Background: The T-peak-to-T-end ( T) interval has shown potential in predicting ventricular arrhythmic risk. It is an appealing index to be measured during ischemia since it is less influenced by ST-segment changes than the early part of the T wave. A time-warping-based index, derived from a spatially transformed PCA lead, [Formula: see text], quantifying changes in the T morphology, has previously demonstrated utility in tracking repolarization changes induced by a 5-minute ischemia model in humans.
View Article and Find Full Text PDFIn myocardial ischemia, melatonin confers antiarrhythmic action, but its electrocardiographic expression is unclear. We aimed to evaluate the effects of melatonin treatment on electrocardiogram (ECG) parameters reflecting major arrhythmogenic factors and to test the association of these parameters with ventricular fibrillation (VF) incidence. Myocardial ischemia was induced by 40 min coronary artery occlusion in 25 anesthetized pigs.
View Article and Find Full Text PDFIntroduction: A reliable electrocardiographic predictor of ventricular fibrillation (VF) in patients with ST elevation myocardial infarction (STEMI) is lacking so far. Previous experimental/simulation study suggested a terminal T-wave inversion (TTWI) in ischemia-related ECG leads corresponding to anterior infarct localization as an independent predictor of reperfusion VF (rVF). This T-wave characteristic has never been tested as a rVF predictor in clinical settings.
View Article and Find Full Text PDFEarly ventricular tachycardia (VT) and ventricular fibrillation (VF) are associated with increased in-hospital mortality but do not influence the long-term prognosis in ST-elevation myocardial infarction (STEMI). Recent data advocate a differential approach to the type of arrhythmia and indicate long-term mortality hazard associated with monomorphic VT. We aimed to evaluate the prognostic value of early monomorphic VT compared to nonmonomorphic VT/VF in a nonselected cohort of STEMI patients.
View Article and Find Full Text PDFElectrophoretic mobility of SiO nanoparticles in a n-hexadecane-chloroform mixture depending on AOT concentration and chloroform content was determined. It was shown that an increase in chloroform content and a decrease in AOT concentration cause a growth in electrophoretic mobility. The use of the values of Debye lengths (characteristic thickness) of the diffuse part of the electric double layer (EDL) that were determined previously allowed us to calculate the electrokinetic potential and to evaluate the stability of organosols.
View Article and Find Full Text PDFAntiarrhythmic effects of melatonin have been demonstrated ex vivo and in rodent models, but its action in a clinically relevant large mammalian model remains largely unknown. Objectives of the present study were to evaluate electrophysiological and antiarrhythmic effects of melatonin in a porcine model of acute myocardial infarction. Myocardial ischemia was induced by 40-min coronary occlusion in 25 anesthetized pigs.
View Article and Find Full Text PDF: Activation delay in ischemic myocardium has been found to contribute to J-wave appearance and to predict ventricular fibrillation (VF) in experimental myocardial infarction. However, the role of ischemia-related repolarization abnormalities in J-wave generation remains unclear. : The objective of our study was to assess a contribution of myocardial repolarization changes to J-wave generation in the body surface ECG and VF in a porcine acute myocardial infarction model.
View Article and Find Full Text PDFThe structure and conductivity of AOT (sodium bis(2-ethylhexyl) sulfosuccinate) solutions (2.5 × 10 -2.5 × 10 M) in n-hexadecane-chloroform mixture at the chloroform concentration from 50 to 100 vol% were studied.
View Article and Find Full Text PDFThe electrophoretic mobility of Ag and Au nanoparticles in n-hexadecane-chloroform mixtures was studied as a function of the chloroform content (from 0 to 100 vol%). The nanoparticles were stabilized by sodium bis-(2-ethylhexyl)sulfosuccinate (AOT, Aerosol OT) with a concentration of 2.5 × 10-4 mol L-1.
View Article and Find Full Text PDFBackground: Generally considered benign, electrocardiographic (ECG) early repolarization (ER) pattern was claimed to be an indicator of increased susceptibility to ventricular arrhythmias during acute ischemia.
Objective: The purpose of this study was to assess in a nonselected population whether ER pattern documented before ST-elevation myocardial infarction (STEMI) is associated with risk of hemodynamically unstable ventricular tachycardia (VT) or ventricular fibrillation (VF) during acute STEMI.
Methods: For STEMI patients admitted for primary percutaneous coronary intervention from 2007-2010, the latest ECGs recorded before STEMI were exported in digital format.
J-wave pattern has been recognized as an arrhythmic risk marker, particularly in myocardial infarction patients. Mechanisms underlying J-wave development in ischemia remain unknown. In myocardial infarction model, we evaluated activation time delay as a prerequisite of J-wave appearance and predictor of ventricular fibrillation.
View Article and Find Full Text PDFAim: Ventricular fibrillation (VF) during reperfusion in ST-elevation myocardial infarction (STEMI) is associated with increased in-hospital mortality. Dispersion of ventricular repolarization contributes to ventricular vulnerability during ischemia. T-T interval was proposed as a ventricular repolarization dispersion marker, however its value for prediction of reperfusion VF remains uncertain.
View Article and Find Full Text PDFIn this work, we tried to combine the advantages of microemulsion and emulsion synthesis to obtain stable concentrated organosols of Ag nanoparticles, promising liquid-phase materials. Starting reagents were successively introduced into a micellar solution of sodium bis-(2-ethylhexyl)sulfosuccinate (AOT) in n-decane in the dynamic reverse emulsion mode. During the contact of the phases, Ag passes into micelles and Na passes into emulsion microdroplets through the cation exchange AOTNa + AgNO = AOTAg + NaNO.
View Article and Find Full Text PDFAims: Repolarization indices of ECG have been widely assessed as predictors of ventricular arrhythmias. However, little is known of the dynamic changes of these parameters during continuous monitoring in acute ischaemic episodes. The objective of the study was to evaluate repolarization-related predictors of ventricular fibrillation (VF) during progression of experimental myocardial infarction.
View Article and Find Full Text PDFStable organosols of TiO nanoparticles were prepared by hydrolysis of titanium tetraisopropoxide (TTIP) in microemulsions of sodium bis(2-ethylhexyl)sulfoxynate (АОТ) in n-decane with increasing the content of aqueous pseudophase from 0.15 to 0.85 vol.
View Article and Find Full Text PDFIntroduction: Not only repolarization, but also depolarization ECG indexes reflect the progression of ischemic injury. The aim was to assess the QRS duration and morphology dynamics during the prolonged coronary occlusion and their association with the myocardial area at risk (MaR) and final infarct size (IS).
Methods: In pigs, myocardial infarction was induced by inflation of an angioplasty balloon in the left descending artery (LAD), and ECG was continuously recorded.
Ventricular fibrillation (VF) during reperfusion (rVF) in ST-segment elevation myocardial infarction (STEMI) is an infrequent but serious event that complicates coronary interventions. The aim of this study was to analyze clinical predictors of rVF in an unselected population of patients with STEMI treated with percutaneous coronary intervention (PCI). Consecutive patients with STEMI admitted to a tertiary care hospital for primary PCI from 2007 to 2012 were retrospectively assessed for the presence of rVF.
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