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Sample records for qrs complex duration

  1. Prognostic significance of QRS duration and morphology.

    PubMed

    Brenyo, Andrew; Zaręba, Wojciech

    2011-01-01

    QRS duration and morphology, evaluated via a standard 12-lead electrocardiogram (ECG), represent an opportunity to derive useful prognostic information regarding the risk of subsequent cardiac events or therapeutic outcomes. Prolonged QRS duration, and the presence of intraventricular conduction abnormalities, usually indicate the presence of changes in the myocardium due to underlying heart disease. Prolonged QRS duration is often associated with depressed ejection fraction or enlarged left ventricular volumes, but several studies have demonstrated that this simple ECG measure provides independent prognostic value, after adjusting for relevant clinical covariates. Post-infarction patients with prolonged QRS duration have a significantly increased risk of mortality, although data associating QRS prolongation specifically with sudden death is less supportive. In non-ischemic cardiomyopathy, there is no evidence that QRS duration has prognostic significance in predicting mortality or sudden death. Prolonged QRS duration, and especially presence of left bundle branch block, seems to predict a benefit from cardiac resynchronization therapy in both ischemic and non-ischemic cardiomyopathy patients. Therefore, QRS duration and morphology should not only be considered a predictor of death or sudden death in patients after myocardial infarction, and in those suspected of coronary artery disease, but also as a predictor of benefit from cardiac resynchronization therapy in patients with heart failure, whether of an ischemic or non-ischemic origin. PMID:21305480

  2. Simple and Robust Realtime QRS Detection Algorithm Based on Spatiotemporal Characteristic of the QRS Complex

    PubMed Central

    Kim, Jinkwon; Shin, Hangsik

    2016-01-01

    The purpose of this research is to develop an intuitive and robust realtime QRS detection algorithm based on the physiological characteristics of the electrocardiogram waveform. The proposed algorithm finds the QRS complex based on the dual criteria of the amplitude and duration of QRS complex. It consists of simple operations, such as a finite impulse response filter, differentiation or thresholding without complex and computational operations like a wavelet transformation. The QRS detection performance is evaluated by using both an MIT-BIH arrhythmia database and an AHA ECG database (a total of 435,700 beats). The sensitivity (SE) and positive predictivity value (PPV) were 99.85% and 99.86%, respectively. According to the database, the SE and PPV were 99.90% and 99.91% in the MIT-BIH database and 99.84% and 99.84% in the AHA database, respectively. The result of the noisy environment test using record 119 from the MIT-BIH database indicated that the proposed method was scarcely affected by noise above 5 dB SNR (SE = 100%, PPV > 98%) without the need for an additional de-noising or back searching process. PMID:26943949

  3. Simple and Robust Realtime QRS Detection Algorithm Based on Spatiotemporal Characteristic of the QRS Complex.

    PubMed

    Kim, Jinkwon; Shin, Hangsik

    2016-01-01

    The purpose of this research is to develop an intuitive and robust realtime QRS detection algorithm based on the physiological characteristics of the electrocardiogram waveform. The proposed algorithm finds the QRS complex based on the dual criteria of the amplitude and duration of QRS complex. It consists of simple operations, such as a finite impulse response filter, differentiation or thresholding without complex and computational operations like a wavelet transformation. The QRS detection performance is evaluated by using both an MIT-BIH arrhythmia database and an AHA ECG database (a total of 435,700 beats). The sensitivity (SE) and positive predictivity value (PPV) were 99.85% and 99.86%, respectively. According to the database, the SE and PPV were 99.90% and 99.91% in the MIT-BIH database and 99.84% and 99.84% in the AHA database, respectively. The result of the noisy environment test using record 119 from the MIT-BIH database indicated that the proposed method was scarcely affected by noise above 5 dB SNR (SE = 100%, PPV > 98%) without the need for an additional de-noising or back searching process. PMID:26943949

  4. Time domain signal-averaged electrocardiogram in predicting arrhythmic events after myocardial infarction: role of the duration of the filtered QRS complex.

    PubMed

    Bruna, C; Vado, A; Rossetti, G; Racca, E; Borello, V; Cherasco, E; Isoardi, D; Uslenghi, E

    1996-12-01

    Several studies showed that time domain analysis of the signal-averaged ECG may identify groups of patients with low and high risk for arrhythmic events after myocardial infarction (MI). However, the signal averaging methods were not uniform and the definition of abnormal signal-averaged ECG was empiric. To identify the best quantitative signal-averaged variable in predicting arrhythmic events (sustained ventricular tachycardia, ventricular fibrillation and witnessed, instantaneous death) 262 patients surviving acute MI were prospectively evaluated. Twelve clinical variables, left ventricular ejection fraction (LVEF), complex ventricular arrhythmias (CVA) on Holter monitoring and three conventional signal-averaged variables (either at 25-250 or 40-250 Hz) were entered in a Cox proportional hazards regression model. During a mean follow-up of 20.3 +/- 13.7 months 16 (6.1%) patients had arrhythmic events. All six signal-averaged variables were independent predictors of arrhythmic events and the filtered QRS duration (fQRSD) > or = 120 ms at 40 Hz high pass filtering resulted the most predictive. In a regression analysis, including the best signal-averaged variable, LVEF and CVA, only fQRSD > or = 120 ms at 40 Hz and LVEF independently predicted arrhythmic events. Sensitivity, specificity, positive predictive value and odds ratio for fQRSD > or = 120 ms at 40 Hz were 63, 90, 29 and 11%, respectively, and for the combination of fQRSD > or = 120 ms at 40 Hz and LVEF < 40%, were 73, 95, 47 and 39%, respectively. In conclusion, the fQRSD > or = 120 ms at 40 Hz best predicts arrhythmic events in the post-infarction period. The combination of signal-averaged ECG and LVEF is recommended to stratify patients at risk of arrhythmic events after MI. PMID:9031532

  5. Relation of QRS duration to mortality in a community-based cohort with hypertrophic cardiomyopathy.

    PubMed

    Bongioanni, Sergio; Bianchi, Francesca; Migliardi, Alessandro; Gnavi, Roberto; Pron, Paolo Giay; Casetta, Marzia; Conte, Maria Rosa

    2007-08-01

    A prolonged QRS duration on the standard electrocardiogram is associated with an increased risk of cardiovascular death in cardiomyopathies of different origin. However, the relation between QRS duration and prognosis in hypertrophic cardiomyopathy (HC) remains undefined. We assessed the relation between QRS duration and cardiovascular death in 241 consecutive patients with HC. The study cohort was divided into 2 groups according to QRS duration: <120 and > or =120 ms. Of the 241 patients, 191 (79%) had a QRS duration <120 ms and 50 (21%) a QRS duration > or =120 ms. During a mean follow-up of 7.9 +/- 5.1 years, 35 patients died of cardiovascular causes related to HC. Of these 35 patients, 13 (6%) had a QRS duration <120 ms and 22 (43%) had a QRS duration > or =120 ms (p <0.01). Risk of cardiovascular death was significantly higher in patients with a QRS duration > or =120 ms than in those with a QRS duration <120 ms (relative risk 5.2, p <0.0001). At 8-year follow-up, cumulative risks of HC-related death were 7.1% in patients with a QRS duration <120 ms and 55% in those with a QRS duration > or =120 ms. Multivariate analysis confirmed that a QRS duration > or =120 ms was independently associated with an increased risk of cardiovascular death (hazard ratio 3.2, p = 0.007). New York Heart Association functional class III/IV was the only other clinical variable significantly and independently associated with an increased risk of cardiovascular death. In conclusion, in patients with HC, QRS duration on standard electrocardiogram is directly related to cardiovascular mortality, and a QRS duration > or =120 ms is a strong and independent predictor of prognosis. PMID:17659936

  6. ECG low QRS voltage and wide QRS complex predictive of centenarian 360-day mortality.

    PubMed

    Szewieczek, Jan; Gąsior, Zbigniew; Duława, Jan; Francuz, Tomasz; Legierska, Katarzyna; Batko-Szwaczka, Agnieszka; Hornik, Beata; Janusz-Jenczeń, Magdalena; Włodarczyk, Iwona; Wilczyński, Krzysztof

