Publications by authors named "Jens Muhlsteff"

Cardiovascular autonomic dysfunction is one of the most overlooked complications in patients with diabetes. We report the case of a 19-year-old woman with a 4-year history of diabetes referred due to palpitations and light-headedness following traumatic stress. Rise of heart rate and blood pressure during tilt table testing indicated hyperadrenergic postural orthstatic tachycardia syndrome (POTS).

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Article Synopsis
  • Syncope affects around 40% of people in their lifetime and can be challenging to diagnose and treat, even with devices like implantable loop recorders and defibrillators.
  • Recent advancements in wearable sensor technology can improve diagnosis and reduce misdiagnosis, by providing high-quality physiological data non-invasively.
  • In cases of neurally-mediated syncope, new signal processing techniques could lead to better early detection, while wearable cardioverter-defibrillators may serve as beneficial alternatives for high-risk patients facing arrhythmia-related syncope.
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Bioimpedance measurements on the human thorax are suitable for assessment of body composition or hemodynamic parameters, such as stroke volume; they are non-invasive, easy in application and inexpensive. When targeting personal healthcare scenarios, the technology can be integrated into textiles to increase ease, comfort and coverage of measurements. Bioimpedance is generally measured using two electrodes injecting low alternating currents (0.

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Impedance cardiography is a simple and inexpensive method to acquire data on hemodynamic parameters. This study analyzes the influence of four dynamic physiological sources (aortic expansion, heart contraction, lung perfusion and erythrocyte orientation) on the impedance signal using a model of the human thorax with a high temporal resolution (125 Hz) based on human MRI data. Simulations of electromagnetic fields were conducted using the finite element method.

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Measurement of hemodynamic parameters such as stroke volume (SV) via impedance cardiography (ICG) is an easy, non-invasive and inexpensive way to assess the health status of the heart. We present a possibility to use this technology for monitoring risk patients at home. The IMPACT Shirt (IMPedAnce Cardiography Textile) has been developed with integrated textile electrodes and textile wiring, as well as with portable miniaturized hardware.

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Accidental hypothermia and its variant, perioperative hypothermia, is a rather common clinical phenomenon in patients. This is surprising because the negative effects on clinical outcomes are well described and effective patient-warming devices are available today. The aim of this paper is to describe the physiologic background of accidental and perioperative hypothermia, the clinical relevance and existing prophylaxis and treatment options.

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For many decades the measurement of body core temperature has been ubiquitously established in medical and non-medical applications, e.g., in hospitals, occupational medicine, sports medicine, military and other settings.

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Wearable electronics may become a key element in the future to measure a patient's physiological parameters not only in a clinical environment. This work describes dry electrodes based on conductive rubber, which can be integrated into clothing for monitoring purposes. Characteristic electrical properties like warm up time, skin-electrode impedance and motion artefacts will be discussed.

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