-12-01

    The deep structure of the southeastern Tibetan plateau is of great scientific importance to a better understanding of the India-Eurasia collision as well as the evolution of the magnificent Tibetan plateau. In this study, we collected 566 permanent and temporary seismic stations deployed in SE Tibet, with a total of 77853 high quality P-wave receiver functions been extracted by maximum entropy deconvolution method. On the basis of the Common Conversion Point (CCP) stacking technique, we mapped the topography of the 410km and 660km discontinuities (hereinafter called the `410' and the `660'), and further investigated the lateral variation of the mantle transition zone (MTZ) thickness beneath this region. The background velocity model deduced from H-κ stacking results and a previous body-wave tomographic research was applied for the correction of the crustal and upper mantle heterogeneities beneath SE Tibet for CCP stacking. Our results reveal two significantly thickened MTZ anomalies aligned nearly in the south-north direction. The magnitude of both anomalies are 30km above the global average of 250km. The southern anomaly located beneath the Dianzhong sub-block and the Indo-China block is characterized by a slightly deeper `410' and a greater-than-normal `660', while the northern anomaly beneath western Sichuan has an uplifted `410' and a depressed `660'. Combining with previous studies in the adjacent region, we suggest that slab break-off may occurred during the eastward subduction of the Burma plate, with the lower part of the cold slab penetrated into the MTZ and stagnated at the bottom of the `660' which may cause the southern anomaly in our receiver function images. The origin of the Tengchong volcano is probably connected to the upwelling of the asthenospheric material caused by the slab break-off or to the ascending of the hot and wet material triggered by the dehydration of stagnant slab in the MTZ. The anomaly in the north, on the other hand, might be

  17. Non-sedating antihistamine drugs and cardiac arrhythmias -- biased risk estimates from spontaneous reporting systems?

    DEFF Research Database (Denmark)

    De Bruin, M L; van Puijenbroek, E P; Egberts, A C G

    2002-01-01

    of these drugs. METHODS: All suspected adverse drug reactions (ADRs) reported until July 1999 to the Netherlands Pharmacovigilance Foundation Lareb were used to calculate the ADR reporting odds ratio, defined as the ratio of exposure odds among reported arrhythmia cases, to the exposure odds of other ADRs (non......-sedating antihistamines. In general non-sedating antihistamines are associated with cardiac arrhythmia to a higher extent in comparison with other drugs (ADR reporting odds ratio 2.05 [95% CI: 1.45, 2.89]). The association between arrhythmias and non-sedating antihistamine drugs calculated before 1998...

  18. Chronic cardiac arrhythmias produced by focused cobalt-60 gamma irradiation of the canine atria

    International Nuclear Information System (INIS)

    Dick, H.L.H.; Saylor, C.B.; Reeves, M.M.; Davies, M.J.

    1979-01-01

    Cardiac arrhythmias following exposure of the human heart to ionizing radiation have been reported. Earlier experiments involving irradiation of the hearts of various animals failed to consistently produce similar arrhythmias. In the present work, cobalt-60 irradiation was focused on the interatrial septum of the hearts of 12 dogs. Ten animals developed arrhythmias: These were repetive junctional and atrial tachycardias, repetitive atrial fibrillation, and type one, second-degree atrial ventricular block. The duration varied from 1 to 52 days, with onsets varying from 48 to 146 days postirradiation

  19. Statins as anti-arrhythmics: a systematic review part II: effects on risk of ventricular arrhythmias.

    Science.gov (United States)

    Abuissa, Hussam; O'Keefe, James H; Bybee, Kevin A

    2009-10-01

    Recent studies have demonstrated that statins may possess anti-arrhythmic properties in addition to their lipid-lowering effects. Studies which reported the association of statins with the incidence of ventricular arrhythmias were identified through a systematic review of the published literature. Statins have been associated with a significant reductions in ventricular arrhythmia in cardiomyopathy patients with an implantable cardioverter defibrillator, although randomized trials have not been completed. Published data suggests that statins may possess anti-arrhythmic properties that reduce the propensity for ventricular arrhythmias. Most of this data is observational; more randomized, placebo-controlled trials are needed.

  20. Investigation on relationship between epicentral distance and growth curve of initial P-wave propagating in local heterogeneous media for earthquake early warning system

    Science.gov (United States)

    Okamoto, Kyosuke; Tsuno, Seiji

    2015-10-01

    In the earthquake early warning (EEW) system, the epicenter location and magnitude of earthquakes are estimated using the amplitude growth rate of initial P-waves. It has been empirically pointed out that the growth rate becomes smaller as epicentral distance becomes far regardless of the magnitude of earthquakes. So, the epicentral distance can be estimated from the growth rate using this empirical relationship. However, the growth rates calculated from different earthquakes at the same epicentral distance mark considerably different values from each other. Sometimes the growth rates of earthquakes having the same epicentral distance vary by 104 times. Qualitatively, it has been considered that the gap in the growth rates is due to differences in the local heterogeneities that the P-waves propagate through. In this study, we demonstrate theoretically how local heterogeneities in the subsurface disturb the relationship between the growth rate and the epicentral distance. Firstly, we calculate seismic scattered waves in a heterogeneous medium. First-ordered PP, PS, SP, and SS scatterings are considered. The correlation distance of the heterogeneities and fractional fluctuation of elastic parameters control the heterogeneous conditions for the calculation. From the synthesized waves, the growth rate of the initial P-wave is obtained. As a result, we find that a parameter (in this study, correlation distance) controlling heterogeneities plays a key role in the magnitude of the fluctuation of the growth rate. Then, we calculate the regional correlation distances in Japan that can account for the fluctuation of the growth rate of real earthquakes from 1997 to 2011 observed by K-NET and KiK-net. As a result, the spatial distribution of the correlation distance shows locality. So, it is revealed that the growth rates fluctuate according to the locality. When this local fluctuation is taken into account, the accuracy of the estimation of epicentral distances from initial P-waves

  1. The predictive value of CHADS₂ risk score in post myocardial infarction arrhythmias - a Cardiac Arrhythmias and RIsk Stratification after Myocardial infArction (CARISMA) substudy

    DEFF Research Database (Denmark)

    Ruwald, Anne-Christine Huth; Gang, Uffe; Thomsen, Poul Erik Bloch

    2014-01-01

    BACKGROUND: Previous studies have shown substantially increased risk of cardiac arrhythmias and sudden cardiac death in post-myocardial infarction (MI) patients. However it remains difficult to identify the patients who are at highest risk of arrhythmias in the post-MI setting. The purpose...... of this study was to investigate if CHADS₂ score (congestive heart failure, hypertension, age ≥75 years, diabetes and previous stroke/TCI [doubled]) can be used as a risk tool for predicting cardiac arrhythmias after MI. METHODS: The study included 297 post-MI patients from the CARISMA study with left....... Patients were stratified according to CHADS₂ score at enrollment. Congestive heart failure was defined as LVEF ≤40% and NYHA class II, III or IV. RESULTS: We found significantly increased risk of an arrhythmic event with increasing CHADS₂ score (CHADS₂ score=1-2: HR=2.1 [1.1-3.9], p=0.021, CHADS₂ score ≥ 3...

  2. BCVEGPY2.0: An upgraded version of the generator BCVEGPY with the addition of hadroproduction of the P-wave B states

    Science.gov (United States)

    Chang, Chao-Hsi; Wang, Jian-Xiong; Wu, Xing-Gang

    2006-02-01

    The generator BCVEGPY is upgraded by improving some of its features and by adding the hadroproduction of the P-wave excited B states (denoted by BcJ,L=1∗ or by hB_c and χB_c). In order to make the generator more efficient, we manipulate the amplitude as compact as possible with special effort. The correctness of the program is tested by various checks. We denote it as BCVEGPY2.0. As for the added part of the P-wave production, only the dominant gluon-gluon fusion mechanism ( gg→BcJ,L=1∗+c¯+b) is taken into account. Moreover, in the program, not only the ability to compute the contributions from the color-singlet components ( to the P-wave production but also the ability to compute the contributions from the color-octet components ( are available. With BCVEGPY2.0 the contributions from the two 'color components' to the production of each of the P-wave states may be computed separately by an option, furthermore, besides individually the event samples of the S-wave and P-wave ( cb¯)-heavy-quarkonium in various correct (realistic) mixtures can be generated by relevant options too. Program summaryTitle of program: BCVEGPY Version: 2.0 (December, 2004) Catalogue identifier: ADWQ Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADWQ Program obtained from: CPC Program Library, Queen's University of Belfast, N. Ireland Reference to original program: ADTJ (BCVEGPY1.0) Reference in CPC: Comput. Phys. Comm. 159 (2004) 192 Does the new version supersede the old program: yes Computer: Any computer with FORTRAN 77 or 90 compiler. The program has been tested on HP-SC45 Sigma-X parallel computer, Linux PCs and Windows PCs with Visual Fortran Operating systems: UNIX, Linux and Windows Programming language used: FORTRAN 77/90 Memory required to execute with typical data: About 2.0 MB No. of lines in distributed program, including test data, etc.: 124 297 No. of bytes in distributed program, including test data, etc.: 1 137 177 Distribution format: tar.g2 Nature of

  3. Analytical solution for the transient wave propagation of a buried cylindrical P-wave line source in a semi-infinite elastic medium with a fluid surface layer

    Science.gov (United States)

    Shan, Zhendong; Ling, Daosheng

    2018-02-01

    This article develops an analytical solution for the transient wave propagation of a cylindrical P-wave line source in a semi-infinite elastic solid with a fluid layer. The analytical solution is presented in a simple closed form in which each term represents a transient physical wave. The Scholte equation is derived, through which the Scholte wave velocity can be determined. The Scholte wave is the wave that propagates along the interface between the fluid and solid. To develop the analytical solution, the wave fields in the fluid and solid are defined, their analytical solutions in the Laplace domain are derived using the boundary and interface conditions, and the solutions are then decomposed into series form according to the power series expansion method. Each item of the series solution has a clear physical meaning and represents a transient wave path. Finally, by applying Cagniard's method and the convolution theorem, the analytical solutions are transformed into the time domain. Numerical examples are provided to illustrate some interesting features in the fluid layer, the interface and the semi-infinite solid. When the P-wave velocity in the fluid is higher than that in the solid, two head waves in the solid, one head wave in the fluid and a Scholte wave at the interface are observed for the cylindrical P-wave line source.

  4. Protonium spectrosopy and identification of P-wave and S-wave initial states of p-p annihilations at rest with the ASTERIX experiment at LEAR

    International Nuclear Information System (INIS)

    Gastaldi, U.; Ahmad, S.; Amsler, C.

    1984-01-01

    This chapter discusses an experiment designed to study the general features of p - p interactions at rest, to extend work done in the spectroscopy of light mesons produced in p - p annihilations at rest, and to search with high sensitivity for gluonium, qq - qq baryonium structures and NN states bound by strong interactions. The effect of using a gas target and a large acceptance X-ray detector is examined. The rate and the signature of antiprotons stopping in the gas target are investigated. Topics covered include the protonium cascade and spectroscopy; a comparison of S-wave and P-wave p - p annihilations at rest; - p stop and the formation of p - p atoms; the x-ray detector (projection chamber, electronics, tests); and examples of estimations of signal and background (protonium spectroscopy, search of resonances in P-wave annihilations, search of resonances in S-wave annihilations). The distinctive features of the ASTERIX experiment are the use of a gaseous H 2 target instead of a conventional liquid H 2 one; an X-ray detector of large overall detection efficiency, low energy threshold and low background rate that enables identification of P-wave and S-wave annihilation events from 2P and 1S levels of protonium; a detection system for the products of p - p annihilations; and a trigger system that enables filtration of the acquisition of events by means of two independent chains of processors working in parallel

  5. Calculating qP-wave traveltimes in 2-D TTI media by high-order fast sweeping methods with a numerical quartic equation solver

    Science.gov (United States)

    Han, Song; Zhang, Wei; Zhang, Jie

    2017-09-01

    A fast sweeping method (FSM) determines the first arrival traveltimes of seismic waves by sweeping the velocity model in different directions meanwhile applying a local solver. It is an efficient way to numerically solve Hamilton-Jacobi equations for traveltime calculations. In this study, we develop an improved FSM to calculate the first arrival traveltimes of quasi-P (qP) waves in 2-D tilted transversely isotropic (TTI) media. A local solver utilizes the coupled slowness surface of qP and quasi-SV (qSV) waves to form a quartic equation, and solve it numerically to obtain possible traveltimes of qP-wave. The proposed quartic solver utilizes Fermat's principle to limit the range of the possible solution, then uses the bisection procedure to efficiently determine the real roots. With causality enforced during sweepings, our FSM converges fast in a few iterations, and the exact number depending on the complexity of the velocity model. To improve the accuracy, we employ high-order finite difference schemes and derive the second-order formulae. There is no weak anisotropy assumption, and no approximation is made to the complex slowness surface of qP-wave. In comparison to the traveltimes calculated by a horizontal slowness shooting method, the validity and accuracy of our FSM is demonstrated.

  6. Real-Time Analytics for the Healthcare Industry: Arrhythmia Detection.

    Science.gov (United States)

    Agneeswaran, Vijay Srinivas; Mukherjee, Joydeb; Gupta, Ashutosh; Tonpay, Pranay; Tiwari, Jayati; Agarwal, Nitin

    2013-09-01

    It is time for the healthcare industry to move from the era of "analyzing our health history" to the age of "managing the future of our health." In this article, we illustrate the importance of real-time analytics across the healthcare industry by providing a generic mechanism to reengineer traditional analytics expressed in the R programming language into Storm-based real-time analytics code. This is a powerful abstraction, since most data scientists use R to write the analytics and are not clear on how to make the data work in real-time and on high-velocity data. Our paper focuses on the applications necessary to a healthcare analytics scenario, specifically focusing on the importance of electrocardiogram (ECG) monitoring. A physician can use our framework to compare ECG reports by categorization and consequently detect Arrhythmia. The framework can read the ECG signals and uses a machine learning-based categorizer that runs within a Storm environment to compare different ECG signals. The paper also presents some performance studies of the framework to illustrate the throughput and accuracy trade-off in real-time analytics.

  7. Respiratory sinus arrhythmia as a measure of cognitive workload.

    Science.gov (United States)

    Muth, Eric R; Moss, Jason D; Rosopa, Patrick J; Salley, James N; Walker, Alexander D

    2012-01-01

    The current standard for measuring cognitive workload is the NASA Task-load Index (TLX) questionnaire. Although this measure has a high degree of reliability, diagnosticity, and sensitivity, a reliable physiological measure of cognitive workload could provide a non-invasive, objective measure of workload that could be tracked in real or near real-time without interrupting the task. This study investigated changes in respiratory sinus arrhythmia (RSA) during seven different sub-sections of a proposed selection test for Navy aviation and compared them to changes reported on the NASA-TLX. 201 healthy participants performed the seven tasks of the Navy's Performance Based Measure. RSA was measured during each task and the NASA-TLX was administered after each task. Multi-level modeling revealed that RSA significantly predicted NASA-TLX scores. A moderate within-subject correlation was also found between RSA and NASA TLX scores. The findings support the potential development of RSA as a real-time measure of cognitive workload. Copyright © 2011. Published by Elsevier B.V.

  8. Automated respiratory sinus arrhythmia measurement: Demonstration using executive function assessment.

    Science.gov (United States)

    Hegarty-Craver, Meghan; Gilchrist, Kristin H; Propper, Cathi B; Lewis, Gregory F; DeFilipp, Samuel J; Coffman, Jennifer L; Willoughby, Michael T

    2017-08-08

    Respiratory sinus arrhythmia (RSA) is a quantitative metric that reflects autonomic nervous system regulation and provides a physiological marker of attentional engagement that supports cognitive and affective regulatory processes. RSA can be added to executive function (EF) assessments with minimal participant burden because of the commercial availability of lightweight, wearable electrocardiogram (ECG) sensors. However, the inclusion of RSA data in large data collection efforts has been hindered by the time-intensive processing of RSA. In this study we evaluated the performance of an automated RSA-scoring method in the context of an EF study in preschool-aged children. The absolute differences in RSA across both scoring methods were small (mean RSA differences = -0.02-0.10), with little to no evidence of bias for the automated relative to the hand-scoring approach. Moreover, the relative rank-ordering of RSA across both scoring methods was strong (rs = .96-.99). Reliable changes in RSA from baseline to the EF task were highly similar across both scoring methods (96%-100% absolute agreement; Kappa = .83-1.0). On the basis of these findings, the automated RSA algorithm appears to be a suitable substitute for hand-scoring in the context of EF assessment.

  9. Non-conductive nanomaterial enhanced electrochemical response in stripping voltammetry: The use of nanostructured magnesium silicate hollow spheres for heavy metal ions detection.

    Science.gov (United States)

    Xu, Ren-Xia; Yu, Xin-Yao; Gao, Chao; Jiang, Yu-Jing; Han, Dong-Dong; Liu, Jin-Huai; Huang, Xing-Jiu

    2013-08-06

    Nanostructured magnesium silicate hollow spheres, one kind of non-conductive nanomaterials, were used in heavy metal ions (HMIs) detection with enhanced performance for the first time. The detailed study of the enhancing electrochemical response in stripping voltammetry for simultaneous detection of ultratrace Cd(2+), Pb(2+), Cu(2+) and Hg(2+) was described. Electrochemical properties of modified electrodes were characterized by cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS). The operational parameters which have influence on the deposition and stripping of metal ions, such as supporting electrolytes, pH value, and deposition time were carefully studied. The anodic stripping voltammetric performance toward HMIs was evaluated using square wave anodic stripping voltammetry (SWASV) analysis. The detection limits achieved (0.186nM, 0.247nM, 0.169nM and 0.375nM for Cd(2+), Pb(2+), Cu(2+) and Hg(2+)) are much lower than the guideline values in drinking water given by the World Health Organization (WHO). In addition, the interference and stability of the modified electrode were also investigated under the optimized conditions. An interesting phenomenon of mutual interference between different metal ions was observed. Most importantly, the sensitivity of Pb(2+) increased in the presence of certain concentrations of other metal ions, such as Cd(2+), Cu(2+) and Hg(2+) both individually and simultaneously. The proposed electrochemical sensing method is thus expected to open new opportunities to broaden the use of SWASV in analysis for detecting HMIs in the environment. Copyright © 2013 Elsevier B.V. All rights reserved.

  10. Annealing-free and strongly adhesive silver nanowire networks with long-term reliability by introduction of a nonconductive and biocompatible polymer binder

    Science.gov (United States)

    Jin, Yunxia; Deng, Dunying; Cheng, Yuanrong; Kong, Lingqiang; Xiao, Fei

    2014-04-01

    As a promising candidate to replace the brittle and expensive transparent indium tin oxide (ITO) conductor, the use of silver nanowire (AgNW) networks still involves issues such as high-temperature post-treatments and poor substrate adhesion for industrial application. Here a room-temperature soldering and one-step solution method is developed to achieve high-performance Ag nanowire transparent conductive films (TCFs). A nonconductive binder is prepared from poly(dopamine) and alginic acid which contains abundant catechol and carboxylic acid functional groups. The drying of the binder on the Ag nanowire percolation networks induces tighter contact among the nanowires and strong adhesion to the substrate, simultaneously enhancing the electrical and mechanical properties without a high-temperature annealing process. As a result, a highly conductive and bendable AgNW film is demonstrated on a low-cost polyethylene glycol terephthalate (PET) substrate, showing an 89% optical transmittance at λ = 550 nm and a sheet resistance of 16.3 Ohm sq-1. Its optical and electrical performances are superior to those obtained from the reported indium tin oxide (ITO) films. Moreover, the AgNW film exhibits strong adhesion to the substrate, maintaining its conductivity after 100 tape tests, and it still resists the tape test even after exposure to solvent for several hours. Most importantly, the film shows good reliability during long-term 85 °C/85% RH (relative humidity) aging, which has been rarely investigated although it is a critical requirement for industrial application. The advanced and wide-ranging features of the prepared AgNW film greatly contribute to its use as a transparent electrode in multifunctional flexible electronic devices.

  11. Flecainide Therapy Reduces Exercise-Induced Ventricular Arrhythmias in Patients With Catecholaminergic Polymorphic Ventricular Tachycardia

    NARCIS (Netherlands)

    van der Werf, Christian; Kannankeril, Prince J.; Sacher, Frederic; Krahn, Andrew D.; Viskin, Sami; Leenhardt, Antoine; Shimizu, Wataru; Sumitomo, Naokata; Fish, Frank A.; Bhuiyan, Zahurul A.; Willems, Albert R.; van der Veen, Maurits J.; Watanabe, Hiroshi; Laborderie, Julien; Haïssaguerre, Michel; Knollmann, Björn C.; Wilde, Arthur A. M.

    2011-01-01

    Objectives This study evaluated the efficacy and safety of flecainide in addition to conventional drug therapy in patients with catecholaminergic polymorphic ventricular tachycardia (CPVT). Background CPVT is an inherited arrhythmia syndrome caused by gene mutations that destabilize cardiac

  12. Non-sedating antihistamine drugs and cardiac arrhythmias -- biased risk estimates from spontaneous reporting systems?

    DEFF Research Database (Denmark)

    De Bruin, M L; van Puijenbroek, E P; Egberts, A C G

    2002-01-01

    AIMS: This study used spontaneous reports of adverse events to estimate the risk for developing cardiac arrhythmias due to the systemic use of non-sedating antihistamine drugs and compared the risk estimate before and after the regulatory action to recall the over-the-counter status of some...... of these drugs. METHODS: All suspected adverse drug reactions (ADRs) reported until July 1999 to the Netherlands Pharmacovigilance Foundation Lareb were used to calculate the ADR reporting odds ratio, defined as the ratio of exposure odds among reported arrhythmia cases, to the exposure odds of other ADRs (non......-sedating antihistamines. In general non-sedating antihistamines are associated with cardiac arrhythmia to a higher extent in comparison with other drugs (ADR reporting odds ratio 2.05 [95% CI: 1.45, 2.89]). The association between arrhythmias and non-sedating antihistamine drugs calculated before 1998...

  13. Dipyridamole-thallium tests are predictive of severe cardiac arrhythmias in patients with left ventricular hypertrophy

    International Nuclear Information System (INIS)

    Saragoca, M.A.; Canziani, M.E.; Gil, M.A.; Castiglioni, M.L.; Cassiolato, J.L.; Barbieri, A.; Lima, V.C.; Draibe, S.A.; Martinez, E.E.

    1991-01-01

    In a population of patients with chronic renal failure (CRF) and a high prevalence of left ventricular hypertrophy (LVH) undergoing chronic hemodialysis, the authors investigated the association between the results of dipyridamole-thallium tests (DTTs) and the occurrence of ventricular arrhythmias. They observed a positive significant association between positive DTTs and the occurrence of severe forms of ventricular arrhythmias. A significant association was also observed between the presence of severe LVH and the occurrence of severe ventricular arrhythmias. However, no association was found between the presence of LVH and the positivity of the DTT. As most of their patients with positive DTTs had unimpaired coronary circulations, they conclude that positive DTTs, although falsely indicative of impaired myocardial blood supply, does have an important clinical relevance, indicating increased risk of morbidity (and, possibly, mortality) due to ventricular arrhythmias in a population of CRF patients submitted to chronic renal function replacement program

  14. Interactions between pacing and arrhythmia detection algorithms in the dual chamber implantable cardioverter defibrillator.

    Science.gov (United States)

    Dijkman, B; Wellens, H J

    2001-09-01

    Dual chamber implantable cardioverter defibrillator (ICD) combines the possibility to detect and treat ventricular and atrial arrhythmias with the possibility of modern heart stimulation techniques. Advanced pacing algorithms together with extended arrhythmia detection capabilities can give rise to new types of device-device interactions. Some of the possible interactions are illustrated by four cases documented in four models of dual chamber ICDs. Functioning of new features in dual chamber devices is influenced by the fact that the pacemaker is not a separate device but a part of the ICD system and that both are being used in a patient with arrhythmia. Programming measures are suggested to optimize use of new pacing algorithms while maintaining correct arrhythmia detection.

  15. Family and population strategies for screening and counselling of inherited cardiac arrhythmias

    NARCIS (Netherlands)

    Van Langen, I.M.; Hofman, N.; Tan, H.L.; Wilde, A.A.M.

    2004-01-01

    Family screening in inherited cardiac arrhythmias has been performed in The Netherlands since 1996, when diagnostic DNA testing in long QT syndrome (LOTS) and hypertrophic cardiomyopathy (HCM) became technically possible. In multidisciplinary outpatient academic clinics, an adjusted protocol for

  16. Three-dimensional P-wave velocity structure derived from local earthquakes at the Katmai group of volcanoes, Alaska

    Science.gov (United States)

    Jolly, A.D.; Moran, S.C.; McNutt, S.R.; Stone, D.B.

    2007-01-01

    The three-dimensional P-wave velocity structure beneath the Katmai group of volcanoes is determined by inversion of more than 10,000 rays from over 1000 earthquakes recorded on a local 18 station short-period network between September 1996 and May 2001. The inversion is well constrained from sea level to about 6??km below sea level and encompasses all of the Katmai volcanoes; Martin, Mageik, Trident, Griggs, Novarupta, Snowy, and Katmai caldera. The inversion reduced the average RMS travel-time error from 0.22??s for locations from the standard one-dimensional model to 0.13??s for the best three-dimensional model. The final model, from the 6th inversion step, reveals a prominent low velocity zone (3.6-5.0??km/s) centered at Katmai Pass and extending from Mageik to Trident volcanoes. The anomaly has values about 20-25% slower than velocities outboard of the region (5.0-6.5??km/s). Moderately low velocities (4.5-6.0??km/s) are observed along the volcanic axis between Martin and Katmai Caldera. Griggs volcano, located about 10??km behind (northwest of) the volcanic axis, has unremarkable velocities (5.0-5.7??km/s) compared to non-volcanic regions. The highest velocities are observed between Snowy and Griggs volcanoes (5.5-6.5??km/s). Relocated hypocenters for the best 3-D model are shifted significantly relative to the standard model with clusters of seismicity at Martin volcano shifting systematically deeper by about 1??km to depths of 0 to 4??km below sea level. Hypocenters for the Katmai Caldera are more tightly clustered, relocating beneath the 1912 scarp walls. The relocated hypocenters allow us to compare spatial frequency-size distributions (b-values) using one-dimensional and three-dimensional models. We find that the distribution of b is significantly changed for Martin volcano, which was characterized by variable values (0.8 < b < 2.0) with standard locations and more uniform values (0.8 < b < 1.2) after relocation. Other seismic clusters at Mageik (1.2 < b

  17. Multi-arrhythmias detection with an XML rule-based system from 12-Lead Electrocardiogram.

    Science.gov (United States)

    Khelassi, Abdeldjalil; Yelles-Chaouche, Sarra-Nassira; Benais, Faiza

    2017-05-01

    The computer-aided detection of cardiac arrhythmias stills a crucial application in medical technologies. The rule based systems RBS ensure a high level of transparency and interpretability of the obtained results. To facilitate the diagnosis of the cardiologists and to reduce the uncertainty made in this diagnosis. In this research article, we have realized a classification and automatic recognition of cardiac arrhythmias, by using XML rules that represent the cardiologist knowledge. Thirteen experiments with different knowledge bases were realized for improving the performance of the used method in the detection of 13 cardiac arrhythmias. In the first 12 experiments, we have designed a specialized knowledge base for each cardiac arrhythmia, which contains just one arrhythmia detection rule. In the last experiment, we applied the knowledge base which contains rules of 12 arrhythmias. We used, for the experiments, an international data set with 279 features and 452 records characterizing 12 leads of ECG signal and social information of patients. The data sets were constructed and published at Bilkent University of Ankara, Turkey. In addition, the second version of the self-developed software "XMLRULE" was used; the software can infer more than one class and facilitate the interpretability of the obtained results. The 12 first experiments give 82.80% of correct detection as the mean of all experiments, the results were between 19% and 100% with a low rate in just one experiment. The last experiment in which all arrhythmias are considered, the results of correct detection was 38.33% with 90.55% of sensibility and 46.24% of specificity. It was clearly show that in these results the good choice of the classification model is very beneficial in terms of performance. The obtained results were better than the published results with other computational methods for the mono class detection, but it was less in multi-class detection. The RBS is the most transparent method for

  18. Features of conngestive heart failure development in patients with post infarct cardiosclerosis concomitant with arrhythmias

    International Nuclear Information System (INIS)

    Zharov, E.I.; Martynov, A.I.; Vertkin, A.L.; Sergeeva, L.I.; Sedov, V.P.

