16 research outputs found

    Long-term effects of catheter ablation for lone atrial fibrillation: progressive atrial electroanatomic substrate remodeling despite successful ablation

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    BackgroundWhether curative ablation can prevent progression of the atrial electroanatomic remodeling associated with atrial fibrillation (AF) is not known.ObjectiveThe purpose of this study was to determine whether successful radiofrequency ablation (RFA) of AF can prevent progression of the atrial substrate associated with AF.MethodsDetailed right atrial electroanatomic maps from 11 patients without apparent structural heart disease undergoing RFA of AF at baseline and ≥6 months following successful RFA were compared to 11 control patients undergoing electrophysiologic evaluation of supraventricular tachycardia. Bipolar voltage, conduction, effective refractory periods (ERPs), and signal complexity were assessed.ResultsAt baseline compared with the control group, the AF group demonstrated (1) lower voltage (P ConclusionPatients with lone AF demonstrate evidence of an abnormal atrial substrate at baseline compared to control patients without AF. This substrate does not appear to reverse even after successful catheter ablation. These findings may have implications for long-term outcomes of ablation and for timing of ablative intervention.Andrew W. Teh, Peter M. Kistler, Geoffrey Lee, Caroline Medi, Patrick M. Heck, Steven J. Spence, Joseph B. Morton, Prashanthan Sanders and Jonathan M. Kalma

    Kaluza's Law and Secondary Stress

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    Kaluza’s law is a proposed restriction in the metre of Beowulf against the resolution of light-heavy sequences: words like cyning ‘king’ can only resolve and count as the equivalent of a single heavy syllable under more restricted circumstances than can words such as wudu ‘wood’. There has been debate about how to define these ‘restricted circumstances’, with many investigators claiming that this limitation holds only under ‘secondary stress’(sometimes broadened to include subordinated stress in general). This article reviews the operation of Kaluza’s law in Beowulf, arguing that the correct conditioning is the position immediately following a heavy syllable. The level of stress carried by the (non-)resolving sequence is irrelevant. A phonological explanation for this restriction may be that the resolution ideally produces bimoraic (light-light) units; accordingly, resolution of light-heavy sequences, which is anomalous from a typological and phonological perspective, is only permitted in word-initial position, or in metrical equivalents
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