    2016-04-01

    We examined the electrocardiographic (ECG) findings of centenarians and associated them with >360-day survival. Physical and functional assessment, resting electrocardiogram and laboratory tests were performed on 86 study participants 101.9 ± 1.2 years old (mean ± SD) (70 women, 16 men) and followed for at least 360 days. Centenarian ECGs were assessed for left ventricular hypertrophy (LVH) according to the Romhilt-Estes score, Sokolow-Lyon criteria and Cornell voltage criteria which were positive for 12.8, 6.98, and 10.5 % of participants, respectively. Fifty-two study participants (60 %) survived ≥360 days. Multivariate logistic regression analysis revealed a negative relationship between 360-day survival and the following: R II <0.45 mV adjusted for CRP (odds ratio (OR) = 0.108, 95 % confidence interval (CI) = 0.034-0.341, P < .001), R aVF < 0.35 mV adjusted for CRP (OR = 0.151, 95 % CI = 0.039-0.584, P < .006), Sokolow-Lyon voltage <1.45 mV adjusted for CRP (OR = 0.178, 95 % CI = 0.064-0.492, P = .001), QRS ≥90 ms adjusted for CRP (OR = 0.375, 95 % CI = 0.144-0.975, P = .044), and Romhilt-Estes score ≥5 points adjusted for sex and Barthel Index (OR = 0.459, 95 % CI = 0.212-0.993, P = .048) in single variable ECG models. QRS voltage correlated positively with systolic and pulse pressure, serum vitamin B12 level, sodium, calcium, phosphorous, TIMP-1, and eGFR. QRS voltage correlated negatively with BMI, WHR, serum leptin, IL-6, TNF-α, and PAI-1 levels. QRS complex duration correlated positively with CRP; QTc correlated positively with TNF-α. Results suggest that Romhilt-Estes LVH criteria scores ≥5 points, low ECG QRS voltages (Sokolow-Lyon voltage <1.45 mV), and QRS complexes ≥90 ms are predictive of centenarian 360-day mortality. PMID:27039197

  7. Detecting drug-induced prolongation of the QRS complex: New insights for cardiac safety assessment

    SciTech Connect

    Cros, C.; Skinner, M.; Moors, J.; Lainee, P.; Valentin, J.P.

    2012-12-01

    Background: Drugs slowing the conduction of the cardiac action potential and prolonging QRS complex duration by blocking the sodium current (I{sub Na}) may carry pro-arrhythmic risks. Due to the frequency-dependent block of I{sub Na}, this study assesses whether activity-related spontaneous increases in heart rate (HR) occurring during standard dog telemetry studies can be used to optimise the detection of class I antiarrhythmic-induced QRS prolongation. Methods: Telemetered dogs were orally dosed with quinidine (class Ia), mexiletine (class Ib) or flecainide (class Ic). QRS duration was determined standardly (5 beats averaged at rest) but also prior to and at the plateau of each acute increase in HR (3 beats averaged at steady state), and averaged over 1 h period from 1 h pre-dose to 5 h post-dose. Results: Compared to time-matched vehicle, at rest, only quinidine and flecainide induced increases in QRS duration (E{sub max} 13% and 20% respectively, P < 0.01–0.001) whereas mexiletine had no effect. Importantly, the increase in QRS duration was enhanced at peak HR with an additional effect of + 0.7 ± 0.5 ms (quinidine, NS), + 1.8 ± 0.8 ms (mexiletine, P < 0.05) and + 2.8 ± 0.8 ms (flecainide, P < 0.01) (calculated as QRS at basal HR-QRS at high HR). Conclusion: Electrocardiogram recordings during elevated HR, not considered during routine analysis optimised for detecting QT prolongation, can be used to sensitise the detection of QRS prolongation. This could prove useful when borderline QRS effects are detected. Analysing during acute increases in HR could also be useful for detecting drug-induced effects on other aspects of cardiac function. -- Highlights: ► We aimed to improve detection of drug-induced QRS prolongation in safety screening. ► We used telemetered dogs to test class I antiarrhythmics at low and high heart rate. ► At low heart rate only quinidine and flecainide induced an increase in QRS duration. ► At high heart rate the effects of two

  8. The value of electrocardiography for differential diagnosis in wide QRS complex tachycardia.

    PubMed

    Sousa, Pedro A; Pereira, Salomé; Candeias, Rui; de Jesus, Ilídio

    2014-03-01

    Correct diagnosis in wide QRS complex tachycardia remains a challenge. Differential diagnosis between ventricular and supraventricular tachycardia has important therapeutic and prognostic implications, and although data from clinical history and physical examination may suggest a particular origin, it is the 12-lead surface electrocardiogram that usually enables this differentiation. Since 1978, various electrocardiographic criteria have been proposed for the differential diagnosis of wide complex tachycardias, particularly the presence of atrioventricular dissociation, and the axis, duration and morphology of QRS complexes. Despite the wide variety of criteria, diagnosis is still often difficult, and errors can have serious consequences. To reduce such errors, several differential diagnosis algorithms have been proposed since 1991. However, in a small percentage of wide QRS tachycardias the diagnosis remains uncertain and in these the wisest decision is to treat them as ventricular tachycardias. The authors' objective was to review the main electrocardiographic criteria and differential diagnosis algorithms of wide QRS tachycardia. PMID:24656320

  9. Myocardial ischemia analysis based on electrocardiogram QRS complex.

    PubMed

    Song, Jinzhong; Yan, Hong; Xu, Zhi; Yu, Xinming; Zhu, Ruiyun

    2011-12-01

    Electrocardiogram (ECG) is an economic, convenient, and non-invasive detecting tool in myocardial ischemia (MI), and its clinical appearance is mainly exhibited by the changes in ST-T complex. Recently, QRS complex characters were proposed to analyze MI by more and more researchers. In this paper, various QRS complex characters were extracted in ECG signals, and their relationship was analyzed systematically. As a result, these characters were divided into two groups, and there existed good relationship among them for each group, while the poor relationship between the groups. Then these QRS complex characters were applied for statistical analysis on MI, and five characters had significant differences after ECG recording verification, which were: QRS upward and downward slopes, transient heart rate, angle R and angle Q. On the other hand, these QRS complex characters were analyzed in frequency domain. Experimental results showed that the frequency features of RR interval series (Heart Rate Variability, HRV), and QRS barycenter sequence had significant differences between MI states and normal states. Moreover, QRS barycenter sequence performed better. PMID:21971843

  10. Frailty severity is significantly associated with electrocardiographic QRS duration in chronic dialysis patients

    PubMed Central

    Chao, Chia-Ter

    2015-01-01

    End-stage renal disease (ESRD) patients are at increased risk of sudden cardiac death, the risk of which is presumably related to arrhythmia. Electrocardiographic (ECG) parameters have been found to correlate with arrhythmia and predict cardiovascular outcomes in ESRD patients. Frailty is also a common feature in this population. We investigate whether the severity of dialysis frailty is associated with ECG findings, including PR interval, QRS duration, and QTc interval. Presence and severity of frailty was ascertained using six different self-report questionnaires with proven construct validity. Correlation analysis between frailty severity and ECG was made, and those with significant association entered into multiple regression analysis for confirmation. Among a cohort of chronic hemodialysis patients, we found that frailty severity, assessed by the Edmonton frailty scale, is significantly associated with QRS duration (r = − 0.3, p < 0.05). Dialysis patients with QRS longer than 120 ms had significantly lower severity of frailty than those with QRS less than 120 ms (p = 0.01 for the Edmonton frailty scale and 0.05 for simple FRAIL scale). Regression analysis showed that frailty severity, assessed by the Edmonton frailty scale and simple FRAIL scale, was significantly associated with QRS duration independent of serum electrolyte levels. In conclusion, a significant relationship exists between the severity of frailty and QRS duration in ESRD patients. This might be an under-recognized link between frailty and its adverse cardiovascular impact in these patients. PMID:26528415

