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McDeller A G - - 1989
It has been recognized for many years that the electromagnetic (EM) environment within aircraft presents a potential hazard to the subject with a pacemaker. Most of the information currently available is, however, several years old and may not be strictly relevant to modern pacemakers and the electromagnetic environment found in ...
Rosenqvist M - - 1989
Cardiac involvement in haemochromatosis includes development of congestive heart failure and/or cardiac arrhythmias. To elucidate the importance of this disorder among patients with severe cardiac bradyarrhythmias necessitating treatment with a permanent pacemaker, such patients were screened for evidence of iron overload. Serum ferritin was determined in 232 men treated with ...
Shen E Y - - 1989
One thousand normal Chinese full term neonates underwent prospective ultrasonography examination. Asymmetry of size between the right and left lateral ventricle was observed in a similar proportion of boys: 257/551 (47%) and girls: 183/449 (41%). The mode of delivery did not significantly influence the occurrence of ventricular asymmetry. We propose ...
Lafeber F P - - 1989
Hypocalcin, the major hormone with hypocalcaemic action in fish, was isolated from trout corpuscles of Stannius (SCs). The bioactivity of hypocalcin was assessed in a parathyroid hormone (PTH) bioassay involving bone resorption in embryonic mouse calvaria. Calcium and phosphate release and lactate production were stimulated in a dose-dependent manner by ...
Cornacchia D - - 1989
Twenty patients with advanced AV block and normal sinus node function underwent pacemaker implantation, randomly receiving a CPI 910 ULTRA II model VDD pacemaker. The first 13 patients received the implantation of a single lead with a screw-in positive ventricular fixation tip and a unipolar ring floating atrial electrode spaced ...
Horan L G - - 1989
A closed prolate ellipsoid was used to approximate the surface of the Rush torso model to permit recovery of the site and orientation of known dipoles in 15 cardiac locations. Localization was found to be reasonably close, usually within 2 cm. When body surface potential maps of 37 subjects with ...
Hariman R J - - 1989
To investigate the potential use of cryothermal mapping to localise the sites of the dominant and latent pacemakers of the sinus node, we compared the results of cryothermal and electrical mapping of the sinus node in 16 dogs. In all dogs, cooling (-5 to +5 degrees C) of a localised ...
Polak P E - - 1989
The Kearns-Sayre syndrome is a rare condition, characterized by progressive external ophthalmoplegia, retinal pigmentary degeneration and progressive impairment of cardiac conduction, which mainly determines the prognosis. Two young patients (aged 13 and 18 years) without symptoms of cardiac disease presented with an electrocardiogram showing sinus rhythm, a normal atrio-ventricular conduction ...
Smith P E - - 1989
Instant heart rate (R-R intervals) can be readily studied during spontaneous seizures recorded with ambulatory cassette AEEG/AECG techniques. Ninety-three seizures were recorded in 32 patients with complex partial epilepsy. Instant R-R interval plots showed that 74% of seizures were associated with a dominant tachycardia, the most characteristic features of which ...
Edelstam C - - 1989
A 65-year-old man, treated with the QT sensing rate responsive pacemaker required to manage high degree AV block, sustained a transmural inferior wall myocardial infarction 6 months after the pacemaker implant. The rate response of the pacemaker during the acute phase of the infarction was physiological as evidenced by increased ...
Griswold D E - - 1989
Myeloperoxidase (MPO) activity in postinfarction, dual-stained canine tissue in the presence of Evan's Blue (EB) and Triphenyltetrazolium chloride (TTC) was evaluated. Perfusion of EB and TTC allows quantification of the area of necrosis, area-at-risk of infarction and noninvolved, normal tissue postinfarction. EB in cardiac tissue has been reported to interfere ...
Nair C K - - 1989
One hundred seven patients with echocardiographically documented mitral anular calcium (MAC) and 107 age- and sex-matched control subjects without MAC were studied and followed for a mean of 4.4 +/- 2.4 (standard deviation) years. Fourteen (7%) patients were lost to follow-up. Compared with the control group, patients with MAC had ...
Drucker D E - - 1989
Transthoracic Nissen fundoplication was used for the correction of gastroesophageal reflux in five mentally retarded patients with severe kypho-roto-scoliosis. This deformity may result in a gastroesophageal junction so high above the left costal margin that transabdominal fundoplication is extremely difficult. Operative morbidity was minimal. One wrap disruption occurred that required ...
