240 research outputs found

    Selective autonomic stimulation of the AV node fat pad to control rapid post-operative atrial arrhythmias.

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    Junctional ectopic tachycardia (JET) and atrial fibrillation (AF) occur in patients recovering from open-heart surgery (OHS). Pharmacologic treatment is used for the control of post-operative atrial arrhythmias (POAA), but is associated with side effects. There is a need for a reversible, modulated solution to rate control. We propose a non-pharmacologic technique that can modulate AV nodal conduction in a selective fashion. Ten mongrel dogs underwent OHS. Stimulation of the anterior right (AR) and inferior right (IR) fat pad (FP) was done using a 7-pole electrode. The IR was more effective in slowing the ventricular rate (VR) to AF (52 +/- 20 vs. 15 +/- 10%, p = 0.003) and JET (12 +/- 7 vs. 0 +/- 0%, p = 0.02). Selective site stimulation within a FP region could augment the effect of stimulation during AF (57 +/- 20% (maximum effect) vs. 0 +/- 0% (minimum effect),

    Role of SOCS3 in POMC Neurons in metabolic and cardiovascular regulation.

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    Suppressor of cytokine signaling 3 (SOCS3) is a negative regulator of leptin signaling. We previously showed that the chronic effects of leptin on blood pressure (BP) and glucose regulation are mediated by stimulation of pro-opiomelanocortin (POMC) neurons. In this study, we examined the importance of endogenous SOCS3 in POMC neurons in control of metabolic and cardiovascular function and potential sex differences. Male and female SOCS3flox/flox/POMC-Cre mice in which SOCS3 was selectively deleted in POMC neurons and control SOCS3flox/flox mice were studied during a control diet (CD) or high fat diet (HFD) and during chronic leptin infusion. On CD, male and female SOCS3flox/flox/POMC-Cre mice were lighter in body weight despite similar food intake compared to control mice. Male SOCS3flox/flox/POMC-Cre mice exhibited increased energy expenditure. BP and heart rate were similar in male and female SOCS3flox/flox/POMC-Cre and control mice on CD. On a HFD, male and female SOCS3flox/flox/POMC-Cre mice showed attenuated weight gain. Female SOCS3flox/flox/POMC-Cre mice exhibited greater HFD-induced elevations in baseline BP and BP responses to air jet stress test compared to control mice. Chronic leptin infusion produced similar responses in all groups for food intake, body weight, oxygen consumption, blood glucose, BP and heart rate. Thus, SOCS3 deficiency in POMC neurons influences body weight regulation in CD and HFD and differentially affects BP and energy balance in a sex specific manner, but does not amplify the dietary, glycemic or cardiovascular effects of leptin

    Transitions In Spectral Statistics

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    We present long range statistical properties of a recently introduced unitary random matrix ensemble, whose short range correlations were found to describe a transition from Wigner to Poisson type as a function of a single parameter.Comment: 12 pp. late

    Restoration of Cardiac Function After Myocardial Infarction by Long-Term Activation of the CNS Leptin-Melanocortin System

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    Heart failure has a high mortality rate, and current therapies offer limited benefits. The authors demonstrate that activation of the central nervous system leptin-melanocortin pathway confers remarkable protection against progressive heart failure following severe myocardial infarction. The beneficial cardiac-protective actions of leptin require activation of brain melanocortin-4 receptors and elicit improvements in cardiac substrate oxidation, cardiomyocyte contractility, C

    Restoration of Cardiac Function After Myocardial Infarction by Long-Term Activation of the CNS Leptin-Melanocortin System

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    Heart failure has a high mortality rate, and current therapies offer limited benefits. The authors demonstrate that activation of the central nervous system leptin-melanocortin pathway confers remarkable protection against progressive heart failure following severe myocardial infarction. The beneficial cardiac-protective actions of leptin require activation of brain melanocortin-4 receptors and elicit improvements in cardiac substrate oxidation, cardiomyocyte contractility, C

