Dilepton Polarization as a Signature of Plasma Anisotropy.

We propose the angular distribution of lepton pairs produced in ultrarelativistic heavy-ion collisions as a probe of thermalization of the quark-gluon plasma. We focus on dileptons with invariant masses large enough that they are produced through quark-antiquark annihilation in the early stages of the collision. The angular distribution of the lepton in the rest frame of the pair then reflects the angular distribution of quark momenta.

Catheter ablation in adults with congenital heart disease: A 15-year perspective from a tertiary centre.

Background: With the growing adult congenital heart disease (ACHD) population, the number of catheter ablation procedures is expected to dramatically increase. Data reporting experience and evolution of catheter ablation in patients with ACHD, over a significant period of time, remain scarce.

Aim: We aimed to describe temporal trends in volume and outcomes of catheter ablation in patients with ACHD.

Principal Component Analysis of Event-by-Event Fluctuations.

We apply principal component analysis to the study of event-by-event fluctuations in relativistic heavy-ion collisions. This method brings out all the information contained in two-particle correlations in a physically transparent way. We present a guide to the method, and apply it to multiplicity fluctuations and anisotropic flow, using ALICE data and simulated events.

Phrenic nerve stimulation in cardiac resynchronization therapy.

In cardiac resynchronization therapy (CRT), the electrical impulse delivered by the left ventricular (LV) lead may incidentally cause phrenic nerve stimulation (PNS). The purpose of this state-of-the-art review is to describe the frequency, risk factors, and clinical consequences of PNS and to present the most recent options to successfully manage PNS. PNS occurs in 2 to 37% of implanted patients and is not always detected in the supine position during implantation.

Fuzzy logic-based diagnostic algorithm for implantable cardioverter defibrillators.

Objective: The paper presents a diagnostic algorithm for classifying cardiac tachyarrhythmias for implantable cardioverter defibrillators (ICDs). The main aim was to develop an algorithm that could reduce the rate of occurrence of inappropriate therapies, which are often observed in existing ICDs. To achieve low energy consumption, which is a critical factor for implantable medical devices, very low computational complexity of the algorithm was crucial.

Femoral vein thrombosis after right-sided electrophysiological procedures.

Purpose: Electrophysiological studies and radiofrequency catheter ablations require single or multiple sheath placements through femoral vein cannulation. The objective of this study was to determine the incidence, predictors, and outcomes of deep vein thrombosis (DVT) following such procedures.

Methods And Results: We prospectively enrolled 220 consecutive patients with a median age of 70 [60-79] years.

Anisotropic flow in event-by-event ideal hydrodynamic simulations of √[s(NN)]=200 GeV Au+Au collisions.

We simulate top-energy Au+Au collisions using ideal hydrodynamics in order to make the first comparison to the complete set of midrapidity flow measurements made by the PHENIX Collaboration. A simultaneous calculation of v(2), v(3), v(4), and the first event-by-event calculation of quadrangular flow defined with respect to the v(2) event plane (v(4){Ψ(2)}) gives good agreement with measured values, including the dependence on both transverse momentum and centrality. This provides confirmation that the collision system is indeed well described as a quark-gluon plasma with an extremely small viscosity and that correlations are dominantly generated from collective effects.

Directed flow at midrapidity in sqrt[S(NN)] = 2.76 TeV Pb + Pb collisions.

We analyze published data from the ALICE Collaboration in order to obtain the first extraction of the recently proposed rapidity-even directed flow observable v(1). An accounting of the correlation due to the conservation of transverse momentum restores the factorization seen by ALICE in all other Fourier harmonics and thus indicates that the remaining correlation gives a reliable measurement of directed flow. We then carry out the first viscous hydrodynamic calculation of directed flow, and show that it is less sensitive to viscosity than higher harmonics.

Temporary transvenous VDD pacing as a bridge to permanent pacemaker implantation in patients with sepsis and haemodynamically significant atrioventricular block.

Aims: Permanent pacemaker (PM) implantation is temporarily contraindicated in patients (pts) with sepsis. In patients with symptomatic atrioventricular (AV) block and infection, prolonged VVI pacing is therefore usually ensured by a ventricular pacing lead (PL) connected to an external PM generator. In patients with normal sinus function and heart failure, the VVI mode can exacerbate haemodynamic dysfunction.

Directed flow at midrapidity in heavy-ion collisions.

It was recently shown that fluctuations in the initial geometry of a heavy-ion collision generally result in a dipole asymmetry of the distribution of outgoing particles. This asymmetry, unlike the usual directed flow, is expected to be present at a wide range of rapidity--including midrapidity. The first evidence of this phenomenon can be seen in recent two-particle correlation data by the STAR Collaboration, providing the last element necessary to quantitatively describe long-range dihadron correlations.

Determinants of mortality in patients undergoing cardiac resynchronization therapy: baseline clinical, echocardiographic, and angioscintigraphic evaluation prior to resynchronization.

Background: In dilated cardiomyopathy (DCM) patients (pts) with cardiac resynchronization therapy (CRT) for ventricular dyssynchrony, long-term predictors of mortality and morbidity remain poorly investigated.

