1,463 research outputs found
Cardiac re-synchronization therapy in a patient with isolated ventricular non-compaction: a case report.
Isolated ventricular non-compaction (IVNC) is a rare, congenital, unclassified cardiomyopathy characterized by prominent trabecular meshwork and deep recesses. Major clinical manifestations of IVNC are heart failure, atrial and ventricular arrhythmias, and thrombo-embolic events. We describe a case of a 69-year-old woman in whom the diagnosis of IVNC was discovered late, whereas former echocardiographic examinations were considered normal. She was known for systolic left ventricular dysfunction for 3 years and then became symptomatic (NYHA III). In the past, she suffered from multiple episodes of deep vein thrombosis and pulmonary embolism. Electrocardiogram revealed a wide QRS complex, and transthoracic echocardiography showed typical apical thickening of the left and right ventricular myocardial wall with two distinct layers. The ratio of non-compacted to compacted myocardium was >2:1. Cardiac MRI confirmed the echocardiographic images. Cerebral MRI revealed multiple ischaemic sequellae. In view of the persistent refractory, heart failure in medical treatment of patients with classical criteria for cardiac re-synchronization therapy, as well as the ventricular arrhythmias, a biventricular automatic intracardiac defibrillator (biventricular ICD) was implanted. The 2-year follow-up period was characterized by improvement of NYHA functional class from III to I and increasing in left ventricular function. We hereby present a case of IVNC with favourable outcome after biventricular ICD implantation. Cardiac re-synchronization therapy could be considered in the management of this pathology
The Neutron Halo in Heavy Nuclei Calculated with the Gogny Force
The proton and neutron density distributions, one- and two-neutron separation
energies and radii of nuclei for which neutron halos are experimentally
observed, are calculated using the self-consistent Hartree-Fock-Bogoliubov
method with the effective interaction of Gogny. Halo factors are evaluated
assuming hydrogen-like antiproton wave functions. The factors agree well with
experimental data. They are close to those obtained with Skyrme forces and with
the relativistic mean field approach.Comment: 13 pages in Latex and 17 figures in ep
Structure of even-even nuclei using a mapped collective Hamiltonian and the D1S Gogny interaction
A systematic study of low energy nuclear structure at normal deformation is
carried out using the Hartree-Fock-Bogoliubov theory extended by the Generator
Coordinate Method and mapped onto a 5-dimensional collective quadrupole
Hamiltonian. Results obtained with the Gogny D1S interaction are presented from
dripline to dripline for even-even nuclei with proton numbers Z=10 to Z=110 and
neutron numbers N less than 200. The properties calculated for the ground
states are their charge radii, 2-particle separation energies, correlation
energies, and the intrinsic quadrupole shape parameters. For the excited
spectroscopy, the observables calculated are the excitation energies and
quadrupole as well as monopole transition matrix elements. We examine in this
work the yrast levels up to J=6, the lowest excited 0^+ states, and the two
next yrare 2^+ states. The theory is applicable to more than 90% of the nuclei
which have tabulated measurements. The data set of the calculated properties of
1712 even-even nuclei, including spectroscopic properties for 1693 of them, are
provided in CEA website and EPAPS repository with this article \cite{epaps}.Comment: 51 pages with 26 Figures and 4 internal tables; this version is
accepted by Physical Review
Open Problems in Particle Condensation
particle condensation is a novel state in nuclear systems. We
briefly review the present status on the study of particle
condensation and address the open problems in this research field:
particle condensation in heavier systems other than the Hoyle state, linear
chain and particle rings, Hoyle-analogue states with extra neutrons,
particle condensation related to astrophysics, etc.Comment: 12 pages. To be published in J. of Phys. G special issue on Open
Problems in Nuclear Structure (OPeNST
Magnetic Moment of the Fragmentation Aligned 61Fe(9/2)+ Isomer
We report on the g factor measurement of the isomer in (). The isomer was produced and spin-aligned via a projectile-fragmentation
reaction at intermediate energy, the Time Dependent Perturbed Angular
Distribution (TDPAD) method being used for the measurement of the g factor. For
the first time, due to significant improvements of the experimental technique,
an appreciable residual alignment of the isomer has been observed, allowing a
precise determination of its g factor: . Comparison of the
experimental g factor with shell-model and mean field calculations confirms the
spin and parity assignments and suggests the onset of deformation due
to the intrusion of Nilsson orbitals emerging from the .Comment: 4 figures. Submitted to Phys. Rev. Let
Case Report: Coronary-Pulmonary Fistula Closure by Percutaneous Approach: Learning From Mistakes.
Coronary-pulmonary artery fistulas (CPAF) are congenital vascular anomalies detected incidentally in most cases. When a significant left-right shunt exists, surgical, or percutaneous treatment is indicated. We describe a challenging case of CPAF closure, by percutaneous approach, in a patient symptomatic for dyspnea and evidence of a significant left-right shunt. A first attempt to close the fistula was performed implanting a vascular plug but it quickly embolized. The plug was successfully retrieved. In a second attempt, we deployed several coils before implanting the vascular plug with total closure of the fistula. The combination of plugs and coils is associated with a higher success rate of closure
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