  11. Common variants in 22 loci are associated with QRS duration and cardiac ventricular conduction

    PubMed Central

    Sotoodehnia, Nona; Isaacs, Aaron; de Bakker, Paul I.W.; Dörr, Marcus; Newton-Cheh, Christopher; Nolte, Ilja M.; van der Harst, Pim; Müller, Martina; Eijgelsheim, Mark; Alonso, Alvaro; Hicks, Andrew A.; Padmanabhan, Sandosh; Hayward, Caroline; Smith, Albert Vernon; Polasek, Ozren; Giovannone, Steven; Fu, Jingyuan; Magnani, Jared W.; Marciante, Kristin D.; Pfeufer, Arne; Gharib, Sina A.; Teumer, Alexander; Li, Man; Bis, Joshua C.; Rivadeneira, Fernando; Aspelund, Thor; Köttgen, Anna; Johnson, Toby; Rice, Kenneth; Sie, Mark P.S.; Wang, Amanda Ying; Klopp, Norman; Fuchsberger, Christian; Wild, Sarah H.; Leach, Irene Mateo; Estrada, Karol; Völker, Uwe; Wright, Alan F.; Asselbergs, Folkert W.; Qu, Jiaxiang; Chakravarti, Aravinda; Sinner, Moritz F.; Kors, Jan A.; Petersmann, Astrid; Harris, Tamara B.; Soliman, Elsayed Z.; Munroe, Patricia B.; Psaty, Bruce M.; Oostra, Ben A.; Cupples, L. Adrienne; Perz, Siegfried; de Boer, Rudolf A.; Uitterlinden, André G.; Vözke, Henry; Spector, Timothy D.; Liu, Fang-Yu; Boerwinkle, Eric; Dominiczak, Anna F.; Rotter, Jerome I.; van Herpen, Gé; Levy, Daniel; Wichmann, H.-Erich; van Gilst, Wiek H.; Witteman, Jacqueline C.M.; Kroemer, Heyo K.; Kao, W.H. Linda; Heckbert, Susan R.; Meitinger, Thomas; Hofman, Albert; Campbell, Harry; Folsom, Aaron R.; van Veldhuisen, Dirk J.; Schwienbacher, Christine; O’Donnell, Christopher J.; Volpato, Claudia Beu; Caulfield, Mark J.; Connell, John M.; Launer, Lenore; Lu, Xiaowen; Franke, Lude; Fehrmann, Rudolf S.N.; te Meerman, Gerard; Groen, Harry J.M.; Weersma, Rinse K.; van den Berg, Leonard H.; Wijmenga, Cisca; Ophoff, Roel A.; Navis, Gerjan; Rudan, Igor; Snieder, Harold; Wilson, James F.; Pramstaller, Peter P.; Siscovick, David S.; Wang, Thomas J.; Gudnason, Vilmundur; van Duijn, Cornelia M.; Felix, Stephan B.; Fishman, Glenn I.; Jamshidi, Yalda; Stricker, Bruno H Ch; Samani, Nilesh J.; Kääb, Stefan; Arking, Dan E.

    2010-01-01

    QRS interval on the electrocardiogram reflects ventricular depolarization and conduction time, and is a risk factor for mortality, sudden death, and heart failure. We performed a genome-wide association meta-analysis in 40,407 European-descent individuals from 14 studies, with further genotyping in 7170 additional Europeans, and identified 22 loci associated with QRS duration (P < 5 × 10−8). These loci map in or near genes in pathways with established roles in ventricular conduction such as sodium channels, transcription factors, and calcium-handling proteins, but also point to novel biologic processes, such as kinase inhibitors and genes related to tumorigenesis. We demonstrate that SCN10A, a gene at our most significant locus, is expressed in the mouse ventricular conduction system, and treatment with a selective SCN10A blocker prolongs QRS duration. These findings extend our current knowledge of ventricular depolarization and conduction. PMID:21076409

  12. Detection of segments with fetal QRS complex from abdominal maternal ECG recordings using support vector machine

    NASA Astrophysics Data System (ADS)

    Delgado, Juan A.; Altuve, Miguel; Nabhan Homsi, Masun

    2015-12-01

    This paper introduces a robust method based on the Support Vector Machine (SVM) algorithm to detect the presence of Fetal QRS (fQRS) complexes in electrocardiogram (ECG) recordings provided by the PhysioNet/CinC challenge 2013. ECG signals are first segmented into contiguous frames of 250 ms duration and then labeled in six classes. Fetal segments are tagged according to the position of fQRS complex within each one. Next, segment features extraction and dimensionality reduction are obtained by applying principal component analysis on Haar-wavelet transform. After that, two sub-datasets are generated to separate representative segments from atypical ones. Imbalanced class problem is dealt by applying sampling without replacement on each sub-dataset. Finally, two SVMs are trained and cross-validated using the two balanced sub-datasets separately. Experimental results show that the proposed approach achieves high performance rates in fetal heartbeats detection that reach up to 90.95% of accuracy, 92.16% of sensitivity, 88.51% of specificity, 94.13% of positive predictive value and 84.96% of negative predictive value. A comparative study is also carried out to show the performance of other two machine learning algorithms for fQRS complex estimation, which are K-nearest neighborhood and Bayesian network.

  13. The association between prolongation in QRS duration and presence of coronary collateral circulation in patients with acute myocardial infarction

    PubMed Central

    Altıntaş, Bernas; Uğurlu, Murat; Kaya, İlyas; Uçaman, Berzal; Uluğ, Ali Veysel; Altındağ, Rojhat; Altaş, Yakup; Adıyaman, Mehmet Şahin; Öztürk, Önder

    2016-01-01

    Background It is known that QRS duration is related to prognosis in acute myocardial infarction. The relation between QRS duration and coronary collateral circulation is uncertain. In the present study, we aimed to determine the relation between QRS duration and coronary collateral circulation in patients admitted with acute myocardial infarction. Methods The present study was composed of 109 consecutive patients with acute myocardial infarction. All patients had total occlusion in the left anterior descending coronary artery. Electrocardiographic recordings on admission were obtained for the assessment of QRS duration. The Rentrop classification was used to define coronary collateral circulation on coronary angiography. Patients were divided into two groups as follows: Group 1 with poor coronary collateral circulation (Rentrop 0–1) and Group 2 with good coronary collateral circulation (Rentrop 2–3). Results Of all patients, 62 patients were included in group 1 and 47 patients in group 2, respectively. In the present study, patients in the group 1 had longer QRS duration than patients in the group 2 (p < 0.005). Additionally, we found that Rentrop grading had negative correlation with both QRS duration and white blood cell count (r: −0.28; p < 0.005 and r: −0.35; p < 0.001). Conclusion Our study showed that there was an inverse relationship between QRS duration on admission and presence of coronary collateral circulation in patients with acute myocardial infarction. PMID:27570619

  14. Fragmented narrow QRS complex: Predictor of left ventricular dyssynchrony in non-ischemic dilated cardiomyopathy

    PubMed Central

    Yusuf, Jamal; Agrawal, Devendra Kumar; Mukhopadhyay, Saibal; Mehta, Vimal; Trehan, Vijay; Tyagi, Sanjay

    2013-01-01

    Background Cardiac resynchronization therapy is an important therapeutic modality in drug refractory symptomatic patients of heart failure with wide QRS (≥120 ms) on electrocardiogram. However, wide QRS (considered as a marker of electrical dyssynchrony) occurs in only 30% of heart failure patients, making majority of drug refractory heart failure patients ineligible for resynchronization therapy. Significant numbers of patients with narrow QRS have echocardiographic evidence of left ventricular dyssynchrony. However, there is sparse data about additional features on the surface ECG which can predict intraventricular dyssynchrony. This study was undertaken to assess the utility of fragmented narrow QRS complex to predict significant intraventricular dyssynchrony in symptomatic patients of non-ischemic dilated cardiomyopathy. Method 100 symptomatic patients of non-ischemic dilated cardiomyopathy with narrow QRS complexes (50 each with fragmented and normal QRS) were recruited. Tissue Doppler imaging was used to assess intraventricular dyssynchrony as per ‘Yu index’. Results 78% patients (n = 39) in fQRS complex group and 14% (n = 7) in normal QRS complex group had significant intraventricular dyssynchrony (χ2 = 20.61; p < 0.000005). fQRS complexes had 84.78% sensitivity, 79.62% specificity, a positive predictive value of 78% and negative predictive value of 86% to detect intraventricular dyssynchrony. fQRS also had sensitivity and specificity of 93% and 90% respectively to localize the dyssynchronous segment. Conclusion fQRS is a marker of electrical dyssynchrony, which results in significant intraventricular dyssynchrony in patients of non-ischemic dilated cardiomyopathy and a narrow QRS interval. fQRS localizes the dyssynchronous segment and might be useful in identifying patients who can benefit from cardiac resynchronization therapy. PMID:23647897

