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Cardiac resynchronization therapy with biventricular pacing is an established therapy for heart failure patients with electrical left ventricular desynchronization. The aim of this study was to evaluate left atrial conduction delay, intra left atrial conduction delay, left ventricular conduction delay and intra left ventricular conduction delay in heart failure patients using novel signal averaging transesophageal left heart ECG software.
Methods: 8 heart failure patients with dilated cardiomyopathy (DCM), age 68 ± 9 years, New York Heart Association (NYHA) class 2.9 ± 0.2, 24.8 ± 6.7 % left ventricular ejection fraction, 188.8 ± 15.5 ms QRS duration and 8 heart failure patients with ischaemic cardiomyopathy (ICM), age 67 ± 8 years, NYHA class 2.9 ± 0.3, 32.5 ± 7.4 % left ventricular ejection fraction and 167.6 ± 19.4 ms QRS duration were analysed with transesophageal and transthoracic ECG by Bard LabDuo EP system and novel National Intruments LabView signal averaging ECG software.
Results: The electrical left atrial conduction delay was 71.3 ± 17.6 ms in ICM versus 72.3 ± 12.4 ms in DCM, intra left atrial conduction delay 66.8 ± 8.6 ms in ICM versus 63.4 ± 10.9 ms in DCM and left cardiac AV delay 180.5 ± 32.6 ms in ICM versus 152.4 ± 30.4 ms in DCM. The electrical left ventricular conduction delay was 40.9 ± 7.5 ms in ICM versus 42.6 ± 17 ms in DCM and intra left ventricular conduction delay 105.6 ± 19.3 ms in ICM versus 128.3 ± 24.1 ms in DCM.
Conclusions: Left heart signal averaging ECG can be utilized to analyse left atrial conduction delay, intra left atrial conduction delay, left ventricular conduction delay and intra left ventricular conduction delay to improve patient selection for cardiac resynchronization therapy.
Cardiac resynchronization therapy (CRT) with biventricular pacing is an established therapy for heart failure (HF) patients (P) with ventricular desynchronization and reduced left ventricular (LV) ejection fraction. The aim of this study was to evaluate electrical right atrial (RA), left atrial (LA), right ventricular (RV) and LV conduction delay with novel telemetric signal averaging electrocardiography (SAECG) in implantable cardioverter defibrillator (ICD) P to better select P for CRT and to improve hemodynamics in cardiac pacing.
Methods: ICD-P (n=8, age 70.8 ± 9.0 years; 2 females, 6 males) with VVI-ICD (n=4), DDD-ICD (n=3) and CRT-ICD (n=1) (Medtronic, Inc., Minneapolis, MN, USA) were analysed with telemetric ECG recording by Medronic programmer 2090, ECG cable 2090AB, PCSU1000 oscilloscope with Pc-Lab2000 software (Velleman®) and novel National Intruments LabView SAECG software.
Results: Electrical RA conduction delay (RACD) was measured between onset and offset of RA deflection in the RAECG. Interatrial conduction delay (IACD) was measured between onset of RA deflection and onset of far-field LA deflection in the RAECG. Interventricular conduction delay (IVCD) was measured between onset of RV deflection in the RVECG and onset of LV deflection in the LVECG. Telemetric SAECG recording was possible in all ICD-P with a mean of 11.7 ± 4.4 SAECG heart beats, 97.6 ± 33.7 ms QRS duration, 81.5 ± 44.6 ms RACD, 62.8 ± 28.4 ms RV conduction delay, 143.7 ± 71.4 ms right cardiac AV delay, 41.5 ms LA conduction delay, 101.6 ms LV conduction delay, 176.8 ms left cardiac AV delay, 53.6 ms IACD and 93 ms IVCD.
Conclusions: Determination of RA, LA, RV and LV conduction delay, IACD, IVCD, right and left cardiac AV delay by telemetric SAECG recording using LabView SAECG technique may be useful parameters of atrial and ventricular desynchronization to improve P selection for CRT and hemodynamics in cardiac pacing.
