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Janardhan Ajit H - - 2012
OBJECTIVES: The authors sought to develop a low-energy electrotherapy that terminates ventricular tachycardia (VT) when antitachycardia pacing (ATP) fails. BACKGROUND: High-energy implantable cardioverter-defibrillator (ICD) shocks are associated with device failure, significant morbidity, and increased mortality. A low-energy alternative to ICD shocks is desirable. METHODS: Myocardial infarction was created in 25 ...
Aziz Peter F - - 2012
Long QT syndrome in the infant with 2:1 atrioventricular block is a malignant form of disease associated with frequent torsade de pointes in some cases. Those patients that do not respond to antiarrhythmic therapy are particularly challenging to manage. Ventricular pacing in this patient population has been shown to reduce ...
Castillo Jesús Castillo - - 2012
Arrhythmia Rounds. A 39-year-old woman with no structural heart disease and frequent episodes of sudden onset palpitations was referred for the electrophysiological study. During the study, a slightly irregular narrow QRS tachycardia with AV dissociation was repeatedly induced and spontaneously terminated. Apparently, irregular cycles and termination of the tachycardia were related ...
Ulus Taner - - 2012
Clinical and electrophysiological features of different initiation patterns of ventricular tachycardia (VT) have been widely studied. At least two different onset patterns of VT have been defined in the studies. Tachycardias, which are preceded by either a single or multiple ventricular ectopic activity, including a short-long-short sequence, are defined as ...
Phlips Thomas - - 2012
We present a case of bundle-branch reentry ventricular tachycardia with RBBB morphology (reverse BBRVT) in a patient with preexisting right bundle-branch block and without apparent structural heart disease.The diagnosis of BBRVT may be very challenging due to the similar wide QRS morphology during tachycardia and in sinus rhythm, rather suggesting ...
Moak Jeffrey P - - 2012
OBJECTIVE: Junctional ectopic tachycardia complicates the postoperative recovery from open heart surgery in children. The reported risk factors include younger age, prolonged cardiopulmonary bypass times, and administration of inotropic agents. Junctional ectopic tachycardia occurs early after open heart surgery, in the setting of relative postoperative sinus node dysfunction, and exhibits ...
Jimenez-Lopez Jesus - - 2012
Emergency department admissions due to implantable cardioverter-defibrillator (ICD) shocks constitute an important patient group. The correct evaluation includes a review of system integrity and a careful analysis of stored intracardiac electrograms. We present a patient admitted with a single ICD discharge due to an episode of sustained monomorphic ventricular tachycardia, ...
Tung Roderick - - 2012
Ablation of cavotricuspid ishtmus flutter and atrial tachycardia in a complex substrate has never been reported using remote navigation via superior approach. Venous access was obtained via right internal jugular for ablation and left subclavian for duodecapolar catheter placement into the coronary sinus. In a posttransplant patient presenting with both ...
Benito Begoña - - 2012
Ventricular arrhythmias are important contributors to morbidity and mortality in patients with coronary artery disease. Ventricular fibrillation accounts for the majority of deaths occurring in the acute phase of ischemia, whereas sustained, monomorphic ventricular tachycardia due to reentry generated in the scar tissue develops most often in the setting of ...
Zhou Kaiyu - - 2012
Transcatheter closure of ventricular septal defect (VSD) has been widely used worldwide. Despite of high success rate and minimal operative mortality, arrhythmia during and post operation has been frequently observed. However, sustained ventricular tachycardia following deployment of occluder has not been reported. In this present case, we present one rare ...
Al Mehairi M - - 2013
Typical atrioventricular nodal reentrant tachycardia (AVNRT) is the most common paroxysmal supraventricular tachycardia among adults. The concept of dual pathway physiology remains widely accepted, although this physiology likely results from the functional properties of anisotropic tissue within the triangle of Koch, rather than anatomically distinct tracts of conduction. AVNRT is ...
Van Heuverswyn Frederic E - - 2013
Alternans of the ventricular electrogram (VEGM) during ventricular tachycardia (VT) is a rare cause of ventricular undersensing by an implantable cardioverter-defibrillator (ICD). This report describes a patient with a St. Jude ICD who exhibited sustained monomorphic VT associated with surface QRS alternans, alternating cycle lengths, alternans of the VEGM causing ...
Deal Barbara J - - 2012
The incidence of atrial arrhythmias following Fontan repairs varies by the type of surgery and duration of follow-up. The incidence of late atrial tachycardia has been reduced from 60% to less than 20% by surgical modifications. Late ventricular tachycardia is reported in 3% to 12% of patients. Aggressive efforts to ...
