9 research outputs found

    Hemodynamic effect of atrioventricular and interventricular dyssynchrony in patients with biventricular pacing: Implications for the pacemaker syndrome

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    Background/Objectives: Pacemaker syndrome was mainly described as the sequel of atrioventricular (AV) dyssynchrony. The role of interventricular (VV) dyssynchrony has not been studied yet. The aims of this study were to noninvasively assess the hemodynamic effects of different ventricular pacing sites with and without AV and VV dyssynchrony and to observe the patients for clinical symptoms of the pacemaker syndrome during the AV sequential and ventricular-only pacing modes. Materials and Methods: Between March 2009 and February 2010, 40 patients (28 men; mean age, 61 ± 15 years) with biventricular (BiV) device were enrolled. Mean systolic and diastolic blood pressures (BP) of 5 beats were measured 5 minutes after each mode change using fingertip plethysmography. The patients were also observed for the occurrence of symptoms suggestive of the pacemaker syndrome, including dyspnea, palpitations, dizziness, presyncope, and syncope. Results: There was no difference in mean systolic BP among different ventricular-only pacing modes (all P = NS). However, mean systolic BP was significantly higher in AV sequential biventricular pacing (DDD-BiV) compared with ventricular-only pacing modes (all P0.05). Conclusions: The present study showed that the non-AV sequential BiV and LV pacing may have no significant benefit compared with RV pacing in terms of systolic blood pressure. However, there was marked hemodynamic improvement following mode change to AV sequential BiV pacing. This study may have important implications for pathogenesis of pacemaker syndrome

    High temperature gallium orthophosphate transducers for NDT

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    A transducer has been manufactured leading towards development of an ultrasonic system to operate up to 580°C for non-destructive testing (NDT) and monitoring in power plants. The manufactured transducer has a simple design based on the piezoelectric single crystal gallium orthophosphate (GaPO4) which allows ultrasonic measurements to be performed up to considerably high temperature (HT) levels required in this study. Usually a critical aspect when performing HT ultrasonic NDT– acoustic coupling to the test-material, has been resolved using a commercially available HT silver adhesive which provides permanent installation of the transducer on the structure to be tested. This also means that for future application in an industrial environment drilling and/or machining intervention requirements will be reduced significantly. Finally, the GaPO4 transducer’s sensitivity (f=3.5 MHz) has been successfully tested through measurements on a steel block containing an artificial defect with known geometry (side-drilled hole (SDH) with d=0.8 mm) up to the target temperature of 580°C keeping the defect’s signal-to-noise ratio (SNR) above 6 dB which is high enough for NDT practice
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