The provisioning of security for highly dynamic wireless networks, as for Car2X applications is still a major topic, as very specific requirements have to be solved. Those include a perfect privacy level and advanced real-time behavior, and the necessity to work with a public infrastructure (PKI) to support secure authentication.
This contribution analyzes these requirements, discusses the existing approaches, performs a gap analysis and elaborates on proposals to fill these gaps. It describes work in progress within the KoFAS-initiative for the development of a cooperative pedestrian protection system (CPPS).
Die Frage nach der Struktur und Funktion von „Hochschulen“ kann man sinnvoll nicht isoliert betrachten ohne einen Blick auf Schulen. Hochschulen sind Teil des gesamten Schulsystems und eingebunden in eine (momentan noch) sehr differenzierte und vielfältige, bundesdeutsche „Bildungslandschaft“, die sich über Jahrhunderte herauskristallisiert hat. Tradition und evolutionäre Genese sind eine Konstante von Bildungseinrichtungen, der ständige Wandel und der stetige Reformdruck eine weitere. Es scheint, das an Schulen und Hochschulen immer von neuem laboriert werden muss, auch wenn das mögliche Spektrum von Einstellungen und Methoden – zumindest was Lernen und Lehrkonzepte betrifft, – seit der Antike bekannt sind.
Daher gliedert sich dieser Text in drei Abschnitte:
• Ein kurzer Blick zurück leitet zentrale Begriffe her.
• Die Analyse des Ist-Zustandes unter Berücksichtigung der seit 1998 unter dem Namen „Bologna“ realisierten Reformen (Vereinheitlichung der europäischen Studiengänge, Umstellung der Studiengänge auf andere Abschlüsse (Bachelor, Master) u.v.m.) zeigt aktuelle Fehlentwicklungen, nennt Gründe und Protagonisten .
• Der abschließend Blick nach vorn zeigt, was aus (Hoch)Schulen (wieder) werden könnten, wenn Lehrende und Studierende mutiger werden.
New frontiers of supraventricular tachycardia and atrial flutter evaluation and catheter ablation
(2012)
Radiofrequency catheter ablation (RFCA) has revolutionized treatment for tachyarrhythmias and has become first-line therapy for some tachycardias. Although developed in the 1980s and widely applied in the 1990s, the technique is still in development. Transesophageal atrial pacing (TAP) can used for initiation and termination of supraventricular tachycardia (SVT).
Methods: The paroxysmal SVT include a wide spectrum of disorders including, in descending order of frequency, atrial flutter, atrioventricular (AV) nodal reentry, Wolff-Parkinson-White syndrome, and atrial tachycardia. While not life-threatening in most cases, they may cause important symptoms, such as palpitations, chest discomfort, breathlessness, anxiety, and syncope, which significantly impair quality of life. Medical therapy has variable efficacy, and most patients are not rendered free of symptoms. Research over the past several decades has revealed fundamental mechanisms involved in the initiation and maintenance of all of these arrhythmias. Knowledge of mechanisms has in turn led to highly effective surgical and catheter-based treatments. The supraventricular arrhythmias and their treatment are described in this report. SVT initiation was analysed with programmed TAP in 49 patients with palpitations (age 47 ± 17 years, 24 females, 25 males).
Results: In comparison to antiarrhythmic drug therapy the radiofrequency catheter ablation in patients suffering from atrial flutter, atrioventricular nodal reentry, atrioventricular reentry and atrial tachycardia is the better choice in most cases. TAP SVT initiation was possible in 23 patients before RFCA. Atrial cycle length of SVT was 320 ± 59 ms. We initiated AV nodal reentrant tachycardia (AVNRT, n=15), atrial tachycardia (AT, n=6) and AV reentrant tachycardia with Kent pathway conduction (AVRT, n=2) before RFCA.
Conclusions: Radiofrequency catheter ablation is a successful and safe method to cure most patients with paroxysmal supraventricular tachycardias. TAP allowed initiation and termination of SVT especially in outpatients.
