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- Fakultät Elektrotechnik und Informationstechnik (E+I) (bis 03/2019) (80) (remove)
Since direct current high energy shock fulguration was initially performed in the mid 1980s, ablation of cardiac arrhythmias has come to widespread use. Today the most frequently used energy source for catheter ablation is radio frequency (RF). It was the German engineer Peter Osypka who made available the HAT 100 as the first simple commercial RF ablator.
Nevertheless, in the first years of ablation, physicians were effectively working in the dark. Until today with an increasing understanding of arrhythmia mechanisms, both at the atrial and ventricular levels, this curative technology has made tremendous progress. Now, due to crucial improvement of RF ablation generators, temperature and contact force sensor catheters in combination with non-flouroscopic electroanatomical mapping technologies, computerized temperature and impedance controlled radiofrequency catheter ablation can be used to cure all types of arrhythmias including atrial and ventricular fibrillation. For the latter, cooled ablation by saline solution irrigated catheters has been developed to a widely used standard method. This procedure resulting in pulmonary vein isolation requires transseptal puncture and is technically demanding. Nevertheless, it has shown to be more effective than antiarrhythmic drug therapy.
While earliest RF ablations were performed with non-steerable catheters, today are used steerable sensor catheters without or with external and internal cooling and tips of 4mm or 8mm length. Further innovations like integration of mapping and cardiac imaging give exact information of the number of pulmonary veins and branching patterns and help to correlate electrical signals with anatomical structures.
The magnetic navigation significantly improved the success rates and safety of catheter ablation. Thus, in most cases RF catheter ablation has developed in the treatment of supraventricular arrhythmias from an alternative approach to drug therapy into the first therapeutic choice providing low complication rates.
In future, robotic navigation will further simplify procedures and reduce radiation exposure of this curative approach.
Introduction: Despite lots of developments in the last years, radiofrequency ablation of rhythm diseases is a safe but still complex procedure that requires special experience and expertise of the physicians and biomedical engineers. Thus, there is a need of special trainings to become familiar with the different equipment and to explain several effects that can be observed during clinical routine.
Methods: The Offenburg University of Applied Sciences offers a biomedical engineering study path specialized in the fields of cardiology, electrophysiology and cardiac electronic implants. It`s Peter Osypka Institute for Pacing and Ablation provides teaching following the slogan “Learning by watching, touching and adjusting”. It conducts lots of trainings for students as well as young physicians interested in electrophysiology and radiofrequency ablation.
Results: In-vitro trainings will be provided using the Osypka HAT 200 and HAT300s, Stockert EPshuttle and SmartAblate system as well as the Boston EPT-1000XP and Maestro 3000 and the Radionics RFG-3E cardiac radio frequency ablation generators. All of them require different handling as well as special accessories like catheter connection cables or boxes and back plates. The participants will be trained in the setup of temperature, power and cut-off impedance dependent on different ablation catheters. Furthermore troubleshooting in hard- and software is part of the program. Performing procedures in pork or animal protein and using physiological saline solution to simulate the blood flow, they can study the influence of contact force and impedance on lesion geometry etc. and to avoid adverse effects like “plops”. Lots of catheter types are available: 4mm tip, 8mm standard and gold tip, open and closed irrigated tip ablation catheters of different companies. The experiments will be completed by measuring the lesion size dependent on the used catheter type and ablation settings.
Conclusion: In-vitro training in radiofrequency ablation is a challenge for biomedical engineering students and young physicians.