  15. Current Algorithms for the Diagnosis of wide QRS Complex Tachycardias

    PubMed Central

    Vereckei, András

    2014-01-01

    The differential diagnosis of a regular, monomorphic wide QRS complex tachycardia (WCT) mechanism represents a great diagnostic dilemma commonly encountered by the practicing physician, which has important implications for acute arrhythmia management, further work-up, prognosis and chronic management as well. This comprehensive review discusses the causes and differential diagnosis of WCT, and since the ECG remains the cornerstone of WCT differential diagnosis, focuses on the application and diagnostic value of different ECG criteria and algorithms in this setting and also provides a practical clinical approach to patients with WCTs. PMID:24827795

  16. A novel feature extracting method of QRS complex classification for mobile ECG signals

    NASA Astrophysics Data System (ADS)

    Zhu, Lingyun; Wang, Dong; Huang, Xianying; Wang, Yue

    2007-12-01

    The conventional classification parameters of QRS complex suffer from larger activity rang of patients and lower signal to noise ratio in mobile cardiac telemonitoring system and can not meet the identification needs of ECG signal. Based on individual sinus heart rhythm template built with mobile ECG signals in time window, we present semblance index to extract the classification features of QRS complex precisely and expeditiously. Relative approximation r2 and absolute error r3 are used as estimating parameters of semblance between testing QRS complex and template. The evaluate parameters corresponding to QRS width and types are demonstrated to choose the proper index. The results show that 99.99 percent of the QRS complex for sinus and superventricular ECG signals can be distinguished through r2 but its average accurate ratio is only 46.16%. More than 97.84 percent of QRS complexes are identified using r3 but its accurate ratio to the sinus and superventricular is not better than r2. By the feature parameter of width, only 42.65 percent of QRS complexes are classified correctly, but its accurate ratio to the ventricular is superior to r2. To combine the respective superiority of three parameters, a nonlinear weighing computation of QRS width, r2 and r3 is introduced and the total classification accuracy up to 99.48% by combing indexes.

  17. Usefulness of His Bundle Pacing to Achieve Electrical Resynchronization in Patients With Complete Left Bundle Branch Block and the Relation Between Native QRS Axis, Duration, and Normalization.

    PubMed

    Teng, Alexandra E; Lustgarten, Daniel L; Vijayaraman, Pugazhendhi; Tung, Roderick; Shivkumar, Kalyanam; Wagner, Galen S; Ajijola, Olujimi A

    2016-08-15

    His Bundle pacing (HBP) restores electrical synchronization in left bundle branch block (LBBB); however, the underlying mechanisms are poorly understood. We examined the relation between native QRS axis in LBBB, a potential indicator of the site of block, and QRS normalization in patients with LBBB. Data from patients (n = 41) undergoing HBP at 3 sites were studied (68 ± 13 years, 13 women). Study criteria included strictly defined complete LBBB and successful implantation of a permanent HBP lead. Preprocedure and postprocedure electrocardiograms were reviewed independently by 2 blinded readers. QRS axis and duration were measured to the nearest 10° and 10 ms, respectively. QRS narrowing or normalization was the primary end point. Of 29 patients meeting study criteria, 9 had frontal plane QRS axes between -60° and -80°, 10 from -40° to 0°, and 10 from +1° to +90°. QRS narrowing occurred in 24 patients (83%, 44 ± 34 ms, p <0.05). Percent QRS narrowing by axis were 26 ± 19%, 29 ± 25%, and 28 ± 23%, respectively. No correlation between prepacing QRS axis and postpacing narrowing was identified (r(2) = 0.001, p = 0.9). In patients with or without QRS normalization after HBP, mean QRS duration was 155 ± 21 vs 171 ± 8 ms, respectively, p = 0.014. HBP induces significant QRS narrowing in most patients and normalization in patients with shorter baseline QRS duration. In conclusion, the lack of correlation between native QRS axis and narrowing suggests that proximal His-Purkinje block causes most cases of LBBB, or that additional mechanisms underlie HBP efficacy. Further studies are needed to better understand how to predict those patients in whom HBP will normalize LBBB. PMID:27344272

  18. Ethnic differences in the association of QRS duration with ejection fraction and outcome in heart failure

    PubMed Central

    Gijsberts, Crystel M; Benson, Lina; Dahlström, Ulf; Sim, David; Yeo, Daniel P S; Ong, Hean Yee; Jaufeerally, Fazlur; Leong, Gerard K T; Ling, Lieng H; Richards, A Mark; de Kleijn, Dominique P V; Lund, Lars H; Lam, Carolyn S P

    2016-01-01

    Background QRS duration (QRSd) criteria for device therapy in heart failure (HF) were derived from predominantly white populations and ethnic differences are poorly understood. Methods We compared the association of QRSd with ejection fraction (EF) and outcomes between 839 Singaporean Asian and 11 221 Swedish white patients with HF having preserved EF (HFPEF)and HF having reduced EF (HFREF) were followed in prospective population-based HF studies. Results Compared with whites, Asian patients with HF were younger (62 vs 74 years, p<0.001), had smaller body size (height 163 vs 171 cm, weight 70 vs 80 kg, both p<0.001) and had more severely impaired EF (EF was <30% in 47% of Asians vs 28% of whites). Overall, unadjusted QRSd was shorter in Asians than whites (101 vs 104 ms, p<0.001). Lower EF was associated with longer QRSd (p<0.001), with a steeper association among Asians than whites (pinteraction<0.001), independent of age, sex and clinical covariates (including body size). Excluding patients with left bundle branch block (LBBB) and adjusting for clinical covariates, QRSd was similar in Asians and whites with HFPEF, but longer in Asians compared with whites with HFREF (p=0.001). Longer QRSd was associated with increased risk of HF hospitalisation or death (absolute 2-year event rate for ≤120 ms was 40% and for >120 ms it was 52%; HR for 10 ms increase of QRSd was 1.04 (1.03 to 1.06), p<0.001), with no interaction by ethnicity. Conclusion We found ethnic differences in the association between EF and QRSd among patients with HF. QRS prolongation was similarly associated with increased risk, but the implications for ethnicity-specific QRSd cut-offs in clinical decision-making require further study. PMID:27402805

  19. Electrocardiogram Derived QRS Duration >120 ms is Associated With Elevated Plasma Homocysteine Levels in a Rural Australian Cross-Sectional Population

    PubMed Central

    Leng, Yvonne Lee Yin; Zhou, Yuling; Ke, Honghong; Jelinek, Herbert; McCabe, Joel; Assareh, Hassan; McLachlan, Craig S.

    2015-01-01

    Abstract Homocysteine levels in the low to moderate range for cardiovascular risk have been previously associated with left ventricular cardiac hypertrophy (LVH). Electrocardiogram (ECG) derived QRS duration has also been used as an epidemiological screening marker for cardiac hypertrophy risk. QRS duration cut offs have not been previously modeled to assess homocysteine levels in community populations. Our aims are to determine if QRS duration is associated with an elevated homocysteine level in a cross-sectional Australian aging rural population. A retrospective study design utilizing a rural health diabetic screening clinic database containing observational data from the period January 9, 2002 till September 25, 2012. One hundred seventy-eight individuals (>21 years of age) from the database were included in the study. Inclusion criteria included being nondiabetic and having both a QRS duration measure and a matching homocysteine level within the same subject. All participants were from the Albury-Wodonga area, with a mean age of >64 years for both sexes. Mean population homocysteine plasma levels were 10.4 μmol/L (SD = 3.6). The mean QRS duration was 101.8 ms (SD = 17.4). Groups were stratified on the basis of QRS duration (≤120 ms [n = 157] and >120 ms [n = 21]). QRS duration subgroup (≤120 ms vs >120 ms) mean differences across homocysteine levels were 10.1 μmol/L (SD = 3.3) and 12.2 μmol/L (SD = 4.7), respectively (P = 0.016). Other ECG parameters (PQ interval, QTc interval, and QT dispersion) measurements were not significantly associated with differences in plasma homocysteine (P = not significant). We conclude that in community populations homocysteine may be moderately elevated when QRS durations are >120 ms. Small additional increases in homocysteine levels may suggest a risk factor for ECG diagnosis of LVH. PMID:26166085