    1989-01-01

    Two hundred and seventy seven patients with coronary heart disease, includng 182 with postinfarction cardiosclerosis undewent 24-hour Holter monitoring. A significant correlation was found between the number of coupled ventricular arrhythmias, ventricular tachycardia paroxysms and developmet of congestive heart failure in patients with postinfarct cardiosclerosis. With evolving metabolic deficiency as evidenced by thallium-201 myocardial scintigraphy, the incidence of congestive heart failure and ventricular arrhythmias increased among the patients

  19. The Role of Biologically Active Ingredients from Natural Drug Treatments for Arrhythmias in Different Mechanisms

    OpenAIRE

    Li, Jie; Hu, Dan; Song, Xiaoli; Han, Tao; Gao, Yonghong; Xing, Yanwei

    2017-01-01

    Arrhythmia is a disease that is caused by abnormal electrical activity in the heart rate or rhythm. It is the major cause of cardiovascular morbidity and mortality. Although several antiarrhythmic drugs have been used in clinic for decades, their application is often limited by their adverse effects. As a result, natural drugs, which have fewer side effects, are now being used to treat arrhythmias. We searched for all articles on the role of biologically active ingredients from natural drug t...

  20. Inhibition of Rac1 reduces store overload-induced calcium release and protects against ventricular arrhythmia.

    Science.gov (United States)

    Zhang, Lili; Lu, Xiangru; Gui, Le; Wu, Yan; Sims, Stephen M; Wang, Guoping; Feng, Qingping

    2016-08-01

    Rac1 is a small GTPase and plays key roles in multiple cellular processes including the production of reactive oxygen species (ROS). However, whether Rac1 activation during myocardial ischaemia and reperfusion (I/R) contributes to arrhythmogenesis is not fully understood. We aimed to study the effects of Rac1 inhibition on store overload-induced Ca(2+) release (SOICR) and ventricular arrhythmia during myocardial I/R. Adult Rac1(f/f) and cardiac-specific Rac1 knockdown (Rac1(ckd) ) mice were subjected to myocardial I/R and their electrocardiograms (ECGs) were monitored for ventricular arrhythmia. Myocardial Rac1 activity was increased and ventricular arrhythmia was induced during I/R in Rac1(f/f) mice. Remarkably, I/R-induced ventricular arrhythmia was significantly decreased in Rac1(ckd) compared to Rac1(f/f) mice. Furthermore, treatment with Rac1 inhibitor NSC23766 decreased I/R-induced ventricular arrhythmia. Ca(2+) imaging analysis showed that in response to a 6 mM external Ca(2+) concentration challenge, SOICR was induced with characteristic spontaneous intracellular Ca(2+) waves in Rac1(f/f) cardiomyocytes. Notably, SOICR was diminished by pharmacological and genetic inhibition of Rac1 in adult cardiomyocytes. Moreover, I/R-induced ROS production and ryanodine receptor 2 (RyR2) oxidation were significantly inhibited in the myocardium of Rac1(ckd) mice. We conclude that Rac1 activation induces ventricular arrhythmia during myocardial I/R. Inhibition of Rac1 suppresses SOICR and protects against ventricular arrhythmia. Blockade of Rac1 activation may represent a new paradigm for the treatment of cardiac arrhythmia in ischaemic heart disease. © 2016 The Authors. Journal of Cellular and Molecular Medicine published by John Wiley & Sons Ltd and Foundation for Cellular and Molecular Medicine.

  1. Effect of different doses of oxytocin on cardiac electrophysiology and arrhythmias induced by ischemia.

    Science.gov (United States)

    Houshmand, Fariba; Faghihi, Mahdieh; Imani, Alireza; Kheiri, Soleiman

    2017-01-01

    The onset of acute myocardial ischemia (MI) is accompanied by a rapid increase in electrical instability and often fatal ventricular arrhythmias. This study investigated that whether oxytocin (OT) can modulate ischemia-induced arrhythmias and considered relationships between the severity of arrhythmia and the electrocardiogram parameters during ischemia. OT (0.0001-1 μg) was administrated intraperitoneally 30 min before ischemia. To examine receptor involved, a selective OT-receptor antagonist, atosiban (ATO), was infused 10 min before OT. OT caused a significant and biphasic dose-dependent reduction in ectopic heart activity and arrhythmia score. OT doses that reduced ventricular arrhythmia elicited significant increase in QT interval. OT attenuated the electrophysiological changes associated with MI and there was significant direct relationship between QRS duration and arrhythmia score. ATO treatment reduced beneficial effects of OT on arrhythmogenesis. Nevertheless, ATO failed to alter OT effects on premature ventricular contractions. We assume that the ability of OT to modulate the electrical activity of the heart may play an important role in the antiarrhythmic actions of OT.

  2. Effect of different doses of oxytocin on cardiac electrophysiology and arrhythmias induced by ischemia

    Directory of Open Access Journals (Sweden)

    Fariba Houshmand

    2017-01-01

    Full Text Available The onset of acute myocardial ischemia (MI is accompanied by a rapid increase in electrical instability and often fatal ventricular arrhythmias. This study investigated that whether oxytocin (OT can modulate ischemia-induced arrhythmias and considered relationships between the severity of arrhythmia and the electrocardiogram parameters during ischemia. OT (0.0001–1 μg was administrated intraperitoneally 30 min before ischemia. To examine receptor involved, a selective OT-receptor antagonist, atosiban (ATO, was infused 10 min before OT. OT caused a significant and biphasic dose-dependent reduction in ectopic heart activity and arrhythmia score. OT doses that reduced ventricular arrhythmia elicited significant increase in QT interval. OT attenuated the electrophysiological changes associated with MI and there was significant direct relationship between QRS duration and arrhythmia score. ATO treatment reduced beneficial effects of OT on arrhythmogenesis. Nevertheless, ATO failed to alter OT effects on premature ventricular contractions. We assume that the ability of OT to modulate the electrical activity of the heart may play an important role in the antiarrhythmic actions of OT.

  3. Magnesium sulphate and amiodarone prophylaxis for prevention of postoperative arrhythmia in coronary by-pass operations

    Directory of Open Access Journals (Sweden)

    Huysal Kagan

    2009-02-01

    Full Text Available Abstract Background The aim of this study was to investigate the use of prophylactic magnesium sulphate and amiodarone in treating arrhythmias that may occur following coronary bypass grafting operations. Methods The study population consisted of 192 consecutive patients who were undergoing coronary artery bypass grafting (CABG. Sixty-four patients were given 3 g of magnesium sulphate (MgSO4 [20 ml = 24.32 mEq/L Mg+2] in 100 cc of isotonic 0.9% solution over 2 hours intravenously at the following times: 12 hours prior to the operation, immediately following the operation, and on postoperative days 1, 2, and 3 (Group 1. Another group of 64 patients was given a preoperative infusion of amiodarone (1200 mg on first post-operative day (Group 2. After the operation amiodarone was administered orally at a dose of 600 mg/day. Sixty-four patients in group 3 (control group had 100 cc. isotonic 0.9% as placebo, during the same time periods. Results In the postoperative period, the magnesium values were significantly higher in Group 1 than in Group 2 for all measurements. The use of amiodarone for total arrhythmia was significantly more effective than prophylactic treatment with magnesium sulphate (p = 0.015. There was no difference between the two drugs in preventing supraventricular arrhythmia, although amiodarone significantly delayed the revealing time of atrial fibrillation (p = 0.026. Ventricular arrhythmia, in the form of ventricular extra systole, was more common in the magnesium prophylaxis group. The two groups showed no significant differences in other operative or postoperative measurements. No side effects of the drugs were observed. Conclusion Prophylactic use of magnesium sulphate and amiodarone are both effective at preventing arrhythmia that may occur following coronary by-pass operations. Magnesium sulphate should be used in prophylactic treatment since it may decrease arrhythmia at low doses. If arrhythmia should occur despite this

  4. Application of P-wave Hybrid Theory to the Scattering of Electrons from He+ and Resonances in He and H ion

    Science.gov (United States)

    Bhatia, A. K.

    2012-01-01

    The P-wave hybrid theory of electron-hydrogen elastic scattering [Phys. Rev. A 85, 052708 (2012)] is applied to the P-wave scattering from He ion. In this method, both short-range and long-range correlations are included in the Schroedinger equation at the same time, by using a combination of a modified method of polarized orbitals and the optical potential formalism. The short-correlation functions are of Hylleraas type. It is found that the phase shifts are not significantly affected by the modification of the target function by a method similar to the method of polarized orbitals and they are close to the phase shifts calculated earlier by Bhatia [Phys. Rev. A 69, 032714 (2004)]. This indicates that the correlation function is general enough to include the target distortion (polarization) in the presence of the incident electron. The important fact is that in the present calculation, to obtain similar results only a 20-term correlation function is needed in the wave function compared to the 220- term wave function required in the above-mentioned calculation. Results for the phase shifts, obtained in the present hybrid formalism, are rigorous lower bounds to the exact phase shifts. The lowest P-wave resonances in He atom and hydrogen ion have been calculated and compared with the results obtained using the Feshbach projection operator formalism [Phys. Rev. A, 11, 2018 (1975)]. It is concluded that accurate resonance parameters can be obtained by the present method, which has the advantage of including corrections due to neighboring resonances, bound states and the continuum in which these resonance are embedded.

  5. On interaction of P-waves with one-dimensional photonic crystal consisting of weak conducting matter and transparent dielectric layers

    Science.gov (United States)

    Yushkanov, A. A.; Zverev, N. V.

    2018-03-01

    An influence of quantum and spatial dispersion properties of the non-degenerate electron plasma on the interaction of electromagnetic P-waves with one-dimensional photonic crystal consisting of conductor with low carrier electron density and transparent dielectric matter, is studied numerically. It is shown that at the frequencies of order of the plasma frequency and at small widths of the conducting and dielectric layers of the photonic crystal, optical coefficients in the quantum non-degenerate plasma approach differ from the coefficients in the classical electron gas approach. And also, at these frequencies one observes a temperature dependence of the optical coefficients.

  6. Use of bipolar radiofrequency catheter ablation in treatment of cardiac arrhythmias.

    Science.gov (United States)

    Soucek, Filip; Starek, Zdenek

    2018-05-23

    Background Arrhythmia management is a complex process involving both pharmacological and non-pharmacological approaches. Radiofrequency ablation is the pillar of non-pharmacological arrhythmia treatment. Unipolar ablation is considered to be the gold standard in the treatment of the majority of arrhythmias; however, its efficacy is limited to specific cases. In particular, the creation of deep or transmural lesions to eliminate intramurally originating arrhythmias remains inadequate. Bipolar ablation is proposed as an alternative to overcome unipolar ablation boundaries. Results Despite promising results gained from in vitro and animal studies showing that bipolar ablation is superior in creating transmural lesions, the use of bipolar ablation in daily clinical practice is limited. Several studies have been published showing that bipolar ablation is effective in the treatment of clinical arrhythmias after failed unipolar ablation, however there is inconsistency regarding safety of bipolar ablation within the available research papers. According to research evidence the most common indications for bipolar ablation use are ventricular originating rhythmic disorders in patients with structural heart disease resistant to standard radiofrequency ablation. Conclusions To allow wider clinical application the efficiency and safety of bipolar ablation need to be verified in future studies. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  7. [Catheter ablation in patients with refractory cardiac arrhythmias with radiofrequency techniques].

    Science.gov (United States)

    de Paola, A A; Balbão, C E; Silva Netto, O; Mendonça, A; Villacorta, H; Vattimo, A C; Souza, I A; Guiguer Júnior, N; Portugal, O P; Martinez Filho, E E

    1993-02-01

    evaluate the efficacy of radiofrequency catheter ablation in patients with refractory cardiac arrhythmias. twenty patients with refractory cardiac arrhythmias were undertaken to electrophysiologic studies for diagnosis and radiofrequency catheter ablation of their reentrant arrhythmias. Ten patients were men and 10 women with ages varying from 13 to 76 years (mean = 42.4 years). Nineteen patients had supraventricular tachyarrhythmias: One patient had atrial tachycardia and 1 atrial fibrillation with rapid ventricular rate, 5 patients had reentrant nodal tachycardia, 12 patients had reentrant atrioventricular tachycardia and 1 patient had right ventricular outflow tract tachycardia. the mean time of the procedure was 4.1 hours. The radiofrequency current energy applied was 40-50 V for 30-40 seconds. Ablation was successful in 18/20 (90%) patients; in 15/18 (83%) of successfully treated patients the same study was done for diagnosis and radiofrequency ablation. One patient had femoral arterial occlusion and was treated with no significant sequelae. During a mean follow-up of 4 months no preexcitation or reentrant tachycardia occurred. the results of our experience with radiofrequency catheter ablation of cardiac arrhythmias suggest that this technique can benefit an important number of patients with cardiac arrhythmias.

  8. Quantitative Assessment of Arrhythmia Using Non-linear Approach: A Non-invasive Prognostic Tool

    Science.gov (United States)

    Chakraborty, Monisha; Ghosh, Dipak

    2018-04-01

    Accurate prognostic tool to identify severity of Arrhythmia is yet to be investigated, owing to the complexity of the ECG signal. In this paper, we have shown that quantitative assessment of Arrhythmia is possible using non-linear technique based on "Hurst Rescaled Range Analysis". Although the concept of applying "non-linearity" for studying various cardiac dysfunctions is not entirely new, the novel objective of this paper is to identify the severity of the disease, monitoring of different medicine and their dose, and also to assess the efficiency of different medicine. The approach presented in this work is simple which in turn will help doctors in efficient disease management. In this work, Arrhythmia ECG time series are collected from MIT-BIH database. Normal ECG time series are acquired using POLYPARA system. Both time series are analyzed in thelight of non-linear approach following the method "Rescaled Range Analysis". The quantitative parameter, "Fractal Dimension" (D) is obtained from both types of time series. The major finding is that Arrhythmia ECG poses lower values of D as compared to normal. Further, this information can be used to access the severity of Arrhythmia quantitatively, which is a new direction of prognosis as well as adequate software may be developed for the use of medical practice.

  9. Metabolic Syndrome Remodels Electrical Activity of the Sinoatrial Node and Produces Arrhythmias in Rats

    Science.gov (United States)

    Albarado-Ibañez, Alondra; Avelino-Cruz, José Everardo; Velasco, Myrian; Torres-Jácome, Julián; Hiriart, Marcia

    2013-01-01

    In the last ten years, the incidences of metabolic syndrome and supraventricular arrhythmias have greatly increased. The metabolic syndrome is a cluster of alterations, which include obesity, hypertension, hypertriglyceridemia, glucose intolerance and insulin resistance, that increase the risk of developing, among others, atrial and nodal arrhythmias. The aim of this study is to demonstrate that metabolic syndrome induces electrical remodeling of the sinus node and produces arrhythmias. We induced metabolic syndrome in 2-month-old male Wistar rats by administering 20% sucrose in the drinking water. Eight weeks later, the rats were anesthetized and the electrocardiogram was recorded, revealing the presence of arrhythmias only in treated rats. Using conventional microelectrode and voltage clamp techniques, we analyzed the electrical activity of the sinoatrial node. We observed that in the sinoatrial node of “metabolic syndrome rats”, compared to controls, the spontaneous firing of all cells decreased, while the slope of the diastolic depolarization increased only in latent pacemaker cells. Accordingly, the pacemaker currents If and Ist increased. Furthermore, histological analysis showed a large amount of fat surrounding nodal cardiomyocytes and a rise in the sympathetic innervation. Finally, Poincaré plot denoted irregularity in the R-R and P-P ECG intervals, in agreement with the variability of nodal firing potential recorded in metabolic syndrome rats. We conclude that metabolic syndrome produces a dysfunction SA node by disrupting normal architecture and the electrical activity, which could explain the onset of arrhythmias in rats. PMID:24250786

  10. Protective effects of isorhynchophylline on cardiac arrhythmias in rats and guinea pigs.

    Science.gov (United States)

    Gan, Runtao; Dong, Guo; Yu, Jiangbo; Wang, Xu; Fu, Songbin; Yang, Shusen

    2011-09-01

    As one important constituent extracted from a traditional Chinese medicine, Uncaria Rhynchophylla Miq Jacks, isorhynchophylline has been used to treat hypertension, epilepsy, headache, and other illnesses. Whether isorhynchophylline protects hearts against cardiac arrhythmias is still incompletely investigated. This study was therefore aimed to examine the preventive effects of isorhynchophylline on heart arrhythmias in guinea pigs and rats and then explore their electrophysiological mechanisms. In vivo, ouabain and calcium chloride were used to establish experimental arrhythmic models in guinea pigs and rats. In vitro, the whole-cell patch-lamp technique was used to study the effect of isorhynchophylline on action potential duration and calcium channels in acutely isolated guinea pig and rat cardiomyocytes. The dose of ouabain required to induce cardiac arrhythmias was much larger in guinea pigs administered with isorhynchophylline. Additionally, the onset time of cardiac arrhythmias induced by calcium chloride was prolonged, and the duration was shortened in rats pretreated with isorhynchophylline. The further study showed that isorhynchophylline could significantly decrease action potential duration and inhibit calcium currents in isolated guinea pig and rat cardiomyocytes in a dose-dependent manner. In summary, isorhynchophylline played a remarkably preventive role in cardiac arrhythmias through the inhibition of calcium currents in rats and guinea pigs. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Elastic I=3 /2 p -wave nucleon-pion scattering amplitude and the Δ (1232) resonance from Nf=2+1 lattice QCD

    DEFF Research Database (Denmark)

    Andersen, Christian Walther; Bulava, John; Hörz, Ben

    2018-01-01

    We present the first direct determination of meson-baryon resonance parameters from a scattering amplitude calculated using lattice QCD. In particular, we calculate the elastic I=3/2, p-wave nucleon-pion amplitude on a single ensemble of Nf=2+1 Wilson-clover fermions with mπ=280 MeV and mK=460 Me......V. At these quark masses, the Δ(1232) resonance pole is found close to the N-π threshold and a Breit-Wigner fit to the amplitude gives gΔNπBW=19.0(4.7) in agreement with phenomenological determinations.......We present the first direct determination of meson-baryon resonance parameters from a scattering amplitude calculated using lattice QCD. In particular, we calculate the elastic I=3/2, p-wave nucleon-pion amplitude on a single ensemble of Nf=2+1 Wilson-clover fermions with mπ=280 MeV and mK=460 Me...

  12. Automatic identification of fault zone head waves and direct P waves and its application in the Parkfield section of the San Andreas Fault, California

    Science.gov (United States)

    Li, Zefeng; Peng, Zhigang

    2016-06-01

    Fault zone head waves (FZHWs) are observed along major strike-slip faults and can provide high-resolution imaging of fault interface properties at seismogenic depth. In this paper, we present a new method to automatically detect FZHWs and pick direct P waves secondary arrivals (DWSAs). The algorithm identifies FZHWs by computing the amplitude ratios between the potential FZHWs and DSWAs. The polarities, polarizations and characteristic periods of FZHWs and DSWAs are then used to refine the picks or evaluate the pick quality. We apply the method to the Parkfield section of the San Andreas Fault where FZHWs have been identified before by manual picks. We compare results from automatically and manually picked arrivals and find general agreement between them. The obtained velocity contrast at Parkfield is generally 5-10 per cent near Middle Mountain while it decreases below 5 per cent near Gold Hill. We also find many FZHWs recorded by the stations within 1 km of the background seismicity (i.e. the Southwest Fracture Zone) that have not been reported before. These FZHWs could be generated within a relatively wide low velocity zone sandwiched between the fast Salinian block on the southwest side and the slow Franciscan Mélange on the northeast side. Station FROB on the southwest (fast) side also recorded a small portion of weak precursory signals before sharp P waves. However, the polarities of weak signals are consistent with the right-lateral strike-slip mechanisms, suggesting that they are unlikely genuine FZHW signals.

  13. Boson-triboson Scattering with Yamaguchi potential. 2. Inclusion of additional p-wave component for the 3+1-subamplitude

    International Nuclear Information System (INIS)

    Matsui, Yoshiko

    1999-01-01

    In order to investigate the p-wave contribution from the 3+1-subamplitude in the S-wave phase shift for boson-triboson elastic scattering when the Yamaguchi potential for the two-body interaction is assumed, the Faddeev-Osborn equation for a system of four identical bosons in solved numerically by extending the previous calculation to include the p-wave component for the 3+1-subamplitude. The results obtained closely resemble the previous results. The calculated phase shift generally has the standard behavior of the two-body phase shift for a loosely bound state and has further characteristic behavior represented by a valley witha peak as fine structure. The phase shift obtained in the present calculation has a higher peak and a deeper valley than the previous one, while the positions of the peak and the valley in the two sets of results agree precisely. Thus the calculated resonance energies are the same as those obtained in the previous result. (author)

  14. Ubiquitous health monitoring and real-time cardiac arrhythmias detection: a case study.

    Science.gov (United States)

    Li, Jian; Zhou, Haiying; Zuo, Decheng; Hou, Kun-Mean; De Vaulx, Christophe

    2014-01-01

    As the symptoms and signs of heart diseases that cause sudden cardiac death, cardiac arrhythmia has attracted great attention. Due to limitations in time and space, traditional approaches to cardiac arrhythmias detection fail to provide a real-time continuous monitoring and testing service applicable in different environmental conditions. Integrated with the latest technologies in ECG (electrocardiograph) analysis and medical care, the pervasive computing technology makes possible the ubiquitous cardiac care services, and thus brings about new technical challenges, especially in the formation of cardiac care architecture and realization of the real-time automatic ECG detection algorithm dedicated to care devices. In this paper, a ubiquitous cardiac care prototype system is presented with its architecture framework well elaborated. This prototype system has been tested and evaluated in all the clinical-/home-/outdoor-care modes with a satisfactory performance in providing real-time continuous cardiac arrhythmias monitoring service unlimitedly adaptable in time and space.

  15. Double hazards of ischemia and reperfusion arrhythmias in a patient with variant angina pectoris.

    Science.gov (United States)

    Xu, Mingzhu; Yang, Xiangjun

    2015-01-01

    Variant angina pectoris, also called Prinzmetal's angina, is a syndrome caused by vasospasms of the coronary arteries. It can lead to myocardial infarction, ventricular arrhythmias, atrioventricular block and even sudden cardiac death. We report the case of a 53 year-old male patient with recurrent episodes of chest pain and arrhythmias in the course of related variant angina pectoris. It is likely that the reperfusion following myocardial ischemia was responsible for the ventricular fibrillation while the ST-segment returned to the baseline. This case showed that potential lethal arrhythmias could arise due to variant angina pectoris. It also indicated that ventricular fibrillation could be self-terminated. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Effects of short-term administration of estradiol on reperfusion arrhythmias in rats of different ages

    International Nuclear Information System (INIS)

    Savergnini, S.Q.; Reis, A.M.; Santos, R.A.S.; Santos, P.E.B.; Ferreira, A.J.; Almeida, A.P.

    2012-01-01

    Little is known about age-related differences in short-term effects of estradiol on ischemia-reperfusion (I/R) insults. The present study was designed to evaluate the effects of short-term treatment with estradiol on reperfusion arrhythmias in isolated hearts of 6-7-week-old and 12-14-month-old female rats. Wistar rats were sham-operated, ovariectomized and treated with vehicle or ovariectomized and treated with 17β-estradiol (E 2 ; 5 µg·100 g −1 ·day −1 ) for 4 days. Hearts were perfused by the Langendorff technique. Reperfusion arrhythmias, i.e., ventricular tachycardia and/or ventricular fibrillation, were induced by 15 min of left coronary artery ligation and 30 min of reperfusion. The duration and incidence of I/R arrhythmias were significantly higher in young rats compared to middle-aged rats (arrhythmia severity index: 9.4 ± 1.0 vs 3.0 ± 0.3 arbitrary units, respectively, P < 0.05). In addition, middle-aged rats showed lower heart rate, systolic tension and coronary flow. Four-day E 2 treatment caused an increase in uterine weight. Although E 2 administration had no significant effect on the duration of I/R arrhythmias in middle-aged rats, it induced a marked reduction in the rhythm disturbances of young rats accompanied by a decrease in heart rate of isolated hearts. Also, this reduction was associated with an increase in QT interval. No significant changes were observed in the QT interval of middle-aged E 2 -treated rats. These data demonstrate that short-term estradiol treatment protects against I/R arrhythmias in hearts of young female rats. The anti-arrhythmogenic effect of estradiol might be related to a lengthening of the QT interval

  17. Arrhythmia recognition and classification using combined linear and nonlinear features of ECG signals.

    Science.gov (United States)

    Elhaj, Fatin A; Salim, Naomie; Harris, Arief R; Swee, Tan Tian; Ahmed, Taqwa

    2016-04-01

    Arrhythmia is a cardiac condition caused by abnormal electrical activity of the heart, and an electrocardiogram (ECG) is the non-invasive method used to detect arrhythmias or heart abnormalities. Due to the presence of noise, the non-stationary nature of the ECG signal (i.e. the changing morphology of the ECG signal with respect to time) and the irregularity of the heartbeat, physicians face difficulties in the diagnosis of arrhythmias. The computer-aided analysis of ECG results assists physicians to detect cardiovascular diseases. The development of many existing arrhythmia systems has depended on the findings from linear experiments on ECG data which achieve high performance on noise-free data. However, nonlinear experiments characterize the ECG signal more effectively sense, extract hidden information in the ECG signal, and achieve good performance under noisy conditions. This paper investigates the representation ability of linear and nonlinear features and proposes a combination of such features in order to improve the classification of ECG data. In this study, five types of beat classes of arrhythmia as recommended by the Association for Advancement of Medical Instrumentation are analyzed: non-ectopic beats (N), supra-ventricular ectopic beats (S), ventricular ectopic beats (V), fusion beats (F) and unclassifiable and paced beats (U). The characterization ability of nonlinear features such as high order statistics and cumulants and nonlinear feature reduction methods such as independent component analysis are combined with linear features, namely, the principal component analysis of discrete wavelet transform coefficients. The features are tested for their ability to differentiate different classes of data using different classifiers, namely, the support vector machine and neural network methods with tenfold cross-validation. Our proposed method is able to classify the N, S, V, F and U arrhythmia classes with high accuracy (98.91%) using a combined support

  18. Risk of Ventricular Arrhythmia with Citalopram and Escitalopram: A Population-Based Study.

    Directory of Open Access Journals (Sweden)

    Elena Qirjazi

    Full Text Available The risk of ventricular arrhythmia with citalopram and escitalopram is controversial. In this study we investigated the association between these two drugs and the risk of ventricular arrhythmia.We conducted a population-based retrospective cohort study of older adults (mean age 76 years from 2002 to 2012 in Ontario, Canada, newly prescribed citalopram (n = 137 701 or escitalopram (n = 38 436, compared to those prescribed referent antidepressants sertraline or paroxetine (n = 96 620. After inverse probability of treatment weighting using a propensity score, the baseline characteristics of the comparison groups were similar. The primary outcome was a hospital encounter with ventricular arrhythmia within 90 days of a new prescription, assessed using hospital diagnostic codes. The secondary outcome was all-cause mortality within 90 days.Citalopram was associated with a higher risk of a hospital encounter with ventricular arrhythmia compared with referent antidepressants (0.06% vs. 0.04%, relative risk [RR] 1.53, 95% confidence intervals [CI]1.03 to 2.29, and a higher risk of mortality (3.49% vs. 3.12%, RR 1.12, 95% CI 1.06 to 1.18. Escitalopram was not associated with a higher risk of ventricular arrhythmia compared with the referent antidepressants (0.03% vs. 0.04%, RR 0.84, 95% CI 0.42 to 1.68, but was associated with a higher risk of mortality (2.86% vs. 2.63%, RR 1.09, 95% CI 1.01 to 1.18.Among older adults, initiation of citalopram compared to two referent antidepressants was associated with a small but statistically significant increase in the 90-day risk of a hospital encounter for ventricular arrhythmia.