A wide range catalyst screening with noble metal and oxide catalysts for a metal–air battery with an aqueous alkaline electrolyte was carried out. Suitable catalysts reduce overpotentials during the charge and discharge process, and therefore improve the round-trip efficiency of the battery. In this case, the electrodes will be used as optimized cathodes for a future lithium–air battery with an aqueous alkaline electrolyte. Oxide catalysts were synthesized via atmospheric plasma spraying. The screening showed that IrO2, RuO2, La0.6Ca0.4Co3, Mn3O4, and Co3O4 are promising bi-functional catalysts. Considering the high price for the noble metal catalysts further investigations of the oxide catalysts were carried out to analyze their electrochemical behavior at varied temperatures, molarities, and in case of La1−x Ca x CoO3 a varying calcium content. Additionally all catalysts were tested in a longterm test to proof cyclability at varied molarities. Further investigations showed that Co3O4 seems to be the most promising bi-functional catalyst of the tested oxide catalysts. Furthermore, it was shown that a calcium content of x = 0.4 in LCCO has the best performance.
Private households constitute a considerable share of Europe's electricity consumption. The current electricity distribution system treats them as effectively passive individual units. In the future, however, users of the electricity grid will be involved more actively in the grid operation and can become part of intelligent networked collaborations. They can then contribute the demand and supply flexibility that they dispose of and, as a result, help to better integrate renewable energy in-feed into the distribution grids.
A laser-operated, angle-tunable transducer was employed to excite selectively elastic waves guided along the apex of a solid wedge. The propagation of wedge waves at anisotropic monocrystalline silicon edges with different symmetry properties was studied by optical detection. The reduced symmetry in crystals, as compared to isotropic media, causes a number of new features, such as the existence of supersonic leaky wedge waves, tilted spatial pulse profiles, and other peculiarities of their localization. Experimental and theoretical results are presented for three different types of symmetry configurations: the wedge symmetric about its midplane, the wedge symmetric about the plane normal to its apex line, and the wedge symmetric about one of its faces. The experiments include accurate measurements of the phase velocity and the wave field distribution, providing information on localization and coupling of wedge waves with other waves. Theoretically, the wedge waves were treated by the Laguerre function method, extended to modes that are not localized at the tip of the wedge. This approach allowed an accurate description of the observed localized and leaky wedge waves in anisotropic wedges.
This paper presents new measurements of a bronze cast from the right hand of the famous Italian violin virtuoso Nicolò Paganini (1782-1840). These are compared to anthropometric standard values. In addition, detailed dorsal and palmar views of the cast are shown. With a middle finger length of 75 mm, the palm width is 60 mm and the hand length 152 mm, which is significantly below the 5% percentile of today's standard values. Also the finger length index (0.55), the ratio of finger length to palm length (0.98) and the ratio of finger length to palm width (1.25) are significantly above normal limits. Hence, Paganini had abnormal hand measurements with a very small palm and relatively "long" fingers. This remarkable constellation, among others, could have been advantageous for his amazing skills as a violinist.
Die zunehmende Anzahl von Transistoren mit immer kleineren Strukturgrößen führt zu einer zunehmenden Leistungsaufnahme in modernen Prozessoren. Das gilt insbesondere für High-End Prozessoren, die mit einer hohen Taktfrequenz betrieben werden. Die aufgenommene Leistung wird in Wärme umgewandelt, die in einer Temperaturerhöhung der Prozessoren resultiert. Hohe Betriebstemperaturen verursachen u.a. eine verringerte Rechenleistung, eine kürzere Lebensdauer des Prozessors und höhere Leckströme. Aus diesen Gründen wird aktives, dynamisches thermisches Management immer wichtiger. Dieser Beitrag stellt eine Erweiterung zu dem Standard- Linux-Scheduler in der Kernel-Version 3.0 für eingebettete Systeme vor: einen PID-Regler, der unter Angabe einer Solltemperatur eine dynamische Frequenz- und Spannungsskalierung durchführt. Die Experimente auf dem Freescale LMX6 Quadcore-Prozessor zeigen, dass der PID-Regler die Betriebstemperatur des Prozessors an die Solltemperatur regeln kann. Er ist die Grundlage für eine in Zukunft zu entwickelnde prädiktive Regelung.
