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https://www.readbyqxmd.com/read/28240372/using-the-surface-ecg-to-identify-right-ventricular-pacing-lead-position-a-cautionary-tale
#1
Gerald C Kaye, Matthew K Rowe, Paul A Gould
Chronic right ventricular (RV) apical pacing may lead to the development of heart failure in some patients. Although pacing of the right ventricular septum has been proposed as an alternative, positioning a lead in the true septum has proven challenging. In addition to fluoroscopy at implant it has been suggested that 12-lead surface ECG can be used to determine septal lead position, however studies show this may be inaccurate. We present a case where a change in the ECG QRS axis late after pacemaker insertion with an active fixation lead highlights the difficulties of ECG localisation of pacing leads...
February 27, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28238566/association-between-right-ventricular-systolic-function-and-electromechanical-delay-in-patients-with-right-bundle-branch-block
#2
Dong Hyun Park, Kyoung Im Cho, Yoon Kyung Kim, Bong Joon Kim, Ga In You, Sung Il Im, Hyun Su Kim, Jeong Ho Heo
BACKGROUND: Elevated right ventricle (RV) pressure and/or volume can place stress on the right bundle branch block (RBBB) and its associated Purkinje network, which can affect its electrical properties, resulting in conduction delay or block. We hypothesized that prolonged R' wave duration in lead V1 would extend the later portion of the QRS complex and can act as an indicator of reduced RV function in patients with RBBB. METHOD: Kosin University Gospel Hospital echocardiography and electrocardiography (ECG) database was reviewed to identify patients with complete RBBB between 2013 and 2015...
February 23, 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/28238152/myocardial-infarction-in-neonates-a-review-of-an-entity-with-significant-morbidity-and-mortality
#3
REVIEW
Koyelle Papneja, Anthony K Chan, Tapas K Mondal, Bosco Paes
Coronary artery disease is a global problem with high mortality rates and significant residual sequelae that affect long-term quality of life. Myocardial infarction (MI) in neonates is a recognized, uncommon entity, but the incidence and broad spectrum of the disease is unknown and likely underestimated due to limited reporting which in the majority is confined to acute ischemic events. The challenges involve clinical diagnosis which masquerades in the early phase as non-specific symptoms and signs that are commonly found in a host of neonatal disorders...
February 25, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/28237018/electrocardiographic-features-for-the-measurement-of-drivers-mental-workload
#4
Tobias Heine, Gustavo Lenis, Patrick Reichensperger, Tobias Beran, Olaf Doessel, Barbara Deml
This study examines the effect of mental workload on the electrocardiogram (ECG) of participants driving the Lane Change Task (LCT). Different levels of mental workload were induced by a secondary task (n-back task) with three levels of difficulty. Subjective data showed a significant increase of the experienced workload over all three levels. An exploratory approach was chosen to extract a large number of rhythmical and morphological features from the ECG signal thereby identifying those which differentiated best between the levels of mental workload...
May 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28236352/antazoline-insights-into-drug-induced-electrocardiographic-and-hemodynamic-effects-results-of-the-elephant-ii-substudy
#5
Roman Piotrowski, Joanna Giebułtowicz, Jakub Baran, Agnieszka Sikorska, Dagmara Gralak-Łachowska, Małgorzata Soszyńska, Piotr Wroczyński, Piotr Kułakowski
BACKGROUND: Antazoline is an old antihistaminic and new antiarrhythmic agent with unknown mechanisms of action which recently has been shown to effectively terminate atrial fibrillation. The aim of study was to examine the effects of antazoline on hemodynamic and ECG parameters. METHODS: Antazoline was given intravenously in three 100 mg boluses to 10 healthy volunteers (four males, mean age 40 + 11 years). Hemodynamic and ECG parameters were measured using impedance cardiography [systolic (sBP), diastolic (dBP), mean (mBP) blood pressure, stroke volume (SV), cardiac output (CO), total peripheral resistance (TPR) and heart rate (HR), P wave, PR interval, QRS complex, QT and corrected QT (QTcF) interval]...
