Atrial Fibrillation and Hyperthyroidism

Atrial fibrillation occurs in 10 – 15% of patients with hyperthyroidism. Low serum thyrotropin concentration is an independent risk factor for atrial fibrillation. Thyroid hormone contributes to arrythmogenic activity by altering the electrophysiological characteristics of atrial myocytes by shortening the action potential duration, enhancing automaticity and triggered activity in the pulmonary vein cardio myocytes. Hyperthyroidism results in excess mortality from increased incidence of circulatory diseases and dysrhythmias. Incidence of cerebral embolism is more in hyperthyroid patients with atrial fibrillation, especially in the elderly and anti-coagulation is indicated in them. Treatment of hyperthyroidism results in conversion to sinus rhythm in up to two-third of patients. Beta-blockers reduce left ventricular hypertrophy and atrial and ventricular arrhythmias in patients with hyperthyroidism. Treatment of sub clinical hyperthyroidism is controversial. Optimizing dose of thyroxine treatment in those with replacement therapy and beta-blockers is useful in exogenous subclinical hyperthyroidism

Remote Monitoring of Implantable Cardioverter Defibrillator

The rate of implantable cardioverter defibrillator (ICD) implantation has gone up as primary and secondary prevention trials have relatively consistently shown significant improvement in mortality and morbidity. Most patients with ICDs are followed routinely at intervals ranging from 3 to 6 months. Many patients require additional non-scheduled visits to investigate symptoms that may or may not relate to their cardiac disease or device. Appropriate and inappropriate therapies of implantable cardioverter defibrillators have a major impact on morbidity and quality of life in ICD recipients. Remote monitoring systems can substitute for routine follow-up visits and/ or deliver continuous diagnostic and device status information. Remote monitoring of ICDs can decrease the need for many patient visits and, thereby, probably reduce expense

Atrial Fibrillation and Hyperthyroidism

Atrial fibrillation occurs in 10 - 15% of patients with hyperthyroidism. Low serum thyrotropin concentration is an independent risk factor for atrial fibrillation. Thyroid hormone contributes to arrythmogenic activity by altering the electrophysiological characteristics of atrial myocytes by shortening the action potential duration, enhancing automaticity and triggered activity in the pulmonary vein cardio myocytes. Hyperthyroidism results in excess mortality from increased incidence of circulatory diseases and dysrhythmias. Incidence of cerebral embolism is more in hyperthyroid patients with atrial fibrillation, especially in the elderly and anti-coagulation is indicated in them. Treatment of hyperthyroidism results in conversion to sinus rhythm in up to two-third of patients. Beta-blockers reduce left ventricular hypertrophy and atrial and ventricular arrhythmias in patients with hyperthyroidism. Treatment of sub clinical hyperthyroidism is controversial. Optimizing dose of thyroxine treatment in those with replacement therapy and beta-blockers is useful in exogenous subclinical hyperthyroidism

Products on Maximal Compact Frames

In topological spaces, many topological properties such as separation properties, paracompactness etc. are preserved under the act of taking product of topological spaces. The well known Tychonoff theorem in topological spaces which states that product of compact spaces is compact. Many of these results can be extended to the “generalized topological spaces”, known as locales (frames). According to Tychonoff product theorem for locales, locale product(coproduct of frames) of compact locales (frames) is compact. In this paper, we examine whether the coproduct of maximal compact frames is maximal compact. We examine the case for a finite coproduct and for an arbitrary coproduct of maximal compact frames. Every subframe of a compact frame is compact but a sublocale need not be. We provide a characterization for a sublocale of a maximal compact frame to be a maximal compact sublocale

B-Gabor type frames in separable Hilbert spaces

It is guaranteed that Gabor like structured frames do exist in any finite dimensional Hilbert space via an invertible map from l2(ZN) J Thomas and Nambudiri [2022]. Hence the question: whether it is possible to obtain structured class of frames in separable Hilbert spaces? is relevant. In this article we obtain a structured class of frames for separable Hilbert spaces which are generalizations of Gabor frames for L2(R) in their construction aspects. We call them as B-Gabor type frames and present a characterization of the frame operators associated with these frames when B is a unitary map. Some significant properties of the associated frame operators are discussed

Heart failure in children

Heart failure (HF) in children differs from that in adults in many respects. The causes and clinical presentations may differ considerably among children of different age groups and between children and adults. The time of onset of HF holds the key to the etiological diagnosis. Clinical presentation of HF in younger children can be nonspecific requiring heightened degree of suspicion. The overall outcome with HF is better in children than in adults as HF in children is commonly due to structural heart disease and reversible conditions which are amenable to therapy. The principles of management include treatment of the cause, correction of any precipitating event, and treatment of systemic or pulmonary congestion. Though HF in adults has been the subject of extensive research and generation of evidence-based guidelines, there is a scarcity of evidence base in pediatric HF

Effect of viscosity stratification on stability of axisymmetric boundary layer

by N. Jayaprasad And Vinod Narayana

Maximal compactness, min- imal Hausdor ness and reversibility of frames and a study on automorphism group of frames

One can do research in pointfree topology in two ways. The rst is the contravariant way where research is done in the category Frm but the ultimate objective is to obtain results in Loc. The other way is the covariant way to carry out research in the category Loc itself directly. According to Johnstone [23], \frame theory is lattice theory applied to topology whereas locale theory is topology itself". The most part of this thesis is written according to the rst view. In this thesis, we make an attempt to study about 1. the frame counterparts of maximal compactness, minimal Hausdor - ness and reversibility, 2. the automorphism groups of a nite frame and its relation with the subgroups of the permutation group on the generator set of the frameCochin University of Science and TechnologyDepartment of Mathematics Cochin University of Science and Technolog