Transcatheter aortiv valve implantation is a new safe strategy treatment for patients with symptomatic severe aortic stenosis and high operative risk. The aim of the study was to compare the pre-and post- muiscatheter aortiv valve implantation procedures to determine the atrioventricuktr conduction time as a potential predictor of permanent pacemaker therapy requirement after transcatheter aortiv valve implantation. The transcatheter aortiv valve implantation patients were divided into groups without pacemaker and with dual or single chamber pacemEtker with diffent atrioventrieular conduction time disturbance before and after transcatheter aortiv valve implantation. In heart failure, patients without permanent pacemaker therapy after transcatheter aortiv valve implantation, atrioventricular conduction time was prolonged after transcatheter aortiv valve implantation. In patients with permanent dual chamber pacemaker therapy after transcatheter aortiv valve implantation, atrioventricular conduction time was normalised with dual chaniber atrioventrieuku pacing mode. Atrioventricular conduction time may be a useful parameter to evaluate the risk of post-procedural atrioventricular conduction block and permanent pacemaker therapy in transcatheter north, valve implantation patients.
Non-fluoroscopic Imaging with MRT/CT Image Integration Catheter Positioning with Double Precision
(2014)
Introduction: When antiarrhythmic drug therapy has failed, different approaches of pulmonary vein isolation are considered a reasonable option in the treatment of atrial fibrillation. It will be performed predominantly by radiofrequency catheter ablation. As the individual anatomy of left atrium and the pulmonary veins differs considerably, accurate visualization of these structures is essential during catheter positioning. Using non-fluoroscopic electroanatomic mapping system with image integration, electroanatomic mapping can be combined with highly detailed anatomical MRT or CT information on complex left atrial structures. This may facilitate catheter navigation during ablation for atrial fibrillation.
Methods: The CARTO XP electroanatomic system was used in a project during biomedical engineering study to practice image integration of anonymized real patients that underwent pulmonary vein isolation by CARTO XP and a MRT/CT procedure. Using the image integration software, MRT or CT images were imported into the CARTO XP system. The next process was segmentation of the acquired images. It involves dividing the images into different regions in order to select the structures of interest. In clinical routine, this segmentation has to be performed before catheter ablation. Then, the segmented images were aligned with the reconstructed electroanatomic maps. This consists of several steps, including selection of the left atrium, scaling of the reconstructed geometry, fusion of the structures using landmarks, and optimization of the integration by adjusting the reconstructed geometry of the left atrium.
Results: In the 3 months lasting period of the project, image integration was trained in 13 patients undergoing catheter ablation for atrial fibrillation. Within this period, time consumption for the process decreased from about 90 minutes at the beginning to about 35 minutes at the end for one patient.
Conclusion: Image integration into non-fluoroscopic electroanatomic map is a sophisticated tool in cardiac radiofrequency catheter ablation. Intensive training is necessary to control the procedure.
Cardiac resynchronization therapy is an established therapy for heart failure patients with sinus rhythm, reduced left ventricular ejection fraction and prolongation of QRS duration. The aim of the study was to evaluate ventricular desynchronization with electrical interventricular delay (IVD) to left ventricular delay (LVD) ratio in atrial fibrillation heart failure patients. IVD and LVD were measured by transesophageal posterior left ventricular ECG recording. In atrial fibrillation heart failure patients with prolonged QRS duration, the mean IVD-to-LVD-ratio was 0.84 +/- 0.42 with a range from 0.17 to 2.2 IVD-to-LVD-ratio. IVD-to-LVD-ratio correlated with QRS duration. IVD-to-LVD-ratio may be a useful parameter to evaluate electrical ventricular desynchronization in atrial fibrillation heart failure patients.
Cardiac resynchronization therapy with atrioventricular and interventricular pacing delay optimized biventricular pacing is an established therapy for heart failure patients with sinus rhythm and reduced left ventricular ejection fraction. The aim of the study was to evaluate atrioventricular and interventricular pacing delay optimization in cardiac resynchroniza-tion therapy by transthoracic impedance cardiography in biventricular pacing with different left ventricular electrode po-sition. In biventricular pacing heart failure patients with lateral, posterolateral and anterolateral left ventricular electrode position, the mean optimal atrioventricular sening delay was 108.6 ± 20.3 ms and the mean optimal interventricular pac-ing delay -12.3 ± 25.9 ms. Transthoracic impedance cardiography may be a useful technique to optimize atrioventricular and interventricular pacing delay in biventricular pacing with different left ventricular electrode position.