  19. Risk of Ventricular Arrhythmia with Citalopram and Escitalopram: A Population-Based Study.

    Science.gov (United States)

    Qirjazi, Elena; McArthur, Eric; Nash, Danielle M; Dixon, Stephanie N; Weir, Matthew A; Vasudev, Akshya; Jandoc, Racquel; Gula, Lorne J; Oliver, Matthew J; Wald, Ron; Garg, Amit X

    2016-01-01

    The risk of ventricular arrhythmia with citalopram and escitalopram is controversial. In this study we investigated the association between these two drugs and the risk of ventricular arrhythmia. We conducted a population-based retrospective cohort study of older adults (mean age 76 years) from 2002 to 2012 in Ontario, Canada, newly prescribed citalopram (n = 137 701) or escitalopram (n = 38 436), compared to those prescribed referent antidepressants sertraline or paroxetine (n = 96 620). After inverse probability of treatment weighting using a propensity score, the baseline characteristics of the comparison groups were similar. The primary outcome was a hospital encounter with ventricular arrhythmia within 90 days of a new prescription, assessed using hospital diagnostic codes. The secondary outcome was all-cause mortality within 90 days. Citalopram was associated with a higher risk of a hospital encounter with ventricular arrhythmia compared with referent antidepressants (0.06% vs. 0.04%, relative risk [RR] 1.53, 95% confidence intervals [CI]1.03 to 2.29), and a higher risk of mortality (3.49% vs. 3.12%, RR 1.12, 95% CI 1.06 to 1.18). Escitalopram was not associated with a higher risk of ventricular arrhythmia compared with the referent antidepressants (0.03% vs. 0.04%, RR 0.84, 95% CI 0.42 to 1.68), but was associated with a higher risk of mortality (2.86% vs. 2.63%, RR 1.09, 95% CI 1.01 to 1.18). Among older adults, initiation of citalopram compared to two referent antidepressants was associated with a small but statistically significant increase in the 90-day risk of a hospital encounter for ventricular arrhythmia.

  20. Carbon monoxide induces cardiac arrhythmia via induction of the late Na+ current.

    Science.gov (United States)

    Dallas, Mark L; Yang, Zhaokang; Boyle, John P; Boycott, Hannah E; Scragg, Jason L; Milligan, Carol J; Elies, Jacobo; Duke, Adrian; Thireau, Jérôme; Reboul, Cyril; Richard, Sylvain; Bernus, Olivier; Steele, Derek S; Peers, Chris

    2012-10-01

    Clinical reports describe life-threatening cardiac arrhythmias after environmental exposure to carbon monoxide (CO) or accidental CO poisoning. Numerous case studies describe disruption of repolarization and prolongation of the QT interval, yet the mechanisms underlying CO-induced arrhythmias are unknown. To understand the cellular basis of CO-induced arrhythmias and to identify an effective therapeutic approach. Patch-clamp electrophysiology and confocal Ca(2+) and nitric oxide (NO) imaging in isolated ventricular myocytes was performed together with protein S-nitrosylation to investigate the effects of CO at the cellular and molecular levels, whereas telemetry was used to investigate effects of CO on electrocardiogram recordings in vivo. CO increased the sustained (late) component of the inward Na(+) current, resulting in prolongation of the action potential and the associated intracellular Ca(2+) transient. In more than 50% of myocytes these changes progressed to early after-depolarization-like arrhythmias. CO elevated NO levels in myocytes and caused S-nitrosylation of the Na(+) channel, Na(v)1.5. All proarrhythmic effects of CO were abolished by the NO synthase inhibitor l-NAME, and reversed by ranolazine, an inhibitor of the late Na(+) current. Ranolazine also corrected QT variability and arrhythmias induced by CO in vivo, as monitored by telemetry. Our data indicate that the proarrhythmic effects of CO arise from activation of NO synthase, leading to NO-mediated nitrosylation of Na(V)1.5 and to induction of the late Na(+) current. We also show that the antianginal drug ranolazine can abolish CO-induced early after-depolarizations, highlighting a novel approach to the treatment of CO-induced arrhythmias.

  1. Relationship between Fibrosis and Ventricular Arrhythmias in Chagas Heart Disease Without Ventricular Dysfunction

    Energy Technology Data Exchange (ETDEWEB)

    Tassi, Eduardo Marinho, E-mail: etassi@ibest.com.br [Instituto de Cardiologia Edson Saad - Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil); Continentino, Marcelo Abramoff [Hospital Frei Galvão, Guaratinguetá, SP (Brazil); Nascimento, Emília Matos do; Pereira, Basílio de Bragança [Instituto de Cardiologia Edson Saad - Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil); Coppe - Instituto Alberto Luiz Coimbra de Pós-Graduação e Pesquisa de Engenharia - UFRJ, Rio de Janeiro, RJ (Brazil); Pedrosa, Roberto Coury [Instituto de Cardiologia Edson Saad - Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil)

    2014-05-15

    Patients with Chagas disease and segmental wall motion abnormality (SWMA) have worse prognosis independent of left ventricular ejection fraction (LVEF). Cardiac magnetic resonance (CMR) is currently the best method to detect SWMA and to assess fibrosis. To quantify fibrosis by using late gadolinium enhancement CMR in patients with Chagas disease and preserved or minimally impaired ventricular function (> 45%), and to detect patterns of dependence between fibrosis, SWMA and LVEF in the presence of ventricular arrhythmia. Electrocardiogram, treadmill exercise test, Holter and CMR were carried out in 61 patients, who were divided into three groups as follows: (1) normal electrocardiogram and CMR without SWMA; (2) abnormal electrocardiogram and CMR without SWMA; (3) CMR with SWMA independently of electrocardiogram. The number of patients with ventricular arrhythmia in relation to the total of patients, the percentage of fibrosis, and the LVEF were, respectively: Group 1, 4/26, 0.74% and 74.34%; Group 2, 4/16, 3.96% and 68.5%; and Group 3, 11/19, 14.07% and 55.59%. Ventricular arrhythmia was found in 31.1% of the patients. Those with and without ventricular arrhythmia had mean LVEF of 59.87% and 70.18%, respectively, and fibrosis percentage of 11.03% and 3.01%, respectively. Of the variables SWMA, groups, age, LVEF and fibrosis, only the latter was significant for the presence of ventricular arrhythmia, with a cutoff point of 11.78% for fibrosis mass (p < 0.001). Even in patients with Chagas disease and preserved or minimally impaired ventricular function, electrical instability can be present. Regarding the presence of ventricular arrhythmia, fibrosis is the most important variable, its amount being proportional to the complexity of the groups.

  2. Relationship between Fibrosis and Ventricular Arrhythmias in Chagas Heart Disease Without Ventricular Dysfunction

    International Nuclear Information System (INIS)

    Tassi, Eduardo Marinho; Continentino, Marcelo Abramoff; Nascimento, Emília Matos do; Pereira, Basílio de Bragança; Pedrosa, Roberto Coury

    2014-01-01

    Patients with Chagas disease and segmental wall motion abnormality (SWMA) have worse prognosis independent of left ventricular ejection fraction (LVEF). Cardiac magnetic resonance (CMR) is currently the best method to detect SWMA and to assess fibrosis. To quantify fibrosis by using late gadolinium enhancement CMR in patients with Chagas disease and preserved or minimally impaired ventricular function (> 45%), and to detect patterns of dependence between fibrosis, SWMA and LVEF in the presence of ventricular arrhythmia. Electrocardiogram, treadmill exercise test, Holter and CMR were carried out in 61 patients, who were divided into three groups as follows: (1) normal electrocardiogram and CMR without SWMA; (2) abnormal electrocardiogram and CMR without SWMA; (3) CMR with SWMA independently of electrocardiogram. The number of patients with ventricular arrhythmia in relation to the total of patients, the percentage of fibrosis, and the LVEF were, respectively: Group 1, 4/26, 0.74% and 74.34%; Group 2, 4/16, 3.96% and 68.5%; and Group 3, 11/19, 14.07% and 55.59%. Ventricular arrhythmia was found in 31.1% of the patients. Those with and without ventricular arrhythmia had mean LVEF of 59.87% and 70.18%, respectively, and fibrosis percentage of 11.03% and 3.01%, respectively. Of the variables SWMA, groups, age, LVEF and fibrosis, only the latter was significant for the presence of ventricular arrhythmia, with a cutoff point of 11.78% for fibrosis mass (p < 0.001). Even in patients with Chagas disease and preserved or minimally impaired ventricular function, electrical instability can be present. Regarding the presence of ventricular arrhythmia, fibrosis is the most important variable, its amount being proportional to the complexity of the groups

  3. Effects of short-term administration of estradiol on reperfusion arrhythmias in rats of different ages

    Energy Technology Data Exchange (ETDEWEB)

    Savergnini, S.Q.; Reis, A.M. [Departamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Santos, R.A.S. [1Departamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Santos, P.E.B. [Departamento de Farmacologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Ferreira, A.J. [Departamento de Morfologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Almeida, A.P. [Departamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil)

    2012-11-01

    Little is known about age-related differences in short-term effects of estradiol on ischemia-reperfusion (I/R) insults. The present study was designed to evaluate the effects of short-term treatment with estradiol on reperfusion arrhythmias in isolated hearts of 6-7-week-old and 12-14-month-old female rats. Wistar rats were sham-operated, ovariectomized and treated with vehicle or ovariectomized and treated with 17β-estradiol (E{sub 2}; 5 µg·100 g{sup −1}·day{sup −1}) for 4 days. Hearts were perfused by the Langendorff technique. Reperfusion arrhythmias, i.e., ventricular tachycardia and/or ventricular fibrillation, were induced by 15 min of left coronary artery ligation and 30 min of reperfusion. The duration and incidence of I/R arrhythmias were significantly higher in young rats compared to middle-aged rats (arrhythmia severity index: 9.4 ± 1.0 vs 3.0 ± 0.3 arbitrary units, respectively, P < 0.05). In addition, middle-aged rats showed lower heart rate, systolic tension and coronary flow. Four-day E{sub 2} treatment caused an increase in uterine weight. Although E{sub 2} administration had no significant effect on the duration of I/R arrhythmias in middle-aged rats, it induced a marked reduction in the rhythm disturbances of young rats accompanied by a decrease in heart rate of isolated hearts. Also, this reduction was associated with an increase in QT interval. No significant changes were observed in the QT interval of middle-aged E{sub 2}-treated rats. These data demonstrate that short-term estradiol treatment protects against I/R arrhythmias in hearts of young female rats. The anti-arrhythmogenic effect of estradiol might be related to a lengthening of the QT interval.

  4. Unique Association of Rare Cardiovascular Disease in an Athlete With Ventricular Arrhythmias.

    Science.gov (United States)

    Santomauro, V; Contursi, M; Dellegrottaglie, S; Borsellino, G

    2015-01-01

    Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport. The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques. Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

  5. TECRL, a new life-threatening inherited arrhythmia gene associated with overlapping clinical features of both LQTS and CPVT

    NARCIS (Netherlands)

    Devalla, Harsha D.; Gélinas, Roselle; Aburawi, Elhadi H.; Beqqali, Abdelaziz; Goyette, Philippe; Freund, Christian; Chaix, Marie-A.; Tadros, Rafik; Jiang, Hui; Le Béchec, Antony; Monshouwer-Kloots, Jantine J.; Zwetsloot, Tom; Kosmidis, Georgios; Latour, Frédéric; Alikashani, Azadeh; Hoekstra, Maaike; Schlaepfer, Jurg; Mummery, Christine L.; Stevenson, Brian; Kutalik, Zoltan; de Vries, Antoine Af; Rivard, Léna; Wilde, Arthur Am; Talajic, Mario; Verkerk, Arie O.; Al-Gazali, Lihadh; Rioux, John D.; Bhuiyan, Zahurul A.; Passier, Robert

    2016-01-01

    Genetic causes of many familial arrhythmia syndromes remain elusive. In this study, whole-exome sequencing (WES) was carried out on patients from three different families that presented with life-threatening arrhythmias and high risk of sudden cardiac death (SCD). Two French Canadian probands

  6. Spiral Wave Initiation in Reaction-Diffusion-Mechanics Systems: A Model for the Onset of Reentrant Cardiac Arrhythmia

    NARCIS (Netherlands)

    Weise, L.D.

    2012-01-01

    Heart failure due to cardiac arrhythmias is a major cause of death in the industrialized world. Cardiac arrhythmia is often caused by spi- ral waves of electrical activity in the cardiac muscle. Therefore, it is a major task in cardiology to understand the mechanisms of spiral wave initiation in the

  7. Finite-frequency P-wave tomography of the Western Canada Sedimentary Basin: Implications for the lithospheric evolution in Western Laurentia

    Science.gov (United States)

    Chen, Yunfeng; Gu, Yu Jeffrey; Hung, Shu-Huei

    2017-02-01

    The lithosphere beneath the Western Canada Sedimentary Basin has potentially undergone Precambrian subduction and collisional orogenesis, resulting in a complex network of crustal domains. To improve the understanding of its evolutionary history, we combine data from the USArray and three regional networks to invert for P-wave velocities of the upper mantle using finite-frequency tomography. Our model reveals distinct, vertically continuous high (> 1%) velocity perturbations at depths above 200 km beneath the Precambrian Buffalo Head Terrane, Hearne craton and Medicine Hat Block, which sharply contrasts with those beneath the Canadian Rockies (Medicine Hat Block (200 km). These findings are consistent with earlier theories of tectonic assembly in this region, which featured distinct Archean and Proterozoic plate convergences between the Hearne craton and its neighboring domains. The highly variable, bimodally distributed craton thicknesses may also reflect different lithospheric destruction processes beneath the western margin of Laurentia.

  8. Q^2 Dependence of the S_{11}(1535) Photocoupling and Evidence for a P-wave resonance in eta electroproduction

    Energy Technology Data Exchange (ETDEWEB)

    Haluk Denizli; James Mueller; Steven Dytman; M.L. Leber; R.D. Levine; J. Miles; Kui Kim; Gary Adams; Moscov Amaryan; Pawel Ambrozewicz; Marco Anghinolfi; Burin Asavapibhop; G. Asryan; Harutyun Avakian; Hovhannes Baghdasaryan; Nathan Baillie; Jacques Ball; Nathan Baltzell; Steve Barrow; V. Batourine; Marco Battaglieri; Kevin Beard; Ivan Bedlinski; Ivan Bedlinskiy; Mehmet Bektasoglu; Matthew Bellis; Nawal Benmouna; Nicola Bianchi; Angela Biselli; Billy Bonner; Sylvain Bouchigny; Sergey Boyarinov; Robert Bradford; Derek Branford; William Briscoe; William Brooks; Stephen Bueltmann; Volker Burkert; Cornel Butuceanu; John Calarco; Sharon Careccia; Daniel Carman; Catalina Cetina; Shifeng Chen; Philip Cole; Alan Coleman; Patrick Collins; Philip Coltharp; Dieter Cords; Pietro Corvisiero; Donald Crabb; Volker Crede; John Cummings; Natalya Dashyan; Raffaella De Vita; Enzo De Sanctis; Pavel Degtiarenko; Lawrence Dennis; Alexandre Deur; Kalvir Dhuga; Richard Dickson; Chaden Djalali; Gail Dodge; Joseph Donnelly; David Doughty; P. Dragovitsch; Michael Dugger; Oleksandr Dzyubak; Hovanes Egiyan; Kim Egiyan; Lamiaa Elfassi; Latifa Elouadrhiri; A. Empl; Paul Eugenio; Laurent Farhi; Renee Fatemi; Gleb Fedotov; Gerald Feldman; Robert Feuerbach; Tony Forest; Valera Frolov; Herbert Funsten; Sally Gaff; Michel Garcon; Gagik Gavalian; Gerard Gilfoyle; Kevin Giovanetti; Pascal Girard; Francois-Xavier Girod; John Goetz; Atilla Gonenc; Ralf Gothe; Keith Griffioen; Michel Guidal; Matthieu Guillo; Nevzat Guler; Lei Guo; Vardan Gyurjyan; Kawtar Hafidi; Hayk Hakobyan; Rafael Hakobyan; John Hardie; David Heddle; F. Hersman; Kenneth Hicks; Ishaq Hleiqawi; Maurik Holtrop; Jingliang Hu; Charles Hyde; Charles Hyde-Wright; Yordanka Ilieva; David Ireland; Boris Ishkhanov; Eugeny Isupov; Mark Ito; David Jenkins; Hyon-Suk Jo; Kyungseon Joo; Henry Juengst; Narbe Kalantarians; J.H. Kelley; James Kellie; Mahbubul Khandaker; K. Kim; Wooyoung Kim; Andreas Klein; Franz Klein; Mike Klusman; Mikhail Kossov; Laird Kramer; V. Kubarovsky; Joachim Kuhn; Sebastian Kuhn; Sergey Kuleshov; Jeff Lachniet; Jean Laget; Jorn Langheinrich; David Lawrence; Kenneth Livingston; Haiyun Lu; K. Lukashin; Marion MacCormick; Joseph Manak; Nikolai Markov; Simeon McAleer; Bryan McKinnon; John McNabb; Bernhard Mecking; Mac Mestayer; Curtis Meyer; Tsutomu Mibe; Konstantin Mikhaylov; Ralph Minehart; Marco Mirazita; Rory Miskimen; Viktor Mokeev; Kei Moriya; Steven Morrow; M. Moteabbed; Valeria Muccifora; Gordon Mutchler; Pawel Nadel-Turonski; James Napolitano; Rakhsha Nasseripour; Steve Nelson; Silvia Niccolai; Gabriel Niculescu; Maria-Ioana Niculescu; Bogdan Niczyporuk; Megh Niroula; Rustam Niyazov; Mina Nozar; Grant O' Rielly; Mikhail Osipenko; Alexander Ostrovidov; Kijun Park; Evgueni Pasyuk; Craig Paterson; Gerald Peterson; Sasha Philips; Joshua Pierce; Nikolay Pivnyuk; Dinko Pocanic; Oleg Pogorelko; Ermanno Polli; S. Pozdniakov; Barry Preedom; John Price; Yelena Prok; Dan Protopopescu; Liming Qin; Brian Raue; Gregory Riccardi; Giovanni Ricco; Marco Ripani; Barry Ritchie; Federico Ronchetti; Guenther Rosner; Patrizia Rossi; David Rowntree; Philip Rubin; Franck Sabatie; Konstantin Sabourov; Julian Salamanca; Carlos Salgado; Joseph Santoro; Vladimir Sapunenko; Reinhard Schumacher; Vladimir Serov; Aziz Shafi; Youri Sharabian; Jeremiah Shaw; Nikolay Shvedunov; Sebastio Simionatto; Alexander Skabelin; Elton Smith; Lee Smith; Daniel Sober; Daria Sokhan; M. Spraker; Aleksey Stavinskiy; Samuel Stepanyan; Stepan Stepanyan; Burnham Stokes; Paul Stoler; I.I. Strakovsky; Steffen Strauch; Mauro Taiuti; Simon Taylor; David Tedeschi; Ulrike Thoma; R. Thompson; Avtandil Tkabladze; Svyatoslav Tkachenko; Clarisse Tur; Maurizio Ungaro; Michael Vineyard; Alexander Vlassov; Kebin Wang; Daniel Watts; Lawrence Weinstein; Henry Weller; Dennis Weygand; M. Williams; Elliott Wolin; Michael Wood; Amrit Yegneswaran; Junho Yun; Lorenzo Zana; Jixie Zhang; Bo Zhao; Zhiwen Zhao

    2007-07-01

    New cross sections for the reaction $ep \\to e'\\eta p$ are reported for total center of mass energy $W$=1.5--2.3 GeV and invariant squared momentum transfer $Q^2$=0.13--3.3 GeV$^2$. This large kinematic range allows extraction of new information about response functions, photocouplings, and $\\eta N$ coupling strengths of baryon resonances. A sharp structure is seen at $W\\sim$ 1.7 GeV. The shape of the differential cross section is indicative of the presence of a $P$-wave resonance that persists to high $Q^2$. Improved values are derived for the photon coupling amplitude for the $S_{11}$(1535) resonance. The new data greatly expands the $Q^2$ range covered and an interpretation of all data with a consistent parameterization is provided.

  9. First-order chiral to non-chiral transition in the angular dependence of the upper critical induction of the Scharnberg–Klemm p-wave pair state

    International Nuclear Information System (INIS)

    Zhang, J; Gu, Q; Lörscher, C; Klemm, R A

    2014-01-01

    We calculate the temperature T and angular (θ, ϕ) dependencies of the upper critical induction B c2 (θ, ϕ, T) for parallel-spin superconductors with an axially symmetric p-wave pairing interaction pinned to the lattice and a dominant ellipsoidal Fermi surface (FS). For all FS anisotropies, the chiral Scharnberg–Klemm (SK) state B c2 (θ, ϕ, T) exceeds that of the chiral Anderson–Brinkman–Morel (ABM) state and exhibits a kink at θ = θ * (T, ϕ), indicative of a first-order transition from its chiral, nodal-direction behavior to its non-chiral, antinodal-direction behavior. Applicabilities to Sr 2 RuO 4 , UCoGe and the candidate topological superconductor Cu x Bi 2 Se 3 are discussed. (fast track communication)

  10. Evidence for a magma reservoir beneath the Taipei metropolis of Taiwan from both S-wave shadows and P-wave delays.

    Science.gov (United States)

    Lin, Cheng-Horng

    2016-12-23

    There are more than 7 million people living near the Tatun volcano group in northern Taiwan. For the safety of the Taipei metropolis, in particular, it has been debated for decades whether or not these volcanoes are active. Here I show evidence of a deep magma reservoir beneath the Taipei metropolis from both S-wave shadows and P-wave delays. The reservoir is probably composed of either a thin magma layer overlay or many molten sills within thick partially molten rocks. Assuming that 40% of the reservoir is partially molten, its total volume could be approximately 350 km 3 . The exact location and geometry of the magma reservoir will be obtained after dense seismic arrays are deployed in 2017-2020.

  11. P-Wave and S-Wave Velocity Structure of Submarine Landslide Associated With Gas Hydrate Layer on Frontal Ridge of Northern Cascadia Margin

    Science.gov (United States)

    He, T.; Lu, H.; Yelisetti, S.; Spence, G.

    2015-12-01

    The submarine landslide associated with gas hydrate is a potential risk for environment and engineering projects, and thus from long time ago it has been a hot topic of hydrate research. The study target is Slipstream submarine landslide, one of the slope failures observed on the frontal ridges of the Northern Cascadia accretionary margin off Vancouver Island. The previous studies indicated a possible connection between this submarine landslide feature and gas hydrate, whose occurrence is indicated by a prominent bottom-simulating reflector (BSR), at a depth of ~265-275 m beneath the seafloor (mbsf). The OBS (Ocean Bottom Seismometer) data collected during SeaJade (Seafloor Earthquake Array - Japan Canada Cascadia Experiment) project were used to derive the subseafloor velocity structure for both P- and S-wave using travel times picked from refraction and reflection events. The P-wave velocity structure above the BSR showed anomalous high velocities of about 2.0 km/s at shallow depths of 100 mbsf, closely matching the estimated depth of the glide plane (100 ± 10 m). Forward modelling of S-waves was carried out using the data from the OBS horizontal components. The S-wave velocities, interpreted in conjunction with the P-wave results, provide the key constraints on the gas hydrate distribution within the pores. The hydrate distribution in the pores is important for determining concentrations, and also for determining the frame strength which is critical for controlling slope stability of steep frontal ridges. The increase in S-wave velocity suggests that the hydrate is distributed as part of the load-bearing matrix to increase the rigidity of the sediment.

  12. Using Co-located Rotational and Translational Ground-Motion Sensors to Characterize Seismic Scattering in the P-Wave Coda

    Science.gov (United States)

    Bartrand, J.; Abbott, R. E.

    2017-12-01

    We present data and analysis of a seismic data collect at the site of a historical underground nuclear explosion at Yucca Flat, a sedimentary basin on the Nevada National Security Site, USA. The data presented here consist of active-source, six degree-of-freedom seismic signals. The translational signals were collected with a Nanometrics Trillium Compact Posthole seismometer and the rotational signals were collected with an ATA Proto-SMHD, a prototype rotational ground motion sensor. The source for the experiment was the Seismic Hammer (a 13,000 kg weight-drop), deployed on two-kilometer, orthogonal arms centered on the site of the nuclear explosion. By leveraging the fact that compressional waves have no rotational component, we generated a map of subsurface scattering and compared the results to known subsurface features. To determine scattering intensity, signals were cut to include only the P-wave and its coda. The ratio of the time-domain signal magnitudes of angular velocity and translational acceleration were sectioned into three time windows within the coda and averaged within each window. Preliminary results indicate an increased rotation/translation ratio in the vicinity of the explosion-generated chimney, suggesting mode conversion of P-wave energy to S-wave energy at that location. Sandia National Laboratories is a multimission laboratory managed and operated by National Technology and Engineering Solutions of Sandia LLC, a wholly owned subsidiary of Honeywell International Inc. for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-NA0003525.