Method And Results: We reviewed data of 102 pts, 68 +/- 10 years, NYHA Class II-IV (14 Class II, 67 Class III, 21 Class IV), who benefited from CRT (69 CRT, 33 CRT-ICD). Fifty-two patients had an ischemic DCM, 36 a previously implanted conventional PM/ICD, 29 a permanent atrial fibrillation, and 19 needed dobutamine in the month preceding implant.

[Long-term evaluation of endocavitary cryoablation of nodal reentry].

Radiofrequency ablation is the reference treatment of refractory nodal reentry. Cryoablation has the advantage of having more modulable effects and minimises the risk of permanent atrioventricular block (AVB). Its immediate efficacy seems comparable to that of radiofrequency ablation but the long-term results are not well known.

[New energy sources for ablative methods].

Radiofrequency current is the reference energy source for endocavitary ablation of arrhythmias. It is particularly well adapted for the ablation of focal arrhythmogenic substrates such as accessory pathways or foyers of automatism. Technological advances have made the lesions larger but the extension of the indications of percutaneous ablation to more complex substrates such as atrial fibrillation have justified the evaluation of alternative energies.

Basal asynchrony and resynchronization with biventricular pacing predict long-term improvement of LV function in heart failure patients.

Biventricular pacing (BiV) is emerging for patients with dilated cardiomyopathy (DCM) and asynchrony. We measured basal asynchrony and early resynchronization by radionuclide angioscintigraphy (RNA) in order to predict long-term evolution of ventricular function after BiV. Thirty-four patients (NYHA Class III-IV,65.

Long-term experience with a preshaped left ventricular pacing lead.

This study describes a long-term experience with a new LV pacing lead. The study population consisted of 62 patients (85% men, 71 +/- 10 years old) with advanced dilated cardiomyopathy, in NYHA Class III or IV despite optimal drug therapy, and a QRS duration > 150 ms. Patients in sinus rhythm were implanted with a triple chamber pacemaker to maintain atrioventricular synchrony.

Transverse energy fluctuations and the pattern of J/psi suppression in Pb-Pb collisions.

The NA50 Collaboration has recently observed that the J/psi production rate in Pb-Pb collisions decreases more rapidly as a function of the transverse energy for the most central collisions than for less central ones. We show that this phenomenon can be understood as an effect of transverse energy fluctuations in central collisions. A good fit of the data is obtained using a model which relates J/psi suppression to the local energy density.

Temporal and geographical trends in indications for implantation of cardiac defibrillators in Europe 1993-1998. Medtronic ICD System Investigators.

Despite the demonstrated efficacy of implantable cardioverter defibrillators (ICDs) in reducing sudden and total mortality in selected populations, their implantation rates vary greatly between countries. The aim of our study was to analyze temporal and geographical trends in ICD implantations in countries with similar health related expenditure in Western Europe. A total of 2,257 patients from ten European evaluation studies of Medtronic defibrillators and defibrillation electrodes, conducted between 1993 and 1998, representing 12 countries, was included in this analysis.

Initial and long-term evaluation of escape rhythm after radiofrequency ablation of the AV junction in 50 patients.

Between 1986 and 1994, 50 patients (mean age 63 +/- 13 years), 25 of whom had organic heart disease and presenting with atrial arrhythmias refractory to 5.6 +/- 1.6 antiarrhythmic drugs, underwent radiofrequency ablation (5 +/- 3 pulses by procedure; duration of pulses 50.

[Radiofrequency ablation: physical bases and principles].

Radiofrequency currents are the reference physical agent for endocavitary ablation, especially of supraventricular tachycardias. They are delivered in a continuous mode or sinusoidal waves. Because of the high frequency between 200 and 3,000 kHz there is no stimulation of the neuromuscular cells.

[Corynebacterium diphtheriae endocarditis complicated by septic arthritis and cerebral abscess].

The authors report a rare case of the mitis type Corynebacterium diphteriae endocarditis on a prosthetic valve complicated by septic arthritis and cerebral abscess. The authors underline the importance of regular transoesophageal echocardiographic control and underline the diagnostic value of ultrafast computed tomography for the diagnosis of aortic annular and interventricular septal abscesses in patients with mechanical prosthetic valves.

[Struma cordis: right intraventricular ectopic thyroid].

The authors report the case of a benign tumour composed of hyperplasic thyroid tissue in the right ventricle, diagnosed in a 43 year old woman by echocardiography after a syncopal episode. The outcome was favourable with a 13 year follow-up after surgery.

[Radiofrequency catheter ablation: theoretical and technical aspects].

Radiofrequency currents produce circumscribed tissue necrosis by progressive and localised heating. Endocardial application via the percutaneous approach with a specific electrophysiological catheter enables destruction of the anatomical substrate of many cardiac arrhythmias. The technique is well tolerated due to the absence of barometric phenomena and general anaesthesia, and the possibility of modulating the energy delivered, which explains why it has supplanted fulguration in most indications.