February 25, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28227701/heart-rate-reactivity-associated-to-positive-and-negative-food-and-non-food-visual-stimuli
#6
Pekka Kuoppa, Mika P Tarvainen, Leila Karhunen, Johanna Narvainen, Pekka Kuoppa, Mika P Tarvainen, Leila Karhunen, Johanna Narvainen, Leila Karhunen, Mika P Tarvainen, Pekka Kuoppa, Johanna Narvainen
Using food as a stimuli is known to cause multiple psychophysiological reactions. Heart rate variability (HRV) is common tool for assessing physiological reactions in autonomic nervous system. However, the findings in HRV related to food stimuli have not been consistent. In this paper the quick changes in HRV related to positive and negative food and non-food visual stimuli are investigated. Electrocardiogram (ECG) was measured from 18 healthy females while being stimulated with the pictures. Subjects also filled Three-Factor Eating Questionnaire to determine their eating behavior...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227598/real-time-physiological-and-facial-monitoring-for-safe-driving
#7
Yu-Lung Chang, Yen-Cheng Feng, Oscal T-C Chen, Yu-Lung Chang, Yen-Cheng Feng, Oscal T-C Chen, Yen-Cheng Feng, Oscal T-C Chen, Yu-Lung Chang
This work is to develop an intelligent driver-assistance system which can perceive the physiological state of a driver to avoid fatigue driving. The proposed system includes a camera, a wireless ElectroCardioGram (ECG) sensor patch, and a computation platform. The camera in front of a driver is to catch a face image which is processed to obtain features of a mouth for identifying a yawn. The sensor patch records ECG signals which are computed to yield six Heart Rate Variability (HRV) parameters. Seven healthy subjects of 6 males and 1 female had individually driven a car, which was embedded with our system, for 3 hours at a well-known route, mostly in a freeway road...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227480/detection-of-atrial-fibrillation-with-seismocardiography
#8
Mikko Pankaala, Tero Koivisto, Olli Lahdenoja, Tuomas Kiviniemi, Antti Saraste, Tuija Vasankari, Juhani Airaksinen, Mikko Pankaala, Tero Koivisto, Olli Lahdenoja, Tuomas Kiviniemi, Antti Saraste, Tuija Vasankari, Juhani Airaksinen, Tero Koivisto, Olli Lahdenoja, Tuomas Kiviniemi, Antti Saraste, Tuija Vasankari, Mikko Pankaala, Juhani Airaksinen
In this paper we study the feasibility of seismocardiography (SCG) for the detection of Atrial Fibrillation (AF). In this preclinical study, data acquired from one patient having paroxysmal AF (no other heart diseases) is used to introduce specific changes in SCG signal due to AF. Observed changes and phenomena create a foundation for the development of SCG-based AF detection algorithms. SCG data was recorded from the sternum of an AF patient in dorso-ventral direction while at rest in a supine position using a three-axis high precision MEMS accelerometer simultaneously with a one-lead ECG...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227450/using-multiple-placements-of-accelerometers-to-measure-cardiovascular-pulse-transit-times
#9
Natalie Kurgan Canino, Ruisheng Rick Wang, Charles J Robinson, Natalie Kurgan Canino, Ruisheng Wang, Charles J Robinson, Natalie Kurgan Canino, Charles J Robinson, Ruisheng Rick Wang
To measure pulse transit times (PTT) and calculate pulse wave velocities (PWV), tri-axial and uniaxial accelerometers were placed in groups of 2 to 4 over the manubrium, xiphoid process, forehead, wrist and ankle, and/or over the carotid, femoral, and posterior auricular arteries in 11 consented supine subjects. Signals were sampled at 1 kHz and filtered. Radial vectors were calculated from the tri-axial measurements. A 3-lead ECG was simultaneously collected over the same 180 s window, as well as respiratory rate...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227362/signal-source-estimation-inside-the-human-heart-during-ventricular-activation-using-switching-voltage-divider
#10
Yusuke Sakaue, Masaaki Makikawa, Yusuke Sakaue, Masaaki Makikawa, Masaaki Makikawa, Yusuke Sakaue
A novel signal source estimation method using switching voltage divider technology was developed in our previous works. The aim of this method is to reduce the number of electrodes required for signal source estimation. Using this method, voltage and position information about the signal source inside the human body can be obtained simultaneously. The purpose of this paper is to estimate the changes in the signal source location according to ventricular activation. One healthy male (31 years old) participated in an ECG measurement experiment that utilized switching voltage divider technology...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227243/assessment-of-pre-ejection-period-in-ambulatory-subjects-using-seismocardiogram-in-a-wearable-blood-pressure-monitor
#11
Guanqun Zhang, Amber C Cottrell, Isaac C Henry, Devin B McCombie, Guanqun Zhang, Amber C Cottrell, Isaac C Henry, Devin B McCombie, Isaac C Henry, Devin B McCombie, Amber C Cottrell, Guanqun Zhang