  20. QRS duration: a novel marker of microvascular reperfusion as assessed by myocardial blush grade in ST elevation myocardial infarction patients undergoing a primary percutaneous intervention

    PubMed Central

    Yaylak, Bariş; Uğurlu, Murat; Kaya, İlyas; Uçaman, Berzal; Öztürk, Önder

    2015-01-01

    Objectives Prolonged QRS duration is a predictor of poor prognosis in patients with coronary artery disease. The association between the duration of QRS and myocardial reperfusion is not very well understood. Our aim was to assess the relationship between the measurements of QRS duration and myocardial blush grade (MBG) in patients with ST elevation myocardial infarction (STEMI) who were treated with a primary percutaneous intervention. Patients and methods A total of 213 patients (mean age: 57.5±11 years) with STEMI were included. ECG recordings were obtained for the evaluation of the QRS duration before and after primary percutaneous coronary intervention. Angiographic assessment in the infarct-related artery was performed using the MBG. Patients were categorized into two groups of those with impaired microvascular reperfusion (MBG: 0–1) and those with normal microvascular reperfusion (MBG: 2–3). Results Overall, 105 and 108 patients had an MBG of 0–1 or 2–3, respectively. There is no significant difference between patient’s characteristics. Despite the absence of a difference between two groups in terms of the QRS duration at presentation (P: 0.57), patients with impaired microvascular reperfusion were found to have longer QRS duration at immediately postprocedure (P: 0.003) and postprocedure 60 min time-points (P<0.001). Correlation analyses showed a positive correlation between pain-to-balloon time and QRS duration at postprocedure 60 min time-points (r: 0.137 and P: 0.04). Conclusion Our results suggest that longer QRS duration after angioplasty seemed to indicate the presence of impaired microvascular reperfusion in patients with STEMI. PMID:26166018

  1. Simultaneous wide and narrow QRS complex tachycardia: what is the mechanism?

    PubMed

    Rodríguez-Mañero, Moisés; Bayrak, Fatih; Namdar, Mehdi; Casado-Arroyo, Rubén; Ricciardi, Danilo; Chierchia, Gian-Battista; Sarkozy, Andrea; de Asmundis, Carlo; Brugada, Pedro

    2013-05-01

    We present the case of a 50-year-old patient with several episodes of syncope and documented simultaneous wide and narrow QRS complex tachycardia. We then review this tacharrhythmia, focusing on electrophysiological findings and pathophysiology, diagnosis and treatment. PMID:23688775

  2. Data fusion for QRS complex detection in multi-lead electrocardiogram recordings

    NASA Astrophysics Data System (ADS)

    Ledezma, Carlos A.; Perpiñan, Gilberto; Severeyn, Erika; Altuve, Miguel

    2015-12-01

    Heart diseases are the main cause of death worldwide. The first step in the diagnose of these diseases is the analysis of the electrocardiographic (ECG) signal. In turn, the ECG analysis begins with the detection of the QRS complex, which is the one with the most energy in the cardiac cycle. Numerous methods have been proposed in the bibliography for QRS complex detection, but few authors have analyzed the possibility of taking advantage of the information redundancy present in multiple ECG leads (simultaneously acquired) to produce accurate QRS detection. In our previous work we presented such an approach, proposing various data fusion techniques to combine the detections made by an algorithm on multiple ECG leads. In this paper we present further studies that show the advantages of this multi-lead detection approach, analyzing how many leads are necessary in order to observe an improvement in the detection performance. A well known QRS detection algorithm was used to test the fusion techniques on the St. Petersburg Institute of Cardiological Technics database. Results show improvement in the detection performance with as little as three leads, but the reliability of these results becomes interesting only after using seven or more leads. Results were evaluated using the detection error rate (DER). The multi-lead detection approach allows an improvement from DER = 3:04% to DER = 1:88%. Further works are to be made in order to improve the detection performance by implementing further fusion steps.

  3. Usefulness of Fragmented QRS Complex to Predict Arrhythmic Events and Cardiovascular Mortality in Patients With Noncompaction Cardiomyopathy.

    PubMed

    Cetin, Mehmet Serkan; Ozcan Cetin, Elif Hande; Canpolat, Ugur; Cay, Serkan; Topaloglu, Serkan; Temizhan, Ahmet; Aydogdu, Sinan

    2016-05-01

    We aimed to evaluate the prevalence and prognostic role of fragmented QRS complex (fQRS) in predicting arrhythmic events and cardiovascular mortality in patients with noncompaction cardiomyopathy (NCC). A total of 88 patients (64.8% men, mean age 38.6 ± 17.7 years) with the diagnosis of NCC were enrolled. Median follow-up time was 42.4 months. The fQRS was defined as the presence of ≥1 additional R wave (R') or notch on the R/S waves in ≥2 contiguous leads representing anterior (V1 to V5), inferior (II, III, and aVF), or lateral (I, aVL, and V6) myocardial segments. Compared to patients without fQRS group, patients with fQRS (fQRS (+) group) showed higher rates for total arrhythmic events, ventricular tachycardia, bradyarrhythmia requiring pacemaker, sudden cardiac death, cardiovascular mortality, and all-cause mortality. The cut-off point of ≥3 leads for the fQRS was the optimal point discriminating an arrhythmic event and cardiovascular mortality. In Kaplan-Meier survival analysis, total arrhythmic events and cardiovascular mortality occurred more frequently in the fQRS (+) group. In multivariate Cox proportional hazard regression analysis, after adjusting for other confounding factors, the presence of fQRS were found to be as an independent predictor of arrhythmic events (hazard ratio 3.850, 95% CI 1.062 to 9.947, p = 0.002) and cardiovascular mortality (hazard ratio 2.719, 95% CI 1.494 to 9.262, p = 0.005). In conclusion, the presence of fQRS complex, as a simple and feasible electrocardiographic marker, seems to be a novel predictor of arrhythmic events and cardiovascular mortality in patients with NCC. This simple parameter may be used in identifying patients at high risk for arrhythmic events and so individualization of specific therapies can be applied. PMID:26979479

  4. Short-term Prognosis of Fragmented QRS Complex in Patients with Non-ST Elevated Acute Myocardial Infarction

    PubMed Central

    Li, Min; Wang, Xiao; Mi, Shu-Hua; Chi, Zhe; Chen, Qing; Zhao, Xin; Nie, Shao-Ping

    2016-01-01

    Background: There remains significant debate as to the relationship between fragmented QRS (fQRS) complexes on electrocardiogram (ECG) and acute myocardial infarction (AMI). Few studies have reported on this relationship in non-ST elevated AMI (NSTEMI), and thus, we attempt to assess this relationship and its potential short-term prognostic value. Methods: This was a single-center, observational, retrospective cohort study. A total of 513 consecutive patients (399 men, 114 women) with NSTEMI within 24 h who underwent coronary angiography at our department, between January 1, 2014, and December 31, 2014. Patients were divided into 2 groups according to the presence or absence of fQRS complex on the admission ECG. fQRS complexes were defined as the existence of an additional R’ or crochetage wave, notching in the nadir of the S wave, RS fragmentation, or QS complexes on 2 contiguous leads. All patients were followed up for 6 months, and all major adverse cardiac events (MACE) were recorded. Results: In this study, there were 285 patients with fQRS ECG in the 513 patients with NSTEMI. The number of patients with 0–2 coronary arteries narrowed by ≥50% in fQRS group were less while patients with 3 narrowed arteries were more than in the non-fQRS group (P = 0.042). There were fewer Killip Class I patients in the fQRS group (P = 0.019), while Killip Class II, III, and IV patients were more in the fQRS group than in the non-fQRS group (P = 0.019). Left ventricular ejection fraction levels were significantly lower in the fQRS group (P = 0.021). Baseline total cholesterol, low-density lipoprotein, creatinine, creatine kinase, homocysteine, high-sensitivity C-reactive protein (CRP), and red blood cells distribution width levels were significantly higher in the fQRS group. Total MACE (MACE, P = 0.028), revascularization (P = 0.005), and recurrent angina (P = 0.005) were also significantly greater in the fQRS group. On final logistic regression analysis, after adjusting