  13. Use of whole exome sequencing for the identification of Ito-based arrhythmia mechanism and therapy.

    Science.gov (United States)

    Sturm, Amy C; Kline, Crystal F; Glynn, Patric; Johnson, Benjamin L; Curran, Jerry; Kilic, Ahmet; Higgins, Robert S D; Binkley, Philip F; Janssen, Paul M L; Weiss, Raul; Raman, Subha V; Fowler, Steven J; Priori, Silvia G; Hund, Thomas J; Carnes, Cynthia A; Mohler, Peter J

    2015-05-26

    Identified genetic variants are insufficient to explain all cases of inherited arrhythmia. We tested whether the integration of whole exome sequencing with well-established clinical, translational, and basic science platforms could provide rapid and novel insight into human arrhythmia pathophysiology and disease treatment. We report a proband with recurrent ventricular fibrillation, resistant to standard therapeutic interventions. Using whole-exome sequencing, we identified a variant in a previously unidentified exon of the dipeptidyl aminopeptidase-like protein-6 (DPP6) gene. This variant is the first identified coding mutation in DPP6 and augments cardiac repolarizing current (Ito) causing pathological changes in Ito and action potential morphology. We designed a therapeutic regimen incorporating dalfampridine to target Ito. Dalfampridine, approved for multiple sclerosis, normalized the ECG and reduced arrhythmia burden in the proband by >90-fold. This was combined with cilostazol to accelerate the heart rate to minimize the reverse-rate dependence of augmented Ito. We describe a novel arrhythmia mechanism and therapeutic approach to ameliorate the disease. Specifically, we identify the first coding variant of DPP6 in human ventricular fibrillation. These findings illustrate the power of genetic approaches for the elucidation and treatment of disease when carefully integrated with clinical and basic/translational research teams. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  14. Design of a hybrid model for cardiac arrhythmia classification based on Daubechies wavelet transform.

    Science.gov (United States)

    Rajagopal, Rekha; Ranganathan, Vidhyapriya

    2018-06-05

    Automation in cardiac arrhythmia classification helps medical professionals make accurate decisions about the patient's health. The aim of this work was to design a hybrid classification model to classify cardiac arrhythmias. The design phase of the classification model comprises the following stages: preprocessing of the cardiac signal by eliminating detail coefficients that contain noise, feature extraction through Daubechies wavelet transform, and arrhythmia classification using a collaborative decision from the K nearest neighbor classifier (KNN) and a support vector machine (SVM). The proposed model is able to classify 5 arrhythmia classes as per the ANSI/AAMI EC57: 1998 classification standard. Level 1 of the proposed model involves classification using the KNN and the classifier is trained with examples from all classes. Level 2 involves classification using an SVM and is trained specifically to classify overlapped classes. The final classification of a test heartbeat pertaining to a particular class is done using the proposed KNN/SVM hybrid model. The experimental results demonstrated that the average sensitivity of the proposed model was 92.56%, the average specificity 99.35%, the average positive predictive value 98.13%, the average F-score 94.5%, and the average accuracy 99.78%. The results obtained using the proposed model were compared with the results of discriminant, tree, and KNN classifiers. The proposed model is able to achieve a high classification accuracy.

  15. Reduction of false arrhythmia alarms using signal selection and machine learning

    NARCIS (Netherlands)

    Eerikäinen, L.M.; Vanschoren, J.; Rooijakkers, M.J.; Vullings, R.; Aarts, R.M.

    2016-01-01

    In this paper, we propose an algorithm that classifies whether a generated cardiac arrhythmia alarm is true or false. The large number of false alarms in intensive care is a severe issue. The noise peaks caused by alarms can be high and in a noisy environment nurses can experience stress and

  16. THE USE OF OMEGA-3 FATTY ACIDS FOR THE TREATMENT OF PATIENTS WITH CARDIAC ARRHYTHMIAS

    Directory of Open Access Journals (Sweden)

    A. O. Malygin

    2015-09-01

    Full Text Available Antiarrhythmic effect of omega-3 polyunsaturated fatty acids (ω-3 PUFA, eicosapentaenoic and docosahexaenoic acids in patients with recurrent atrial fibrillation and ventricular arrhythmias had been proven. The positive effect of the ω-3 PUFA on the risk of sudden arrhythmic death and overall mortality in the patients after myocardial infarction and patients with chronic heart failure had been also proven.

  17. Surgical outcome of Fontan conversion and arrhythmia surgery: Need a pacemaker?

    Science.gov (United States)

    Terada, Takafumi; Sakurai, Hajime; Nonaka, Toshimichi; Sakurai, Takahisa; Sugiura, Junya; Taneichi, Tetsuyoshi; Ohtsuka, Ryohei

    2014-07-01

    Atrial tachyarrhythmias are frequent complications in the late period after the Fontan procedure, and important risk factors for a poor prognosis. The impact of Fontan conversion and arrhythmia surgery in failed Fontan patients has been described in many reports. We evaluated our experience with Fontan conversion procedures, concomitant arrhythmia surgery, and pacemaker implantation. We reviewed the hospital records of 25 consecutive patients who underwent a Fontan conversion procedure from January 2004 to March 2012. Twenty-four patients had arrhythmia surgery using cryoablation and radiofrequency ablation at the time of conversion. A bilateral atrial maze procedure was performed in 6 patients, right-side maze in 15, and isthmus block in 3. Three patients with a diagnosis of corrected transposition of the great arteries underwent simultaneous pacemaker implantation electively. There was no early death and one late death during a mean follow-up period of 21.2 months. Three tachyarrhythmia recurrences developed, and there were 4 occurrences of sinus bradycardia. Five of these patients required postoperative pacemaker implantation. The mid-term results of Fontan conversion and arrhythmia surgery in our institute were satisfactory. The occurrence of unexpected postoperative pacemaker requirement was high in the patients who underwent a right atrial or bilateral atrial maze procedure. Pacemaker or lead implantation is recommended for patients planned to undergo a right-side or full maze procedure. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  18. N-3 fatty acids from fish and markers of cardiac arrhythmia

    NARCIS (Netherlands)

    Geelen, A.

    2004-01-01

    N‑3 fatty acids from fish may protect against heart disease mortality by preventing fatal arrhythmias. The objective of this thesis was to investigate whether this possible antiarrhythmic effect of n-3 fatty acids is supported by short-term effects on electrophysiological markers. We performed two

  19. Outcome for Fetuses with Prenatally Detected Congenital Heart Disease and Cardiac Arrhythmias in Taiwan

    Directory of Open Access Journals (Sweden)

    Sheng-Mou Hsiao

    2007-01-01

    Conclusion: Outcome for fetuses with prenatally detected CHD remains poor, with the prognosis negatively influenced by the presence of complex heart defects as well as extracardiac and chromosomal anomalies. However, prognosis is good for fetuses with cardiac arrhythmia, except with long QT syndrome or hydrops fetalis.

  20. Immediate postoperative digitalization in the prophylaxis of supraventricular arrhythmias following coronary artery bypass.

    Science.gov (United States)

    Csicsko, J F; Schatzlein, M H; King, R D

    1981-03-01

    Regimens of acute preoperative digitalization have been evaluated previously in the prophylaxis of supraventricular tachycardias (SVT) following coronary artery bypass operations, with equivocal results. This study assesses the effectiveness of immediate postoperative digitalization on the incidence of arrhythmias in 407 consecutive patients recovering from myocardial revascularization. In 137 patients treated by our regimen, which begins digitalization within 4 hours postoperatively, the incidence of supraventricular tachyarrhythmias was 2%, while the corresponding figure for 270 untreated patients was 15%. Digitalization reduced the incidence of supraventricular arrhythmias significantly (p less than 0.01), whereas death, ventricular ectopy, and infarction rates were similar in the two groups. The few patients who did have supraventricular arrhythmias while receiving prophylactic digoxin were no more easily treated than patients in the undigitalized group. The timing of administration of digoxin for SVT prophylaxis may be more important than previously recognized. Immediately postoperative digitalization, theoretically preferable to preoperative regimens, is a safe, effective way to reduce the incidence of supraventricular arrhythmias following myocardial revascularization.

  1. Multiclass Classification of Cardiac Arrhythmia Using Improved Feature Selection and SVM Invariants.

    Science.gov (United States)

    Mustaqeem, Anam; Anwar, Syed Muhammad; Majid, Muahammad

    2018-01-01

    Arrhythmia is considered a life-threatening disease causing serious health issues in patients, when left untreated. An early diagnosis of arrhythmias would be helpful in saving lives. This study is conducted to classify patients into one of the sixteen subclasses, among which one class represents absence of disease and the other fifteen classes represent electrocardiogram records of various subtypes of arrhythmias. The research is carried out on the dataset taken from the University of California at Irvine Machine Learning Data Repository. The dataset contains a large volume of feature dimensions which are reduced using wrapper based feature selection technique. For multiclass classification, support vector machine (SVM) based approaches including one-against-one (OAO), one-against-all (OAA), and error-correction code (ECC) are employed to detect the presence and absence of arrhythmias. The SVM method results are compared with other standard machine learning classifiers using varying parameters and the performance of the classifiers is evaluated using accuracy, kappa statistics, and root mean square error. The results show that OAO method of SVM outperforms all other classifiers by achieving an accuracy rate of 81.11% when used with 80/20 data split and 92.07% using 90/10 data split option.

  2. Cardiac cell therapy: overexpression of connexin43 in skeletal myoblasts and prevention of ventricular arrhythmias

    NARCIS (Netherlands)

    Fernandes, Sarah; van Rijen, Harold V. M.; Forest, Virginie; Evain, Stéphane; Leblond, Anne-Laure; Mérot, Jean; Charpentier, Flavien; de Bakker, Jacques M. T.; Lemarchand, Patricia

    2009-01-01

    Cell-based therapies have great potential for the treatment of cardiovascular diseases. Recently, using a transgenic mouse model Roell et al. reported that cardiac engraftment of connexin43 (Cx43)-overexpressing myoblasts in vivo prevents post-infarct arrhythmia, a common cause of death in patients

  3. The influence of motor activity on the development of cardiac arrhythmias during experimental emotional stress

    Science.gov (United States)

    Ulyaninskiy, L. S.; Urmancheyeva, T. G.; Stepanyan, Y. P.; Fufacheva, A. A.; Gritsak, A. V.; Kuznetsova, B. A.; Kvitka, A. A.

    1982-01-01

    Experimental emotional stress which can produce various disorders of cardiac rhythm: sinus tachycardia, atrial fibrillation, ventricular, extrasystoles and paroxysmal ventricular tachysystoles was studied. In these conditions the adrenalin content in the blood and myocardium is increased 3 to 4 times. It is found that moderate motor activity leads to a relative decrease of adrenalin in the myocardium and arrest of cardiac arrhythmias.

  4. Acute effects of sex steroid hormones on susceptibility to cardiac arrhythmias: a simulation study.

    Directory of Open Access Journals (Sweden)

    Pei-Chi Yang

    2010-01-01

    Full Text Available Acute effects of sex steroid hormones likely contribute to the observation that post-pubescent males have shorter QT intervals than females. However, the specific role for hormones in modulating cardiac electrophysiological parameters and arrhythmia vulnerability is unclear. Here we use a computational modeling approach to incorporate experimentally measured effects of physiological concentrations of testosterone, estrogen and progesterone on cardiac ion channel targets. We then study the hormone effects on ventricular cell and tissue dynamics comprised of Faber-Rudy computational models. The "female" model predicts changes in action potential duration (APD at different stages of the menstrual cycle that are consistent with clinically observed QT interval fluctuations. The "male" model predicts shortening of APD and QT interval at physiological testosterone concentrations. The model suggests increased susceptibility to drug-induced arrhythmia when estradiol levels are high, while testosterone and progesterone are apparently protective. Simulations predict the effects of sex steroid hormones on clinically observed QT intervals and reveal mechanisms of estrogen-mediated susceptibility to prolongation of QT interval. The simulations also indicate that acute effects of estrogen are not alone sufficient to cause arrhythmia triggers and explain the increased risk of females to Torsades de Pointes. Our results suggest that acute effects of sex steroid hormones on cardiac ion channels are sufficient to account for some aspects of gender specific susceptibility to long-QT linked arrhythmias.

  5. A multicenter, long-term study on arrhythmias in children with Ebstein anomaly.

    NARCIS (Netherlands)

    Delhaas, T.; Sarvaas, G.J.; Rijlaarsdam, M.E.; Strengers, J.L.; Eveleigh, R.M.; Poulino, S.E.; Korte, C.L. de; Kapusta, L.

    2010-01-01

    To assess the prevalence, history, and treatment of arrhythmias, in particular preexcitation and Wolff-Parkinson-White (WPW) syndrome, in patients with Ebstein anomaly (EA) during childhood and adolescence, we performed a multicenter retrospective study of all consecutive live-born patients with EA,

  6. Perinatal management and long-term cardiac outcome in fetal arrhythmia

    NARCIS (Netherlands)

    Hahurij, N.D.; Blom, N.A.; Lopriore, E.; Aziz, M.I.; Nagel, H.T.; Rozendaal, L.; Vandenbussche, F.P.H.A.

    2011-01-01

    BACKGROUND: cardiac arrhythmias are commonly observed in the fetus, however, may have major consequences for fetal development and post natal life. AIMS: to evaluate the perinatal management and cardiac outcome of fetuses with tachy- or bradyarrhythmia. STUDY DESIGN: perinatal management, outcome

  7. A Multicenter, Long-Term Study on Arrhythmias in Children with Ebstein Anomaly

    NARCIS (Netherlands)

    Delhaas, Tammo; Sarvaas, Gideon J. du Marchie; Rijlaarsdam, Marry E.; Strengers, Jan L.; Eveleigh, Rhona M.; Poulino, Sumayah E.; de Korte, Chris L.; Kapusta, Livia

    To assess the prevalence, history, and treatment of arrhythmias, in particular preexcitation and Wolff-Parkinson-White (WPW) syndrome, in patients with Ebstein anomaly (EA) during childhood and adolescence, we performed a multicenter retrospective study of all consecutive live-born patients with EA,

  8. [Observation of antiarrhythmic effects of Cinnamomum migao H. W. Li on experimental arrhythmia].

    Science.gov (United States)

    Sui, Y; Qiu, D; Xie, C; Chen, K

    1998-08-01

    To investigate the effects of Cinnamomum migao on experimental arrhythmia. Arrhythmic models of mice, rabbits, guinea pigs and rats were built using chloroform(Chl), adrenalin(Adr), strophanthin-K (Spt-K) and barium chloride (BaCl2). The affected animals were divided randomly into three groups: control group, Cinnamomum migao (CV-3) group and mexiletine (MXL) group, so as to observe and compare the antiarrhythmic effects. CV-3 could reduce the incidence of ventricular fibrillation caused by ch1 in mice and the ventricular tachycardia induced by Adr in rabbits, delay the onset time of this arrhythmia, increase the arrhythmic doses of Spt-K in guinea pigs, reduce the incidence of some arrhythmia caused by BaCl2 in rats and slow down their heart rate. CV-3 has obvious antiarrhythmic effects on experimental arrhythmia. The mechanism of these effects is probably related to the arrest of the intraflow of Na+, Ca2+ in the cardiac cells and the depression of their cardiac autoarrhythmicity and conductivity.

  9. Respiratory sinus arrhythmia responses to cognitive tasks : effects of task factors and RSA indices

    NARCIS (Netherlands)

    Overbeek, T.; Boxtel, van Anton; Westerink, J.H.D.M.

    2014-01-01

    Many studies show that respiratory sinus arrhythmia (RSA) decreases while performing cognitive tasks. However, there is uncertainty about the role of contaminating factors such as physical activity and stress-inducing task variables. Different methods to quantify RSA may also contribute to variable

  10. Respiratory sinus arrhythmia responses to cognitive tasks: Effects of task factors and RSA indices

    NARCIS (Netherlands)

    Overbeek, T.J.M.; van Boxtel, A.; Westerink, J.H.D.M.

    2014-01-01

    Many studies show that respiratory sinus arrhythmia (RSA) decreases while performing cognitive tasks. However, there is uncertainty about the role of contaminating factors such as physical activity and stress-inducing task variables. Different methods to quantify RSA may also contribute to variable

  11. An extended family suddenly confronted with a life-threatening hereditary arrhythmia

    NARCIS (Netherlands)

    Hendriks, K. S. W. H.; van Langen, I. M.; van Tintelen, J. P.; Grosfeld, F. J. M.; Wilde, A. A. M.; ten Kroode, H. F. J.

    2005-01-01

    This exploratory study serves to illustrate the psychological impact on an extended family in the process of genetic counselling and testing for a potentially life-threatening arrhythmia, the long-QT syndrome (LQTS). All members of the third generation and their partners (n=11) were interviewed, the

  12. An extended family suddenly confronted with a life-threatening hereditary arrhythmia

    NARCIS (Netherlands)

    Hendriks, K.S.W.H.; Van Langen, I.M.; Van Tintelen, J.P.; Grosfeld, F.J.M.; Wilde, A.A.M.; Ten Kroode, H.F.J.

    2005-01-01

    Objective. This exploratory study serves to illustrate the psychological impact on an extended family in the process of genetic counselling and testing for a potentially life-threatening arrhythmia, the long-QT syndrome (LQTS). Method. All members of the third generation and their partners (n=11)

  13. Cost-effectiveness of genotyping in inherited arrhythmia syndromes: are we getting value for the money?

    NARCIS (Netherlands)

    Wilde, Arthur A. M.; Pinto, Yigal M.

    2009-01-01

    Over the last decade, the identification of the diverse genetic basis of most important inherited arrhythmia syndromes has remarkably changed our attitude toward these life-threatening diseases. Just over 10 years ago, long-QT syndrome (LQTS) was considered one disease entity, Brugada -QT syndrome

  14. Cardiac Arrhythmia Classification by Multi-Layer Perceptron and Convolution Neural Networks

    Directory of Open Access Journals (Sweden)

    Shalin Savalia

    2018-05-01

    Full Text Available The electrocardiogram (ECG plays an imperative role in the medical field, as it records heart signal over time and is used to discover numerous cardiovascular diseases. If a documented ECG signal has a certain irregularity in its predefined features, this is called arrhythmia, the types of which include tachycardia, bradycardia, supraventricular arrhythmias, and ventricular, etc. This has encouraged us to do research that consists of distinguishing between several arrhythmias by using deep neural network algorithms such as multi-layer perceptron (MLP and convolution neural network (CNN. The TensorFlow library that was established by Google for deep learning and machine learning is used in python to acquire the algorithms proposed here. The ECG databases accessible at PhysioBank.com and kaggle.com were used for training, testing, and validation of the MLP and CNN algorithms. The proposed algorithm consists of four hidden layers with weights, biases in MLP, and four-layer convolution neural networks which map ECG samples to the different classes of arrhythmia. The accuracy of the algorithm surpasses the performance of the current algorithms that have been developed by other cardiologists in both sensitivity and precision.

  15. Cardiac arrhythmia with premature ventricular contractures induced by interferon beta in a patient with multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Igor Sobol

    2015-03-01

    Full Text Available Multiple sclerosis (MS is an immune-mediated inflammatory and neurodegenerative disease of the central nervous system. Interferon (IFN beta is an active ingredient of five out of twelve disease modifying treatments approved for MS. We report a case of IFN-beta-induced cardiac arrhythmia with premature ventricular contractures in a patient recently diagnosed with MS.

  16. Evaluation of heart rhythm variability and arrhythmia in children with systemic and localized scleroderma.

    Science.gov (United States)

    Wozniak, Jacek; Dabrowski, Rafal; Luczak, Dariusz; Kwiatkowska, Malgorzata; Musiej-Nowakowska, Elzbieta; Kowalik, Ilona; Szwed, Hanna

    2009-01-01

    To evaluate possible disturbances in autonomic regulation and cardiac arrhythmias in children with localized and systemic scleroderma. There were 40 children included in the study: 20 with systemic and 20 with localized scleroderma. The control group comprised 20 healthy children. In 24-hour Holter recording, the average rate of sinus rhythm was significantly higher in the groups with systemic and localized scleroderma than in the control group, but there was no significant difference between them. The variability of heart rhythm in both groups was significantly decreased. In the group with systemic scleroderma, single supraventricular ectopic beats were observed in 20% and runs were seen in 40% of patients. In the group with localized scleroderma, supraventricular single ectopic beats occurred in 35% of patients and runs in 45% of those studied. Ventricular arrhythmia occurred in 2 children with systemic scleroderma, but in 1 child, it was complex. The most frequent cardiac arrhythmias in both types of scleroderma in children were of supraventricular origin, whereas ventricular arrhythmias did not occur very often. There were no significant differences in autonomic disturbances manifesting as a higher heart rate and decreased heart rate variability between localized and systemic scleroderma.

  17. Cardiac Arrhythmia Classification by Multi-Layer Perceptron and Convolution Neural Networks.

    Science.gov (United States)

    Savalia, Shalin; Emamian, Vahid

    2018-05-04

    The electrocardiogram (ECG) plays an imperative role in the medical field, as it records heart signal over time and is used to discover numerous cardiovascular diseases. If a documented ECG signal has a certain irregularity in its predefined features, this is called arrhythmia, the types of which include tachycardia, bradycardia, supraventricular arrhythmias, and ventricular, etc. This has encouraged us to do research that consists of distinguishing between several arrhythmias by using deep neural network algorithms such as multi-layer perceptron (MLP) and convolution neural network (CNN). The TensorFlow library that was established by Google for deep learning and machine learning is used in python to acquire the algorithms proposed here. The ECG databases accessible at PhysioBank.com and kaggle.com were used for training, testing, and validation of the MLP and CNN algorithms. The proposed algorithm consists of four hidden layers with weights, biases in MLP, and four-layer convolution neural networks which map ECG samples to the different classes of arrhythmia. The accuracy of the algorithm surpasses the performance of the current algorithms that have been developed by other cardiologists in both sensitivity and precision.

  18. Anxiety and risk of ventricular arrhythmias or mortality in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Habibović, Mirela; Pedersen, Susanne S.; van den Broek, Krista C

    2013-01-01

    A subgroup of patients with an implantable cardioverter defibrillator (ICD) experiences anxiety after device implantation. The purpose of the present study was to evaluate whether anxiety is predictive of ventricular arrhythmias and all-cause mortality 1 year post ICD implantation....

  19. Combination of opium smoking and hypercholesterolemia augments susceptibility for lethal cardiac arrhythmia and atherogenesis in rabbit.

    Science.gov (United States)

    Najafipour, Hamid; Joukar, Siyavash

    2012-09-01

    Opium consumption is increasing in some eastern societies, where it is grown. We investigated the effect of opium smoking on plasma atherogenic index and incidence of lethal cardiac arrhythmia, i.e. ventricular tachycardia (VT) and ventricular fibrillation (VF) in rabbits. Animals were divided into two-, normo- and hyper-cholesterolemic main groups fed with normal or high cholesterol diet prior and during short-term and long-term exposure to opium smoke. Then, isoproterenol (3mg/kg, i.p.) was injected to induce cardiac ischemia and animals were followed for 3h for counting of lethal arrhythmia incidence. Long-term opium smoking significantly increased the plasma atherogenic index. In ischemic hearts, opium smoking along with hypercholesterolemia significantly enhanced the incidence of fatal arrhythmia. This vulnerability was not mediated by changes in QT interval. These data suggest that opium smoking, especially in hypercholesterolemic conditions, can be a predisposing factor for atherogenesis and lethal arrhythmia. Copyright © 2012 Elsevier B.V. All rights reserved.

  20. Cardiovascular exercise and burden of arrhythmia in patients with atrial fibrillation

    DEFF Research Database (Denmark)

    Skielboe, Ane Katrine; Bandholm, Thomas Quaade; Hakmann, Stine

    2017-01-01

    BACKGROUND: Physical activity at moderate-high intensity is recommended to prevent lifestyle diseases. Patients with atrial fibrillation are at risk of a sedentary lifestyle due to fear of exercise-induced episodes of atrial fibrillation. The burden of arrhythmia can be reduced by physical exercise...

  1. Brief Report: Social Skills, Internalizing and Externalizing Symptoms, and Respiratory Sinus Arrhythmia in Autism

    Science.gov (United States)

    Neuhaus, Emily; Bernier, Raphael; Beauchaine, Theodore P.

    2014-01-01

    Theoretical and empirical models describe respiratory sinus arrhythmia (RSA) as a peripheral biomarker of emotion regulation and social competence. Recent findings also link RSA to individual differences in social functioning within autism spectrum disorder (ASD). However, associations between RSA and symptoms of internalizing/externalizing…

  2. Effect of Cardiac Arrhythmia Simulation on Nursing Students' Knowledge Acquisition and Retention.

    Science.gov (United States)

    Tubaishat, Ahmad; Tawalbeh, Loai I

    2015-09-01

    The realistic and practical environment that simulation provides is an extremely useful part of the teaching process. Simulation is widely used in health and nursing education today. This study aims to evaluate the effect of simulation-based teaching on the acquisition and retention of arrhythmia-related knowledge among nursing students. A randomized controlled design involving a pretest-posttest was used. Nursing students were allocated randomly either to the experimental group (n = 47), who attended simulation scenarios on cardiac arrhythmia, or to the control group (n = 44) who received a traditional lecture on the same topic. A paired t test showed that the mean knowledge score at the posttest was significantly higher than at the pretest for both groups. However, participants in the experimental group demonstrated significantly increased knowledge of cardiac arrhythmia in the first and the second posttest compared with those in the control group. Thus, simulation is superior and significantly improves students' arrhythmia knowledge. © The Author(s) 2014.

  3. Cardiac arrhythmia detection using combination of heart rate variability analyses and PUCK analysis.

    Science.gov (United States)

    Mahananto, Faizal; Igasaki, Tomohiko; Murayama, Nobuki

    2013-01-01

    This paper presents cardiac arrhythmia detection using the combination of a heart rate variability (HRV) analysis and a "potential of unbalanced complex kinetics" (PUCK) analysis. Detection performance was improved by adding features extracted from the PUCK analysis. Initially, R-R interval data were extracted from the original electrocardiogram (ECG) recordings and were cut into small segments and marked as either normal or arrhythmia. HRV analyses then were conducted using the segmented R-R interval data, including a time-domain analysis, frequency-domain analysis, and nonlinear analysis. In addition to the HRV analysis, PUCK analysis, which has been implemented successfully in a foreign exchange market series to characterize change, was employed. A decision-tree algorithm was applied to all of the obtained features for classification. The proposed method was tested using the MIT-BIH arrhythmia database and had an overall classification accuracy of 91.73%. After combining features obtained from the PUCK analysis, the overall accuracy increased to 92.91%. Therefore, we suggest that the use of a PUCK analysis in conjunction with HRV analysis might improve performance accuracy for the detection of cardiac arrhythmia.

  4. The Effect of PM 10 on Ischemia- Reperfusion Induced Arrhythmias in Rats

    Directory of Open Access Journals (Sweden)

    Esmat Radmanesh

    Full Text Available ABSTRACT Epidemiological studies show that particulate matter (PM is the principal instigator of some adverse clinical symptoms involving cardiovascular diseases. PM exposure can increase experimental infarct size and potentiate myocardial ischemia and arrhythmias in experimental MI models such as ischemia-reperfusion (I/R injury.The present study was aimed to evaluate the effects of particulate matter (PM10 on ischemia- reperfusion induced arrhythmias with emphasis on the protective role of VA as an antioxidant on them. Male Wistar rats were divided into 8 groups (n=10: Control, VAc, Sham, VA, PM1 (0.5 mg/kg, PM2 (2.5 mg/kg, PM3 group (5 mg/kg, PM3 + VA group. Within 48 hours, PM10 was instilled into trachea in two stages. Then the hearts were isolated, transferred to a Langendorff apparatus, and subjected to global ischemia (30 minutes followed by reperfusion (60 minutes. The ischemia- reperfusion induced ventricular arrhythmias were assessed according to the Lambeth conventions.In the present study,the number, incidence and duration of arrhythmiasduring30 minutes ischemia were demonstrated to be more than those in the reperfusion stage. PM exposure increased significantly the number, incidence and duration of arrhythmias in the ischemia and reperfusion duration. Vanillic acid reduced significantly the number, incidence and duration of arrhythmias during the ischemia and reperfusion period.In summary, the results of this study demonstrated that the protective and dysrhythmic effects of VA in the PM exposure rats in I/R model are probably related to its antioxidant properties.

