The study of myocardial transmembrane ion currents is fundamental to understand frequent pathologies such as arrhythmias and ischemia. Conventional electrocardiography (ECG) is not able to record ion currents, while the use of intracellular microelectrodes in a beating heart has technical limitations. Myocardial monophasic action potentials (MAPs) recorded with suction electrodes allow the evaluation of ionic currents similar to those recorded by intracellular glass microelectrodes. The technique is based on the fact that suction, through a small diameter tube, on the myocardial cell, induces an opening at the membrane, connecting the intracellular media to the electrode by a saline bridge. The electrophysiology of zebrafish heart is remarkably similar to the human; however, evaluation of MAPs has not been yet explored. In this study, we aimed to establish a myocardial MAP recording technique for adult zebrafish. Male adult wild-type zebrafish were anesthetized and 50% of the beating ventricle was exposed. A glass hematocrit capillary tube (1.1 mm inner diameter) was used as a suction electrode connected to a 3-way stopcock valve, which is also connected to a syringe containing a chloride-coated silver wire for signal recording. Gentle suction was exerted by a syringe filled with ringer and connected to the 3-way stopcock valve. Two needles were used for ground (tail) and indifferent (abdomen) electrodes. Without suction, the system can record conventional ECG, but applying suction MAPs are registered and show typical morphology with phase 0-4 sequence. MAP amplitude and duration values show low variability. Ischemia and/or lidocaine-induced Na channel blocking dramatically reduced MAP amplitude. These results strongly suggest that the suction electrode technique is a promising method to record myocardial ion currents in zebrafish.
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http://dx.doi.org/10.1089/zeb.2019.1753 | DOI Listing |
J Formos Med Assoc
December 2024
Division of Colorectal Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, 100225, Taiwan. Electronic address:
Background: Surgical smoke generated by energy devices poses health risks to medical staff. During laparoscopic surgery, the smoke aggregating around the camera obstructs the visual field, forcing surgeons to interrupt surgery, and may increase surgical risk. We propose a proximal smoke evacuation method to improve surgical quality by effectively eliminating surgical smoke.
View Article and Find Full Text PDFJ Craniofac Surg
August 2024
Department of Neurological Surgery, Lenox Hill Hospital, Donald and Barbara Zucker School of Medicine at Hofstra, Northwell, New York, NY.
Facial nerve (FN) injury is a significant risk during complex cranial reconstruction surgeries, especially in revision cases where normal anatomy is distorted. The authors introduce a technique to mitigate FN injury, including preoperative FN mapping, intraoperative FN mapping, and continuous FN monitoring. Preoperative mapping uses a handheld ball-tip stimulator to elicit compound muscle action potentials (CMAP) in the frontalis muscle.
View Article and Find Full Text PDFFront Neurosci
July 2024
Department of Biomedical Engineering, University of Connecticut, Storrs, CT, United States.
Introduction: We recently showed that sub-kilohertz electrical stimulation of the afferent somata in the dorsal root ganglia (DRG) reversibly blocks afferent transmission. Here, we further investigated whether similar conduction block can be achieved by stimulating the nerve trunk with electrical peripheral nerve stimulation (ePNS).
Methods: We explored the mechanisms and parameters of conduction block by ePNS via ex vivo single-fiber recordings from two somatic (sciatic and saphenous) and one autonomic (vagal) nerves harvested from mice.
A A Pract
July 2024
From the Department of Anesthesiology, Aichi Children's Health and Medical Center, Obu City, Japan.
Future Cardiol
October 2024
Division of Cardiology, Thomas Jefferson University Hospital, 925 Chestnut Street, Mezzanine Level, Philadelphia, PA 19107, USA.
We describe a case of culture-negative right-sided endocarditis for which simultaneous transcatheter vegetectomy was performed with leadless pacemaker implantation and removal of a temporary externalized pacing system. The patient did not have a recurrence of endocarditis highlighting the safety and efficacy of same-procedure vegetation removal and pacemaker implantation. This report documents a novel approach for the treatment of cardiac implantable electronic device-associated endocarditis in poor surgical candidates who are pacemaker-dependent.
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