INTRODUCTION: Although it is desirable to know drug efficacy before initiating antiarrhythmic therapy, there have been no methods for this evaluation. P wave signal-averaged ECG (P-SAECG) is useful to detect subtle changes in disturbance of atrial conduction. The purpose of this present study was to test whether P-SAECG mapping system would give any information on the efficacy of disopyramide on the prevention of paroxysmal atrial fibrillation (PAF). METHODS AND RESULTS: P-SAECG was performed before disopyramide treatment, at 3 hours after a single dose of oral disopyramide (200 mg), and after 4 weeks of disopyramide treatment (300 mg/day). After measuring the filtered P wave duration by the vector magnitude and mapping methods, we calculated filtered P wave duration dispersion, difference between the maximal and minimal filtered P wave duration within 16 chest leads at these three time points. Filtered P wave duration and filtered P wave duration dispersion before treatment were longer in 32 patients with symptomatic PAF than in 31 healthy volunteers. Disopyramide was effective for suppression of PAF in 17 patients and ineffective in 15 patients after 4 weeks of treatment. Filtered P wave duration was similarly prolonged at 3 hours in the two groups, whereas filtered P wave duration dispersion at 3 hours after the disopyramide administration behaved differently; it decreased in all of the effective group and increased in all of the ineffective group. The effective patients were prospectively followed with the same treatment for 6 months. In 16 (94%) of these 17 effective patients, no PAF was documented and they remained to be asymptomatic. CONCLUSIONS: Thus, measuring filtered P wave duration dispersion with the P-SAECG mapping method after a single administration may predict the long-term efficacy of disopyramide in patients with PAF. 相似文献
Inthis paper, we report the results of our research on reinforced concrete beams made of fine aggregate fibre composite, with the addition of steel fibres at 1.2% of the composite volume. The fine aggregate fibre composite is a novel construction material, in which the aggregate used is a post-production waste. Twenty reinforced concrete beams with varying degree of shear reinforcement, in the form of stirrups with and without the addition of steel fibres, tested under loading. The shear capacity results of reinforced concrete beams made of the fine aggregate fibre composite being bent by a transversal force, as well as the cracking forces causing the appearance of the first diagonal crack, are discussed. The stages of functioning of such elements are described. Furthermore, the effect of the steel fibres on the reduction of diagonal cracking is analysed. Computation of the shear capacity of the tested elements is performed, based on the Model Code 2010 and RILEM TC-162 TDF standards, for two variants of the compression strut inclination angle θ that measured during testing, and the minimum(in accordance with the Model Code 2010 standard). We found that the SMCFT method part of Model Code 2010 showed the best compatibility with the experimental results. The tests and analyses performed demonstrate that the developed novel fibrecomposite—the properties of which are close to, or better than, those of the ordinary concrete—can be used successfully for the manufacturing of construction elements in the shear capacity aspect. The developed fine aggregate fibrecomposite could serve, in some applications, as an alternative to ordinary concrete. 相似文献
We describe a microfluidic device for separating cells according to their dielectric properties by combining 2-dimensional dielectrophoretic forces with field-flow-fractionation. The device comprises a thin chamber in which a travelling-wave electrical field is generated by a planar, multilayer microelectrode array at the bottom. Under the balance of gravitational and dielectrophoretic levitation forces, cells introduced into the device are positioned at different equilibrium heights in a velocity profile established inside the chamber, and thereby transported at different velocities by the fluid. Simultaneously, cells are subjected to a horizontal travelling-wave dielectrophoretic force that deflects them across the flow stream. The 2-dimensional dielectrophoretic forces acting on cells and the associated velocities in the fluid-flow and travelling-field directions depend sensitively on cell dielectric properties. The responses of cultured MDA-435 human breast cancer, HL-60 human leukemia and DS19 murine erythroleukemia cells, and of peripheral blood mononuclear (PBMN) cells were studied as functions of the frequency and voltage of the applied electric signals, and of the fluid flow rate. Significant differences were observed between the responses of different cell types. Cell separation was demonstrated by the differential redistribution of MDA-435 and PBMN cells as they flowed through the device. The device can be readily integrated with other microfluidic components for microscale sample preparation and analysis. 相似文献
Summary Continuous wave Doppler umbilical artery blood flow velocity wave form is presented in 14 drug addicted mothers between 22–40
weeks of gestational age from New York City. The mean S/D ratio ranged from 2.36 to 4.30. Doppler study of the fetal umbilical
artery could be a valuable addition for assessment of fetal well being in drug addicted mothers. 相似文献
The Pedunculopontine tegmental nucleus (PPT) is a mesopontine structure containing predominantly cholinergic neurons, and physiological data indicate its neurons transfer eye-movement gated ponto-geniculo-occipital (PGO) waves to thalamus during the rapid eye movement phase of sleep. The present study, using anterograde and retrograde tracing of wheat germ agglutinin-conjugated horseradish peroxidase, found that the medullary nucleus Prepositus hypoglossi (PH), whose neurons are known to have eye-movement-related information, projects densely to PPT, and PPT has reciprocal projections to PH. The PH-PPT projection has some topographic organization, with rostral PH to rostral PPT and caudal PH to caudal PPT projections dominating. The PH-PPT projection may furnish the anatomical substrate for input of eye movement-related information into the rostral PGO wave system. 相似文献
We sought: 1) to investigate the relationship between vascular wall shear stress and flow-mediated dilation (FMD) in humans, and 2) to investigate whether this relationship could explain why FMD is greater in small arteries.
BACKGROUND
Arterial wall shear stress (WSS) is considered to be the primary stimulus for the endothelial-dependent FMD response. However, the relationship between WSS and FMD has not been investigated in humans. Furthermore, FMD is greater in small arteries, though the reasons for this phenomenon are unclear.
METHODS
Using phase-contrast magnetic resonance angiography (PMRCA), we measured hyperemic WSS and FMD in 18 healthy volunteers. Peak systolic WSS was calculated assuming a blunted parabolic velocity profile. Diameter by PCMRA and by ultrasound was compared in nine subjects.
RESULTS
Flow-mediated dilation was linearly proportional to hyperemic peak systolic WSS (r = 0.79, P = 0.0001). Flow-mediated dilation was inversely related to baseline diameter (r = 0.62, P = 0.006), but the hyperemic peak WSS stimulus was also inversely related to baseline diameter (r = 0.47, P = 0.049). Phase-contrast magnetic resonance angiography and ultrasound diameters were compared in nine subjects and correlated well (r = 0.84, p < 0.0001), but diameter by PCMRA was greater (4.1 ± 0.7 mm vs. 3.7 ± 0.5 mm, P = 0.009).
CONCLUSIONS
Arterial FMD is linearly proportional to peak hyperemic WSS in normal subjects. Thus, the endothelial response is linearly proportional to the stimulus. Furthermore, the greater FMD response in small arteries is accounted for, at least partially, by a greater hyperemic WSS stimulus in small arteries. By allowing the calculation of vascular WSS, which is the stimulus for FMD, and by imaging a fixed arterial cross-section, thus reducing operator dependence, PCMRA enhances the assessment of vascular endothelial function. 相似文献