Ballistic Spin Resonance

The phenomenon of spin resonance has had far reaching influence since its discovery nearly 70 years ago. Electron spin resonance (ESR) driven by high frequency magnetic fields has informed our understanding of quantum mechanics, and finds application in fields as diverse as medicine and quantum information. Spin resonance induced by high frequency electric fields, known as electric dipole spin resonance (EDSR), has also been demonstrated recently. EDSR is mediated by spin-orbit interaction (SOI), which couples the spin degree of freedom and the momentum vector. Here, we report the observation of a novel spin resonance due to SOI that does not require external driving fields. Ballistic spin resonance (BSR) is driven by an internal spin-orbit field that acts upon electrons bouncing at gigaHertz frequencies in narrow channels of ultra-clean two-dimensional electron gas (2DEG). BSR is manifested in electrical measurements of pure spin currents as a strong suppression of spin relaxation length when the motion of electrons is in resonance with spin precession. These findings point the way to gate-tunable coherent spin rotations in ballistic nanostructures without external a.c. fields.Comment: 24 pages, including supplementary material

T Wave Alternans and QT Dispersion in Long QT Syndrome Patients with SCN5A Sodium Channel Gene Mutation

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ECG Features of Microvolt T-Wave Alternans in Coronary Artery Disease and Long QT Syndrome Patients

T-wave alternans (TWA) is a marker of myocardial electrical instability. We compared ECG features of microvolt TWA in coronary artery disease (CAD) and long QT syndrome (LQTS) patients. Method. The study populations consisted of 43 CAD and 39 LQTS patients. TWA was detected in resting Holter recordings using the new correlation method (CM). After preprocessing to adjust for RR variability and respiratory modulation, CM was used to quantify TWA amplitude (A(CM)), duration (N-CM), and magnitude (MAG(CM); defined as the product of A(CM) and N-CM). Results. TWA was detected in 19 (44%) CAD and 17 (44%) LQTS patients. TWA was associated with longer RR intervals (P = 0.006) and had larger magnitudes (P = 0.067) in LQTS than CAD patients. The TWA was identified as transient (nonstationary) in 15 of 19 (79%) TWA-positive CAD patients, and in 8 of 17 (47%) TWA-positive LQTS patients (P = 0.047). Conclusions. The frequency of TWA detected with CM is similar in LQTS and CAD patients. TWA is larger in LQTS than in CAD patients, whereas TWA is more frequently transient (nonstationary) in LAD than LQTS patients. In LQTS patients, but not in CAD patients, a longer RR is associated with TWA, indicating different electrophysiologic mechanisms in the two pathologies

Significance of intraoperative testing in right-sided implantable cardioverter-defibrillators

BACKGROUND: Implantation of implantable cardioverter-defibrillators (ICD) from the left pectoral region is the standard therapeutical method. Increasing numbers of system revisions due to lead dysfunction and infections will consecutively increase the numbers of right-sided implantations. The reliability of devices implanted on the right pectoral side remains controversially discussed, and the question of testing these devices remains unanswered. METHODS: In a prospectively designed study all 870 patients (60.0 ± 14  years, 689 male) who were treated with a first ICD from July 2005 until May 2012 and tested intraoperatively according to the testing protocol were analyzed. The indication for implantation was primary prophylactic in 71.5%. Underlying diseases included ischemic cardiomyopathy (50%), dilative cardiomyopathy (37%), and others (13%). Mean ejection faction was 27 ± 12%. Implantation site was right in 4.5% and left in 95.5%. RESULTS: Five patients supplied with right-sided ICD (13%, p = 0.02 as compared to left-sided) failed initial intraoperative testing with 21 J. 3 patients were male. The age of the patients failing intraoperative testing with right-sided devices appeared higher than of patients with left-sided devices (p = 0.07). The ejection fraction was 28 ± 8%. All patients reached a sufficient DFT ≤ 21 J after corrective procedures. CONCLUSION: Implantation of ICDs on the right side results in significantly higher failure rate of successful termination of intraoperatively induced ventricular fibrillation. The data of our study suggest the necessity of intraoperative ICD testing in right-sided implanted ICDs