Epstein A E - - 1989
The automatic implantable cardioverter-defibrillator (AICD) effectively prevents death due to ventricular tachycardia or ventricular fibrillation. Some patients who need an AICD also require cardiac pacing to treat symptomatic bradycardia, bradycardia after defibrillation, or to provide a rate floor to reduce the frequency of bradycardia-related ventricular arrhythmias. Some patients also can ...
Ito K - - 1989
We investigated galvanic body sway of ten healthy adults and eight patients by using the averaging program for measuring T1 and T2, which were latencies at the onset and at the cutoff of galvanic stimulation, respectively, and the plotting program, which adopted 1.73 sec as T1 and 0.39 sec as ...
Deli Z - - 1989
The aim of this study was to investigate the sinus pacemaker shifts and its clinical significance. Spontaneous sinus pacemaker shifts and shifts after overdrive atrial pacing were assessed. A total of 43 cases, in whom stable sinus node electrograms (SNE) were obtained, were selected for the study, eight of the ...
Stoller M L - - 1988
A 73-year-old woman with a sick sinus syndrome and a 3-year-old ventricular demand pacemaker underwent extracorporeal shock wave lithotripsy without incident. There was no damage or malfunction of the pacemaker during or acutely after this therapy. The lithotriptor had no difficulty in sensing all paced or spontaneous ventricular complexes.
Sweesy M W - - 1988
Bipolar sensing pulse generators were thought to have eliminated crosstalk problems evident in unipolar systems. Crosstalk has been observed in the Model 284-02 bipolar sensing pacemakers. These intermittent problems were resolved by decreasing atrial output, decreasing ventricular sensitivity or increasing the ventricular blanking period. Three patients had pacemaker crosstalk, two ...
Greve H - - 1988
We implanted an "Automatic Implantable Converter-Defibrillator" (AICD) and as far as useful an antitachycardial pacemaker (Intertach) in addition in 11 patients suffering from malignant ventricular tachycardias via a median sternotomy. In eight cases a coronary artery disease and in three cases a dilatative myopathy was the intrinsic disease. During surgery ...
Hassett J A - - 1988
Patients with previously implanted dual chamber pacemakers (PM) may develop atrial flutter (AFL). The Siemens-Pacesetter AFP and Genesis PM have the capability of noninvasively synchronizing to a standard external electrophysiology (EP) stimulator. Any arrhythmia termination or induction protocol may be used with a refractory period limitation of approximately 127 msec ...
Foster C J - - 1988
Four permanent ventricular endocardial pacemaker electrodes which could not be removed via their insertion site have been retrieved via the femoral vein using a Dormier basket. Apart from short-lived ventricular arrhythmias no complications occurred in any case. Where removal of an otherwise unaccessible ventricular pacemaker electrode is considered essential the ...
Byrd C L - - 1988
A 44-month retrospective analysis was performed on 666 pacemakers implanted at Mt. Sinai Medical Center. Mapping techniques and endocardial waveform analyses were used during lead positioning to ensure the best electrical environment. The optimal pacing lead type was selected based on the clinical situation. Follow-up evaluations were rigorous. Patient population ...
Mugica J - - 1988
Recent developments in cardiac pacemaker electrodes have resulted in significant benefits to the group of pacemaker patients as a whole. The results of analysis of 2,818 chronic pacemaker electrodes are presented. These electrodes are divided into major categories according to their particularities: platinum iridium, elgiloy, carbon-tip, anodized platinum and granulated ...
Cooper D D Department of Cardiology, Cleveland Clinic Foundation, - - 1988
Effects of extracorporeal shock wave lithotripsy (ESWL) were studied on 15 pacemakers (standard single chamber n = 5, dual chamber n = 6, rate responsive single chamber [Activitrax] n = 4). In-vitro testing involved suspending the pacemakers in a bath of degassified, deionized water firmly taped to a platform at ...
Shandling A H - - 1988
A 73-year-old male required a permanent pacemaker for complete heart block. After placement of the dual-chamber pacemaker, the patient developed random, repetitive ventricularly paced coupling at the upper rate limit. The diagnosis made from the surface electrocardiography was one of ventricular tracking of occult (T wave obscured) atrial ectopic activity. ...