  5. Combining algorithms in automatic detection of QRS complexes in ECG signals.

    PubMed

    Meyer, Carsten; Fernández Gavela, José; Harris, Matthew

    2006-07-01

    QRS complex and specifically R-Peak detection is the crucial first step in every automatic electrocardiogram analysis. Much work has been carried out in this field, using various methods ranging from filtering and threshold methods, through wavelet methods, to neural networks and others. Performance is generally good, but each method has situations where it fails. In this paper, we suggest an approach to automatically combine different QRS complex detection algorithms, here the Pan-Tompkins and wavelet algorithms, to benefit from the strengths of both methods. In particular, we introduce parameters allowing to balance the contribution of the individual algorithms; these parameters are estimated in a data-driven way. Experimental results and analysis are provided on the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) Arrhythmia Database. We show that our combination approach outperforms both individual algorithms. PMID:16871713

  6. A FPGA system for QRS complex detection based on Integer Wavelet Transform

    NASA Astrophysics Data System (ADS)

    Stojanović, R.; Karadaglić, D.; Mirković, M.; Milošević, D.

    2011-01-01

    Due to complexity of their mathematical computation, many QRS detectors are implemented in software and cannot operate in real time. The paper presents a real-time hardware based solution for this task. To filter ECG signal and to extract QRS complex it employs the Integer Wavelet Transform. The system includes several components and is incorporated in a single FPGA chip what makes it suitable for direct embedding in medical instruments or wearable health care devices. It has sufficient accuracy (about 95%), showing remarkable noise immunity and low cost. Additionally, each system component is composed of several identical blocks/cells what makes the design highly generic. The capacity of today existing FPGAs allows even dozens of detectors to be placed in a single chip. After the theoretical introduction of wavelets and the review of their application in QRS detection, it will be shown how some basic wavelets can be optimized for easy hardware implementation. For this purpose the migration to the integer arithmetic and additional simplifications in calculations has to be done. Further, the system architecture will be presented with the demonstrations in both, software simulation and real testing. At the end, the working performances and preliminary results will be outlined and discussed. The same principle can be applied with other signals where the hardware implementation of wavelet transform can be of benefit.

  7. On the relationship between block of the cardiac Na+ channel and drug-induced prolongation of the QRS complex

    PubMed Central

    Harmer, AR; Valentin, J-P; Pollard, CE

    2011-01-01

    BACKGROUND AND PURPOSE Inhibition of the human cardiac Na+ channel (hNav1.5) can prolong the QRS complex and has been associated with increased mortality in patients with underlying cardiovascular disease. The safety implications of blocking hNav1.5 channels suggest the need to test for this activity early in drug discovery in order to design out any potential liability. However, interpretation of hNav1.5 blocking potency requires knowledge of how hNav1.5 block translates into prolongation of the QRS complex. EXPERIMENTAL APPROACH We tested Class I anti-arrhythmics, other known QRS prolonging drugs and drugs not reported to prolong the QRS complex. Their block of hNav1.5 channels (as IC50 values) was measured in an automated electrophysiology-based assay. These IC50 values were compared with published reports of the corresponding unbound (free) plasma concentrations attained during clinical use (fCmax) to provide an IC50 : fCmax ratio. KEY RESULTS For 42 Class I anti-arrhythmics and other QRS prolonging drugs, 67% had IC50 : fCmax ratios <30. For 55 non-QRS prolonging drugs tested, 72% had ratios >100. Finally, we determined the relationship between the IC50 value and the free drug concentration associated with prolongation of the QRS complex in humans. For 37 drugs, QRS complex prolongation was observed at free plasma concentrations that were about 15-fold lower than the corresponding IC50 at hNav1.5 channels. CONCLUSIONS AND IMPLICATIONS A margin of 30- to 100-fold between hNav1.5 IC50 and fCmax appears to confer an acceptable degree of safety from QRS prolongation. QRS prolongation occurs on average at free plasma levels 15-fold below the IC50 at hNav1.5 channels. LINKED ARTICLE This article is commented on by Gintant et al., pp. 254–259 of this issue. To view this commentary visit http://dx.doi.org/10.1111/j.1476-5381.2011.01433.x PMID:21480866

  8. On the mechanism of augmentation of electrocardiogram QRS complexes in patients with congestive heart failure responding to diuresis.

    PubMed

    Madias, John E

    2005-01-01

    Patients with congestive heart failure (CHF) responding to diuresis reveal marked augmentation of the QRS complexes (AUG-QRS) in their electrocardiograms (ECGs). Recently, such change in the ECG has been observed in patients with anasarca (AN) of varying etiology commensurate with partial alleviation of the volume overload; similar ECG change has been noted in patients with end-stage renal failure after hemodialysis. The mechanism for the AUG-QRS in patients with CHF has been debated, and many have ascribed this ECG change to the "Brody effect," linking the AUG-QRS to reduction of intracardiac blood volumes resulting from diuresis. However, the Brody effect (a theoretical formulation not fully validated by experimentation and associated with controversy in its clinical implementation) has not provided a satisfactory explanation for the AUG-QRS in patients with CHF. In contrast, the described association between amelioration of AN in a diverse patient population and AUG-QRS suggests that this ECG change in patients with CHF is due to an increased electrical resistance of the passive body volume conductor, resulting from water loss effected by diuresis. This thesis is supported by theoretical work, animal experimentation, and clinical evidence. PMID:15660348

  9. Troponin I Assay for Identification of a Significant Coronary Stenosis in Patients with Suspected Acute Myocardial Infarction and Wide QRS Complex

    PubMed Central

    von Jeinsen, Beatrice; Tzikas, Stergios; Pioro, Gerhard; Palapies, Lars; Zeller, Tanja; Bickel, Christoph; Lackner, Karl J.; Baldus, Stephan; Blankenberg, Stefan; Muenzel, Thomas; Zeiher, Andreas M.; Keller, Till

    2016-01-01

    Background Common ECG criteria such as ST-segment changes are of limited value in patients with suspected acute myocardial infarction (AMI) and bundle branch block or wide QRS complex. A large proportion of these patients do not suffer from an AMI, whereas those with ST-elevation myocardial infarction (STEMI) equivalent AMI benefit from an aggressive treatment. Aim of the present study was to evaluate the diagnostic information of cardiac troponin I (cTnI) in hemodynamically stable patients with wide QRS complex and suspected AMI. Methods In 417 out of 1818 patients presenting consecutively between 01/2007 and 12/2008 in a prospective multicenter observational study with suspected AMI a prolonged QRS duration was observed. Of these, n = 117 showed significant obstructive coronary artery disease (CAD) used as diagnostic outcome variable. cTnI was determined at admission. Results Patients with significant CAD had higher cTnI levels compared to individuals without (median 250ng/L vs. 11ng/L; p<0.01). To identify patients needing a coronary intervention, cTnI yielded an area under the receiver operator characteristics curve of 0.849. Optimized cut-offs with respect to a sensitivity driven rule-out and specificity driven rule-in strategy were established (40ng/L/96ng/L). Application of the specificity optimized cut-off value led to a positive predictive value of 71% compared to 59% if using the 99th percentile cut-off. The sensitivity optimized cut-off value was associated with a negative predictive value of 93% compared to 89% provided by application of the 99th percentile threshold. Conclusion cTnI determined in hemodynamically stable patients with suspected AMI and wide QRS complex using optimized diagnostic thresholds improves rule-in and rule-out with respect to presence of a significant obstructive CAD. PMID:27148734