  5. Dispersion of repolarization and refractoriness are determinants of arrhythmia phenotype in transgenic mice with long QT.

    Science.gov (United States)

    London, Barry; Baker, Linda C; Petkova-Kirova, Polina; Nerbonne, Jeanne M; Choi, Bum-Rak; Salama, Guy

    2007-01-01

    Enhanced dispersion of repolarization (DR) and refractoriness may be a unifying mechanism central to arrhythmia genesis in the long QT (LQT) syndrome. The role of DR in promoting arrhythmias was investigated in several strains of molecularly engineered mice: (a) Kv4.2 dominant negative transgenic (Kv4.2DN) that lacks the fast component of the transient outward current, I(to,f), have action potential (AP) and QT prolongation, but no spontaneous arrhythmias, (b) Kv1.4 targeted mice (Kv1.4-/-) that lack the slow component of I(to) (I(to,s)), have no QT prolongation and no spontaneous arrhythmias, and (c) double transgenic (Kv4.2DN x Kv1.4-/-) mice that lack both I(to,f) and I(to,s), have AP and QT prolongation, and spontaneous ventricular tachyarrhythmias. Hearts were perfused, stained with di-4-ANEPPS and optically mapped. Activation patterns and conduction velocities were similar between the strains but AP duration at 75% recovery (APD75) was longer in Kv4.2DN (28.0 +/- 2.5 ms, P mice than controls (20.3 +/- 1.0 ms, n = 5). Dispersion of refractoriness between apex and base was markedly reduced in Kv4.2DN (0.3 +/- 0.5 ms, n = 6, P mice compared with controls (10 +/- 2 ms, n = 5). A premature pulse elicited ventricular tachycardia (VT) in Kv1.4-/- (n = 4/5) and Kv4.2DN x Kv1.4-/- hearts (n = 5/5) but not Kv4.2DN hearts (n = 0/6). Voltage-clamp recordings showed that I(to,f) was 30% greater in myocytes from the apex than base which may account for the absence of DR in Kv4.2DN mice. Thus, dispersion of repolarization (DR) appears to be an important determinant of arrhythmia vulnerability.

  6. Effect of pore water pressure on P-wave velocity in water-filled sands with partial air saturation; Fukanzen howa jotai no suna shiryo wo denpasuru P ha sokudo ni oyobosu kangeki suiatsu no eikyo

    Energy Technology Data Exchange (ETDEWEB)

    Kanema, T [Chishitsu-Keisoku Co. Ltd., Tokyo (Japan)

    1997-10-22

    With an objective to elucidate change in velocity of elastic waves in association with water pressure increase in a sand bed below the groundwater level in a shallow portion of the ground, a measurement experiment was carried out on P-wave velocity in sand samples with partial air saturation. The experiment has used fine sand having an equivalent coefficient of 2.40, a soil particle density of 2.68 g/cm {sup 3} or 60%, and a grain size of 0.36 mm. Inside the water-filled sand sample, two accelerometers were embedded 20 cm apart from each other as vibration receivers. An electromagnetic hammer for P-wave was used as the vibration source. In the experiment, measurement was carried out on the P-wave velocity in association with increase in pore water pressure by applying water pressure afresh to the water-filled sample. As a result of the experiment, the following matters were disclosed: the P-wave velocity increases as the pore water pressure was increased, and a phenomenon was recognized that the dominant frequency changes into high frequency; the degree of increase in the P-wave velocity varies depending on initial saturation of the sample; and bubbles in the pore fluid have their volume decreased due to compression resulted from increased pore water pressure and dissolution of air into the pore water. 6 refs., 11 figs.

  7. The effect of Cardiac Arrhythmias Simulation Software on the nurses' learning and professional development.

    Science.gov (United States)

    Bazrafkan, Leila; Hemmati, Mehdi

    2018-04-01

    One of the important tasks of nurses in intensive care unit is interpretation of ECG. The use of training simulator is a new paradigm in the age of computers. This study was performed to evaluate the impact of cardiac arrhythmias simulator software on nurses' learning in the subspecialty Vali-Asr Hospital in 2016. This study was conducted by quasi-experimental randomized Salomon four group design with the participation of 120 nurses in subspecialty Vali-Asr Hospital in Tehran, Iran in 2016 that were selected purposefully and allocated in 4 groups. By this design other confounding factors such as the prior information, maturation and the role of sex and age were controlled by Solomon 4 design. The valid and reliable multiple choice test tools were used to gather information; the validity of the test was approved by experts and its reliability was obtained by Cronbach's alpha coefficient 0.89. At first, the knowledge and skills of the participants were assessed by a pre-test; following the educational intervention with cardiac arrhythmias simulator software during 14 days in ICUs, the mentioned factors were measured for the two groups again by a post-test in the four groups. Data were analyzed using the two way ANOVA. The significance level was considered as ptest results, using cardiac arrhythmias simulator software as an intervention was effective in the nurses' learning since a significant difference was found between pre-test and post-test in the first group (ptest showed that there was no interaction between pre-test and intervention in all of the three knowledge areas of cardiac arrhythmias, their treatments and their diagnosis (P>0.05). The use of software-based simulator for cardiac arrhythmias was effective in nurses' learning in light of its attractive components and interactive method. This intervention increased the knowledge of the nurses in cognitive domain of cardiac arrhythmias in addition to their diagnosis and treatment. Also, the package can be

  8. Associations of electrocardiographic P-wave characteristics with left atrial function, and diffuse left ventricular fibrosis defined by cardiac magnetic resonance: The PRIMERI Study.

    Science.gov (United States)

    Tiffany Win, Theingi; Ambale Venkatesh, Bharath; Volpe, Gustavo J; Mewton, Nathan; Rizzi, Patricia; Sharma, Ravi K; Strauss, David G; Lima, Joao A; Tereshchenko, Larisa G

    2015-01-01

    Abnormal P-terminal force in lead V1 (PTFV1) is associated with an increased risk of heart failure, stroke, atrial fibrillation, and death. Our goal was to explore associations of left ventricular (LV) diffuse fibrosis with left atrial (LA) function and electrocardiographic (ECG) measures of LA electrical activity. Patients without atrial fibrillation (n = 91; mean age 59.5 years; 61.5% men; 65.9% white) with structural heart disease (spatial QRS-T angle ≥105° and/or Selvester QRS score ≥5 on ECG) but LV ejection fraction >35% underwent clinical evaluation, cardiac magnetic resonance, and resting ECG. LA function indices were obtained by multimodality tissue tracking using 2- and 4-chamber long-axis images. T1 mapping and late gadolinium enhancement were used to assess diffuse LV fibrosis and presence of scar. P-prime in V1 amplitude (PPaV1) and duration (PPdV1), averaged P-wave-duration, PR interval, and P-wave axis were automatically measured using 12 SLTM algorithm. PTFV1 was calculated as a product of PPaV1 and PPdV1. In linear regression after adjustment for demographic characteristics, body mass index, maximum LA volume index, presence of scar, and LV mass index, each decile increase in LV interstitial fibrosis was associated with 0.76 mV*ms increase in negative abnormal PTFV1 (95% confidence interval [CI] -1.42 to -0.09; P = .025), 15.3 ms prolongation of PPdV1 (95% CI 6.9 to 23.8; P = .001) and 5.4 ms prolongation of averaged P-duration (95% CI 0.9-10.0; P = .020). LV fibrosis did not affect LA function. PPaV1 and PTFV1 were associated with an increase in LA volumes and decrease in LA emptying fraction and LA reservoir function. LV interstitial fibrosis is associated with abnormal PTFV1, prolonged PPdV1, and P-duration, but does not affect LA function. Copyright © 2015 Heart Rhythm Society. All rights reserved.

  9. Radiofrequency catheter ablation in the treatment of cardiac arrhythmias (first of two parts)

    International Nuclear Information System (INIS)

    Kou, W.H; Morady, F.

    1997-01-01

    The intravenous radiofrequency catheter inside cardiac s chambers, for inspect signals intracardiac s and to encourage, has been developed as diagnostic tool with the purpose to search arrhythmias physiology and physiopathology.Many energy sources has been used: direct energy, radiofrequency 11-15, laser 6,17, and microwave 18,19. A comparison between radiofrequency and electric energy shock has been described in cardiac arrhythmias treatment, in the present article. It has been tested the radiation biological effects and risk in Wolff Parkinson White patients as well as doctors who handling the fluoroscopy for image during the radiofrequency ablation. Has been described the following techniques: Catheter ablation radiofrequency slow way and fast way

  10. Classification of ECG signal with Support Vector Machine Method for Arrhythmia Detection

    Science.gov (United States)

    Turnip, Arjon; Ilham Rizqywan, M.; Kusumandari, Dwi E.; Turnip, Mardi; Sihombing, Poltak

    2018-03-01

    An electrocardiogram is a potential bioelectric record that occurs as a result of cardiac activity. QRS Detection with zero crossing calculation is one method that can precisely determine peak R of QRS wave as part of arrhythmia detection. In this paper, two experimental scheme (2 minutes duration with different activities: relaxed and, typing) were conducted. From the two experiments it were obtained: accuracy, sensitivity, and positive predictivity about 100% each for the first experiment and about 79%, 93%, 83% for the second experiment, respectively. Furthermore, the feature set of MIT-BIH arrhythmia using the support vector machine (SVM) method on the WEKA software is evaluated. By combining the available attributes on the WEKA algorithm, the result is constant since all classes of SVM goes to the normal class with average 88.49% accuracy.

  11. Anti-HERG activity and the risk of drug-induced arrhythmias and sudden death

    DEFF Research Database (Denmark)

    De Bruin, M L; Pettersson, M; Meyboom, R H B

    2005-01-01

    AIMS: Drug-induced QTc-prolongation, resulting from inhibition of HERG potassium channels may lead to serious ventricular arrhythmias and sudden death. We studied the quantitative anti-HERG activity of pro-arrhythmic drugs as a risk factor for this outcome in day-to-day practice. METHODS...... defined as reports of cardiac arrest, sudden death, torsade de pointes, ventricular fibrillation, and ventricular tachycardia (n = 5591), and compared with non-cases regarding the anti-HERG activity, defined as the effective therapeutic plasma concentration (ETCPunbound) divided by the HERG IC50 value......, of suspected drugs. We identified a significant association of 1.93 (95% CI: 1.89-1.98) between the anti-HERG activity of drugs, measured as log10 (ETCPunbound/IC50), and reporting of serious ventricular arrhythmias and sudden death to the WHO-UMC database. CONCLUSION: Anti-HERG activity is associated...

  12. Atrial Arrhythmias in Obstructive Sleep Apnea: Underlying Mechanisms and Implications in the Clinical Setting

    Directory of Open Access Journals (Sweden)

    David Filgueiras-Rama

    2013-01-01

    Full Text Available Obstructive sleep apnea (OSA is a common disorder characterized by repetitive interruption of ventilation during sleep caused by recurrent upper airway collapse, which leads to intermittent hypoxia. The disorder is commonly undiagnosed despite its relationship with substantial cardiovascular morbidity and mortality. Moreover, the effects of the disorder appear to be particularly dangerous in young subjects. In the last decade, substantial clinical evidence has identified OSA as independent risk factor for both bradyarrhythmias and tachyarrhythmias. To date the mechanisms leading to such arrhythmias have not been completely understood. However, recent data from animal models and new molecular analyses have increased our knowledge of the field, which might lead to future improvement in current therapeutic strategies mainly based on continuous positive airway pressure. This paper aims at providing readers a brief and specific revision of current knowledge about the mechanisms underlying atrial arrhythmias in OSA and their clinical and therapeutic implications.

  13. AANA Journal Course: update for nurse anesthetists. Arrhythmia management devices and electromagnetic interference.

    Science.gov (United States)

    Mattingly, Emily

    2005-04-01

    The technological complexity of implantable arrhythmia management devices, specifically pacemakers and defibrillators, has increased dramatically since their introduction only a few decades ago. Patients with such devices are encountered much more frequently in hospitals and surgery centers, yet anesthesia provider knowledge of safe and proper management is often incomplete. Anesthesia textbooks and references may provide only short paragraphs on arrhythmia management devices that do not address important perioperative management strategies for this ever-growing patient population. It is no longer satisfactory to simply place a magnet over an implanted device during surgery and assume that this action protects the patient from harm due to electromagnetic interference from inappropriate device function. This AANA Journal course serves as a concise review of basic device function, the sources and effects of electromagnetic interference in the operative setting, and patient management recommendations from current literature.

  14. Ion Channel Trafficking: Control of Ion Channel Density as a Target for Arrhythmias?

    Directory of Open Access Journals (Sweden)

    Elise Balse

    2017-10-01

    Full Text Available The shape of the cardiac action potential (AP is determined by the contributions of numerous ion channels. Any dysfunction in the proper function or expression of these ion channels can result in a change in effective refractory period (ERP and lead to arrhythmia. The processes underlying the correct targeting of ion channels to the plasma membrane are complex, and have not been fully characterized in cardiac myocytes. Emerging evidence highlights ion channel trafficking as a potential causative factor in certain acquired and inherited arrhythmias, and therapies which target trafficking as opposed to pore block are starting to receive attention. In this review we present the current evidence for the mechanisms which underlie precise control of cardiac ion channel trafficking and targeting.

  15. Lattice NRQCD study of S- and P-wave bottomonium states in a thermal medium with Nf=2 +1 light flavors

    Science.gov (United States)

    Kim, Seyong; Petreczky, Peter; Rothkopf, Alexander

    2015-03-01

    We investigate the properties of S - and P -wave bottomonium states in the vicinity of the deconfinement transition temperature. The light degrees of freedom are represented by dynamical lattice quantum chromodynamics (QCD) configurations of the HotQCD collaboration with Nf=2 +1 flavors. Bottomonium correlators are obtained from bottom quark propagators, computed in nonrelativistic QCD under the background of these gauge field configurations. The spectral functions for the 3S1 (ϒ ) and 3P1 (χb 1) channel are extracted from the Euclidean time correlators using a novel Bayesian approach in the temperature region 140 MeV ≤T ≤249 MeV and the results are contrasted to those from the standard maximum entropy method. We find that the new Bayesian approach is far superior to the maximum entropy method. It enables us to study reliably the presence or absence of the lowest state signal in the spectral function of a certain channel, even under the limitations present in the finite temperature setup. We find that χb 1 survives up to T =249 MeV , the highest temperature considered in our study, and put stringent constraints on the size of the medium modification of ϒ and χb 1 states.

  16. Coherent Seismic Arrivals in the P Wave Coda of the 2012 Mw 7.2 Sumatra Earthquake: Water Reverberations or an Early Aftershock?

    Science.gov (United States)

    Fan, Wenyuan; Shearer, Peter M.

    2018-04-01

    Teleseismic records of the 2012 Mw 7.2 Sumatra earthquake contain prominent phases in the P wave train, arriving about 50 to 100 s after the direct P arrival. Azimuthal variations in these arrivals, together with back-projection analysis, led Fan and Shearer (https://doi.org/10.1002/2016GL067785) to conclude that they originated from early aftershock(s), located ˜150 km northeast of the mainshock and landward of the trench. However, recently, Yue et al. (https://doi.org/10.1002/2017GL073254) argued that the anomalous arrivals are more likely water reverberations from the mainshock, based mostly on empirical Green's function analysis of a M6 earthquake near the mainshock and a water phase synthetic test. Here we present detailed back-projection and waveform analyses of three M6 earthquakes within 100 km of the Mw 7.2 earthquake, including the empirical Green's function event analyzed in Yue et al. (https://doi.org/10.1002/2017GL073254). In addition, we examine the waveforms of three M5.5 reverse-faulting earthquakes close to the inferred early aftershock location in Fan and Shearer (https://doi.org/10.1002/2016GL067785). These results suggest that the reverberatory character of the anomalous arrivals in the mainshock coda is consistent with water reverberations, but the origin of this energy is more likely an early aftershock rather than delayed and displaced water reverberations from the mainshock.

  17. Teleseismic P-wave tomography and the upper mantle structure of the Sulu orogenic belt (China): implications for Triassic collision and exhumation mechanism

    Science.gov (United States)

    Peng, Miao; Tan, Handong; Jiang, Mei; Xu, Zhiqin; Li, Zhonghai; Xu, Lehong

    2016-12-01

    As the largest ultrahigh-pressure (UHP) metamorphic tectonic unit outcropping in the world, the Dabie-Sulu UHP metamorphic belt is considered to be one of the best areas for studying the continental dynamics. However, their continental collision and exhumation mechanism are still debated. We performed a 3D teleseismic P-wave tomography beneath the Sulu orogen for the purpose of understanding the deep structure. The tomographic results show that there is a prominently near-SN-trending low-velocity zone (LVZ) close to the Tanlu fault (TLF), indicating a slab tear of the subducted Yangtze plate (YZP) during the initial Early Triassic collision. Our results also suggest that both the Yangze crustal slab and the North China lithospheric slab were dragged downwards by the subducted oceanic slab, which constituted a ‘two-sided’ subduction mode. A conceptual geodynamic model is proposed to explain the exhumation of Sulu high- to UHP rocks and imply a polyphase exhumation driven by buoyancy of continental materials at different depth and upward extrusion of crustal partial melting rocks to the surface at the later stage.

  18. Epicardial fat thickness correlates with P-wave duration, left atrial size and decreased left ventricular systolic function in morbid obesity.

    Science.gov (United States)

    Fernandes-Cardoso, A; Santos-Furtado, M; Grindler, J; Ferreira, L A; Andrade, J L; Santo, M A

    2017-08-01

    Epicardial fat (EF) is increased in obesity and has important interactions with atrial and ventricular myocardium. Most of the evidence in this scenario can be confused by the presence of comorbidities such as hypertension, diabetes and dyslipidemia, which are very common in this population. The influence of EF on atrial remodeling and cardiac function demands further investigation on morbidly obese without these comorbidities. We prospectively recruited 20 metabolically healthy morbidly obese and 20 normo-weights controls. The maximum P-wave duration (PWD) was analyzed by 12-lead electrocardiogram. Left atrial diameter (LAD), left ventricular ejection fraction (LVEF) and EF thickness (EFT) were evaluated by two-dimensional echocardiography. The mean of maximum PWD and LAD were significantly larger in the obese group as compared to the control group: 109.55 ± 11.52 ms × 89.38 ± 11.19 ms and 36.12 ± 3.46 mm × 31.45 ± 2.64 mm, (p function. Copyright © 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

  19. Analysis of the multi-component pseudo-pure-mode qP-wave inversion in vertical transverse isotropic (VTI) media

    KAUST Repository

    Djebbi, Ramzi

    2014-08-05

    Multi-parameter inversion in anisotropic media suffers from the inherent trade-off between the anisotropic parameters, even under the acoustic assumption. Multi-component data, often acquired nowadays in ocean bottom acquisition and land data, provide additional information capable of resolving anisotropic parameters under the acoustic approximation assumption. Based on Born scattering approximation, we develop formulas capable of characterizing the radiation patterns for the acoustic pseudo-pure mode P-waves. Though commonly reserved for the elastic fields, we use displacement fields to constrain the acoustic vertical transverse isotropic (VTI) representation of the medium. Using the asymptotic Green\\'s functions and a horizontal reflector we derive the radiation patterns for perturbations in the anisotropic media. The radiation pattern for the anellipticity parameter η is identically zero for the horizontal displacement. This allows us to dedicate this component to invert for velocity and δ. Computing the traveltime sensitivity kernels based on the unwrapped phase confirms the radiation patterns observations, and provide the model wavenumber behavior of the update.

  20. Kinematics of the quasi-p wave in anisotropic media. Application to tomography; Cinematique de l'onde quasi p en milieux anisotropes. Application a la tomographie

    Energy Technology Data Exchange (ETDEWEB)

    Mensch, Th.

    2000-01-12

    The seismic anisotropy causes in the Earth are known. The anisotropy characterization can provide valuable informations on the structure, lithology or eventual deformation processes in geological media. The orthorhombic symmetry allows a more complete description and representation of the anisotropy than the transversely isotropy symmetry usually assumed. Moreover this symmetry is potentially common in sedimentary basins, and particularly in fractured reservoir. In anisotropic media of arbitrary symmetry (triclinic), there is no simple analytic expressions on the phase slowness surface. The weak anisotropy assumption, often reasonable in geological media, makes perturbation techniques relevant. An approximate first order analytical expression of the qP-wave slowness surface is obtained. Using an adequate parameterization, the forward problem is solved by the ray theory. The Hamiltonian formulation introduces by a simple way ray equations in anisotropic media. The rays, travel time and its Fruchet derivatives expressions, valid to first order, are given for orthorhombic inhomogeneous media. Perturbation method applied to the ray theory allows the development of fast ray tracing in these media. Synthetic examples illustrate the accuracy and efficiency of the proposed approach. A tomographic method is developed. The travel time are inverted by minimizing, in term of least-square, the misfit between the observed and calculated travel times. The solution is approached iteratively by using a singular value decomposition algorithm. The inversion stability is assured by introducing a priori constraints. Synthetics examples show the need of an acquisition geometry well conceived to take account of anisotropy. (author)

  1. First-arrival traveltime computation for quasi-P waves in 2D transversely isotropic media using Fermat’s principle-based fast marching

    Science.gov (United States)

    Hu, Jiangtao; Cao, Junxing; Wang, Huazhong; Wang, Xingjian; Jiang, Xudong

    2017-12-01

    First-arrival traveltime computation for quasi-P waves in transversely isotropic (TI) media is the key component of tomography and depth migration. It is appealing to use the fast marching method in isotropic media as it efficiently computes traveltime along an expanding wavefront. It uses the finite difference method to solve the eikonal equation. However, applying the fast marching method in anisotropic media faces challenges because the anisotropy introduces additional nonlinearity in the eikonal equation and solving this nonlinear eikonal equation with the finite difference method is challenging. To address this problem, we present a Fermat’s principle-based fast marching method to compute traveltime in two-dimensional TI media. This method is applicable in both vertical and tilted TI (VTI and TTI) media. It computes traveltime along an expanding wavefront using Fermat’s principle instead of the eikonal equation. Thus, it does not suffer from the nonlinearity of the eikonal equation in TI media. To compute traveltime using Fermat’s principle, the explicit expression of group velocity in TI media is required to describe the ray propagation. The moveout approximation is adopted to obtain the explicit expression of group velocity. Numerical examples on both VTI and TTI models show that the traveltime contour obtained by the proposed method matches well with the wavefront from the wave equation. This shows that the proposed method could be used in depth migration and tomography.

  2. Late gadolinium enhancement by magnetic resonance explains adverse cardiac events in individuals with ventricular arrhythmia

    International Nuclear Information System (INIS)

    Courtis, J.; Vasallo, J.; Arabia, L.; Dimitroff, M.; Gonzalez, A.; Tibaldi, M.

    2012-01-01

    Objective: To determine whether the presence of late gadolinium enhancement (LGE) by cardiovascular magnetic resonance (CMR) predict adverse cardiac events in patients with ventricular arrhythmia. Methods: We selected 74 consecutive patients with symptomatic ventricular arrhythmia (premature ventricular contractions and ventricular tachycardia) and left ventricular ejection fraction (LVEF) >55% sent to CMR for evaluation of structural heart disease previously undetected by other complementary methods. LGE, systolic function and volumes of both ventricles were analyzed. At follow-up was assessed a combined end point: hospitalization for ventricular arrhythmia, appropriate implantable cardioverter-defibrillator therapy and cardiac death. Results: During a median follow up of 575 days (interquartile range 24-1120 days) and by analyzing the population according to the presence (n=9, 12%) or not (n=65, 88%) LGE was observed that the group with positive Gd had lower LVEF (58% vs. 66% respectively, p=0.01) and larger volumes (EDV: 185 ml vs. 123 ml respectively, p=0.01 and ESV: 81 ml vs. 42 ml respectively, p=0.01) than the other group. Two (22%) patients in the LGE + group vs. one (4%) of those without LGE showed the combined endpoint (p=0.01) and when performing a logistic regression analysis it was found that the LGE is a predictor of adverse cardiac events analyzed (p=0.029). Conclusions: In this consecutive series of patients with ventricular arrhythmia we demonstrate a strong association between myocardial LGE and adverse cardiac events; this supports the hypothesis that myocardial fibrosis is an important arrhythmogenic substrate. In addition, almost all individuals without LGE were free of events during follow-up suggesting that it is possible to identify through the CMR low-risk individuals who can be treated conservatively. (authors) [es

  3. Discrete potentials guided radiofrequency ablation for idiopathic outflow tract ventricular arrhythmias.

    Science.gov (United States)

    Liu, Enzhao; Xu, Gang; Liu, Tong; Ye, Lan; Zhang, Qitong; Zhao, Yanshu; Li, Guangping

    2015-03-01

    Discrete potentials (DPs) have been recorded and targeted as the site of ablation of the outflow tract arrhythmias. The aim of the present study was to investigate the significance of DPs with respect to mapping and ablation for idiopathic outflow tract premature ventricular contractions (PVCs) or ventricular tachycardias (VTs). Seventeen consecutive patients with idiopathic right or left ventricular outflow tract PVCs/VTs who underwent radiofrequency catheter ablation were included. Intracardiac electrograms during the mapping and ablation were analysed. During sinus rhythm, sharp high-frequency DPs that displayed double or multiple components were recorded following or buried in the local ventricular electrograms in all of the 17 patients, peak amplitude 0.51 ± 0.21 mV. The same potential was recorded prior to the local ventricular potential of the PVCs/VTs. Spontaneous reversal of the relationship of the DPs to the local ventricular electrogram during the arrhythmias was noted. The DPs were related to a region of low voltage showed by intracardiac high-density contact mapping. At the sites with DPs, lower unipolar and bipolar ventricular voltage of sinus beats were noted compared with the adjacent regions without DPs (unipolar: 6.1 ± 1.8 vs. 8.3 ± 2.3 mV, P Discrete potentials were not present in seven controls. Discrete potentials and related low-voltage regions were common in idiopathic outflow tract ventricular arrhythmias. Discrete potential- and substrate-guided ablation strategy will help to reduce the recurrence of idiopathic outflow tract arrhythmias. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  4. Observational cohort study of ventricular arrhythmia in adults with Marfan syndrome caused by FBN1 mutations.