Nagase Satoshi S Departments of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, - - 2014
In several cases with idiopathic ventricular fibrillation (VF), VF was initiated by premature ventricular contractions (PVCs) from the Purkinje system. However, the precise characteristics of the Purkinje activity in patients with idiopathic VF remain unclear. We performed an electrophysiological study in a patient with idiopathic VF and examined the correlation ...
Bodalski Robert - - 2012
Mahaim syndrome is still a challenge. The specific characteristics of the pathway, the fact that it seldom occurs, and ambiguities about the pathophysiology and nomenclature make it, for electrophysiologists, still difficult to ablate. We present a case of a patient with anterogradely slow conducting accessory pathway, which has been effectively ...
Kossaify Antoine - - 2012
Atrioventricular nodal re-entry tachycardia is a common supraventricular arrhythmia. The rate of recurrence is relatively high, and accordingly ablative therapy became the first-line suggested therapy. In this review, we highlight the electrocardiographic clues to the diagnosis of atrioventricular nodal re-entry tachycardia, also we present the electrophysiological data and maneuvers that ...
Mozayan Mansoor - - 2012
Presenting electrocardiograms of intermittent left bundle branch block in a 60-year-old female.
Kandan Sri Raveen SR Gloucestershire Royal Hospital, Gloucester, UK. - - 2012
An 85-year-old lady presented to our institution following multiple episodes of transient loss of consciousness. Her admission ECG revealed a junctional bradycardia with significant QT prolongation. Telemetry captured a torsades de pointes arrhythmia. Possible offending drugs (digoxin and hydroxychloroquine) were stopped and she was given intravenous magnesium and potassium. Despite ...
Malyar Nasser M - - 2011
Myocardial microvascular permeability and coronary sinus concentration of muscle metabolites have been shown to increase after myocardial ischemia due to epicardial coronary artery occlusion and reperfusion. However, their association with coronary microembolization is not well defined. This study tested the hypothesis that acute coronary microembolization increases microvascular permeability in the ...
Takahashi Hironori - - 2011
We present a case of fetal-neonatal acute myocarditis caused by coxsackievirus B3 infection in a term neonate. The condition manifested as high-grade atrioventricular (A-V) block prenatally. After delivery, various arrhythmias such as high-grade A-V block, ventricular tachycardia, and junctional ectopic tachycardia appeared, and we had difficulty managing these arrhythmias. This ...
Fukuda Misao - - 2011
Identification of the ovary at the time of ovulation during three consecutive menstrual cycles results in one of eight ovulation patterns, left-left-right, right-left-right, left-right-right, and right-right-right of right-sided ovulation and right-right-left, left-right-left, right-left-left, and left-left-left of left-sided ovulation. Our data suggest that IVF and IUI treatment in cycles in which ...
Li Zhenqing Z Department of Materials Science and Engineering, Ohio State University, Columbus, OH 43210, - - 2011
A family of injectable and thermosensitive hydrogels suitable for myocardial injection was developed to deliver cardiosphere-derived cells (CDCs), an emerging and promising cell type for cardiac cell therapy. The hydrogels were based on polycaprolactone, N-isopropylacrylamide, 2-hydroxyethyl methacrylate and dimethyl-γ-butyrolactone acrylate. Atom transfer radical polymerization was used to synthesize hydrogels with ...
Cho Jaeyeaon J Department of Cell Biology and Molecular Medicine, Cardiovascular Research Institute, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, - - 2011
Glycogen synthase kinase (GSK)-3β upregulates cardiac genes in bone marrow-derived mesenchymal stem cells (MSCs) in vitro. Ex vivo modification of signaling mechanisms in MSCs may improve the efficiency of cardiac cell-based therapy (CBT). To test the effect of GSK-3β on the efficiency of CBT with MSCs after myocardial infarction (MI). ...
Debie Luuk L Department of Cardiology, University Hospital Maastricht, 6202 AZ Maastricht, The - - 2011
We report atrio-ventricular cross talk in a patient with a dual chamber ICD leading to ventricular pacing inhibition. This was observed in an ICD without the ventricular safety pace option, which normally is a sufficient protection against this phenomenon. Cross talk could be prevented effectively by reprogramming ventricular sensitivity to ...