Smoothie: a solution for device and content independent applications including 3D imaging as content
(2014)
Network landscape of recent time contains many different network technologies, a wide range of end-devices with a large scale of capabilities and power, and an immense quantity of information represented in different data formats. Research on 3D imaging, virtual reality and holographic techniques will result in new user interfaces (UI) for mobile devices and will increase their diversity and variety. A lot of effort is being made in order to establish open, scalable and seamless integration of various technologies and content presentation for different devices including those that are mobile, considering the individual situation of the end user. Till today the research is going on in different parts of the world but the task is not completed yet. The goal of this research work is to find a way to solve the above stated problems by investigating system architectures to provide unconstrained, continuous and personalized access to the content and interactive applications everywhere and at anytime with different devices. As a Solution of the problem considered, a new architecture named “Smoothie” is proposed.
Die Kenntnis der Messunsicherheit verbessert die Aussagekraft von Einsatzhärtungstiefe-Messungen. Ausgehend von der Definition in der DIN EN ISO 2639:2002 wird unter Anwendung des „Guide to the Expression of Uncertainty in Measurement“ die Messunsicherheit abgeschätzt. Dazu werden die Einflüsse der Härteprüfung, der Positionierung der Prüfpunkte und der Probe berücksichtigt. Das Verfahren wird an zwei Beispielen angewendet: Zunächst werden die gemäß Norm zulässigen Toleranzen vollständig ausgenutzt, anschließend die Unsicherheit eines automatisierten Härteprüfers experimentell ermittelt. In beiden Fällen dominiert der Probeneinfluss das Ergebnis.
Impedance of the Surface Double Layer of LSCF/CGO Composite Cathodes: An Elementary Kinetic Model
(2014)
Nowadays, it is assumed of many applications, companies and parts of the society to be always available online. However, according to [Times, Oct, 31 2011], 73% of the world population do not use the internet and thus aren't “online” at all. The most common reasons for not being “online” are expensive personal computer equipment and high costs for data connections, especially in developing countries that comprise most of the world’s population (e.g. parts of Africa, Asia, Central and South America). However it seems that these countries are leap-frogging the “PC and landline” age and moving directly to the “mobile” age. Decreasing prices for smart phones with internet connectivity and PC-like operating systems make it more affordable for these parts of the world population to join the “always-online” community. Storing learning content in a way accessible to everyone, including mobile and smart phones, seems therefore to be beneficial. This way, learning content can be accessed by personal computers as well as by mobile and smart phones and thus be accessible for a big range of devices and users. A new trend in the Internet technologies is to go to “the cloud”. This paper discusses the changes, challenges and risks of storing learning content in the “cloud”. The experiences were gathered during the evaluation of the necessary changes in order to make our solutions and systems “cloud-ready”.
Formal Description of Inductive Air Interfaces Using Thévenin's Theorem and Numerical Analysis
(2014)
With the development of new integrated circuits to interface radio frequency identification protocols, inductive air interfaces have become more and more important. Near field communication is not only able to communicate, but also possible to transfer power wirelessly and to build up passive devices for logistical and medical applications. In this way, the power management on the transponder becomes more and more relevant. A designer has to optimize power consumption as well as energy harvesting from the magnetic field. This paper discusses a model with simple equations to improve transponder antenna matching. Furthermore, a new numerical analysis technique is presented to calculate the coupling factors, inductions, and magnetic fields of multiantenna systems.