The ability to monitor arterial blood pressure continuously with unobtrusive body worn sensors may provide a unique and potentially valuable assessment of a patient's cardiovascular health. Pulse wave velocity (PWV) offers an attractive method to continuously monitoring blood pressure. However, PWV technologies based on timing measurements between the ECG and a distal PPG suffer from inaccuracies on mobile patients due to the confounding influence of pre-ejection period (PEP). In this paper, we presented a wearable, continuous blood pressure monitor (ViSi Mobile) that can measure and track changes in PEP...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227241/changes-in-st-qt-and-rr-ecg-intervals-during-acute-stress-in-firefighters-a-pilot-study
#12
Joana S Paiva, Susana Rodrigues, Joao Paulo Silva Cunha, Joana S Paiva, Susana Rodrigues, Joao Paulo Silva Cunha, Susana Rodrigues, Joana S Paiva
Firefighting is a stressful occupation. The monitoring of psychophysiological measures in those professionals can be a way to prevent and early detect cardiac diseases and other stress-related problems. The current study aimed to assess morphological changes in the ECG signal induced by acute stress. A laboratory protocol was conducted among 6 firefighters, including a laboratory stress-inducer task - the Trier Social Stress Task (TSST) - and a 2-choice reaction time task (CRTT) that was performed before (CRTT1) and after (CRTT2) the stress condition...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226689/patient-movement-compensation-for-3d-echocardiography-fusion
#13
Abhilash R Hareendranathan, Michelle Hanbidge, Allen He, Michelle Noga, Pierre Boulanger, Harald Becher, Kumaradevan Punithakumar, Abhilash R Hareendranathan, Michelle Hanbidge, Allen He, Michelle Noga, Pierre Boulanger, Harald Becher, Kumaradevan Punithakumar, Allen He, Pierre Boulanger, Harald Becher, Michelle Noga, Kumaradevan Punithakumar, Michelle Hanbidge, Abhilash R Hareendranathan
Limited field of view (FOV) is a major problem for 3D real-time echocardiography (3DRTE), which results in an incomplete representation of cardiac anatomy. Various image registration techniques have been proposed to improve the field of view in 3DRTE by fusing multiple image volumes. However, these techniques require significant overlap between the individual volumes and rely on high image resolution and high signal-to-noise ratio. Changes in the heart position due to patient movement during image acquisition can also reduce the quality of image fusion...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226574/a-temperature-controlled-glove-with-non-invasive-arterial-pulse-sensing-for-active-neuro-vascular-assessment
#14
Andrew M Carek, Omer T Inan, Andrew M Carek, Omer T Inan, Andrew M Carek, Omer T Inan
A non-invasive, active neuro-vascular assessment system was developed using a modified temperature-controlled glove and feedback techniques. The glove incorporates local heating and cooling of the hand using multi-point skin temperature measurements as feedback, and thereby induces local and central mechanisms involved in thermoregulation. Electrocardiogram (ECG), photoplethysmogram (PPG) and non-invasive finger-cuff based blood pressure (BP) measurements were used to monitor electrophysiology and hemodynamic changes in response to temperature modulation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226573/a-preliminary-study-on-multi-wavelength-ppg-based-pulse-transit-time-detection-for-cuffless-blood-pressure-measurement
#15
Jing Liu, Yuan-Ting Zhang, Xiao-Rong Ding, Wen-Xuan Dai, Ni Zhao, Jing Liu, Yuan-Ting Zhang, Xiao-Rong Ding, Wen-Xuan Dai, Ni Zhao, Wen-Xuan Dai, Yuan-Ting Zhang, Xiao-Rong Ding, Ni Zhao, Jing Liu
Pulse transit time (PTT) has been widely studied as an index of blood pressure (BP) changes. In recent years, some prototypes of PTT-based wearable BP measurement devices have been developed, which can relieve users from the discomfort caused by the inflating cuff used in auscultatory and oscillometric BP measurement techniques. However, in the common practice for PTT detection, multi-site sensor implementation on human body is required, making it difficult for the integration of wearable devices. Since multi-wavelength (MW) photoplethysmogram (PPG) signals carry blood pulsation information of different blood vessels embedded in different skin depths, the time difference between different wavelength PPG signals collected at the same body site can be treated as a special PTT on a short length of blood vessels beneath the skin...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28217366/crizotinib-inhibits-hyperpolarization-activated-cyclic-nucleotide-gated-channel-4-activity
#16
Zhushan Zhang, Tai-Qin Huang, Igor Nepliouev, Hengtao Zhang, Adam S Barnett, Paul B Rosenberg, Sai-Hong I Ou, Jonathan A Stiber
BACKGROUND: Sinus bradycardia is frequently observed in patients treated with crizotinib, a receptor tyrosine kinase inhibitor used for the treatment of anaplastic lymphoma kinase (ALK)-rearranged non-small cell lung cancer (NSCLC). We investigated whether crizotinib could influence heart rate (HR) through direct cardiac effects. METHODS: The direct effect of crizotinib on HR was studied using ECG analysis of Langendorff-perfused mouse hearts. The whole-cell patch clamp technique was used to measure the effects of crizotinib on the hyperpolarization-activated funny current, If, in mouse sinoatrial node cells (SANCs) and hyperpolarization-activated cyclic nucleotide-gated channel 4 (HCN4) activity in HEK-293 cells stably expressing human HCN4...