  10. QRS complex detection based on simple robust 2-D pictorial-geometrical feature.

    PubMed

    Hoseini Sabzevari, S A; Moavenian, Majid

    2014-01-01

    In this paper a heuristic method aimed for detecting of QRS complexes without any pre-process was developed. All the methods developed in previous studies were used pre-process, the most novelty of this study was suggesting a simple method which did not need any pre-process. Toward this objective, a new simple 2-D geometrical feature space was extracted from the original electrocardiogram (ECG) signal. In this method, a sliding window was moved sample-by-sample on the pre-processed ECG signal. During each forward slide of the analysis window an artificial image was generated from the excerpted segment allocated in the window. Then, a geometrical feature extraction technique based on curve-length and angle of highest point was applied to each image for establishment of an appropriate feature space. Afterwards the K-Nearest Neighbors (KNN), Artificial Neural Network (ANN) and Adaptive Network Fuzzy Inference Systems (ANFIS) were designed and implemented to the ECG signal. The proposed methods were applied to DAY general hospital high resolution holter data. For detection of QRS complex the average values of sensitivity Se = 99.93% and positive predictivity P+ = 99.92% were obtained. PMID:24144188

  11. 3DQRS: A method to obtain reliable QRS complex detection within high field MRI using 12-lead ECG traces

    PubMed Central

    Gregory, T. Stan; Schmidt, Ehud J.; Zhang, Shelley Hualei; Tse, Zion Tsz Ho

    2014-01-01

    Purpose To develop a technique that accurately detects the QRS complex in 1.5T, 3T and 7T MRI scanners.” Theory and Methods During early systole, blood is rapidly ejected into the aortic arch, traveling perpendicular to the MRI’s main field, which produces a strong voltage (VMHD) that eclipses the QRS complex. Greater complexity arises in arrhythmia patients, since VMHD can vary between sinus-rhythm and arrhythmic beats. The 3DQRS method uses a kernel consisting of 6 ECG precordial leads, compiled from a 12-lead ECG performed outside the magnet. The kernel is cross-correlated with signals acquired inside the MRI in order to identify the QRS complex in real time. The 3DQRS method was evaluated against a Vectorcardiogram-based (VCG) approach in 2 Premature Ventricular Contraction (PVC) and 2 Atrial Fibrillation (AF) patients, a healthy exercising athlete and 8 healthy volunteers, within 1.5T and 3T MRIs, using a prototype MRI-conditional 12 lead ECG system. 2 volunteers were recorded at 7T using a Holter recorder. Results For QRS complex detection, 3DQRS subject-averaged sensitivity levels, relative to VCG were: 1.5T (100% vs. 96.7%), 3T (98.9% vs. 92.2%), 7T (96.2% vs. 77.7%). Conclusions The 3DQRS method was shown to be more effective in cardiac gating than a conventional VCG-based method. PMID:24453116

  12. Radial dyssynchrony assessed by cardiovascular magnetic resonance in relation to left ventricular function, myocardial scarring and QRS duration in patients with heart failure

    PubMed Central

    2009-01-01

    Background Intuitively, cardiac dyssynchrony is the inevitable result of myocardial injury. We hypothezised that radial dyssynchrony reflects left ventricular remodeling, myocardial scarring, QRS duration and impaired LV function and that, accordingly, it is detectable in all patients with heart failure. Methods 225 patients with heart failure, grouped according to QRS duration of <120 ms (A, n = 75), between 120-149 ms (B, n = 75) or ≥150 ms (C, n = 75), and 50 healthy controls underwent assessment of radial dyssynchrony using the cardiovascular magnetic resonance tissue synchronization index (CMR-TSI = SD of time to peak inward endocardial motion in up to 60 myocardial segments). Results Compared to 50 healthy controls (21.8 ± 6.3 ms [mean ± SD]), CMR-TSI was higher in A (74.8 ± 34.6 ms), B (92.4 ± 39.5 ms) and C (104.6 ± 45.6 ms) (all p < 0.0001). Adopting a cut-off CMR-TSI of 34.4 ms (21.8 plus 2xSD for controls) for the definition of dyssynchrony, it was present in 91% in A, 95% in B and 99% in C. Amongst patients in NYHA class III or IV, with a LVEF<35% and a QRS>120 ms, 99% had dyssynchrony. Amongst those with a QRS<120 ms, 91% had dyssynchrony. Across the study sample, CMR-TSI was related positively to left ventricular volumes (p < 0.0001) and inversely to LVEF (CMR-TSI = 178.3 e (-0.033 LVEF) ms, p < 0.0001). Conclusion Radial dyssynchrony is almost universal in patients with heart failure. This vies against the notion that a lack of response to CRT is related to a lack of dyssynchrony. PMID:19930713

  13. A consensus algorithm for approximate string matching and its application to QRS complex detection

    NASA Astrophysics Data System (ADS)

    Alba, Alfonso; Mendez, Martin O.; Rubio-Rincon, Miguel E.; Arce-Santana, Edgar R.

    2016-08-01

    In this paper, a novel algorithm for approximate string matching (ASM) is proposed. The novelty resides in the fact that, unlike most other methods, the proposed algorithm is not based on the Hamming or Levenshtein distances, but instead computes a score for each symbol in the search text based on a consensus measure. Those symbols with sufficiently high scores will likely correspond to approximate instances of the pattern string. To demonstrate the usefulness of the proposed method, it has been applied to the detection of QRS complexes in electrocardiographic signals with competitive results when compared against the classic Pan-Tompkins (PT) algorithm. The proposed method outperformed PT in 72% of the test cases, with no extra computational cost.

  14. Gaps in anterograde conduction in patients with the short PR interval, normal QRS complex syndrome.

    PubMed Central

    Camm, A J; Ward, D E; Spurrell, R A

    1978-01-01

    Of 8 patients with the short PR interval, normal QRS complex syndrome studied recently, 3 reported here displayed gaps in anterograde conduction. Atrial premature beats at decreasing coupling intervals conducted with minimal AH prolongation until a zone within the cardiac cycle was reached where conduction failed at a supra-Hisian level. Conduction resumed at earlier atrial coupling intervals and was associated with a sudden increase in the AH interval and the appearance of atrial echo beats with earliest atrial activation on the proximal coronary sinus electrogram. It is suggested that the failure of anterograde conduction at relatively late atrial coupling intervals was caused by a short AH functional refractoriness produced by the pre-excitation of the lower AV junction by a partial AV nodal bypass. Conduction resumed only when early atrial premature beats found the extranodal pathway refractory and were transmitted with decremental delay through the AV node. PMID:708513

  15. Transient attenuation of the amplitude of the QRS complexes in the diagnosis of Takotsubo syndrome

    PubMed Central

    2014-01-01

    Background and objectives: Currently, there are no specific diagnostic electrocardiogram (ECG) signs for Takotsubo syndrome (TTS) to differentiate it from acute coronary syndromes (ACS). Myocardial oedema has been detected by cardiac magnetic resonance imaging in patients with TTS. Recently it has been postulated that myocardial oedema may be the cause of low QRS voltage (LQRSV) in the admission ECG and attenuation of the amplitude of the QRS complexes (AAQRS) in serial ECGs, noted in a few published cases of patients with TTS. The objective of this study was to evaluate whether the admission ECG of patients with documented TTS reveals LQRSV and whether AAQRS is found when serial ECGs are compared in such patients. Methods: This study evaluated the prevalence of LQRSV in the admission ECG and AAQRS in serial ECGs in patients with TTS. ECGs of 368 patients with TTS from published reports in the international literature were evaluated for LQRSV (≤5 mm in limb leads and/or ≤10 mm in precordial leads) and AAQRS in serial ECGs. Results: LQRSV was seen in 91.5% of 200 patients with TTS and one ECG, with a distribution of 49.0, 42.8, 51.0, 52.0, and 46.9%, in lead aVR, and inferior, anterior, lateral, and high lateral ECG lead groups, respectively. AAQRS was seen in 93.5% of 168 patients with TTS and two or more ECGs, with a distribution of 78.3, 74.5, 60.1, 70.7, and 74.5% in lead aVR, and inferior, anterior, lateral, and high lateral ECG lead groups, respectively. Conclusions: LQRSV and AAQRS are highly prevalent ECG signs in patients with TTS, and should be useful in aiding in its diagnosis and differentiation from ACS, on first contact with the patient on admission to the hospital, and the ensuing 24 hours, in conjunction with echocardiography and coronary arteriography. PMID:24562801

  16. Paced QRS duration and myocardial scar amount: predictors of long-term outcome of right ventricular apical pacing.

    PubMed

    Lee, Seung-Ah; Cha, Myung-Jin; Cho, Youngjin; Oh, Il-Young; Choi, Eue-Keun; Oh, Seil