Introduction: Radiofrequency ablation allows successful treatment of most supraventricular reentrant and focal tachycardias and an increasing number of ventricular tachycardias. Different catheter tips are used. While AV nodal reentrant tachycardias require catheters with a tip of 4mm length, an 8 mm tip electrodes will be used for atrial flutter. A pulmonary vein isolation will be performed using 4 mm irrigated tip electrodes to achieve larger and deeper lesions. The need of a tubing set and pump for saline transfusion is a disadvantage of this technique. Gold tip electrodes can alternatively be used to produce increases in lesion size. Aim of this study was to compare RF ablation catheters of exactly the same geometry with either platin-iridum or gold tip.
Methods: Gold provides an almost four-fold thermal conductivity compared with platinum-iridium. The Cerablate G flutter (Osypka AG, Rheinfelden-Herten) is a newly designed radiofrequency ablation catheter with an 8 mm gold tip. Its power delivery was compared with the Cerablate flutter of same geometry but platin-iridium tip. Therefore, in-vitro RF ablations were performed using pork meat in a 0.9% saline solution at 37°C temperature. A pulsed volume flow was generated using a pump to simulate the blood flow. Temperature controlled ablations of 60 seconds using 45, 55 and 65°C and a maximum of 70W RF power were performed.
Results: Using the Osypka HAT300smart ablator, cumulative power of 167, 474 and 672W was delivered with gold tip against 121, 227 and 310 W with platin-iridium tip. By the Stockert SmartAblate G4 ablator, 202, 546 and 1075W was delivered with gold tip against 117, 246 and 394W with platin-iridium using 45, 55 and 65°C temperature.
Conclusion: During in-vitro investigations, the gold tip electrodes allowed a in power delivery increase of 117 up to 173%. Thus, gold tips can be used to increase lesion depth and diameter without cooling equipment.
Hybrid SPECT/US
(2014)
PET and SPECT of Neurobiological Systems combines the expertise of renowned authors whose dedication to the development of novel probes and techniques for the investigation of neurobiological systems has achieved international recognition. Various aspects of neurotransmission in the brain are discussed, such as visualization and quantification of (more than 20 different) neuroreceptors, neuroinflammatory markers, transporters, and enzymes as well as neurotransmitter synthesis, β-amyloid deposition, cerebral blood flow, and the metabolic rate of glucose. The latest results in probe development are also detailed.
Most chapters are written jointly by radiochemists and nuclear medicine specialists to ensure a multidisciplinary approach. This state of the art compendium will be valuable to anyone in the field of clinical or preclinical neuroscience, from the radiochemist and radiologist/nuclear medicine specialist to the interested neurobiologist and general practitioner. It is the second volume of a trilogy on PET and SPECT imaging in the neurosciences. Other volumes focus on PET and SPECT in psychiatry and PET and SPECT in neurology".
PET and SPECT in Psychiatry
(2014)
PET and SPECT in Psychiatry showcases the combined expertise of renowned authors whose dedication to the investigation of psychiatric disease through nuclear medicine technology has achieved international recognition. The classical psychiatric disorders as well as other subjects – such as suicide, sleep, eating disorders, and autism – are discussed and the latest results in functional neuroimaging are detailed. Most chapters are written jointly by a clinical psychiatrist and a nuclear medicine expert to ensure a multidisciplinary approach. This state of the art compendium will be valuable to all who have an interest in the field of neuroscience, from the psychiatrist and the radiologist/nuclear medicine specialist to the interested general practitioner and cognitive psychologist. It is the first volume of a trilogy on PET and SPECT imaging in the neurosciences; other volumes will focus on PET and SPECT in neurology and PET and SPECT of neurobiological systems.