Tohno Yoshiyuki - - 2011
To examine whether there were gender differences in the sino-atrial node (SAN), the authors investigated the gender difference in the SAN using monkey hearts by direct chemical analysis from a viewpoint of element contents. The used rhesus and Japanese monkeys consisted of 30 males (average age = 6.5 ± 7.5 years) and 30 females (average ...
Wang Yang - - 2011
We aimed to detect optimal ratio of cardioprotection-dependent absorbed bioactive compounds (ABCs) as quality control of Guan-Xin-Er-Hao (GXEH) formula extracted by various processings. Ferulic acid (F), tanshinol (T), hydroxysafflor yellow A (A), protocatechualdehyde (P) and paeoniflorin (E) in GXEH formula and FTA in blood from rat with acute myocardial infarction ...
Hu Norman - - 2010
Provided is the surgical procedure for ligating the left circumflex coronary artery to simulate heart ischemia by using a rabbit model. Heart rate monitored by electrocardiogram was increased at 5 min after ligation (mean ± SEM, 205 ± 13 bpm) when compared with that before ligation (170 ± 12 bpm), ...
Paul G K - - 2010
Primary Cardiac tumors are uncommon during infancy and childhood. Myxomas originating in the right ventricles are even less common in paediatric patient. Our patient baby Rani, 3 months of age presented with shortness of breath and chest indrawing. Antenatal history and delivery was uneventful. The baby was under weight and ...
Marquis Don - - 2010
Donation after cardiac death protocols are subject to two constraints. The first is that organ removal must occur as soon as possible after cardiac arrest. The second is that it must not occur so soon that the donor is not yet dead. Can both constraints be satisfied at once? DCD ...
Schmidt S E - - 2010
Digital stethoscopes offer new opportunities for computerized analysis of heart sounds. Segmentation of heart sound recordings into periods related to the first and second heart sound (S1 and S2) is fundamental in the analysis process. However, segmentation of heart sounds recorded with handheld stethoscopes in clinical environments is often complicated ...
U─čuz Harun - - 2012
Listening via stethoscope is a primary method, being used by physicians for distinguishing normally and abnormal cardiac systems. Listening to the voices, coming from the cardiac valves via stethoscope, upon the flow of the blood running in the heart, physicians examine whether there is any abnormality with regard to the ...
Shin J Y JY Department of Biomedical Engineering, College of Medicine, Chungbuk, National University, Cheongju, South Korea. - - 2010
Heart sound occurs when the heart contracts and expands. It provides information on myocardial contractility and blood vessels, which is not obtainable from ECG. For this reason, stethoscopy of heart sound in anesthesiology is a very crucial means for acquiring cardiac information and preventing intraoperative medical accidents, and it requires ...
Sepehri Amir A - - 2010
In this paper, we propose a novel method for pediatric heart sounds segmentation by paying special attention to the physiological effects of respiration on pediatric heart sounds. The segmentation is accomplished in three steps. First, the envelope of a heart sounds signal is obtained with emphasis on the first heart ...
Visagie C - - 2009
This paper presents a study using an auscultation jacket with embedded electronic stethoscopes, and a software classification system capable of differentiating between normal and certain auscultatory abnormalities. The aim of the study is to demonstrate the potential of such a system for semi-automated diagnosis for underserved locations, for instance in ...
Al-Naami Bassam - - 2010
Paradoxical splitting occurs when pulmonic valve (P2) closes before the aortic valve (A2). This causes second heart sound (S2) to be a single sound during inspiration and split during exhalation. Etiology delay in aortic closure: aortic stenosis, volume overload of left ventricle (LV), conduction defects in LV, and left bundle ...
Choi Samjin - - 2010
In this paper, a novel cardiac sound spectral analysis method using the normalized autoregressive power spectral density (NAR-PSD) curve with the support vector machine (SVM) technique is proposed for classifying the cardiac sound murmurs. The 489 cardiac sound signals with 196 normal and 293 abnormal sound cases acquired from six ...
Wang Qian - - 2009
In this study, we determined the cardioprotective effects of S-propargyl-cysteine (SPRC), a structural analog of S-allylcysteine (SAC), using in vivo models of acute myocardial infarction (MI) and in vitro hypoxic cardiomyocytes models. MI was created in rats by ligating the left anterior descending coronary artery. Plasma enzymes levels and cystathionine-gamma-lyase ...
Hsieh Bill Pei - - 2010
In animal studies, the amplitude of the first heart sound (S1) is proportional to the rate of left ventricular pressure rise (LV dP/dt). To develop a clinical application for this property, we performed phono-electrocardiographic recordings using a digital hand-held device followed by an echocardiogram within 2 hours of a clinically ...