Schmidinger H - - 1988
To investigate the electrophysiological properties of ventricular impulse formation after His-bundle ablation in 11 patients, incremental ventricular overdrive stimulation studies were performed. The studies, which were spread over a follow-up period of up to 601 days, were carried out invasively with temporary leads as well as noninvasively with the implanted ...
van Gelder L M - - 1988
Total inhibition of a bipolar VVI pacemaker was observed in an 84-year-old female after programming the pulse generator to its highest sensitivity (0.6 mV). After a short period of observation it became obvious that P-wave oversensing was responsible for this phenomenon. Frontal and lateral X-rays showed a normal position of ...
Erdman S - - 1988
The hazards related to ten patients who underwent 11 urologic surgical procedures during a 36 month period were taken into consideration. Electrocautery was used in all instances and there were no complications. All of the pacemakers were preset for ventricular pacing and sensing inhibited or multiprogrammable and were reprogrammed during ...
Fontaine J M - - 1988
Asynchronous pacing during the presence of electromagnetic interference or other sources of "noise" is a protective mechanism available to prevent pacemaker output inhibition. We describe a patient with a DDD pacemaker who had asynchronous dual chamber or noise reversion pacing as a consequence of repetitive signals (QRS complexes) falling into ...
Cotoi S - - 1988
For the functional estimation of artificial pacemakers, we have used two techniques: chest-wall stimulation and transesophageal stimulation. Transesophageal stimulation was always effective in inhibiting the generator, and it was used when chest-wall stimulation was ineffective. These two tests can be easily performed and are of remarkable usefulness in the follow-up ...
Castellanos A - - 1988
A patient had ventricular tachycardia with cycle lengths consistently varying between 400 and 490 ms. Arrhythmias with a similar electrocardiographic pattern had been thought to result from the regular activity of an automatic pacemaker with either 3:2 exit block of the Wenckebach type or alternation in exit conduction times. However, ...
De Reuck J - - 1988
Mono-histiocytes and T-lymphocytes were assessed by the cytochemical alpha-naphthyl-acetate-esterase (ANAE) stain in 50 CSF samples of patients with various neurological diseases. The ANAE-activity of lymphocytes was decreased in multiple sclerosis and subacute sclerosing panencephalitis, while the activity of mono-histiocytes was increased in the group of infarctions and bacterial and viral ...
McGrath L B - - 1988
Of 1,193 consecutive pediatric (less than 18 years) patients undergoing intracardiac repair from 1975 to 1984, 38 (3.2%) developed surgically induced complete heart block and were treated by permanent pacemaker implantation. Anomalies included complete atrioventricular septal defect = 9 (24%), simple ventricular septal defect = 9 (24%), atrioventricular discordant connection ...
Rosengarten M - - 1988
Cardiac pacing systems produce cardiac contractions by delivering electrical charges to the myocardium. Reliable cardiac pacing, and the longevity of pacemakers depends on the absence of electrical leaks. Electrical leaks often do not cause symptoms and if suspected, there are few methods which are able to identify their location and ...
Boineau J P - - 1988
Atrial depolarization was analyzed in 14 patients with the Wolff-Parkinson-White syndrome undergoing surgery to ablate accessory atrioventricular pathways associated with tachyarrhythmias. Bipolar potentials were recorded simultaneously from 156 atrial epicardial electrodes arranged in three templates to fit the anterior and posterior aspects of both atria. Spontaneous or sinus rhythms were ...
Cohen A I - - 1988
The adverse interactions of permanent pacemakers and automatic implantable cardioverter defibrillators (AICD) were studied in nine patients in whom both devices were implanted. Both unipolar and bipolar pacemakers were evaluated. The permanent pacemakers were also used to do noninvasive electrophysiological studies and to induce ventricular fibrillation. Undersensing of ventricular fibrillation ...
Tucker D C - - 1988
Conditions that cause pacemaker formation in the developing heart are poorly understood. Embryonic rat myocardium grafted into the anterior eye chamber of an adult rat provides a promising model system in which to study pacemaker development. Electrophysiologic mapping with two microelectrodes showed that each embryonic heart graft developed a primary ...
LaBan M M - - 1988
External electromagnetic interference with cardiac pacemaker function is a recognized hazard of electronic instrumentation used for diagnosis or therapy. Although improved shielding and circuitry have made newer pacemakers less vulnerable to extraneous electronic artifact, their increasing use may expose more patients to the complications of electromagnetic interference. The effects of ...