Automatisierte Tests für ein IEEE802.11p-kompatibles Kommunikations- und Lokalisierungssubsystem
(2014)
A benchmark analysis of Long Range (LoRaTM) Communication at 2.45 Ghz for safety applications
(2014)
Integration of BACNET OPC UA-Devices Using a JAVA OPC UA SDK Server with BACNET Open Source Library
(2014)
Taschenbuch Digitaltechnik
(2014)
PET and SPECT in Neurology
(2014)
PET and SPECT in Neurology highlights the combined expertise of renowned authors whose dedication to the investigation of neurological disorders through nuclear medicine technology has achieved international recognition. Classical neurodegenerative disorders are discussed as well as cerebrovascular disorders, brain tumors, epilepsy, head trauma, coma, sleeping disorders, and inflammatory and infectious diseases of the CNS. The latest results in nuclear brain imaging are detailed. Most chapters are written jointly by a clinical neurologist and a nuclear medicine specialist to ensure a multidisciplinary approach. This state-of-the-art compendium will be valuable to anybody in the field of neuroscience, from the neurologist and the radiologist/nuclear medicine specialist to the interested general practitioner and geriatrician. It is the second volume of a trilogy on PET and SPECT imaging in the neurosciences, the other volumes covering PET and SPECT in psychiatry and in neurobiological systems.
Geschichte(n) der Medizin
(2014)
Seit Menschengedenken schreibt die Medizin ihre eigene(n) Geschichte(n). Bis heute faszinieren Berichte über Krankheiten oder Todesfolgen vergangener Zivilisationen, Herrscher und Persönlichkeiten. In diesem Band werden ausgewählte Vitae aus der Zeit zwischen dem zweiten Jahrhundert vor Christus und heute exemplarisch und kurzweilig vorgestellt.
Doch nicht nur die hier wiedergegebenen Krankheitsverläufe der prominenten Protagonisten faszinieren. Mindestens genauso bemerkenswert sind die dargestellten Veränderungen von Moral-Vorstellungen innerhalb der Geschichte(n): So verbietet beispielsweise der Eid des Hippokrates das Blasenstein¬-Schneiden – doch heute ist die Entfernung von Nephrolithen immanenter Bestandteil der Urologie. Und während die Deklaration des Weltärztebundes aus dem Jahr 1948 – das sogenannte Genfer Gelöbnis – den Schwangerschaftsabbruch noch ablehnt, ist dieser heutzutage (in engen Grenzen) erlaubt.
Den renommierten Autoren des vorliegenden Bandes gelingt es mühelos und mitreißend, Geschichte(n) der Medizin in Biografien und Erzählungen lebendig werden zu lassen. Ihre historischen Betrachtungen sind gleichermaßen unterhaltsam wie lehrreich.
This work describes a camera-based method for the calibration of optical See-Through Glasses (STGs). A new calibration technique is introduced for calibrating every single display pixel of the STGs in order to overcome the disadvantages of a parametric model. A non-parametric model compared to the parametric one has the advantage that it can also map arbitrary distortions. The new generation of STGs using waveguide-based displays [5] will have higher arbitrary distortions due to the characteristics of their optics. First tests show better accuracies than in previous works. By using cameras which are placed behind the displays of the STGs, no error prone user interaction is necessary. It is shown that a high accuracy tracking device is not necessary for a good calibration. A camera mounted rigidly on the STGs is used to find the relations between the system components. Furthermore, this work elaborates on the necessity of a second subsequent calibration step which adapts the STGs to a specific user. First tests prove the theory that this subsequent step is necessary.
Hintergrund: Das elektrische interventrikuläre Delay (IVD) und die Lage der linksventrikulären (LV) Elektrode zum Ort der spätesten LV Erregung sind bei Patienten (P) mit Herzinsuffizienz (HF), reduzierter LV Funktion und breiter QRS Dauer (QRSD) von Bedeutung für den Erfolg der kardialen Resynchronisationstherapie (CRT). Die LV Elektrokardiographie ermöglicht eine Abschätzung des elektrischen IVD. Ziel der Studie besteht in der nicht-invasiven Evaluierung des elektrischen IVD bei Patienten (P) mit Vorhofflimmern (AFib) mit und ohne CRT mit biventrikulärer (BV) Stimulation.
