Internal defibrillation with minimal skeletal muscle activation: A new paradigm toward painless defibrillation

Heart Rhythm ◽  
2005 ◽  
Vol 2 (10) ◽  
pp. 1108-1113 ◽  
Author(s):  
Vinod Jayam ◽  
Menekhem Zviman ◽  
Venku Jayanti ◽  
Ariel Roguin ◽  
Henry Halperin ◽  
...  
Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 815
Author(s):  
Przemysław Domaszewski ◽  
Paweł Pakosz ◽  
Mariusz Konieczny ◽  
Dawid Bączkowicz ◽  
Ewa Sadowska-Krępa

Studies on muscle activation time in sport after caffeine supplementation confirmed the effectiveness of caffeine. The novel approach was to determine whether a dose of 9 mg/kg/ body mass (b.m.) of caffeine affects the changes of contraction time and the displacement of electrically stimulated muscle (gastrocnemius medialis) in professional athletes who regularly consume products rich in caffeine and do not comply with the caffeine discontinuation period requirements. The study included 40 professional male handball players (age = 23.13 ± 3.51, b.m. = 93.51 ± 15.70 kg, height 191 ± 7.72, BMI = 25.89 ± 3.10). The analysis showed that in the experimental group the values of examined parameters were significantly reduced (p ≤ 0.001) (contraction time: before = 20.60 ± 2.58 ms/ after = 18.43 ± 3.05 ms; maximal displacement: before = 2.32 ± 0.80 mm/after = 1.69 ± 0.51 mm). No significant changes were found in the placebo group. The main achievement of this research was to demonstrate that caffeine at a dose of 9 mg/kg in professional athletes who regularly consume products rich in caffeine has a direct positive effect on the mechanical activity of skeletal muscle stimulated by an electric pulse.


1995 ◽  
Vol 9 (3) ◽  
pp. 155-159 ◽  
Author(s):  
Christine L. Ruther ◽  
Catherine L. Golden ◽  
Robert T. Harris ◽  
Gary A. Dudley

2007 ◽  
Vol 102 (5) ◽  
pp. 1985-1991 ◽  
Author(s):  
Ryan D. Maladen ◽  
Ramu Perumal ◽  
Anthony S. Wexler ◽  
Stuart A. Binder-Macleod

During volitional muscle activation, motor units often fire with varying discharge patterns that include brief, high-frequency bursts of activity. These variations in the activation rate allow the central nervous system to precisely control the forces produced by the muscle. The present study explores how varying the instantaneous frequency of stimulation pulses within a train affects nonisometric muscle performance. The peak excursion produced in response to each stimulation train was considered as the primary measure of muscle performance. The results showed that at each frequency tested between 10 and 50 Hz, variable-frequency trains that took advantage of the catchlike property of skeletal muscle produced greater excursions than constant-frequency trains. In addition, variable-frequency trains that could achieve targeted trajectories with fewer pulses than constant-frequency trains were identified. These findings suggest that similar to voluntary muscle activation patterns, varying the instantaneous frequency within a train of pulses can be used to improve muscle performance during functional electrical stimulation.


1999 ◽  
Vol 837 (1-2) ◽  
pp. 143-151 ◽  
Author(s):  
Gregory A. Hand ◽  
Peter J. Vrettakos ◽  
Brian S. Treuhaft ◽  
Wendi D. Shealy ◽  
L.Britt Wilson

2003 ◽  
Vol 285 (3) ◽  
pp. H955-H963 ◽  
Author(s):  
Arthur Lo ◽  
Andrew J. Fuglevand ◽  
Timothy W. Secomb

The number of perfused capillaries in skeletal muscle varies with muscle activation. With increasing activation, muscle fibers are recruited as motor units consisting of widely dispersed fibers, whereas capillaries are recruited as groups called microvascular units (MVUs) that supply several adjacent fibers. In this study, a theoretical model was used to examine the consequences of this spatial mismatch between the functional units of muscle activation and capillary perfusion. Diffusive oxygen transport was simulated in cross sections of skeletal muscle, including several MVUs and fibers from several motor units. Four alternative hypothetical mechanisms controlling capillary perfusion were considered. First, all capillaries adjacent to active fibers are perfused. Second, all MVUs containing capillaries adjacent to active fibers are perfused. Third, each MVU is perfused whenever oxygen levels at its feed arteriole fall below a threshold value. Fourth, each MVU is perfused whenever the average oxygen level at its capillaries falls below a threshold value. For each mechanism, the dependence of the fraction of perfused capillaries on the level of muscle activation was predicted. Comparison of the results led to the following conclusions. Control of perfusion by MVUs increases the fraction of perfused capillaries relative to control by individual capillaries. Control by arteriolar oxygen sensing leads to poor control of tissue oxygenation at high levels of muscle activation. Control of MVU perfusion by capillary oxygen sensing permits adequate tissue oxygenation over the full range of activation without resulting in perfusion of all MVUs containing capillaries adjacent to active fibers.


2015 ◽  
Vol 457 (1) ◽  
pp. 106-111 ◽  
Author(s):  
Estibaliz Castillero ◽  
Hirokazu Akashi ◽  
Catherine Wang ◽  
Marc Najjar ◽  
Ruiping Ji ◽  
...  

2010 ◽  
Vol 298 (4) ◽  
pp. R912-R917 ◽  
Author(s):  
Jonathan P. Little ◽  
Adeel Safdar ◽  
Naomi Cermak ◽  
Mark A. Tarnopolsky ◽  
Martin J. Gibala

Peroxisome proliferator-activated receptor gamma coactivator (PGC-1α) is a transcriptional coactivator that plays a key role in coordinating mitochondrial biogenesis. Recent evidence has linked p38 MAPK and AMPK with activation of PGC-1α. It was recently shown in rodent skeletal muscle that acute endurance exercise causes a shift in the subcellular localization of PGC-1α from the cytosol to the nucleus, allowing PGC-1α to coactivate transcription factors and increase mitochondrial gene expression, but human data are limited and equivocal in this regard. Our purpose was to examine p38 MAPK and AMPK activation, and PGC-1α protein content in whole muscle, cytosolic, and nuclear fractions of human skeletal muscle following an acute bout of endurance exercise. Eight trained men (29 ± 3 yr; V̇o2peak = 55 ± 2 ml·kg−1·min−1) cycled for 90 min at ∼65% of V̇o2peak and needle biopsy samples (vastus lateralis) were obtained before and immediately after exercise. At rest, the majority of PGC-1α was detected in cytosolic compared with the nuclear fractions. In response to exercise, nuclear PGC-1α protein increased by 54% ( P < 0.05), yet whole muscle PGC-1α protein was unchanged compared with rest. Whole muscle and cytosolic p38 MAPK phosphorylation increased several-fold immediately after exercise compared with rest ( P < 0.05). Acetyl CoA carboxylase (ACC) phosphorylation, a marker of AMPK activation, was increased by ∼5-fold in cytosolic fractions following exercise ( P < 0.05). These data provide evidence that, in human skeletal muscle, activation of cytosolic p38 MAPK and AMPK may be potential signals that lead to increased nuclear abundance and activation of PGC-1α in response to an acute bout of endurance exercise.


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