Lee Eunyoung - - 2009
BACKGROUND: Previous studies have suggested that ventricular function may be impaired without or prior to electrocardiographic changes or angina during ischemia. Understanding of temporal sequence of electrical and functional ischemic events may improve the detection of myocardial ischemia. METHODS: A prospective study was performed in 21 subjects undergoing percutaneous coronary ...
Bagno Andrea - - 2009
Heart valve disorders, caused by congenital defects, rheumatic fever, calcification, myocardial infarction and other cardiovascular diseases, often require native valves to be replaced by bio-prosthetic devices or mechanical heart valves (MHVs). Among MHVs, bileaflet valves are usually preferred for their hemodynamic features, similar to physiological ones, and their durability, but ...
Debbal S M - - 2009
Heart sounds can be used more efficiently by medical doctors when they are displayed visually, rather through a conventional stethoscope. Heart sounds provide clinicians with valuable diagnostic and prognostic information. Although heart sound analysis by auscultation is convenient as a clinical tool, heart sound signals are so complex and non-stationary ...
Hurtig-Wennlöf Anita - - 2009
Patients have reported that they perceive their own heart sounds differently after open cardiac surgery than before the surgery. The present study was designed to investigate whether changes in heart sounds can be quantitatively measured. Heart sounds were recorded from 57 patients undergoing coronary artery bypass graft (CABG) surgery and ...
Kumar D D Department of Informatics Engineering of the University of Coimbra, Polo-II, Coimbra, Portugal. - - 2009
Heart sound is a valuable biosignal for early detection of a large set of cardiac diseases. Ambient and physiological noise interference is one of the most usual and high probable incidents during heart sound acquisition. It may change the prominent and crucial characteristics of heart sound which may possess important ...
Carvalho P P Department of Informatics Engineering, Science and Technology Faculty of the University of Coimbra, Pólo II, Coimbra, Portugal. - - 2009
Systolic time intervals are highly correlated to fundamental cardiac functions. In this paper we investigate the feasibility of using heart sound (HS) to accurately measure the opening and closing moments of the aortic valve, since these are crucial moments to define the main systolic timings of the heart cycle, i.e. ...
Patangay Abhilash A Boston Scientific Corp., St. Paul, MN, USA. - - 2009
Heart sounds based measurements such as S3 amplitude and systolic timing intervals (STIs) are known to be indicative of cardiac dysfunction. In this paper we investigate the correlation of these measurements from pacemaker device implant locations to echocardiographic hemodynamic metrics of E wave deceleration time (EDT), Ejection Fraction (EF) and ...
Vepa Jithendra J Philips Research Asia -Bangalore, Philips Innovation Campus, Bangalore, India. - - 2009
Murmurs are auscultatory sounds produced by turbulent blood flow in and around the heart. These sounds usually signify an underlying cardiac pathology, which may include diseased valves or an abnormal passage of blood flow. The murmurs are classified based on their occurrence in different parts of the heart cycle; systolic ...
Lee Eunyoung - - 2009
BACKGROUND: Although the standard 12-lead electrocardiogram (ECG) is considered the gold standard to diagnose acute myocardial ischemia, nearly half of ECGs are nondiagnostic in patients who present with chest pain and have subsequent confirmation of infarction with positive serum biomarkers. METHODS: A prospective study was performed to investigate the frequency ...
De Geest Bruno G BG Department of Pharmaceutics, Utrecht University, The - - 2008
In this communication we report on microcapsules which eject nanoparticles into the environment. The speed of the nanoparticles ejected in water is approximately 800-fold faster than their Brownian diffusion. Such microcarriers may allow nanosized species to travel long distances, in short times, through highly viscous environments and may find applications ...
Akay Metin - - 2009
The aim of this project is to improve the detection of coronary occlusions using an approach based on the recording and analysis of isolated diastolic heart sounds associated with turbulent blood flow in occluded coronary arteries. The nonlinear dynamic analysis method based on approximate entropy has been proposed for the ...
Mahnke C Becket - - 2008
Because pediatric cardiologists can accurately diagnose innocent murmurs by physical exam alone, the authors developed a system for remote cardiac auscultation. They hypothesized that their system could accurately classify auscultatory findings as normal/innocent or pathologic. Patients undergoing evaluation underwent examination, echocardiography, and heart sound recording. Pediatric cardiologists evaluated the heart ...
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