    Strong asymptotics for Jacobi polynomials with varying nonstandard parameters

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    Strong asymptotics on the whole complex plane of a sequence of monic Jacobi polynomials Pn(αn,βn)P_n^{(\alpha_n, \beta_n)} is studied, assuming that limnαnn=A,limnβnn=B, \lim_{n\to\infty} \frac{\alpha_n}{n}=A, \qquad \lim_{n\to\infty} \frac{\beta _n}{n}=B, with AA and BB satisfying A>1 A > -1, B>1 B>-1, A+B<1A+B < -1. The asymptotic analysis is based on the non-Hermitian orthogonality of these polynomials, and uses the Deift/Zhou steepest descent analysis for matrix Riemann-Hilbert problems. As a corollary, asymptotic zero behavior is derived. We show that in a generic case the zeros distribute on the set of critical trajectories Γ\Gamma of a certain quadratic differential according to the equilibrium measure on Γ\Gamma in an external field. However, when either αn\alpha_n, βn\beta_n or αn+βn\alpha_n+\beta_n are geometrically close to Z\Z, part of the zeros accumulate along a different trajectory of the same quadratic differential.Comment: 31 pages, 12 figures. Some references added. To appear in Journal D'Analyse Mathematiqu

    Rate Control of Atrial Arrhythmias Can Be Achieved by Selective Cardiac Neurostimulation

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    Introduction: Atrial arrhythmias (AA) occur in up to 40% of patients recovering from open-heart surgery (OHS). Pharmacologic treatment has been the main strategy used for the control of post-operative AA, but is associated with hypotension, pro-arrhythmia and myocardial dysfunction. There is a need for a reversible, modulated solution to rate control. We demonstrated the efficacy of vagal stimulation at inferior right fat pad (FP) to slow the ventricular response (VR) of atrial fibrillation (AF) and junctional ectopic tachycardia (JET). We hypothesized that the VR response to AA could be improved by alterations in 1) the site of stimulation (anterior right FP vs. inferior right FP), 2) site within the two FP regions tested, and 3) whether there was a relationship between stimulation voltage (V) and electrophysiologic effect. Methods: Eight mongrel dogs, age 8.7 ± 3.9 months and weighing 21.5 ± 2.5 kg, underwent open heart surgery replicating Tetralogy of Fallot repair. Stimulation of the anterior right (AR) and inferior right (IR) fat pad was used to control the VR of AF and JET. A 7-pole electrode was sutured to the AR and IR FP and used to deliver stimulation therapy. Tested parameters included: 1) FP site, 2) stimulation pole configuration, and 3) stimulation (1-25) V on the VR to AF and JET. Stimulation frequency was 30 Hz, and pulse width was 0.15 msec. Results: 1). The inferior right FP was more effective in slowing the VR response to AF (-0.43 ± 0.18 vs. -0.18 ± 0.11 %, p =0.03) and JET (-0.16 ± 0.06 vs. 0.0 ±0.0, p =0.06.) 2). Selective site stimulation within a FP region could augment the effect of stimulation during AF (-0.48 ± 0.21 (maximum effect) vs. 0.0 ± 0.0 % (least effect), p=0.01). Stimulation of electrodes 2+3 produced the greatest reduction in HR with a maximum percent VR reduction of 34.8% 3). FP stimulation at increasing V demonstrated a voltage-dependent effect (-0.12 ± 0.19 (low V) vs. -0.63 ± 0.21 (high V) %, p=0.01)

    Coherent radiation from neutral molecules moving above a grating

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    We predict and study the quantum-electrodynamical effect of parametric self-induced excitation of a molecule moving above the dielectric or conducting medium with periodic grating. In this case the radiation reaction force modulates the molecular transition frequency which results in a parametric instability of dipole oscillations even from the level of quantum or thermal fluctuations. The present mechanism of instability of electrically neutral molecules is different from that of the well-known Smith-Purcell and transition radiation in which a moving charge and its oscillating image create an oscillating dipole. We show that parametrically excited molecular bunches can produce an easily detectable coherent radiation flux of up to a microwatt.Comment: 4 page
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