Methoden: Bei 49 HF P mit AFib (Alter 63,9 ± 10,8 Jahre; 43 Männer und 6 Frauen) mit New York Heart Association (NYHA) Klasse 2,9 ± 0,4, LV Ejektionsfraktion 26,03 ± 7,99 % und QRS-Dauer (QRSD) 143,69 ± 35,62 ms wurde das elektrische IVD als Intervall zwischen Beginn des QRS-Komplexes im Oberflächen EKG und Beginn des LV Signals im transösophagealen LV EKG bei 31 HF P mit AFib und bei 18 HF P mit AFib und CRT präoperativ bestimmt. Das fokussierte bipolare LV EKG wurde mittels Osypka TO Sonde mit halbkugelförmigen Elektroden in Höhe des maximalen LV Signals registriert.
Ergebnisse: Bei 31 HF P mit AFib betrugen QRSD 135,48 ± 38,78 ms, IVD 49,55 ± 26,38 ms, QRSD-IVD-Verhältnis 3,12 ± 1,11 und das IVD korrelierte mit der QRSD (r=0,75, P<0,001) und dem QRSD-IVD-Verhältnis (r=-0,67, P<0,001) (Fig.). Bei 18 HF P mit AFib und CRT Defibrillator betrugen QRSD 157,83 ± 24,38 ms, IVD 61,94 ± 26,88 ms, QRSD-IVD-Verhältnis 3,12 ± 1,89 und das IVD korrelierte mit der QRSD (r=0,47, P=0,049) und dem QRSD-IVD-Verhältnis (r=-0,73, P<0,001). Bei 72,2 % CRT Responder (R) (n=13) betrugen QRSD 158,15 ± 22,4 ms, IVD 64,23 ± 24,62 ms, QRSD-IVD-Verhältnis 2,82 ± 1,32 und das IVD korrelierte mit der QRSD (r=0,57, P=0,043) und dem QRSD-IVD-Verhältnis (r=-0,76, P=0,0024). Bei 27,8 % CRT Non-Responder (NR) (n=5) betrugen QRSD 157 ± 31,94 ms, IVD 56 ± 34,52 ms, QRSD-IVD-Verhältnis 3,88 ± 2,98 und das IVD korrelierte nicht mit der QRSD (r=0,33, P=0,591) und dem QRSD-IVD-Verhältnis (r=-0,732, P=0,159). Die CRT R verbesserten sich in der NYHA Klasse von 3 ± 0,2 auf 2,2 ± 0,3 (P<0,001) während 15,3 ± 13,1 Monaten BV Stimulation. Bei 15 CRT NR kam es zu keiner Verbesserung der NYHA Klasse von 3 auf 3,3 ± 0,97 (P=0,529) während 18,8 ± 20,7 Monaten BV Stimulation.
Schlussfolgerungen: Das transösophageale LV EKG ermöglicht bei HF-P mit AFib die nichtinvasive Messung des elektrischen IVD präoperativ vor CRT. IVD und QRSD-IVD-Verhältnis sind möglicherweise einfach anwendbare Parameter zur Vorhersage von CRT R und CRT NR bei P mit AFib.
Durch den digitalen Wandel, sowie durch die an Benutzerfreundlichkeit und Leistung zunehmenden technischen Geräte im Endbenutzer-Bereich beginnt die Bedeutung von Augmented-Reality Applikationen zu wachsen. Daher ist das Ziel dieser Arbeit die Entwicklung einer Engine auf iOS Basis, zur Dastellung von Augmented-Reality Inhalten. Die Engine wurde nach dem Vorbild von Komponenten-basierten Game Engines entworfen, da diese beinahe identische Anforderungen besitzen. Die, im Rahmen dieser Arbeit erstellte Engine wurde mit Unterstützung der 5d lab Gmb entwickelt. Durch die Verwendung des, nach Erfahrungswerten, schnellsten Mobile Augmented Reality SDK und einer gelungenen Engine-Architektur konnte ein Produkt entwickelt werden, dass mit bestehenden Applikationen konkurrenzfähig ist.