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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.
Silicon edges as one-dimensional waveguides for dispersion-free and supersonic leaky wedge waves
(2012)
Acoustic waves guided by the cleaved edge of a Si(111) crystal were studied using a laser-based angle-tunable transducer for selectively launching isolated wedge or surface modes. A supersonic leaky wedge wave and the fundamental wedge wave were observed experimentally and confirmed theoretically. Coupling of the supersonic wave to shear waves is discussed, and its leakage into the surface acoustic wave was observed directly. The velocity and penetration depth of the wedge waves were determined by contact-free optical probing. Thus, a detailed experimental and theoretical study of linear one-dimensional guided modes in silicon is presented.
Für die Werkstoffe EN GJS700, EN GJV450 und EN GJL250 werden die Lebensdauern unter kombinierter thermomechanischer und hochfrequenter Belastung vorhergesagt. Hierzu wird ein mechanismenbasiertes Lebensdauermodell verwendet, das auf dem Wachstum von Mikrorissen beruht. Das Modell berücksichtigt das Wachstum von Rissen durch nieder- und überlagerte hochfrequente Belastungszyklen. Anhand von einachsigen Ermüdungsversuchen wurden die Parameter des Lebensdauermodells angepasst, sodass eine bestmögliche Lebensdauervorhersage erzielt wird. Dabei stimmen die vorhergesagten Lebensdauern gut mit den experimentell ermittelten Zyklenzahlen zum Versagen überein.