Detection of myocardial injury during transvenous implantation of automatic cardioverter-defibrillators

AbstractOBJECTIVESThe present study was designed to assess the extent of myocardial injury in patients undergoing transvenous implantation of an automatic implantable cardioverter-defibrillator (ICD) using cardiac troponin I (cTNI), which is a highly specific marker of structural cardiac injury.BACKGROUNDDuring ICD implantation, repetitive induction and termination of ventricular fibrillation (VF) via endocardial direct current shocks is required to demonstrate the correct function of the device. Transthoracic electrical shocks can cause myocardial cell injury.METHODSMeasurements of total creatine kinase (CK), CK-MB, myoglobin, cardiac troponin T (cTNT) and cTNI were obtained before and after ICD implantation in 49 consecutive patients. Blood samples were drawn before and 2, 4, 8, and 24 h after implantation.RESULTSElevations of CK, CK-MB, myoglobin, cTNT and cTNI above cut-off level were found in 25%, 6%, 76%, 37% and 14% of patients, respectively, with peak cTNI concentrations ranging from 1.7 to 5.5 ng/ml. Cumulative defibrillation energy (DFE), mean DFE, cumulative VF time, number of shocks as well as prior myocardial infarction (MI) were found to be significantly related to a rise of cTNI. Mean DFE ≥ 18 J and a recent MI were identified as strong risk factors for cTNI rise.CONCLUSIONSDuring transvenous ICD implantation myocardial injury as assessed by cTNI rise occurs in about 14% of the patients. Peak cTNI concentrations are only minimally elevated reflecting subtle myocardial cell damage. Patients with a recent MI and a mean DFE ≥ 18 J seem to be prone to cTNI rise

Transfer reactions and the dispersive optical-model

The dispersive optical-model is applied to transfer reactions. A systematic study of $(d,p)$ reactions on closed-shell nuclei using the finite-range adiabatic reaction model is performed at several beam energies and results are compared to data as well as to predictions using a standard global optical-potential. Overall, we find that the dispersive optical-model is able to describe the angular distributions as well as or better than the global parameterization. In addition, it also constrains the overlap function. Spectroscopic factors extracted using the dispersive optical-model are generally lower than those using standard parameters, exhibit a reduced dependence on beam energy, and are more in line with results obtained from $(e,e'p)$ measurements.Comment: Phys. Rev. C 84, 044611 (2011

Using the third state of matter: high harmonic generation from liquid targets

High harmonic generation on solid and gaseous targets has been proven to be a powerful platform for the generation of attosecond pulses. Here we demonstrate a novel technique for the XUV generation on a smooth liquid surface target in vacuum, which circumvents the problem of low repetition rate and limited shot numbers associated with solid targets, while it maintains some of its merits. We employed atomically smooth, continuous liquid jets of water, aqueous salt solutions and ethanol that allow uninterrupted high harmonic generation due to the coherent wake emission mechanism for over 8 h. It has been found that the mechanism of plasma generation is very similar to that for smooth solid target surfaces. The vapor pressure around the liquid target in our setup has been found to be very low such that the presence of the gas phase around the liquid jet could be neglected

Twist angle dependent interlayer transfer of valley polarization from excitons to free charge carriers in WSe2/MoSe2 heterobilayers

Transition metal dichalcogenides (TMDs) have attracted much attention in the fields of valley- and spintronics due to their property of forming valley-polarized excitons when illuminated by circularly polarized light. In TMD-heterostructures it was shown that these electron-hole pairs can scatter into valley-polarized interlayer exciton states, which exhibit long lifetimes and a twist-angle dependence. However, the question how to create a valley polarization of free charge carriers in these heterostructures after a valley selective optical excitation is unexplored, despite its relevance for opto-electronic devices. Here, we identify an interlayer transfer mechanism in twisted WSe2/MoSe2 heterobilayers that transfers the valley polarization from excitons in WSe2 to free charge carriers in MoSe2 with valley lifetimes of up to 12 ns. This mechanism is most efficient at large twist angles, whereas the valley lifetimes of free charge carriers are surprisingly short for small twist angles, despite the occurrence of interlayer excitons

Twist angle dependent interlayer transfer of valley polarization from excitons to free charge carriers in WSe2_2/MoSe2_2 heterobilayers

We identify an optical excitation mechanism that transfers a valley polarization from photo-excited electron-hole pairs to free charge carriers in twisted WSe$_2$/MoSe$_2$ heterobilayers. For small twist angles, the valley lifetimes of the charge carriers are surprisingly short, despite the occurrence of interlayer excitons with their presumably long recombination and polarization lifetimes. For large twist angles, we measure an increase in both the valley polarization and its respective lifetime by more than two orders of magnitude. Interestingly, in such heterobilayers we observe an interlayer transfer of valley polarization from the WSe$_2$ layer into the MoSe$_2$ layer. This mechanism enables the creation of a photo-induced valley polarization of free charge carriers in MoSe$_2$, which amplitude scales with the gate-induced charge carrier density. This is in contrast to monolayer MoSe$_2$, where such a gate-tunable valley polarization cannot be achieved. By combining time-resolved Kerr rotation, photoluminesence and angle-resolved photoemission spectroscopy measurements with first principles calculations, we show that these findings can be explained by twist angle dependent interlayer scattering mechanisms involving the Q- and $\Gamma$-valleys.Comment: 21 pages, 10 figure

Enhanced nonlinear interaction of polaritons via excitonic Rydberg states in monolayer WSe2

Strong optical nonlinearities play a central role in realizing quantum photonic technologies. Exciton-polaritons, which result from the hybridization of material excitations and cavity photons, are an attractive candidate to realize such nonlinearities. While the interaction between ground state excitons generates a notable optical nonlinearity, the strength of such interactions is generally not sufficient to reach the regime of quantum nonlinear optics. Excited states, however, feature enhanced interactions and therefore hold promise for accessing the quantum domain of single-photon nonlinearities. Here we demonstrate the formation of exciton-polaritons using excited excitonic states in monolayer tungsten diselenide (WSe2) embedded in a microcavity. The realized excited-state polaritons exhibit an enhanced nonlinear response ∼g2s pol—pol ∼46:4±13:9 μeVμm2 which is ∼4.6 times that for the ground-state exciton. The demonstration of enhanced nonlinear response from excited exciton-polaritons presents the potential of generating strong exciton-polariton interactions, a necessary building block for solid-state quantum photonic technologies