May K J KJ - - 1988
Thrombosis of intravascular catheters is a well-recognized and potentially serious complication, which has been treated successfully with thrombolytic agents. A routine echocardiogram in a patient with a temporary transvenous pacemaker demonstrated a large thrombus attached to the pacing electrode. This was dissolved successfully and uneventfully with high-dose intravenous streptokinase therapy. ...
Kamino K - - 1988
Pacemaking areas in the early embryonic chick hearts were quantitatively assessed using simultaneous multiple-site optical recordings of spontaneous action potentials. The measuring system with a 10- X 10- or a 12 X 12-element photodiode array had a spatial resolution of 15-30 microns. Spontaneous action potential-related optical signals were recorded simultaneously ...
Pearson A C - - 1988
Pulsed Doppler echocardiography was used to study the timing and dynamics of left ventricular filling in 14 patients with permanent dual-chamber programmable pacemakers. Pacemakers were programmed to atrial sensed (VDD) mode and atrial-ventricular sequential paced mode at low (DVI-L) and high (DVI-H) heart rates, and pulsed Doppler recordings of transmitral ...
Gottlieb C - - 1988
A middle-aged gentleman with an idiopathic dilated cardiomyopathy, drug-refractory sustained ventricular arrhythmia, and high-degree AV block was managed with an automatic implantable cardioverter-defibrillator (AICD) and a Cordis Multicor II VVI pacemaker. During a routine follow-up visit, the pacemaker threshold was determined. Seven seconds after reprogramming the Cordis pacemaker to the ...
Robbens E J EJ Department of Cardiology, University Hospital, Ghent, - - 1988
We studied the findings in a patient who had a TX 915 pacemaker and who was suffering from an acute inferior myocardial infarction. On admission, we observed pacing at the upper rate limit due to excessive adrenergic tone. Shortly thereafter a strong vagal reaction occurred, and the pacing rate fell ...
Hack M H - - 1988
1. The plasmalogen profiles of a series of hearts from fish to mammals were obtained by various TLC analyses. 2. All specimens (ventricular) contained ethanolamine plasmalogen and some choline plasmalogen, as well. 3. The distribution of these two plasmalogen species was relatable, in part, to (a) phylogeny and (b) ontogeny. ...
Simoons M L - - 1988
We describe a new stainless steel, teflon-coated 2.4 F pacemaker wire with a flexible tip that can be introduced through an extra lumen of a specially designed 7.5 F Swan-Ganz catheter. The extra lumen opens at 19 cm from the tip of the catheter; this opening can be positioned in ...
Sosa E S - - 1988
In March 1984 we implanted a permanent, dual-chambered pacemaker in a 2.1-kg premature male infant suffering from congenital atrioventricular block, with an atrial rate of 170 beats per minute, a ventricular rate of 40 beats per minute, and ectopic ventricular escape beats. Through a left anterolateral thoracotomy, we implanted electrodes ...
Johansen T E - - 1988
The macroscopic anatomy of gubernaculum testis and processus vaginalis has been carefully studied during 150 consecutive orchiopexies. In subcutaneous and canalicular testes a well defined gubernaculum was found representing a morphologic continuity from the testis to the bottom of the scrotum. The gubernaculum was detectable in only one of four ...
Page R A - - 1988
Airborne lead has been measured at four urban, one semi-urban and one rural site in Wales during 1984, 1985 and 1986 to assess the effect of the reduction in lead additives in petrol which was required by an EC Directive at the beginning of 1986. The results showed a 52-61% ...
Gilchrist I C - - 1988
A retrospective analysis of 217 consecutive patients with chronic bundle branch blocks undergoing cardiac catheterization was done to evaluate the need for temporary transvenous pacing during coronary arteriography. In patients without temporary right ventricular pacemakers (n = 185), only one episode of high-grade atrioventricular block occurred during coronary arteriography which ...
Johnson L W - - 1988
Because of a perceived high frequency of ventricular fibrillation when a pacemaker catheter was placed in the right ventricular apex during PTCA, we reviewed our first 400 cases for this complication. The incidence of ventricular fibrillation in the entire group was 10 of 400 cases (2.5%) compared with 17 of ...
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