2017: Cardiooncology
https://www.readbyqxmd.com/read/28213914/novel-method-to-assess-intrinsic-heart-rate-recovery-in-ambulatory-ecg-recordings-tracks-cardioprotective-effects-of-chronic-autonomic-regulation-therapy-in-patients-enrolled-in-the-anthem-hf-study
#17
Gerrard M Carlson, Imad Libbus, Badri Amurthur, Bruce H KenKnight, Richard L Verrier
BACKGROUND: Postexercise heart rate recovery (HRR) is a powerful and independent predictor of mortality. Autonomic regulation therapy (ART) with chronic vagus nerve stimulation (VNS) has been shown to improve ventricular function in patients with chronic heart failure. However, the effect of ART on HRR in patients with heart failure remains unknown. METHODS: A new measure involving quantification of intrinsic HRR was developed for 24-hr ambulatory ECG (AECG) recordings based on spontaneous heart rate changes observed during daily activity in patients with symptomatic heart failure and reduced ejection fraction...
February 17, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28209241/st-elevation-due-to-hypercalcemia-case-report-and-review-of-the-literature
#18
Edward Durant, Amandeep Singh
Characteristic ECG changes with hypercalcemia include shortening of the QoT, QaT, and QeT intervals which are measured from the beginning of the QRS complex to the origin (O), apex (A), and end (E) of the T wave respectively. At very high serum calcium levels ECG changes include slight prolongation of the PR and QRS intervals, T wave flattening or inversion, and the appearance of a J wave at the end of the QRS complex. We present a case of a 22year-old male, who had been bedbound for 5months following a severe motor vehicle collision, presenting with shortening of the QoT and QaT intervals leading to anterior ST elevation mimicking acute myocardial infarction...
February 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28208902/study-of-aortic-valve-sclerosis-as-a-marker-of-atherosclerosis-in-acute-coronary-syndromes
#19
Preeti Jane Picardo, Peter Daniel S Khariong, Ranendra Hajong, Debobratta Hajong, Narang Naku, Madhur Anand, Girish Sharma, K Lenish Singh
INTRODUCTION: Aortic valve sclerosis has been shown to be associated with increased incidence, chances of developing myocardial infarction and even death. The epidemiological risk factors causing calcification of aortic valves have also been found to cause atherosclerosis. AIM: To analyse the epidemiological risk factors causing aortic valve sclerosis which have been studied in details and analysed to see whether they cause any significant increase in the incidence of cardiovascular events...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28208852/alteration-of-heart-rate-variability-in-patients-of-depression
#20
Deepti Jangpangi, Sunita Mondal, Rajiv Bandhu, Dinesh Kataria, Asha Gandhi
INTRODUCTION: Altered cardiac autonomic functions in form of reduced Heart Rate Variability (HRV) have been found to be associated with increased cardiovascular morbidity and mortality in depressive patients. AIM: To investigate the relationship between HRV measures, which is a non-invasive marker of autonomic nervous system and depression. MATERIALS AND METHODS: The study included a convenient sample size of drug naive depressive patients (n=30) diagnosed on basis of ICD-10 and compared with age and gender matched healthy volunteers (n=30)...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
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