scholarly journals B-PO03-125 ADJUSTING ENDOCARDIAL UNIPOLAR VOLTAGE CUTOFFS BASED ON ENDOCARDIAL BIPOLAR VOLTAGE AMPLITUDE TO BEST IDENTIFY EPICARDIAL VT SUBSTRATE IN NONISCHEMIC CARDIOMYOPATHY (NICM)

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S239-S240
Author(s):  
Julia Aranyo ◽  
Victor Garcia ◽  
Victor Bazan ◽  
Martín Ricardo Arceluz ◽  
Pasquale Santangeli ◽  
...  
Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S134-S135
Author(s):  
Jose L. Merino ◽  
Steven Kim ◽  
Jatin Relan ◽  
Margarita Sanroman ◽  
Sergio Castrejon ◽  
...  

Micromachines ◽  
2020 ◽  
Vol 11 (10) ◽  
pp. 900
Author(s):  
Muhammad Ali Shah ◽  
Duck-Gyu Lee ◽  
Bo Yeon Lee ◽  
Nam Woon Kim ◽  
Hyojin An ◽  
...  

After a piezoelectric inkjet printhead jets the first droplet, the actuating membrane still vibrates, creating residual vibrations in the ink channel, which can degrade the inkjet printhead performance. For suppressing these vibrations, an optimized actuating voltage waveform with two pulses must be obtained, of which the first pulse is used for jetting and the second pulse is used to suppress the residual vibrations. In this study, the pressure history within the ink channel of a recirculating piezoelectric inkjet printhead was first acquired using lumped element modeling. Then, for suppressing residual vibrations, a bipolar voltage waveform was optimized via analysis of the tuning time (tt ), dwell time (td2), rising time (tr2), falling time (tf2), and voltage amplitude of the second pulse. Two voltage waveforms, Waveform 01 and Waveform 02, were optimized thereafter. In Waveform 01, tt=2 μs, td2=2 μs, and tr2 and tf2=1 μs were finalized as the optimal parameters; in the case of another waveform, the optimal parameters of td2, tr2, and tf2 were found to be 4, 1, and 1 μs, respectively. The optimal voltage amplitude of the second pulse was found to be 1/3 the amplitude of the first pulse. On the basis of our analysis, the tuning time in Waveform 01 is the most sensitive parameter, and the performance yielded is even poorer than that yielded by standard waveform, if not optimized. Therefore, the other waveform is recommended for the suppression of residual vibrations.


Heart Rhythm ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 476-484 ◽  
Author(s):  
Adam Lee ◽  
Tomos E. Walters ◽  
Christina Alhede ◽  
Eric Vittinghoff ◽  
Richard Sievers ◽  
...  

2019 ◽  
Vol 317 (4) ◽  
pp. H667-H673 ◽  
Author(s):  
Ikeotunye Royal Chinyere ◽  
Mathew Hutchinson ◽  
Talal Moukabary ◽  
Jordan Lancaster ◽  
Steven Goldman ◽  
...  

Although radiofrequency ablation has revolutionized the management of tachyarrhythmias, the rate of arrhythmia recurrence is a large drawback. Successful substrate identification is paramount to abolishing arrhythmia, and bipolar voltage electrogram’s narrow field of view can be further reduced for increased sensitivity. In this report, we perform cardiac mapping with monophasic action potential (MAP) amplitude. We hypothesize that MAP amplitude (MAPA) will provide more accurate infarct sizes than other mapping modalities via increased sensitivity to distinguish healthy myocardium from scar tissue. Using the left coronary artery ligation Sprague-Dawley rat model of ischemic heart failure, we investigate the accuracy of in vivo ventricular epicardial maps derived from MAPA, MAP duration to 90% repolarization (MAPD90), unipolar voltage amplitude (UVA), and bipolar voltage amplitude (BVA) compared with gold standard histopathological measurement of infarct size. Numerical analysis reveals discrimination of healthy myocardium versus scar tissue using MAPD90 ( P = 0.0158) and UVA ( P < 0.001, n = 21). MAPA and BVA decreased between healthy and border tissue ( P = 0.0218 and 0.0015, respectively) and border and scar tissue ( P = 0.0037 and 0.0094, respectively). Contrary to our hypothesis, BVA mapping performed most accurately regarding quantifying infarct size. MAPA mapping may have high spatial resolution for myocardial tissue characterization but was quantitatively less accurate than other mapping methods at determining infarct size. BVA mapping’s superior utility has been reinforced, supporting its use in translational research and clinical electrophysiology laboratories. MAPA may hold potential value for precisely distinguishing healthy myocardium, border zone, and scar tissue in diseases of disseminated fibrosis such as atrial fibrillation. NEW & NOTEWORTHY Monophasic action potential mapping in a clinically relevant model of heart failure with potential implications for atrial fibrillation management.


Heart Rhythm ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 326-327 ◽  
Author(s):  
Elad Anter ◽  
Mark E. Josephson

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