Der vorliegene Beitrag beschreibt erste Untersuchungsergebnisse mit der Finite-Elemente-Methode (FEM) zur Ermittlung der Kennwerte des bezogenen Spannungsgefälles beim linear-elastischen Werkstoffverhalten für die nach DIN 5480 genormten Zahnwellen mit freiem Auslauf bei Torsion, Biegung und Zug/Druck. Für die Bestimmung von Zwischen-werten werden analytische Näherungsgleichungen aufgestellt.
In this paper, a complete passive transponder device has been discussed which is meant to monitor leakage in silicone breast implants. The passive tag operates in the HF frequency range of 13.56MHz using RFID ISO 15693 standard. The complete system consists of the transponder, reader and a PC. This paper focusses on the development of such a state of the art passive RFID transponder to monitor the wellness of the silicone breast implants periodically in order to detect leakage in the same. Keyword: RFID (Radio frequency identification device), EM (Electromagnetic) field, Passive Transponder, Silicone breast implants.
Remote measurement of the physiology, so-called biotelemetry, is a key technology in the modern veterinary medicine. The usage of wireless implants has less impact on the behavior of animals than manual measurement methods and cause less disturbance than wired devices. But, common biotelemetry still uses proprietary communication and power concepts focused on small systems with one animal. Therefore, the University of Applied Sciences Offenburg is developing a low-cost RFID system called muTrans1, which is able to measure ECG, pressure, temperature, oxygen saturation and activity. The muTrans uses an own RFID sensor transponder and standardized commercial components and combines them to a scalable RFID system able to build-up RFID sensor networks with a nearly unlimited size.
During the last ten years the development of wireless sensing applications has become more and more attractive. A major reason for this trend is the large quantity of available wireless technologies. The progressing demand on wireless technologies is mainly driven through development from the industrial wireless sensors market. Especially requirements like low energy consumption, a resource saving simple protocol stack and short timing delays between different states of the wireless transceivers are very important for wireless sensors. Bluetooth Low Energy (BLE) is a rather new wireless standard in addition to the traditional Bluetooth standard (Basis rate and enhanced data rate, BR/EDR) [1]. The BLE will completely fulfill these fundamental requirements. First BLE transceiver chips and modules are available and have been tested and implemented in products. In this paper the performance analysis results of a BLE sensor system which is based on the TI transceiver CC2540F [5] will be presented. The results can be taken for further important investigations like lifetime calculations or BLE simulation models.
In the field of smart metering it can be observed that standardized protocol, like Wireless M-Bus or ZigBee, enjoy a rapidly increasing popularity. For the protocol implementations, however, up to now, mostly legacy engineering processes and technologies are used, and modern approaches such as model driven design processes or open software platform are disregarded. Therefore, within the WiMBex project, it shall be demonstrated that it is possible to develop a commercial class Wireless M-Bus implementation following state-of-the art design process and using TinyOS as an open source platform. This contribution describes the overall approach of the project, as well as the state and the first experiences of the current work in progress.
This paper analyzes the applicability of existing communication technology on the Smart Grid. In particular it evaluates how networks, e.g. Peer-to-Peer (P2P) and decentralized Virtual Private Network (VPN) can help set up an agent-based system. It is expected that applications on Smart Grid devices will become more powerful and be able to operate without a central control instance. We analyze which requirements agents and Smart Grid devices place on communication systems and validate promising approaches. The main focus is to create a logical overlay network that provides direct communication between network nodes. We provide a comparison of different approaches of P2P networks and mesh-VPNs. Finally the advantages of mesh-VPN for agent-based systems are worked out.
Since cabling is very complex and often causes reliability problems in aircrafts new approaches which base on wireless technologies are highly desired. In this paper an innovative communication system is proposed that uses the essential elements of the airframe for data transfer. The communication is based on the wireless standard for Digital Video Broadcasting (DVB) and enables high data rates, which are required for the in-flight entertainment system as an example of use.
Today's network landscape consists of many different network technologies, a wide range of end-devices with a large scale of capabilities and power, and an immense quantity of information and data represented in different 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. In this paper software architecture has been proposed to establish device and content format independent communication, implemented in Language Learning Game (LLG).
MPC-Workshop Februar 2012
(2012)