    Directory of Open Access Journals (Sweden)

    Ali Aydin

    Full Text Available Marfan syndrome is associated with ventricular arrhythmia but risk factors including FBN1 mutation characteristics require elucidation.We performed an observational cohort study of 80 consecutive adults (30 men, 50 women aged 42±15 years with Marfan syndrome caused by FBN1 mutations. We assessed ventricular arrhythmia on baseline ambulatory electrocardiography as >10 premature ventricular complexes per hour (>10 PVC/h, as ventricular couplets (Couplet, or as non-sustained ventricular tachycardia (nsVT, and during 31±18 months of follow-up as ventricular tachycardia (VT events (VTE such as sudden cardiac death (SCD, and sustained ventricular tachycardia (sVT. We identified >10 PVC/h in 28 (35%, Couplet/nsVT in 32 (40%, and VTE in 6 patients (8%, including 3 with SCD (4%. PVC>10/h, Couplet/nsVT, and VTE exhibited increased N-terminal pro-brain natriuretic peptide serum levels(P10/h and Couplet/nsVT also related to increased indexed end-systolic LV diameters (P = .024 and P = .020, to moderate mitral valve regurgitation (P = .018 and P = .003, and to prolonged QTc intervals (P = .001 and P = .006, respectively. Moreover, VTE related to mutations in exons 24-32 (P = .021. Kaplan-Meier analysis corroborated an association of VTE with increased NT-proBNP (P<.001 and with mutations in exons 24-32 (P<.001.Marfan syndrome with causative FBN1 mutations is associated with an increased risk for arrhythmia, and affected persons may require life-long monitoring. Ventricular arrhythmia on electrocardiography, signs of myocardial dysfunction and mutations in exons 24-32 may be risk factors of VTE.

  5. Cardiac Arrhythmia: In vivo screening in the zebrafish to overcome complexity in drug discovery.

    Science.gov (United States)

    Macrae, Calum A

    2010-07-01

    IMPORTANCE OF THE FIELD: Cardiac arrhythmias remain a major challenge for modern drug discovery. Clinical events are paroxysmal, often rare and may be asymptomatic until a highly morbid complication. Target selection is often based on limited information and though highly specific agents are identified in screening, the final efficacy is often compromised by unanticipated systemic responses, a narrow therapeutic index and substantial toxicities. AREAS COVERED IN THIS REVIEW: Our understanding of complexity of arrhythmogenesis has grown dramatically over the last two decades, and the range of potential disease mechanisms now includes pathways previously thought only tangentially involved in arrhythmia. This review surveys the literature on arrhythmia mechanisms from 1965 to the present day, outlines the complex biology underlying potentially each and every rhythm disturbance, and highlights the problems for rational target identification. The rationale for in vivo screening is described and the utility of the zebrafish for this approach and for complementary work in functional genomics is discussed. Current limitations of the model in this setting and the need for careful validation in new disease areas are also described. WHAT THE READER WILL GAIN: An overview of the complex mechanisms underlying most clinical arrhythmias, and insight into the limits of ion channel conductances as drug targets. An introduction to the zebrafish as a model organism, in particular for cardiovascular biology. Potential approaches to overcoming the hurdles to drug discovery in the face of complex biology including in vivo screening of zebrafish genetic disease models. TAKE HOME MESSAGE: In vivo screening in faithful disease models allows the effects of drugs on integrative physiology and disease biology to be captured during the screening process, in a manner agnostic to potential drug target or targets. This systematic strategy bypasses current gaps in our understanding of disease

  6. Comparison of real-time classification systems for arrhythmia detection on Android-based mobile devices.

    Science.gov (United States)

    Leutheuser, Heike; Gradl, Stefan; Kugler, Patrick; Anneken, Lars; Arnold, Martin; Achenbach, Stephan; Eskofier, Bjoern M

    2014-01-01

    The electrocardiogram (ECG) is a key diagnostic tool in heart disease and may serve to detect ischemia, arrhythmias, and other conditions. Automatic, low cost monitoring of the ECG signal could be used to provide instantaneous analysis in case of symptoms and may trigger the presentation to the emergency department. Currently, since mobile devices (smartphones, tablets) are an integral part of daily life, they could form an ideal basis for automatic and low cost monitoring solution of the ECG signal. In this work, we aim for a realtime classification system for arrhythmia detection that is able to run on Android-based mobile devices. Our analysis is based on 70% of the MIT-BIH Arrhythmia and on 70% of the MIT-BIH Supraventricular Arrhythmia databases. The remaining 30% are reserved for the final evaluation. We detected the R-peaks with a QRS detection algorithm and based on the detected R-peaks, we calculated 16 features (statistical, heartbeat, and template-based). With these features and four different feature subsets we trained 8 classifiers using the Embedded Classification Software Toolbox (ECST) and compared the computational costs for each classification decision and the memory demand for each classifier. We conclude that the C4.5 classifier is best for our two-class classification problem (distinction of normal and abnormal heartbeats) with an accuracy of 91.6%. This classifier still needs a detailed feature selection evaluation. Our next steps are implementing the C4.5 classifier for Android-based mobile devices and evaluating the final system using the remaining 30% of the two used databases.

  7. Chewing reduces sympathetic nervous response to stress and prevents poststress arrhythmias in rats.

    Science.gov (United States)

    Koizumi, So; Minamisawa, Susumu; Sasaguri, Kenichi; Onozuka, Minoru; Sato, Sadao; Ono, Yumie

    2011-10-01

    Reducing stress is important in preventing sudden death in patients with cardiovascular disease, as stressful events may cause autonomic imbalance and trigger fatal arrhythmias. Since chewing has been shown to inhibit stress-induced neuronal responses in the hypothalamus, we hypothesized that chewing could ameliorate stress-induced autonomic imbalance and prevent arrhythmias. To test this hypothesis, we analyzed changes in radiotelemetered electrocardiograms in rats that were allowed to chew a wooden stick during a 1-h period of immobilization stress. Chewing significantly reduced the occurrence of ventricular premature beats (VPBs) and complex ventricular ectopy after immobilization and prevented stress-induced prolongation of the QT interval of VPBs throughout the 10-h experimental period. It also prevented prolongation of the QRS complex and fluctuations in the QT interval in normal sinus rhythm beats preceding VPBs during both immobilization and in the poststress period. Fast Fourier transform-based spectral analysis of heart-rate variability further showed that chewing significantly inhibited the stress-induced increase in the power ratio of low-to-high frequency activity (LF/HF: a marker of sympathetic activity) during immobilization and in addition was associated with blunting of the stress-induced increase in plasma noradrenaline observed at the termination of immobilization. Similar suppressive effects on the occurrence of VPBs and the LF/HF were observed in rats that were administered the β-adrenergic blocker propranolol before immobilization. These results indicate that chewing can ameliorate sympathetic hyperactivity during stress and prevent poststress arrhythmias and suggest that chewing may provide a nonpharmacological and cost-effective treatment option for patients with a high risk of stress-induced fatal arrhythmia.

  8. Comparison of two teaching methods for cardiac arrhythmia interpretation among nursing students.

    Science.gov (United States)

    Varvaroussis, Dimitrios P; Kalafati, Maria; Pliatsika, Paraskevi; Castrén, Maaret; Lott, Carsten; Xanthos, Theodoros

    2014-02-01

    The aim of this study was to compare the six-stage method (SSM) for instructing primary cardiac arrhythmias interpretation to students without basic electrocardiogram (ECG) knowledge with a descriptive teaching method in a single educational intervention. This is a randomized trial. Following a brief instructional session, undergraduate nursing students, assigned to group A (SSM) and group B (descriptive teaching method), undertook a written test in cardiac rhythm recognition, immediately after the educational intervention (initial exam). Participants were also examined with an unannounced retention test (final exam), one month after instruction. Altogether 134 students completed the study. Interpretation accuracy for each cardiac arrhythmia was assessed. Mean score at the initial exam was 8.71±1.285 for group A and 8.74±1.303 for group B. Mean score at the final exam was 8.25±1.46 for group A vs 7.84±1.44 for group B. Overall results showed that the SSM was equally effective with the descriptive teaching method. The study showed that in each group bradyarrhythmias were identified correctly by more students than tachyarrhythmias. No significant difference between the two teaching methods was seen for any specific cardiac arrhythmia. The SSM effectively develops staff competency for interpreting common cardiac arrhythmias in students without ECG knowledge. More research is needed to support this conclusion and the method's effectiveness must be evaluated if being implemented to trainee groups with preexisting basic ECG interpretation knowledge. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  9. Monitoring of arrhythmia and sudden death in a hemodialysis population: The CRASH-ILR Study.

    Directory of Open Access Journals (Sweden)

    Paul R Roberts

    Full Text Available It has been suggested that sudden cardiac death (SCD contributes around 50% of cardiovascular and 27% of all-cause mortality in hemodialysis patients. The true burden of arrhythmias and arrhythmic deaths in this population, however, remains poorly characterised. Cardio Renal Arrhythmia Study in Hemodialysis (CRASH-ILR is a prospective, implantable loop recorder single centre study of 30 established hemodialysis patients and one of the first to provide long-term ambulatory ECG monitoring.30 patients (60% male aged 68±12 years receiving hemodialysis for 45±40 months with varied etiology (diabetes 37%, hypertension 23% and left ventricular ejection fraction (LVEF 55±8% received a Reveal XT implantable loop recorder (Medtronic, USA between August 2011 and October 2014. ECG data from loop recorders were transmitted at each hemodialysis session using a remote monitoring system. Primary outcome was SCD or implantation of a (tachy or bradyarrhythmia controlling device and secondary outcome, the development of arrhythmia necessitating medical intervention.During 379,512 hours of continuous ECG monitoring (mean 12,648±9,024 hours/patient, there were 8 deaths-2 SCD and 6 due to generalised deterioration/sepsis. 5 (20% patients had a primary outcome event (2 SCD, 3 pacemaker implantations for bradyarrhythmia. 10 (33% patients reached an arrhythmic primary or secondary end point. Median event free survival for any arrhythmia was 2.6 years (95% confidence intervals 1.6-3.6 years.The findings confirm the high mortality rate seen in hemodialysis populations and contrary to initial expectations, bradyarrhythmias emerged as a common and potentially significant arrhythmic event.

  10. Epicardial phrenic nerve displacement during catheter ablation of atrial and ventricular arrhythmias: procedural experience and outcomes.

    Science.gov (United States)

    Kumar, Saurabh; Barbhaiya, Chirag R; Baldinger, Samuel H; Koplan, Bruce A; Maytin, Melanie; Epstein, Laurence M; John, Roy M; Michaud, Gregory F; Tedrow, Usha B; Stevenson, William G

    2015-08-01

    Arrhythmia origin in close proximity to the phrenic nerve (PN) can hinder successful catheter ablation. We describe our approach with epicardial PN displacement in such instances. PN displacement via percutaneous pericardial access was attempted in 13 patients (age 49±16 years, 9 females) with either atrial tachycardia (6 patients) or atrial fibrillation triggered from a superior vena cava focus (1 patient) adjacent to the right PN or epicardial ventricular tachycardia origin adjacent to the left PN (6 patients). An epicardially placed steerable sheath/4 mm-catheter combination (5 patients) or a vascular or an esophageal balloon (8 patients) was ultimately successful. Balloon placement was often difficult requiring manipulation via a steerable sheath. In 2 ventricular tachycardia cases, absence of PN capture was achieved only once the balloon was directly over the ablation catheter. In 3 atrial tachycardia patients, PN displacement was not possible with a balloon; however, a steerable sheath/catheter combination was ultimately successful. PN displacement allowed acute abolishment of all targeted arrhythmias. No PN injury occurred acutely or in follow up. Two patients developed acute complications (pleuro-pericardial fistula 1 and pericardial bleeding 1). Survival free of target arrhythmia was achieved in all atrial tachycardia patients; however, a nontargeted ventricular tachycardia recurred in 1 patient at a median of 13 months' follow up. Arrhythmias originating in close proximity to the PN can be targeted successfully with PN displacement with an epicardially placed steerable sheath/catheter combination, or balloon, but this strategy can be difficult to implement. Better tools for phrenic nerve protection are desirable. © 2015 American Heart Association, Inc.

  11. Production of arrhythmias by elevated carboxyhemoglobin in patients with coronary artery disease

    International Nuclear Information System (INIS)

    Sheps, D.S.; Herbst, M.C.; Hinderliter, A.L.; Adams, K.F.; Ekelund, L.G.; O'Neil, J.J.; Goldstein, G.M.; Bromberg, P.A.; Dalton, J.L.; Ballenger, M.N.

    1990-01-01

    The object of this study was to assess the effects of exposure to 4% and 6% carboxyhemoglobin on ventricular arrhythmias in patients with coronary artery disease. This was a randomized, double-blind, crossover design. Forty-one nonsmokers with documented coronary artery disease were tested. On day 1, a training session with no exposure, the baseline carboxyhemoglobin level was measured, and a supine bicycle exercise test was done. On days 2 to 4, patients were exposed to room air, 100 ppm carbon monoxide (target, 4% carboxyhemoglobin) or 200 ppm carbon monoxide (target, 6% carboxyhemoglobin), and they then did supine bicycle exercise with radionuclide ventriculography. Ambulatory electrocardiogram recordings were made during the 4 consecutive days to determine the frequency of ventricular premature depolarization (VPD) at various intervals. The frequency of single VPD/h was significantly greater on the 6% carboxyhemoglobin day than on the room air day during the exercise period (167.72 +/- 37.99 for 6% carboxyhemoglobin compared with 127.32 +/- 28.22 for room air, P = 0.03). During exercise, the frequency of multiple VPD/h was greater on the 6% carboxyhemoglobin day compared with room air (9.59 +/- 3.70 on the 6% carboxyhemoglobin compared with 3.18 +/- 1.67 on room air, P = 0.02). Patients who developed increased single VPD during exercise on the 6% carboxyhemoglobin day were significantly older than those who had no increased arrhythmia, whereas patients who developed complex arrhythmias were also older and, in addition, exercised longer and had a higher peak workload during exercise. The number and complexity of ventricular arrhythmias increases significantly during exercise after carbon monoxide exposure producing 6% carboxyhemoglobin compared with room air but not after exposure producing 4% carboxyhemoglobin

  12. Controversies in Cardiovascular Research: Induced pluripotent stem cell-derived cardiomyocytes – boutique science or valuable arrhythmia model?

    Science.gov (United States)

    Knollmann, Björn C

    2013-01-01

    As part of the series on Controversies in Cardiovascular Research, the article reviews the strengths and limitations of induced pluripotent stem cell-derived cardiomyocytes (iPSC-CM) as models of cardiac arrhythmias. Specifically, the article attempts to answer the following questions: Which clinical arrhythmias can be modeled by iPSC-CM? How well can iPSC-CM model adult ventricular myocytes? What are the strengths and limitations of published iPSC-CM arrhythmia models? What new mechanistic insight has been gained? What is the evidence that would support using iPSC-CM to personalize anti-arrhythmic drug therapy? The review also discusses the pros and cons of using the iPSC-CM technology for modeling specific genetic arrhythmia disorders such as long QT syndrome, Brugada Syndrome or Catecholaminergic Polymorphic Ventricular Tachycardia. PMID:23569106

  13. 10-year follow-up after radiofrequency ablation of idiopathic ventricular arrhythmias from right ventricular outflow tract

    Directory of Open Access Journals (Sweden)

    Synne Dragesund Rørvik

    2016-05-01

    Conclusions: A reduction of symptoms and use of antiarrhythmic medication, as well as an improvement in the general health perception and fitness to work after RFA of idiopathic ventricular arrhythmias can be demonstrated at ten-year follow-up.

  14. Electroversion in treatment of arrhythmia in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury

    Directory of Open Access Journals (Sweden)

    SHEN Peng

    2013-06-01

    Full Text Available 【Abstract】We report electroversion in treatment of atrial fibrillation (AF and atrioventricular nodal reentry ta-chycardia (AVNRT in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury. At first, the pa-tient sustained respiratory failure and weak cough reflex, thereafter repeated bronchoscopy was used to aspirate the sputum as well as control the pneumonia, which resulted in arrhythmia (AF and AVNRT. Two doses of intravenous amiodarone failed to correct the arrhythmia. After restora-tion of sinus rhythm by electroversion, he was successfully weaned from mechanical ventilation and discharged from the intensive care unit without recurrent arrhythmia. Key words: Arrhythmia, cardiac; Atrial fibrillation; Electric countershock; Wolff-Parkinson-White syndrome; Spinal cord injuries

  15. LiteNet: Lightweight Neural Network for Detecting Arrhythmias at Resource-Constrained Mobile Devices

    Directory of Open Access Journals (Sweden)

    Ziyang He

    2018-04-01

    Full Text Available By running applications and services closer to the user, edge processing provides many advantages, such as short response time and reduced network traffic. Deep-learning based algorithms provide significantly better performances than traditional algorithms in many fields but demand more resources, such as higher computational power and more memory. Hence, designing deep learning algorithms that are more suitable for resource-constrained mobile devices is vital. In this paper, we build a lightweight neural network, termed LiteNet which uses a deep learning algorithm design to diagnose arrhythmias, as an example to show how we design deep learning schemes for resource-constrained mobile devices. Compare to other deep learning models with an equivalent accuracy, LiteNet has several advantages. It requires less memory, incurs lower computational cost, and is more feasible for deployment on resource-constrained mobile devices. It can be trained faster than other neural network algorithms and requires less communication across different processing units during distributed training. It uses filters of heterogeneous size in a convolutional layer, which contributes to the generation of various feature maps. The algorithm was tested using the MIT-BIH electrocardiogram (ECG arrhythmia database; the results showed that LiteNet outperforms comparable schemes in diagnosing arrhythmias, and in its feasibility for use at the mobile devices.

  16. The Role of Biologically Active Ingredients from Natural Drug Treatments for Arrhythmias in Different Mechanisms.

    Science.gov (United States)

    Li, Jie; Hu, Dan; Song, Xiaoli; Han, Tao; Gao, Yonghong; Xing, Yanwei

    2017-01-01

    Arrhythmia is a disease that is caused by abnormal electrical activity in the heart rate or rhythm. It is the major cause of cardiovascular morbidity and mortality. Although several antiarrhythmic drugs have been used in clinic for decades, their application is often limited by their adverse effects. As a result, natural drugs, which have fewer side effects, are now being used to treat arrhythmias. We searched for all articles on the role of biologically active ingredients from natural drug treatments for arrhythmias in different mechanisms in PubMed. This study reviews 19 natural drug therapies, with 18 active ingredient therapies, such as alkaloids, flavonoids, saponins, quinones, and terpenes, and two kinds of traditional Chinese medicine compound (Wenxin-Keli and Shensongyangxin), all of which have been studied and reported as having antiarrhythmic effects. The primary focus is the proposed antiarrhythmic mechanism of each natural drug agent. Conclusion . We stress persistent vigilance on the part of the provider in discussing the use of natural drug agents to provide a solid theoretical foundation for further research on antiarrhythmia drugs.

  17. [Clinical aspects of reperfusion arrhythmia following intravenous thrombolysis in acute myocardial infarct].

    Science.gov (United States)

    Kettner, W; Klein, E; Schulz, W; Götze, C

    1987-05-15

    In accordance with the majority of the reports in the literature reperfusion arrhythmias were observed in more than 30% of the patients with acute myocardial infarction (n = 25) under or immediately after a highly dosed short-term infusion with streptokinase. With reference to indirect signs the recanalisation rate was assumed with 75%. Only one third of the reperfusion arrhythmias had haemodynamically significant characteristics and required an influence. Though in literature from animal experimental findings directive conclusions for the therapy are to be derived, the procedure in practice is still vastly empirical. In the ventricular tachycardia lidocaine, procainamide and ajmalin may be recommended. In ineffectiveness or particularly threatening situations the electrotherapy (cardioversion, DC-shock) is to be preferred. The concept inaugurated by Corr and Witkowski apply alpha-adrenoreceptor blockers has not yet entered the clinical practice. Possible problems in the treatment of reperfusion arrhythmias in the prehospital phase should at present still be a reason not to antedate the thrombolytic therapy into this phase.

  18. Noninvasive risk stratification of lethal ventricular arrhythmias and sudden cardiac death after myocardial infarction

    Directory of Open Access Journals (Sweden)

    Kenji Yodogawa, MD

    2014-08-01

    Full Text Available Prediction of lethal ventricular arrhythmias leading to sudden cardiac death is one of the most important and challenging problems after myocardial infarction (MI. Identification of MI patients who are prone to ventricular tachyarrhythmias allows for an indication of implantable cardioverter-defibrillator placement. To date, noninvasive techniques such as microvolt T-wave alternans (MTWA, signal-averaged electrocardiography (SAECG, heart rate variability (HRV, and heart rate turbulence (HRT have been developed for this purpose. MTWA is an indicator of repolarization abnormality and is currently the most promising risk-stratification tool for predicting malignant ventricular arrhythmias. Similarly, late potentials detected by SAECG are indices of depolarization abnormality and are useful in risk stratification. However, the role of SAECG is limited because of its low predictive accuracy. Abnormal HRV and HRT patterns reflect autonomic disturbances, which may increase the risk of lethal ventricular arrhythmias, but the existing evidence is insufficient. Further studies of noninvasive assessment may provide a new insight into risk stratification in post-MI patients.

  19. Obesity and exercise-induced ectopic ventricular arrhythmias in apparently healthy middle aged adults.

    Science.gov (United States)

    Sabbag, Avi; Sidi, Yechezkel; Kivity, Shaye; Beinart, Roy; Glikson, Michael; Segev, Shlomo; Goldenberg, Ilan; Maor, Elad

    2016-03-01

    Obesity and overweight are strongly associated with cardiovascular morbidity and mortality. However, there are limited data on the association between excess weight and the risk of ectopic ventricular activity. We investigated the association between body mass index (BMI) and the risk for ectopic ventricular activity (defined as multiple ventricular premature beats (≥3), ventricular bigeminy, nonsustained ventricular tachycardia or sustained ventricular tachycardia) during exercise stress testing among 22,516 apparently healthy men and women who attended periodic health screening examinations between the years 2000 and 2014. All subjects had completed maximal exercise stress testing annually according to the Bruce protocol. Subjects were divided at baseline into three groups: normal weight (BMI ≥ 18.5 kg/m(2) andexercise-induced ectopic ventricular activity arrhythmias was highest among obese subjects, intermediate among overweight subjects and lowest among subjects with normal weight (3.4%, 2.7% and 2.2% respectively; p exercise compared with subjects with normal weight (p = 0.005), and that each 1 kg/m(2) increase in BMI was associated with a significant 4% (p = 0.002) increased adjusted risk for exercise-induced ventricular arrhythmias. Obesity is independently associated with increased likelihood of ectopic ventricular arrhythmia during exercise. © The European Society of Cardiology 2015.

  20. LiteNet: Lightweight Neural Network for Detecting Arrhythmias at Resource-Constrained Mobile Devices.

    Science.gov (United States)

    He, Ziyang; Zhang, Xiaoqing; Cao, Yangjie; Liu, Zhi; Zhang, Bo; Wang, Xiaoyan

    2018-04-17

    By running applications and services closer to the user, edge processing provides many advantages, such as short response time and reduced network traffic. Deep-learning based algorithms provide significantly better performances than traditional algorithms in many fields but demand more resources, such as higher computational power and more memory. Hence, designing deep learning algorithms that are more suitable for resource-constrained mobile devices is vital. In this paper, we build a lightweight neural network, termed LiteNet which uses a deep learning algorithm design to diagnose arrhythmias, as an example to show how we design deep learning schemes for resource-constrained mobile devices. Compare to other deep learning models with an equivalent accuracy, LiteNet has several advantages. It requires less memory, incurs lower computational cost, and is more feasible for deployment on resource-constrained mobile devices. It can be trained faster than other neural network algorithms and requires less communication across different processing units during distributed training. It uses filters of heterogeneous size in a convolutional layer, which contributes to the generation of various feature maps. The algorithm was tested using the MIT-BIH electrocardiogram (ECG) arrhythmia database; the results showed that LiteNet outperforms comparable schemes in diagnosing arrhythmias, and in its feasibility for use at the mobile devices.

  1. An arrhythmia classification algorithm using a dedicated wavelet adapted to different subjects.

    Science.gov (United States)

    Kim, Jinkwon; Min, Se Dong; Lee, Myoungho

    2011-06-27

    Numerous studies have been conducted regarding a heartbeat classification algorithm over the past several decades. However, many algorithms have also been studied to acquire robust performance, as biosignals have a large amount of variation among individuals. Various methods have been proposed to reduce the differences coming from personal characteristics, but these expand the differences caused by arrhythmia. In this paper, an arrhythmia classification algorithm using a dedicated wavelet adapted to individual subjects is proposed. We reduced the performance variation using dedicated wavelets, as in the ECG morphologies of the subjects. The proposed algorithm utilizes morphological filtering and a continuous wavelet transform with a dedicated wavelet. A principal component analysis and linear discriminant analysis were utilized to compress the morphological data transformed by the dedicated wavelets. An extreme learning machine was used as a classifier in the proposed algorithm. A performance evaluation was conducted with the MIT-BIH arrhythmia database. The results showed a high sensitivity of 97.51%, specificity of 85.07%, accuracy of 97.94%, and a positive predictive value of 97.26%. The proposed algorithm achieves better accuracy than other state-of-the-art algorithms with no intrasubject between the training and evaluation datasets. And it significantly reduces the amount of intervention needed by physicians.

  2. An arrhythmia classification algorithm using a dedicated wavelet adapted to different subjects

    Directory of Open Access Journals (Sweden)

    Min Se Dong

    2011-06-01

    Full Text Available Abstract Background Numerous studies have been conducted regarding a heartbeat classification algorithm over the past several decades. However, many algorithms have also been studied to acquire robust performance, as biosignals have a large amount of variation among individuals. Various methods have been proposed to reduce the differences coming from personal characteristics, but these expand the differences caused by arrhythmia. Methods In this paper, an arrhythmia classification algorithm using a dedicated wavelet adapted to individual subjects is proposed. We reduced the performance variation using dedicated wavelets, as in the ECG morphologies of the subjects. The proposed algorithm utilizes morphological filtering and a continuous wavelet transform with a dedicated wavelet. A principal component analysis and linear discriminant analysis were utilized to compress the morphological data transformed by the dedicated wavelets. An extreme learning machine was used as a classifier in the proposed algorithm. Results A performance evaluation was conducted with the MIT-BIH arrhythmia database. The results showed a high sensitivity of 97.51%, specificity of 85.07%, accuracy of 97.94%, and a positive predictive value of 97.26%. Conclusions The proposed algorithm achieves better accuracy than other state-of-the-art algorithms with no intrasubject between the training and evaluation datasets. And it significantly reduces the amount of intervention needed by physicians.

  3. Arrhythmia Classification Based on Multi-Domain Feature Extraction for an ECG Recognition System

    Directory of Open Access Journals (Sweden)

    Hongqiang Li

    2016-10-01

    Full Text Available Automatic recognition of arrhythmias is particularly important in the diagnosis of heart diseases. This study presents an electrocardiogram (ECG recognition system based on multi-domain feature extraction to classify ECG beats. An improved wavelet threshold method for ECG signal pre-processing is applied to remove noise interference. A novel multi-domain feature extraction method is proposed; this method employs kernel-independent component analysis in nonlinear feature extraction and uses discrete wavelet transform to extract frequency domain features. The proposed system utilises a support vector machine classifier optimized with a genetic algorithm to recognize different types of heartbeats. An ECG acquisition experimental platform, in which ECG beats are collected as ECG data for classification, is constructed to demonstrate the effectiveness of the system in ECG beat classification. The presented system, when applied to the MIT-BIH arrhythmia database, achieves a high classification accuracy of 98.8%. Experimental results based on the ECG acquisition experimental platform show that the system obtains a satisfactory classification accuracy of 97.3% and is able to classify ECG beats efficiently for the automatic identification of cardiac arrhythmias.

  4. [Treatment of arrhythmia in coronary patients and hypertensives with beta blockers and Depasan retard].

