Myocardial Architecture and Patient Variability in Clinical Patterns of Atrial Fibrillation

Atrial fibrillation (AF) increases the risk of stroke by a factor of four to five and is the most common abnormal heart rhythm. The progression of AF with age, from short self-terminating episodes to persistence, varies between individuals and is poorly understood. An inability to understand and predict variation in AF progression has resulted in less patient-specific therapy. Likewise, it has been a challenge to relate the microstructural features of heart muscle tissue (myocardial architecture) with the emergent temporal clinical patterns of AF. We use a simple model of activation wavefront propagation on an anisotropic structure, mimicking heart muscle tissue, to show how variation in AF behaviour arises naturally from microstructural differences between individuals. We show that the stochastic nature of progressive transversal uncoupling of muscle strands (e.g., due to fibrosis or gap junctional remodelling), as occurs with age, results in variability in AF episode onset time, frequency, duration, burden and progression between individuals. This is consistent with clinical observations. The uncoupling of muscle strands can cause critical architectural patterns in the myocardium. These critical patterns anchor micro-re-entrant wavefronts and thereby trigger AF. It is the number of local critical patterns of uncoupling as opposed to global uncoupling that determines AF progression. This insight may eventually lead to patient specific therapy when it becomes possible to observe the cellular structure of a patient's heart.Comment: 5 pages, 4 figures. For supplementary materials please contact Kishan A. Manani at [email protected]

Generation of Hyperentangled Photons Pairs

We experimentally demonstrate the first quantum system entangled in every degree of freedom (hyperentangled). Using pairs of photons produced in spontaneous parametric downconversion, we verify entanglement by observing a Bell-type inequality violation in each degree of freedom: polarization, spatial mode and time-energy. We also produce and characterize maximally hyperentangled states and novel states simultaneously exhibiting both quantum and classical correlations. Finally, we report the tomography of a 2x2x3x3 system (36-dimensional Hilbert space), which we believe is the first reported photonic entangled system of this size to be so characterized.Comment: 5 pages, 3 figures, 1 table, published versio

Testing highly nonlinear fiber for squeezed-light generation

Squeezed light, which is easily degraded by loss, could benefit from generation directly in optical fiber. Furthermore, highly nonlinear fiber could offer more efficient generation with lower pump power and shorter fiber lengths than standard single-mode fiber. We investigate non-polarization-maintaining highly nonlinear fiber (HNLF) for squeezed-light generation by characterizing possible sources of excess noise, including its zero-dispersion wavelength (ZDW) variation and polarization noise. We find significant ZDW variation and excess polarization noise. We believe the polarization noise is from non-linear polarization-mode dispersion. These findings are indicative of excess noise that would reduce and potentially completely overtake any squeezing generated, except possibly using intensity difference detection.Comment: 7 pages, 5 figures, 1 tabl

Measurement of geometric phase for mixed states using single photon interferometry

Geometric phase may enable inherently fault-tolerant quantum computation. However, due to potential decoherence effects, it is important to understand how such phases arise for {\it mixed} input states. We report the first experiment to measure mixed-state geometric phases in optics, using a Mach-Zehnder interferometer, and polarization mixed states that are produced in two different ways: decohering pure states with birefringent elements; and producing a nonmaximally entangled state of two photons and tracing over one of them, a form of remote state preparation.Comment: To appear in Phys. Rev. Lett. 4 pages, 3 figure