    Science.gov (United States)

    Kandziora, J

    1981-05-14

    In the ambulatory of an internal specialist a number of patients suffering from angina pectoris or hypertonia together with arrhythmic troubles received an initial treatment with beta-blockers over a period of 21 days. In cases in which arrhythmia persisted after this initial period the treatment was continued for another 21 days with the addition of Depasan retard in function of a second medicament. This combined treatment in form of an open study was extended to a total number of 50 patients presenting ventricular extrasystolia in 45 cases and in 5 cases absolute arrhythmia in addition to the main disease. Treatment with Depasan retard showed good or satisfactory results in 39 out of 45 patients suffering from ventricular extrasystoles, whilst no effect could be obtained in the 5 cases with absolute arrhythmia. No signs of incompatibility or unwanted interactions were observed in the course of this open study. Based on these results it can be concluded that Depasan retard should be recommended in those cases where on account of persistent arrhythmical troubles and especially extrasystoles, during a treatment with beta-blockers in patients suffering from angina pectoris or hypertonia, and additional treatment with anti-arrhythmical medicaments appears to be indicated.

  5. Symmetrical compression distance for arrhythmia discrimination in cloud-based big-data services.

    Science.gov (United States)

    Lillo-Castellano, J M; Mora-Jiménez, I; Santiago-Mozos, R; Chavarría-Asso, F; Cano-González, A; García-Alberola, A; Rojo-Álvarez, J L

    2015-07-01

    The current development of cloud computing is completely changing the paradigm of data knowledge extraction in huge databases. An example of this technology in the cardiac arrhythmia field is the SCOOP platform, a national-level scientific cloud-based big data service for implantable cardioverter defibrillators. In this scenario, we here propose a new methodology for automatic classification of intracardiac electrograms (EGMs) in a cloud computing system, designed for minimal signal preprocessing. A new compression-based similarity measure (CSM) is created for low computational burden, so-called weighted fast compression distance, which provides better performance when compared with other CSMs in the literature. Using simple machine learning techniques, a set of 6848 EGMs extracted from SCOOP platform were classified into seven cardiac arrhythmia classes and one noise class, reaching near to 90% accuracy when previous patient arrhythmia information was available and 63% otherwise, hence overcoming in all cases the classification provided by the majority class. Results show that this methodology can be used as a high-quality service of cloud computing, providing support to physicians for improving the knowledge on patient diagnosis.

  6. Detection of Life Threatening Ventricular Arrhythmia Using Digital Taylor Fourier Transform.

    Science.gov (United States)

    Tripathy, Rajesh K; Zamora-Mendez, Alejandro; de la O Serna, José A; Paternina, Mario R Arrieta; Arrieta, Juan G; Naik, Ganesh R

    2018-01-01

    Accurate detection and classification of life-threatening ventricular arrhythmia episodes such as ventricular fibrillation (VF) and rapid ventricular tachycardia (VT) from electrocardiogram (ECG) is a challenging problem for patient monitoring and defibrillation therapy. This paper introduces a novel method for detection and classification of life-threatening ventricular arrhythmia episodes. The ECG signal is decomposed into various oscillatory modes using digital Taylor-Fourier transform (DTFT). The magnitude feature and a novel phase feature namely the phase difference (PD) are evaluated from the mode Taylor-Fourier coefficients of ECG signal. The least square support vector machine (LS-SVM) classifier with linear and radial basis function (RBF) kernels is employed for detection and classification of VT vs. VF, non-shock vs. shock and VF vs. non-VF arrhythmia episodes. The accuracy, sensitivity, and specificity values obtained using the proposed method are 89.81, 86.38, and 93.97%, respectively for the classification of Non-VF and VF episodes. Comparison with the performance of the state-of-the-art features demonstrate the advantages of the proposition.

  7. Risk Prediction of One-Year Mortality in Patients with Cardiac Arrhythmias Using Random Survival Forest

    Directory of Open Access Journals (Sweden)

    Fen Miao

    2015-01-01

    Full Text Available Existing models for predicting mortality based on traditional Cox proportional hazard approach (CPH often have low prediction accuracy. This paper aims to develop a clinical risk model with good accuracy for predicting 1-year mortality in cardiac arrhythmias patients using random survival forest (RSF, a robust approach for survival analysis. 10,488 cardiac arrhythmias patients available in the public MIMIC II clinical database were investigated, with 3,452 deaths occurring within 1-year followups. Forty risk factors including demographics and clinical and laboratory information and antiarrhythmic agents were analyzed as potential predictors of all-cause mortality. RSF was adopted to build a comprehensive survival model and a simplified risk model composed of 14 top risk factors. The built comprehensive model achieved a prediction accuracy of 0.81 measured by c-statistic with 10-fold cross validation. The simplified risk model also achieved a good accuracy of 0.799. Both results outperformed traditional CPH (which achieved a c-statistic of 0.733 for the comprehensive model and 0.718 for the simplified model. Moreover, various factors are observed to have nonlinear impact on cardiac arrhythmias prognosis. As a result, RSF based model which took nonlinearity into account significantly outperformed traditional Cox proportional hazard model and has great potential to be a more effective approach for survival analysis.

  8. Automatic recognition of cardiac arrhythmias based on the geometric patterns of Poincaré plots

    International Nuclear Information System (INIS)

    Zhang, Lijuan; Guo, Tianci; Xi, Bin; Fan, Yang; Wang, Kun; Bi, Jiacheng; Wang, Ying

    2015-01-01

    The Poincaré plot emerges as an effective tool for assessing cardiovascular autonomic regulation. It displays nonlinear characteristics of heart rate variability (HRV) from electrocardiographic (ECG) recordings and gives a global view of the long range of ECG signals. In the telemedicine or computer-aided diagnosis system, it would offer significant auxiliary information for diagnosis if the patterns of the Poincaré plots can be automatically classified. Therefore, we developed an automatic classification system to distinguish five geometric patterns of the Poincaré plots from four types of cardiac arrhythmias. The statistics features are designed on measurements and an ensemble classifier of three types of neural networks is proposed. Aiming at the difficulty to set a proper threshold for classifying the multiple categories, the threshold selection strategy is analyzed. 24 h ECG monitoring recordings from 674 patients, which have four types of cardiac arrhythmias, are adopted for recognition. For comparison, Support Vector Machine (SVM) classifiers with linear and Gaussian kernels are also applied. The experiment results demonstrate the effectiveness of the extracted features and the better performance of the designed classifier. Our study can be applied to diagnose the corresponding sinus rhythm and arrhythmia substrates disease automatically in the telemedicine and computer-aided diagnosis system. (paper)

  9. Arrhythmia Mechanism and Scaling Effect on the Spectral Properties of Electroanatomical Maps With Manifold Harmonics.

    Science.gov (United States)

    Sanroman-Junquera, Margarita; Mora-Jimenez, Inmaculada; Garcia-Alberola, Arcadio; Caamano, Antonio J; Trenor, Beatriz; Rojo-Alvarez, Jose L

    2018-04-01

    Spatial and temporal processing of intracardiac electrograms provides relevant information to support the arrhythmia ablation during electrophysiological studies. Current cardiac navigation systems (CNS) and electrocardiographic imaging (ECGI) build detailed 3-D electroanatomical maps (EAM), which represent the spatial anatomical distribution of bioelectrical features, such as activation time or voltage. We present a principled methodology for spectral analysis of both EAM geometry and bioelectrical feature in CNS or ECGI, including their spectral representation, cutoff frequency, or spatial sampling rate (SSR). Existing manifold harmonic techniques for spectral mesh analysis are adapted to account for a fourth dimension, corresponding to the EAM bioelectrical feature. Appropriate scaling is required to address different magnitudes and units. With our approach, simulated and real EAM showed strong SSR dependence on both the arrhythmia mechanism and the cardiac anatomical shape. For instance, high frequencies increased significantly the SSR because of the "early-meets-late" in flutter EAM, compared with the sinus rhythm. Besides, higher frequency components were obtained for the left atrium (more complex anatomy) than for the right atrium in sinus rhythm. The proposed manifold harmonics methodology opens the field toward new signal processing tools for principled EAM spatiofeature analysis in CNS and ECGI, and to an improved knowledge on arrhythmia mechanisms.

  10. Prevalence of Fibromyalgia Syndrome and Its Correlations with Arrhythmia in Patients with Palpitations

    Directory of Open Access Journals (Sweden)

    Ayhan Aşkın

    2018-04-01

    Full Text Available Objective: It is aimed to determine the prevalence of fibromyalgia syndrome (FMS and its correlations with arrhythmia in patients with palpitations. Material and Methods: Sixty-two patients who underwent electrophysiological study (EPS due to palpitation complaints in Cardiology department and 40 healthy controls were included in the study. The precise diagnosis of arrhythmia was established using EPS. All participants were screened for FMS using American College of Rheumatology 2010 Fibromyalgia diagnostic criteria. Clinical assessments included measurement of severity of pain, fatigue and morning fatigue with visual analog scale (VAS, functional status with Fibromyalgia Impact Questionnaire (FIQ, and anxiety/depression with Hospital Anxiety and Depression Scale (HAD. Results: FMS was diagnosed in 22 of the 62 patients (36%, and 4 of the 40 healthy controls (10% (p 0.05. EPS+ patients with FMS had higher fatigue levels, HAD and FIQ scores than EPS− patients, although statistically insignificant. HV durations were statistically longer in the EPS− subgroup (p < 0.05 but other EPS data were similar. Conclusion: FMS frequency and HAD anxiety scores were found to be higher in patients with palpitation complaints. However, we found no association between arrhythmia, EPS parameters and FMS. In our clinical practice we should keep in mind to carry out assessments in terms of FMS in patients with palpitation.

  11. Temporal abstraction and inductive logic programming for arrhythmia recognition from electrocardiograms.

    Science.gov (United States)

    Carrault, G; Cordier, M-O; Quiniou, R; Wang, F

    2003-07-01

    This paper proposes a novel approach to cardiac arrhythmia recognition from electrocardiograms (ECGs). ECGs record the electrical activity of the heart and are used to diagnose many heart disorders. The numerical ECG is first temporally abstracted into series of time-stamped events. Temporal abstraction makes use of artificial neural networks to extract interesting waves and their features from the input signals. A temporal reasoner called a chronicle recogniser processes such series in order to discover temporal patterns called chronicles which can be related to cardiac arrhythmias. Generally, it is difficult to elicit an accurate set of chronicles from a doctor. Thus, we propose to learn automatically from symbolic ECG examples the chronicles discriminating the arrhythmias belonging to some specific subset. Since temporal relationships are of major importance, inductive logic programming (ILP) is the tool of choice as it enables first-order relational learning. The approach has been evaluated on real ECGs taken from the MIT-BIH database. The performance of the different modules as well as the efficiency of the whole system is presented. The results are rather good and demonstrate that integrating numerical techniques for low level perception and symbolic techniques for high level classification is very valuable.

  12. Arctigenin, a Potential Anti-Arrhythmic Agent, Inhibits Aconitine-Induced Arrhythmia by Regulating Multi-Ion Channels

    OpenAIRE

    Zhenying Zhao; Yongqiang Yin; Hong Wu; Min Jiang; Jianshi Lou; Gang Bai; Guo‘an Luo

    2013-01-01

    Background/Aims: Arctigenin possesses biological activities, but its underlying mechanisms at the cellular and ion channel levels are not completely understood. Therefore, the present study was designed to identify the anti-arrhythmia effect of arctigenin in vivo, as well as its cellular targets and mechanisms. Methods: A rat arrhythmia model was established via continuous aconitine infusion, and the onset times of ventricular premature contraction, ventricular tachycardia and death were reco...

  13. The effect of intermittent fasting and water restriction on myocardial ischemia/reperfusion-induced arrhythmia in rats

    OpenAIRE

    KAYA, Salih Tunç; BOZDOĞAN, Ömer

    2011-01-01

    To investigate the effect of intermittent fasting and water restriction on ischemia/reperfusion-induced arrhythmias. Materials and methods: Six minutes of ischemia followed by 6 min of reperfusion was produced by the ligation and then releasing of the left coronary artery. Intermittent fasting and water restriction were applied during 1 month for 12 h/day. The duration, type, and incidence of arrhythmias during reperfusion and the survival rate at the end of reperfusion were determined and c...

  14. Imaging Shallow Aquitard Breaches with P waves: Results from a Walk-away test and a Reflection Survey at two Sites in Memphis, Tennessee, USA

    Science.gov (United States)

    Ge, J.; Magnani, M.; Waldron, B. A.

    2006-12-01

    We present the results of two seismic reflection experiments conducted in the Great Memphis area in April and July 2006. The two experiments consisted in a walk-away test and in the acquisition of a 1 km seismic reflection profile. The acquisition of the seismic data is part of a larger effort aimed at imaging the lateral continuity of the Upper Claiborne confining clay that separates the Memphis aquifer, the region's primary drinking water source, from the upper unconfined aquifer and protects the drinking aquifer from exposure to potential contamination. During the walk-away test, four P-wave sources, a 7.5 kg sledge hammer, a 20 kg weight drop, a 12-gauge Buffalo gun, and a Minivibe source were tested at two sites with the goal of selecting the best P-wave seismic source and acquisition parameters for shallow reflection surveys. Boreholes nearby both sites encountered the Upper Claiborne unit at a depth ranging from 10 m to 40 m. One site is located within a 100-meter length of road median that can be considered an urban environment. The second site is located at Shelby Farms within the City of Memphis yet reflects a rural setting with minimal noise and no subsurface infrastructure. Performing identical walk-away tests at both sites, the results indicate that the energy source selection is site dependent. At the urban site, the energy generated by the weight drop source is more coherent and can be interpreted with more confidence on the recorded data. However the Shelby Farms site the 12-gauge shotgun produced the strongest recorded energy, the highest dominant frequency and the broadest frequency band (6- 110 Hz). Strong attenuations are observed at both sites with a much higher attenuation in the urban road median site, where the near surface materials consisted of gravels, sands, clays, and pebbles. For both sites, surface waves and refractions dominate the seismic recordings. Filtering and gain of the data revealed the presence of shallow reflections related

  15. Active and fossil mantle flows in the western Alpine region unravelled by seismic anisotropy analysis and high-resolution P wave tomography

    Science.gov (United States)

    Salimbeni, Simone; Malusà, Marco G.; Zhao, Liang; Guillot, Stéphane; Pondrelli, Silvia; Margheriti, Lucia; Paul, Anne; Solarino, Stefano; Aubert, Coralie; Dumont, Thierry; Schwartz, Stéphane; Wang, Qingchen; Xu, Xiaobing; Zheng, Tianyu; Zhu, Rixiang

    2018-04-01

    The anisotropy of seismic velocities in the mantle, when integrated with high-resolution tomographic models and geologic information, can be used to detect active mantle flows in complex plate boundary areas, providing new insights on the impact of mantle processes on the topography of mountain belts. Here we use a densely spaced array of temporary broadband seismic stations to analyze the seismic anisotropy pattern of the western Alpine region, at the boundary between the Alpine and Apenninic slabs. Our results are supportive of a polyphase development of anisotropic mantle fabrics, possibly starting from the Jurassic to present. Geophysical data presented in this work, and geologic evidence taken from the literature, indicate that: (i) fossil fabrics formed during Tethyan rifting may be still preserved within the Alpine and Apenninic slabs; (ii) mantle deformation during Apenninic slab rollback is not compensated by a complete toroidal flow around the northern tip of the retreating slab; (iii) the previously observed continuous trend of anisotropy fast axes near-parallel to the western Alpine arc is confirmed. We observe that this arc-parallel trend of fast axes is located in correspondence to a low velocity anomaly in the European upper mantle, beneath regions of the Western and Ligurian Alps showing the highest uplift rates. We propose that the progressive rollback of the Apenninic slab, in the absence of a counterclockwise toroidal flow at its northern tip, induced a suction effect at the scale of the supraslab mantle. The resulting mantle flow pattern was characterized by an asthenospheric counterflow at the rear of the unbroken Western Alps slab and around its southern tip, and by an asthenospheric upwelling, mirrored by low P wave velocities, that would have favored the topographic uplift of the Alpine belt from the Mont Blanc to the Mediterranean sea.

  16. Inflammation markers are associated with metabolic syndrome and ventricular arrhythmia in patients with coronary artery disease

    Directory of Open Access Journals (Sweden)

    Krzysztof Safranow

    2016-02-01

    Full Text Available Background: Inflammation plays a major role in the development and progression of atherosclerosis and coronary artery disease (CAD. Inflammation markers, including white blood cell (WBC count, C-reactive protein (CRP and interleukin-6 (IL-6, are widely used for cardiovascular risk prediction. The aim of the study was to establish factors associated with WBC, CRP and IL-6 in patients with CAD. Two functional polymorphisms in genes encoding enzymes participating in adenosine metabolism were analyzed (C34T AMPD1, G22A ADA. Methods: Plasma concentrations of IL-6 were measured using high-sensitivity ELISA kits, and the nephelometric method was used for high-sensitivity CRP (hs-CRP measurement in 167 CAD patients. Results: Presence of metabolic syndrome (MS and its components, presence of heart failure, severity of CAD symptoms, severe past ventricular arrhythmia (sustained ventricular tachycardia [sVT] or ventricular fibrillation [VF], lower left ventricle ejection fraction, higher left ventricle mass index, higher end-diastolic volume and higher number of smoking pack-years were significantly associated with higher WBC, CRP and IL-6. Strong associations with arrhythmia were observed for IL-6 (median 3.90 vs 1.89 pg/mL, p<0.00001 and CRP concentration (6.32 vs 1.47 mg/L, p=0.00009, while MS was associated most strongly with IL-6. CRP and IL-6 were independent markers discriminating patients with sVT or VF. There were no associations between AMPD1 or ADA genotypes and inflammation markers. Conclusions: WBC, CRP and IL-6 are strongly associated with components of the metabolic syndrome. Their strong association with life-threatening ventricular arrhythmia emphasizes the proarrhythmic role of inflammation in the increased cardiovascular risk of CAD patients.

  17. Induced pluripotent stem cell derived cardiomyocytes as models for cardiac arrhythmias

    Directory of Open Access Journals (Sweden)

    Maaike eHoekstra

    2012-08-01

    Full Text Available Cardiac arrhythmias are a major cause of morbidity and mortality. In younger patients, the majority of sudden cardiac deaths have an underlying Mendelian genetic cause. Over the last 15 years, enormous progress has been made in identifying the distinct clinical phenotypes and in studying the basic cellular and genetic mechanisms associated with the primary Mendelian (monogenic arrhythmia syndromes. Investigation of the electrophysiological consequences of an ion channel mutation is ideally done in the native cardiomyocyte environment. However, the majority of such studies so far have relied on heterologous expression systems in which single ion channel genes are expressed in non-cardiac cells. In some cases, transgenic mouse models haven been generated, but these also have significant shortcomings, primarily related to species differences.The discovery that somatic cells can be reprogrammed to pluripotency as induced pluripotent stem cells (iPSC has generated much interest since it presents an opportunity to generate patient- and disease-specific cell lines from which normal and diseased human cardiomyocytes can be obtained These genetically diverse human model systems can be studied in vitro and used to decipher mechanisms of disease and identify strategies and reagents for new therapies. Here we review the present state of the art with respect to cardiac disease models already generated using IPSC technology and which have been (partially characterized.Human iPSC (hiPSC models have been described for the cardiac arrhythmia syndromes, including LQT1, LQT2, LQT3-Brugada Syndrome, LQT8/Timothy syndrome and catecholaminergic polymorphic ventricular tachycardia. In most cases, the hiPSC-derived cardiomyoctes recapitulate the disease phenotype and have already provided opportunities for novel insight into cardiac pathophysiology. It is expected that the lines will be useful in the development of pharmacological agents for the management of these

  18. Atrial arrhythmia in ageing spontaneously hypertensive rats: unraveling the substrate in hypertension and ageing.

    Directory of Open Access Journals (Sweden)

    Dennis H Lau

    Full Text Available BACKGROUND: Both ageing and hypertension are known risk factors for atrial fibrillation (AF although the pathophysiological contribution or interaction of the individual factors remains poorly understood. Here we aim to delineate the arrhythmogenic atrial substrate in mature spontaneously hypertensive rats (SHR. METHODS: SHR were studied at 12 and 15 months of age (n = 8 per group together with equal numbers of age-matched normotensive Wistar-Kyoto control rats (WKY. Electrophysiologic study was performed on superfused isolated right and left atrial preparations using a custom built high-density multiple-electrode array to determine effective refractory periods (ERP, atrial conduction and atrial arrhythmia inducibility. Tissue specimens were harvested for structural analysis. RESULTS: COMPARED TO WKY CONTROLS, THE SHR DEMONSTRATED: Higher systolic blood pressure (p<0.0001, bi-atrial enlargement (p<0.05, bi-ventricular hypertrophy (p<0.05, lower atrial ERP (p = 0.008, increased atrial conduction heterogeneity (p = 0.001 and increased atrial interstitial fibrosis (p = 0.006 & CD68-positive macrophages infiltration (p<0.0001. These changes resulted in higher atrial arrhythmia inducibility (p = 0.01 and longer induced AF episodes (p = 0.02 in 15-month old SHR. Ageing contributed to incremental bi-atrial hypertrophy (p<0.01 and atrial conduction heterogeneity (p<0.01 without affecting atrial ERP, fibrosis and arrhythmia inducibility. The limited effect of ageing on the atrial substrate may be secondary to the reduction in CD68-positive macrophages. CONCLUSIONS: Significant atrial electrical and structural remodeling is evident in the ageing spontaneously hypertensive rat atria. Concomitant hypertension appears to play a greater pathophysiological role than ageing despite their compounding effect on the atrial substrate. Inflammation is pathophysiologically linked to the pro-fibrotic changes in the hypertensive atria.

  19. Remodeling of repolarization and arrhythmia susceptibility in a myosin-binding protein C knockout mouse model.

    Science.gov (United States)

    Toib, Amir; Zhang, Chen; Borghetti, Giulia; Zhang, Xiaoxiao; Wallner, Markus; Yang, Yijun; Troupes, Constantine D; Kubo, Hajime; Sharp, Thomas E; Feldsott, Eric; Berretta, Remus M; Zalavadia, Neil; Trappanese, Danielle M; Harper, Shavonn; Gross, Polina; Chen, Xiongwen; Mohsin, Sadia; Houser, Steven R

    2017-09-01

    Hypertrophic cardiomyopathy (HCM) is one of the most common genetic cardiac diseases and among the leading causes of sudden cardiac death (SCD) in the young. The cellular mechanisms leading to SCD in HCM are not well known. Prolongation of the action potential (AP) duration (APD) is a common feature predisposing hypertrophied hearts to SCD. Previous studies have explored the roles of inward Na + and Ca 2+ in the development of HCM, but the role of repolarizing K + currents has not been defined. The objective of this study was to characterize the arrhythmogenic phenotype and cellular electrophysiological properties of mice with HCM, induced by myosin-binding protein C (MyBPC) knockout (KO), and to test the hypothesis that remodeling of repolarizing K + currents causes APD prolongation in MyBPC KO myocytes. We demonstrated that MyBPC KO mice developed severe hypertrophy and cardiac dysfunction compared with wild-type (WT) control mice. Telemetric electrocardiographic recordings of awake mice revealed prolongation of the corrected QT interval in the KO compared with WT control mice, with overt ventricular arrhythmias. Whole cell current- and voltage-clamp experiments comparing KO with WT mice demonstrated ventricular myocyte hypertrophy, AP prolongation, and decreased repolarizing K + currents. Quantitative RT-PCR analysis revealed decreased mRNA levels of several key K + channel subunits. In conclusion, decrease in repolarizing K + currents in MyBPC KO ventricular myocytes contributes to AP and corrected QT interval prolongation and could account for the arrhythmia susceptibility. NEW & NOTEWORTHY Ventricular myocytes isolated from the myosin-binding protein C knockout hypertrophic cardiomyopathy mouse model demonstrate decreased repolarizing K + currents and action potential and QT interval prolongation, linking cellular repolarization abnormalities with arrhythmia susceptibility and the risk for sudden cardiac death in hypertrophic cardiomyopathy. Copyright © 2017

  20. Ventricular arrhythmias and sudden cardiac arrest in Takotsubo cardiomyopathy: Incidence, predictive factors, and clinical implications.

    Science.gov (United States)

    Jesel, Laurence; Berthon, Charlotte; Messas, Nathan; Lim, Han S; Girardey, Mélanie; Marzak, Halim; Marchandot, Benjamin; Trinh, Annie; Ohlmann, Patrick; Morel, Olivier

    2018-04-06

    Takotsubo cardiomyopathy (TTC) is a stress-related transient cardiomyopathy. Life-threatening arrhythmias (LTA) can occur and worsen prognosis. The purpose of this study was to assess the incidence and outcome of LTA in TTC, as well as its predictive factors and clinical implications. We studied 214 consecutive cases of TTC over 8 years. The study cohort was divided into 2 groups: those with LTA (LTA group) and those without (non-LTA group). LTA was defined as ventricular tachycardia, ventricular fibrillation, or cardiac arrest. LTA occurred in 10.7% of patients mainly in the first 24 hours of hospitalization: ventricular tachycardia (n = 2), ventricular fibrillation (n = 11), cardiac arrest (n = 10: 5 asystole, 3 complete heart block, and 2 sinoatrial block). LTA were associated with lower left ventricular ejection fraction (LVEF) and a high rate of conduction disturbances. In-hospital (39.1% vs 8.9%; P 105 ms were independent predictors of LTA. In cases where a device was implanted, conduction disturbances persisted after the index event despite complete recovery of LVEF. There was no ventricular arrhythmia recurrence during follow-up. LTA occur early in patients presenting with TTC and is associated with significantly worse short- and long-term prognosis. Left ventricular impairment and QRS duration >105 ms are independent predictors of LTA. Ventricular arrhythmias occurred in the acute phase without further recurrence recorded in hospital survivors, whereas severe conduction disorders persisted during long-term follow-up. These findings may have implications on the choice of device therapy for this specific patient subgroup. Copyright © 2018 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

  1. Facilitating arrhythmia simulation: the method of quantitative cellular automata modeling and parallel running

    Directory of Open Access Journals (Sweden)

    Mondry Adrian

    2004-08-01

    Full Text Available Abstract Background Many arrhythmias are triggered by abnormal electrical activity at the ionic channel and cell level, and then evolve spatio-temporally within the heart. To understand arrhythmias better and to diagnose them more precisely by their ECG waveforms, a whole-heart model is required to explore the association between the massively parallel activities at the channel/cell level and the integrative electrophysiological phenomena at organ level. Methods We have developed a method to build large-scale electrophysiological models by using extended cellular automata, and to run such models on a cluster of shared memory machines. We describe here the method, including the extension of a language-based cellular automaton to implement quantitative computing, the building of a whole-heart model with Visible Human Project data, the parallelization of the model on a cluster of shared memory computers with OpenMP and MPI hybrid programming, and a simulation algorithm that links cellular activity with the ECG. Results We demonstrate that electrical activities at channel, cell, and organ levels can be traced and captured conveniently in our extended cellular automaton system. Examples of some ECG waveforms simulated with a 2-D slice are given to support the ECG simulation algorithm. A performance evaluation of the 3-D model on a four-node cluster is also given. Conclusions Quantitative multicellular modeling with extended cellular automata is a highly efficient and widely applicable method to weave experimental data at different levels into computational models. This process can be used to investigate complex and collective biological activities that can be described neither by their governing differentiation equations nor by discrete parallel computation. Transparent cluster computing is a convenient and effective method to make time-consuming simulation feasible. Arrhythmias, as a typical case, can be effectively simulated with the methods

  2. About Arrhythmia

    Science.gov (United States)

    ... heart beats 60 to 100 times a minute. Electrocardiography (ECG or EKG) is a painless, non-invasive procedure that records ... patient sheets Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium and Salt 3 Heart Attack Symptoms ...

  3. Integrative computational models of cardiac arrhythmias -- simulating the structurally realistic heart

    Science.gov (United States)

    Trayanova, Natalia A; Tice, Brock M

    2009-01-01

    Simulation of cardiac electrical function, and specifically, simulation aimed at understanding the mechanisms of cardiac rhythm disorders, represents an example of a successful integrative multiscale modeling approach, uncovering emergent behavior at the successive scales in the hierarchy of structural complexity. The goal of this article is to present a review of the integrative multiscale models of realistic ventricular structure used in the quest to understand and treat ventricular arrhythmias. It concludes with the new advances in image-based modeling of the heart and the promise it holds for the development of individualized models of ventricular function in health and disease. PMID:20628585

  4. High level of oxygen treatment causes cardiotoxicity with arrhythmias and redox modulation

    Energy Technology Data Exchange (ETDEWEB)

    Chapalamadugu, Kalyan C.; Panguluri, Siva K. [Department of Pharmaceutical Sciences, College of Pharmacy, University of South Florida, Tampa, FL (United States); Bennett, Eric S. [Department of Molecular Pharmacology and Physiology, Morsani College of Medicine, University of South Florida, Tampa, FL (United States); Kolliputi, Narasaiah [Division of Allergy and Immunology, Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL (United States); Tipparaju, Srinivas M., E-mail: stippara@health.usf.edu [Department of Pharmaceutical Sciences, College of Pharmacy, University of South Florida, Tampa, FL (United States)

    2015-01-01

    Hyperoxia exposure in mice leads to cardiac hypertrophy and voltage-gated potassium (Kv) channel remodeling. Because redox balance of pyridine nucleotides affects Kv function and hyperoxia alters cellular redox potential, we hypothesized that hyperoxia exposure leads to cardiac ion channel disturbances and redox changes resulting in arrhythmias. In the present study, we investigated the electrical changes and redox abnormalities caused by 72 h hyperoxia treatment in mice. Cardiac repolarization changes were assessed by acquiring electrocardiogram (ECG) and cardiac action potentials (AP). Biochemical assays were employed to identify the pyridine nucleotide changes, Kv1.5 expression and myocardial injury. Hyperoxia treatment caused marked bradycardia, arrhythmia and significantly prolonged (ms) the, RR (186.2 ± 10.7 vs. 146.4 ± 6.2), PR (46.8 ± 3.1 vs. 39.3 ± 1.6), QRS (10.8 ± 0.6 vs. 8.5 ± 0.2), QTc (57.1 ± 3.5 vs. 40 ± 1.4) and JT (13.4 ± 2.1 vs. 7.0 ± 0.5) intervals, when compared with normoxia group. Hyperoxia treatment also induced significant increase in cardiac action potential duration (APD) (ex-APD{sub 90}; 73.8 ± 9.5 vs. 50.9 ± 3.1 ms) and elevated levels of serum markers of myocardial injury; cardiac troponin I (TnI) and lactate dehydrogenase (LDH). Hyperoxia exposure altered cardiac levels of mRNA/protein expression of; Kv1.5, Kvβ subunits and SiRT1, and increased ratios of reduced pyridine nucleotides (NADH/NAD and NADPH/NADP). Inhibition of SiRT1 in H9C2 cells using Splitomicin resulted in decreased SiRT1 and Kv1.5 expression, suggesting that SiRT1 may mediate Kv1.5 downregulation. In conclusion, the cardiotoxic effects of hyperoxia exposure involve ion channel disturbances and redox changes resulting in arrhythmias. - Highlights: • Hyperoxia treatment leads to arrhythmia with prolonged QTc and action potential duration. • Hyperoxia treatment alters cardiac pyridine nucleotide [NAD(P)H/NAD(P)] levels. • SiRT1 and Kv1.5 are co

  5. Particulate air pollution induces arrhythmia via oxidative stress and calcium calmodulin kinase II activation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin-Bae [The Division of Cardiology, Kyung Hee University College of Medicine, 1 Hoegi-dong, Dongdaemun-Gu, Seoul (Korea, Republic of); Kim, Changsoo [The Department of Preventive Medicine, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); Choi, Eunmi [Cardiovascular Research Institute and Severance Biomedical Science Institute, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); Park, Sanghoon; Park, Hyelim; Pak, Hui-Nam; Lee, Moon-Hyoung [The Division of Cardiology, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); Shin, Dong Chun [The Department of Preventive Medicine, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); Hwang, Ki-Chul [Cardiovascular Research Institute and Severance Biomedical Science Institute, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); The Division of Cardiology, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of); Joung, Boyoung, E-mail: cby6908@yuhs.ac [The Division of Cardiology, Yonsei University College of Medicine, 250 Seungsanno, Seodaemun-gu, Seoul (Korea, Republic of)

    2012-02-15

    Ambient particulate matter (PM) can increase the incidence of arrhythmia. However, the arrhythmogenic mechanism of PM is poorly understood. This study investigated the arrhythmogenic mechanism of PM. In Sprague–Dawley rats, QT interval was increased from 115.0 ± 14.0 to 142.1 ± 18.4 ms (p = 0.02) after endotracheal exposure of DEP (200 μg/ml for 30 min, n = 5). Ventricular premature contractions were more frequently observed after DEP exposure (100%) than baseline (20%, p = 0.04). These effects were prevented by pretreatment of N-acetylcysteine (NAC, 5 mmol/L, n = 3). In 12 Langendorff-perfused rat hearts, DEP infusion of 12.5 μg/ml for 20 min prolonged action potential duration (APD) at only left ventricular base increasing apicobasal repolarization gradients. Spontaneous early afterdepolarization (EAD) and ventricular tachycardia (VT) were observed in 8 (67%) and 6 (50%) hearts, respectively, versus no spontaneous triggered activity or VT in any hearts before DEP infusion. DEP-induced APD prolongation, EAD and VT were successfully prevented with NAC (5 mmol/L, n = 5), nifedipine (10 μmol/L, n = 5), and active Ca{sup 2+}/calmodulin-dependent protein kinase II (CaMKII) blockade, KN 93 (1 μmol/L, n = 5), but not by thapsigargin (200 nmol/L) plus ryanodine (10 μmol/L, n = 5) and inactive CaMKII blockade, KN 92 (1 μmol/L, n = 5). In neonatal rat cardiomyocytes, DEP provoked ROS generation in dose dependant manner. DEP (12.5 μg/ml) induced apoptosis, and this effect was prevented by NAC and KN 93. Thus, this study shows that in vivo and vitro exposure of PM induced APD prolongation, EAD and ventricular arrhythmia. These effects might be caused by oxidative stress and CaMKII activation. -- Highlights: ► The ambient PM consistently prolonged repolarization. ► The ambient PM induced triggered activity and ventricular arrhythmia. ► These effects were prevented by antioxidants, I{sub CaL} blockade and CaMKII blockade. ► The ambient PM can induce

  6. Use of the Surface Electrocardiogram to Define the Nature of Challenging Arrhythmias.

    Science.gov (United States)

    Singh, David K; Peter, C Thomas

    2016-03-01

    Despite unprecedented advances in technology, the electrocardiogram (ECG) remains essential to the practice of modern electrophysiology. Since its emergence at the turn of the nineteenth century, the form of the ECG has changed little. What has changed is our ability to understand the complex mechanisms that underlie various arrhythmias. In this article, the authors review several important principles of ECG interpretation by providing illustrative tracings. The authors also highlight several important concepts that be can used in ECG analysis. There are several fundamental principles that should be considered in ECG interpretation. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus.

    Science.gov (United States)

    Weijters, B J; Verbunt, R J A M; Hoogsteen, J; Visser, R F

    2008-01-01

    Intoxication with Aconitum napellus is rare in our regions. Aconite alkaloids can cause ventricular arrhythmia by a prolonged activation of sodium channels. Because the margin of safety is low between the analgesic and toxic dose, intoxication is not rare when Aconite is used in herbal medicine. We present a case in which a 39-year-old male was accidentally intoxicated with Aconite. Even though no antidote or adequate therapy is available he was successfully resuscitated. (Neth Heart J 2008;16:96-9.).

  8. High level of oxygen treatment causes cardiotoxicity with arrhythmias and redox modulation

    International Nuclear Information System (INIS)

    Chapalamadugu, Kalyan C.; Panguluri, Siva K.; Bennett, Eric S.; Kolliputi, Narasaiah; Tipparaju, Srinivas M.

    2015-01-01

    Hyperoxia exposure in mice leads to cardiac hypertrophy and voltage-gated potassium (Kv) channel remodeling. Because redox balance of pyridine nucleotides affects Kv function and hyperoxia alters cellular redox potential, we hypothesized that hyperoxia exposure leads to cardiac ion channel disturbances and redox changes resulting in arrhythmias. In the present study, we investigated the electrical changes and redox abnormalities caused by 72 h hyperoxia treatment in mice. Cardiac repolarization changes were assessed by acquiring electrocardiogram (ECG) and cardiac action potentials (AP). Biochemical assays were employed to identify the pyridine nucleotide changes, Kv1.5 expression and myocardial injury. Hyperoxia treatment caused marked bradycardia, arrhythmia and significantly prolonged (ms) the, RR (186.2 ± 10.7 vs. 146.4 ± 6.2), PR (46.8 ± 3.1 vs. 39.3 ± 1.6), QRS (10.8 ± 0.6 vs. 8.5 ± 0.2), QTc (57.1 ± 3.5 vs. 40 ± 1.4) and JT (13.4 ± 2.1 vs. 7.0 ± 0.5) intervals, when compared with normoxia group. Hyperoxia treatment also induced significant increase in cardiac action potential duration (APD) (ex-APD 90 ; 73.8 ± 9.5 vs. 50.9 ± 3.1 ms) and elevated levels of serum markers of myocardial injury; cardiac troponin I (TnI) and lactate dehydrogenase (LDH). Hyperoxia exposure altered cardiac levels of mRNA/protein expression of; Kv1.5, Kvβ subunits and SiRT1, and increased ratios of reduced pyridine nucleotides (NADH/NAD and NADPH/NADP). Inhibition of SiRT1 in H9C2 cells using Splitomicin resulted in decreased SiRT1 and Kv1.5 expression, suggesting that SiRT1 may mediate Kv1.5 downregulation. In conclusion, the cardiotoxic effects of hyperoxia exposure involve ion channel disturbances and redox changes resulting in arrhythmias. - Highlights: • Hyperoxia treatment leads to arrhythmia with prolonged QTc and action potential duration. • Hyperoxia treatment alters cardiac pyridine nucleotide [NAD(P)H/NAD(P)] levels. • SiRT1 and Kv1.5 are co-regulated in

  9. Chaos for cardiac arrhythmias through a one-dimensional modulation equation for alternans

    Science.gov (United States)

    Dai, Shu; Schaeffer, David G.

    2010-01-01

    Instabilities in cardiac dynamics have been widely investigated in recent years. One facet of this work has studied chaotic behavior, especially possible correlations with fatal arrhythmias. Previously chaotic behavior was observed in various models, specifically in the breakup of spiral and scroll waves. In this paper we study cardiac dynamics and find spatiotemporal chaotic behavior through the Echebarria–Karma modulation equation for alternans in one dimension. Although extreme parameter values are required to produce chaos in this model, it seems significant mathematically that chaos may occur by a different mechanism from previous observations. PMID:20590327

  10. Imaging the Moho beneath Sedimentary Basins: A Comparative Study of Virtual Deep Seismic Sounding (VDSS) and P Wave Receiver Functions (PRF)

    Science.gov (United States)

    Liu, T.; Klemperer, S. L.; Yu, C.; Ning, J.

    2017-12-01

    In the past decades, P wave receiver functions (PRF) have been routinely used to image the Moho, although it is well known that PRFs are susceptible to contamination from sedimentary multiples. Recently, Virtual Deep Seismic Sounding (VDSS) emerged as a novel method to image the Moho. However, despite successful applications of VDSS on multiple datasets from different areas, how sedimentary basins affect the waveforms of post-critical SsPmp, the Moho reflection phase used in VDSS, is not widely understood. Here, motivated by a dataset collected in the Ordos plateau, which shows distinct effects of sedimentary basins on SsPmp and Pms waveforms, we use synthetic seismograms to study the effects of sedimentary basins on SsPmp and Pms, the phases used in VDSS and PRF respectively. The results show that when the sedimentary thickness is on the same order of magnitude as the dominant wavelength of the incident S wave, SsPmp amplitude decreases significantly with S velocity of the sedimentary layer, whereas increasing sedimentary thickness has little effect in SsPmp amplitude. Our explanation is that the low S velocity layer at the virtual source reduces the incident angle of S wave at the free surface, thus decreases the S-to-P reflection coefficient at the virtual source. In addition, transmission loss associated with the bottom of sedimentary basins also contributes to reducing SsPmp amplitude. This explains not only our observations from the Ordos plateau, but also observations from other areas where post-critical SsPmp is expected to be observable, but instead is too weak to be identified. As for Pms, we observe that increasing sedimentary thickness and decreasing sedimentary velocities both can cause interference between sedimentary multiples and Pms, rendering the Moho depths inferred from Pms arrival times unreliable. The reason is that although Pms amplitude does not vary with sedimentary thickness or velocities, as sedimentary velocities decrease and thickness

  11. Possible influence of the polarity reversal of the solar magnetic field on the various types of arrhythmias

    International Nuclear Information System (INIS)

    Giannaropoulou, E; Papailiou, M; Mavromichalaki, H; Preka-Papadema, P; Gigolashvili, M; Tvildiani, L; Janashia, K; Papadima, Th

    2013-01-01

    Over the last few years various researches have reached the conclusion that cosmic ray variations and geomagnetic disturbances are related to the condition of the human physiological state. In this study medical data concerning the number of incidents of different types of cardiac arrhythmias for the time period 1983 – 1992 which refer to 1902 patients in Tbilisi, Georgia were used. The smoothing method and the Pearson r-coefficients were used to examine the possible effect of different solar and geomagnetic activity parameters and cosmic ray intensity variations on the different types of arrhythmias. The time interval under examination was separated into two different time periods which coincided with the polarity reversal of the solar magnetic field that occurred in the years 1989-1990 and as a result a different behavior of all the above mentioned parameters as well as of the different types of arrhythmias was noticed during the two time intervals. In addition, changing of polarity sign of the solar magnetic field was found to affect the sign of correlation between the incidence of arrhythmias and the aforementioned parameters. The primary and secondary maxima observed in the solar parameters during the solar cycle 22, also appeared in several types of arrhythmias with a time lag of about five months.

  12. Arctigenin, a Potential Anti-Arrhythmic Agent, Inhibits Aconitine-Induced Arrhythmia by Regulating Multi-Ion Channels

    Directory of Open Access Journals (Sweden)

    Zhenying Zhao

    2013-11-01

    Full Text Available Background/Aims: Arctigenin possesses biological activities, but its underlying mechanisms at the cellular and ion channel levels are not completely understood. Therefore, the present study was designed to identify the anti-arrhythmia effect of arctigenin in vivo, as well as its cellular targets and mechanisms. Methods: A rat arrhythmia model was established via continuous aconitine infusion, and the onset times of ventricular premature contraction, ventricular tachycardia and death were recorded. The Action Potential Duration (APD, sodium current (INa, L-type calcium current (ICa, L and transient outward potassium current (Ito were measured and analysed using a patch-clamp recording technique in normal rat cardiomyocytes and myocytes of arrhythmia aconitine-induced by. Results: Arctigenin significantly delayed the arrhythmia onset in the aconitine-induced rat model. The 50% and 90% repolarisations (APD50 and APD90 were shortened by 100 µM arctigenin; the arctigenin dose also inhibited the prolongation of APD50 and APD90 caused by 1 µM aconitine. Arctigenin inhibited INa and ICa,L and attenuated the aconitine-increased INa and ICa,L by accelerating the activation process and delaying the inactivation process. Arctigenin enhanced Ito by facilitating the activation process and delaying the inactivation process, and recoverd the decreased Ito induced by aconitine. Conclusions: Arctigenin has displayed anti-arrhythmia effects, both in vivo and in vitro. In the context of electrophysiology, INa, ICa, L, and Ito may be multiple targets of arctigenin, leading to its antiarrhythmic effect.

  13. Electron-beam CT coronary angiography in the patients with high heart rate arrhythmia or pacemaker

    International Nuclear Information System (INIS)

    Dong Zhi; Zhu Jiemin; Liu Zhe; Liu Junbo; Li Youjie; Qi Ji

    2006-01-01

    Objective: To report the clinical applicability of coronary angiography for patients with high heart rate, arrhythmia or cardiac pacing using the new-generation of electron-beam CT (e-Speed). Methods: EBCT (GE e-Speed) coronary angiography was performed in 36 eases (male 27, female 9, mean age 58), including the heart rate more than 90 bpm in 20 patients, frequent ectopic beats in 11 cases, implantation of cardiac pacemaker in 4 patients and the unacceptable MSCT image quality due to variability of interscan heart rate (from 82 bpm to 104 bpm) in 1 case. After volume data set was acquired using spiral mode with prospective ECG-gating, the reconstructions of MIP, CPR, VR and Cine were performed. The VR quality was evaluated using a five-point scale. Results: The quality of coronary imaging in all of 36 cases were acceptable. The total visualization rate of coronary artery branches was 80.0%. Left main, left anterior artery and right coronary artery were visualized in all patients and in 94.3% of all cases circumflex artery were visible. Conclusion: EBCT (e-Speed) is applicable in noninvasive coronary angiography for patients with high heart rate, arrhythmia or implanted cardiac pacemaker', and this examination can obtain satisfied diagnosis. (authors)

  14. Carbon monoxide exposure enhances arrhythmia after cardiac stress: involvement of oxidative stress.

    Science.gov (United States)

    André, Lucas; Gouzi, Fares; Thireau, Jérôme; Meyer, Gregory; Boissiere, Julien; Delage, Martine; Abdellaoui, Aldja; Feillet-Coudray, Christine; Fouret, Gilles; Cristol, Jean-Paul; Lacampagne, Alain; Obert, Philippe; Reboul, Cyril; Fauconnier, Jérémy; Hayot, Maurice; Richard, Sylvain; Cazorla, Olivier

    2011-11-01

    Arrhythmias following cardiac stress are a key predictor of death in healthy population. Carbon monoxide (CO) is a ubiquitous pollutant promoting oxidative stress and associated with hospitalization for cardiovascular disease and cardiac mortality. We investigated the effect of chronic CO exposure on the occurrence of arrhythmic events after a cardiac stress test and the possible involvement of related oxidative stress. Wistar rats exposed chronically (4 weeks) to sustained urban CO pollution presented more arrhythmic events than controls during recovery after cardiac challenge with isoprenaline in vivo. Sudden death occurred in 22% of CO-exposed rats versus 0% for controls. Malondialdehyde (MDA), an end-product of lipid peroxidation, was increased in left ventricular tissue of CO-exposed rats. Cardiomyocytes isolated from CO-exposed rats showed higher reactive oxygen species (ROS) production (measured with MitoSox Red dye), higher diastolic Ca(2+) resulting from SR calcium leak and an higher occurrence of irregular Ca(2+) transients (measured with Indo-1) in comparison to control cells after a high pacing sequence. Acute treatment with a ROS scavenger (N-acetylcysteine, 20 mmol/L, 1 h) prevented this sequence of alterations and decreased the number of arrhythmic cells following high pacing. Chronic CO exposure promotes oxidative stress that alters Ca(2+) homeostasis (through RYR2 and SERCA defects) and thereby mediates the triggering of ventricular arrhythmia after cardiac stress that can lead to sudden death.

  15. Cardiac arrhythmias during aerobatic flight and its simulation on a centrifuge.

    Science.gov (United States)

    Zawadzka-Bartczak, Ewelina K; Kopka, Lech H

    2011-06-01

    It is well known that accelerations during centrifuge training and during flight can provoke cardiac arrhythmias. Our study was designed to investigate both the similarities and differences between heart rhythm disturbances during flights and centrifuge tests. There were 40 asymptomatic, healthy pilots who performed two training flights and were also tested in a human centrifuge according to a program of rapid onset rate acceleration (ROR) and of centrifuge simulation of the actual acceleration experienced in flight (Simulation). During the flight and centrifuge tests ECG was monitored with the Holter method. ECG was examined for heart rhythm changes and disturbances. During flights, premature ventricular contractions (PVCs) were found in 25% of the subjects, premature supraventricular contractions (PSVCs) and PVCs with bigeminy in 5%, and pairs of PVCs in 2.5% of subjects. During the centrifuge tests, PVCs were experienced by 45% of the subjects, PSVCs and pairs of PVCs by 7.5%, and PVCs with bigeminy by 2.5%. Sinus bradycardia was observed during flights and centrifuge tests in 7.5% of subjects. Comparative evaluation of electrocardiographic records in military pilots during flights and centrifuge tests demonstrated that: 1) there were no clinically significant arrhythmias recorded; and 2) the frequency and kind of heart rhythm disturbances during aerobatic flight and its simulation on a centrifuge were not identical and did not occur repetitively in the same persons during equal phases of the tests.

  16. A real time ECG signal processing application for arrhythmia detection on portable devices

    Science.gov (United States)

    Georganis, A.; Doulgeraki, N.; Asvestas, P.

    2017-11-01

    Arrhythmia describes the disorders of normal heart rate, which, depending on the case, can even be fatal for a patient with severe history of heart disease. The purpose of this work is to develop an application for heart signal visualization, processing and analysis in Android portable devices e.g. Mobile phones, tablets, etc. The application is able to retrieve the signal initially from a file and at a later stage this signal is processed and analysed within the device so that it can be classified according to the features of the arrhythmia. In the processing and analysing stage, different algorithms are included among them the Moving Average and Pan Tompkins algorithm as well as the use of wavelets, in order to extract features and characteristics. At the final stage, testing is performed by simulating our application in real-time records, using the TCP network protocol for communicating the mobile with a simulated signal source. The classification of ECG beat to be processed is performed by neural networks.

  17. hERG trafficking inhibition in drug-induced lethal cardiac arrhythmia.

    Science.gov (United States)

    Nogawa, Hisashi; Kawai, Tomoyuki

    2014-10-15

    Acquired long QT syndrome induced by non-cardiovascular drugs can cause lethal cardiac arrhythmia called torsades de points and is a significant problem in drug development. The prolongation of QT interval and cardiac action potential duration are mainly due to reduced physiological function of the rapidly activating voltage-dependent potassium channels encoded by human ether-a-go-go-related gene (hERG). Structurally diverse groups of drugs are known to directly inhibit hERG channel conductance. Therefore, the ability of acute hERG inhibition is routinely assessed at the preclinical stages in pharmaceutical testing. Recent findings indicated that chronic treatment with various drugs not only inhibits hERG channels but also decreases hERG channel expression in the plasma membrane of cardiomyocytes, which has become another concern in safety pharmacology. The mechanisms involve the disruption of hERG trafficking to the surface membrane or the acceleration of hERG protein degradation. From this perspective, we present a brief overview of mechanisms of drug-induced trafficking inhibition and pathological regulation. Understanding of drug-induced hERG trafficking inhibition may provide new strategies for predicting drug-induced QT prolongation and lethal cardiac arrhythmia in pharmaceutical drug development. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Excessive exercise habits of runners as new signs of hypertension and arrhythmia.

    Science.gov (United States)

    Kim, Young-Joo; Kim, Chul-Hyun; Park, Kyoung-Min

    2016-08-15

    Excessive exercise may induce arrhythmia, and this risk is higher in middle-aged people. The study aim was to compare the exercise characteristics of middle-aged runners participating in excessive endurance exercise. The subjects of this study were 552 runners (mean age; 49.0±7.4years) without structural heart disease who performed exercise at least twice per week, had consistently exercised for at least three years, and had finished at least five marathons. The arrhythmia runner group (ARG, n=14) and normal runner group (NRG, n=538) were compared with regard to hemodynamic response, cardiorespiratory fitness level, training history, number of finished races, finishing times, and exercise habits. The mean resting systolic (134.0±15.8mmHg) and diastolic (85.8±10.9mmHg) blood pressure values indicated pre-hypertension, while the mean maximal SBP (213.7±27.4mmHg) values indicated exercise-induced hypertension. The VO2max was significantly higher and the maximal DBP was significantly lower in the ARG than in the NRG (phypertension and exercise-induced hypertension, and the ARG had higher VO2max values, greater exercise intensities, and longer training histories than the NRG. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Automated system for ST segment and arrhythmia analysis in exercise radionuclide ventriculography

    International Nuclear Information System (INIS)

    Hsia, P.W.; Jenkins, J.M.; Shimoni, Y.; Gage, K.P.; Santinga, J.T.; Pitt, B.

    1986-01-01

    A computer-based system for interpretation of the electrocardiogram (ECG) in the diagnosis of arrhythmia and ST segment abnormality in an exercise system is presented. The system was designed for inclusion in a gamma camera so the ECG diagnosis could be combined with the diagnostic capability of radionuclide ventriculography. Digitized data are analyzed in a beat-by-beat mode and a contextual diagnosis of underlying rhythm is provided. Each beat is assigned a beat code based on a combination of waveform analysis and RR interval measurement. The waveform analysis employs a new correlation coefficient formula which corrects for baseline wander. Selective signal averaging, in which only normal beats are included, is done for an improved signal-to-noise ratio prior to ST segment analysis. Template generation, R wave detection, QRS window size, baseline correction, and continuous updating of heart rate have all been automated. ST level and slope measurements are computed on signal-averaged data. Arrhythmia analysis of 13 passages of abnormal rhythm by computer was found to be correct in 98.4 percent of all beats. 25 passages of exercise data, 1-5 min in length, were evaluated by the cardiologist and found to be in agreement in 95.8 percent in measurements of ST level and 91.7 percent in measurements of ST slope

  20. Mechanisms and Clinical Management of Ventricular Arrhythmias following Blunt Chest Trauma

    Directory of Open Access Journals (Sweden)

    Daniel H. Wolbrom

    2016-01-01

    Full Text Available Nonpenetrating, blunt chest trauma is a serious medical condition with varied clinical presentations and implications. This can be the result of a dense projectile during competitive and recreational sports but may also include other etiologies such as motor vehicle accidents or traumatic falls. In this setting, the manifestation of ventricular arrhythmias has been observed both acutely and chronically. This is based on two entirely separate mechanisms and etiologies requiring different treatments. Ventricular fibrillation can occur immediately after chest wall injury (commotio cordis and requires rapid defibrillation. Monomorphic ventricular tachycardia can develop in the chronic stage due to underlying structural heart disease long after blunt chest injury. The associated arrhythmogenic tissue may be complex and provides the necessary substrate to form a reentrant VT circuit. Ventricular tachycardia in the absence of overt structural heart disease appears to be focal in nature with rapid termination during ablation. Regardless of the VT mechanism, patients with recurrent episodes, despite antiarrhythmic medication in the chronic stage following blunt chest injury, are likely to require ablation to achieve VT control. This review article will describe the mechanisms, pathophysiology, and treatment of ventricular arrhythmias that occur in both the acute and chronic stages following blunt chest trauma.