    2016-07-01

    Long-term right ventricular apical pacing (RVAP) is reportedly associated with heart failure (HF) development. However, the predictors of pacing-induced HF (PHF) remained unclear. We retrospectively enrolled 234 patients without structural heart disease who underwent a permanent pacemaker implantation with RVAP between 1982 and 2004. RVAP-induced HF was defined as left ventricular ejection fraction decrease >5 % with HF symptom without other HF development etiology. The QRS duration of a paced beat (pQRSd) and myocardial scar score were analyzed from each patient's 12-lead ECG. During a mean 15.6 years (range 3.3-30.0 years), 48 patients (20.5 %) patients developed RVAP-induced HF. The PHF group patients had a longer pQRSd (192.4 ± 13.5 vs. 175.7 ± 14.7 ms in non-PHF patients, p < 0.001) and a higher myocardial scar score (5.2 ± 1.9 vs. 2.7 ± 1.9, respectively p < 0.001). In multivariate Cox regression analysis, old age at implantation [Hazard ratio (HR) 1.62, 95 % confidential interval (CI) 1.22-2.16, p = 0.001], a longer pQRSd (HR 1.54, 95 % CI 1.15-2.05, p = 0.003), a higher myocardial scar score (HR 1.23, 95 % CI 1.03-1.49, p = 0.037), and a higher percentage of ventricular pacing (HR 1.31, 95 % CI 1.01-1.49, p = 0.010) were independent predictors of PHF. Based on the results of the receiver-operating characteristic (ROC) curve, the pQRSd cutoff was 185 ms (AUC 0.79, sensitivity 66.7 %, specificity 76.3 %) and myocardial scar score cutoff value was 4 (AUC 0.81, sensitivity 81.3 %, specificity 66.1 %). The pQRSd was positively correlated with scar score (r = 0.70, p < 0.001). pQRSd ≥185 ms and/or myocardial scar score ≥4 might be independent long-term prognostic markers of PHF. PMID:26142378

  17. Intraventricular conduction defect (IVCD), real or fancied, QRS duration in 1,254 normal adult white males by a multilead automated algorithm.

    PubMed

    Selvester, R H; Velasquez, D W; Elko, P P; Cady, L D

    1990-01-01

    The QRS duration (QRSD) on a digital 12 simultaneous lead ECG was measured by a commercially available recording cart (Marquette MACII 12SL) in 1,254 white male safety workers (ages 19-65, mean 34). All had a negative history (including drugs known to affect the cardiovascular or pulmonary systems), a negative family history (in immediate family members before age 55), no physical findings suggestive of heart disease, a normal blood chemistry profile, pulmonary function tests, and symptom limited bicycle exercise test. The frontal QRS axis was between -30 and -65 in 22 of 1,254 (1.8%). Twenty-seven of 1,254 (2.1%) had QRSD greater than or equal to 120 ms-14 of these had normal morphology; 2 had RBB; 3 had atypical RBB; 5 had R' in V1, V2; 2 had WPW; and 1 had Superior Fascicular Block. Sixty-three (5%) had a QRSD greater than or equal to 112 and less than or equal to 116 ms-36 of this group had normal morphology; 1 had typical RBBB; and 26 had R' V1, V2 (considered a normal variant as it occurred in 360 of 1,164 remaining with QRSD less than or equal to 108). In 1,224 white men with normal QRS morphologies and frontal axis (-25 to 100), the 98% upper and lower bounds of QRSD with the 12SL algorithm, like that seen in BSMs, was 80-116 ms, peak 96 ms.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:2090729

  18. Quick detection of QRS complexes and R-waves using a wavelet transform and K-means clustering.

    PubMed

    Xia, Yong; Han, Junze; Wang, Kuanquan

    2015-01-01

    Based on the idea of telemedicine, 24-hour uninterrupted monitoring on electrocardiograms (ECG) has started to be implemented. To create an intelligent ECG monitoring system, an efficient and quick detection algorithm for the characteristic waveforms is needed. This paper aims to give a quick and effective method for detecting QRS-complexes and R-waves in ECGs. The real ECG signal from the MIT-BIH Arrhythmia Database is used for the performance evaluation. The method proposed combined a wavelet transform and the K-means clustering algorithm. A wavelet transform is adopted in the data analysis and preprocessing. Then, based on the slope information of the filtered data, a segmented K-means clustering method is adopted to detect the QRS region. Detection of the R-peak is based on comparing the local amplitudes in each QRS region, which is different from other approaches, and the time cost of R-wave detection is reduced. Of the tested 8 records (total 18201 beats) from the MIT-BIH Arrhythmia Database, an average R-peak detection sensitivity of 99.72 and a positive predictive value of 99.80% are gained; the average time consumed detecting a 30-min original signal is 5.78s, which is competitive with other methods. PMID:26405862

  19. Frequency of fragmented QRS in patient with psoriasis vulgaris without cardiovascular disease.

    PubMed

    Baş, Yalçın; Altunkaş, Fatih; Seçkin, Havva Yıldız; Takcı, Zennure; Arısoy, Arif; Karayakalı, Metin; Karaman, Kayıhan; Demir, Osman

    2016-07-01

    Myocardial fibrosis causes the fragmentation of QRS complexes on electrocardiogram. We hypothesized that the frequency of fragmented QRS (fQRS) could be more common in patients with psoriasis vulgaris than in healthy control subjects. In this prospective study, 100 patients with psoriasis vulgaris who did not have any cardiovascular disease were compared with 50 healthy volunteers in control group. The Psoriasis Area Severity Index (PASI) was used for expressing the severity of psoriasis. Patients with psoriasis were categorized according to presence of fQRS in ECG [fQRS (+) group and fQRS (-) group]. Patients with psoriasis had higher frequency of fQRS, higher levels of C reactive protein (CRP) and sedimentation rate (ESR) than the control group (n = 49, 49 % vs. n = 3, 6 %, p < 0.001; 9.91 ± 17.86 vs. 3.59 ± 0.79 mg/dL, p = 0.014; 17.37 ± 17.40 vs. 5.66 ± 5.22 mm/h, p < 0.001, respectively). Within the patient group there was no statistically significant difference between fQRS (+) and fQRS (-) subgroups with regards to sex, disease duration, CRP, ESR, medications and PASI score. It was suggested that presence of fQRS in ECG may be related with myocardial fibrosis in patients with psoriasis who do not have cardiovascular disease. For this reason, in our opinion, fQRS could be used as a predictive marker for myocardial fibrosis in patients with psoriasis. PMID:27139431

  20. Stream computing for biomedical signal processing: A QRS complex detection case-study.

    PubMed

    Murphy, B M; O'Driscoll, C; Boylan, G B; Lightbody, G; Marnane, W P

    2015-01-01

    Recent developments in "Big Data" have brought significant gains in the ability to process large amounts of data on commodity server hardware. Stream computing is a relatively new paradigm in this area, addressing the need to process data in real time with very low latency. While this approach has been developed for dealing with large scale data from the world of business, security and finance, there is a natural overlap with clinical needs for physiological signal processing. In this work we present a case study of streams processing applied to a typical physiological signal processing problem: QRS detection from ECG data. PMID:26737641

  1. Studies of the electrical activity of the ventricles and the origin of the QRS complex.

    PubMed

    Scher, A M

    1995-01-01

    Historical events in the development of cardiac electrophysiology are described briefly. Observations before 1900 showed that electrical changes accompanied activity of muscle and nerve. Other studies showed that electrical activity of the heart produced voltage changes on the human torso. In 1903 Einthoven developed the string galvanometer which made measurement of electrocardiographic potentials much easier, more accurate and more common. The bases of understanding of arrhythmias were established by Lewis in the early 1900's. Soon thereafter Wilson devised practical and theoretical approaches to the human electrocardiogram which led to many further developments. Events before 1950 established the existence and mechanism of electrical activity in excitable cells. Studies of the origin of QRS began in about 1950, with studies of depolarization of the canine ventricle. Studies of the human ventricle followed. In the 70's it appeared possible to solve the electrocardiographic forward problem, prediction of electrocardiographic potentials from a knowledge of intracardiac events. That solution appeared possible because of new approaches to the associated physical and computational problems. Attempts to solve the forward problem at that time assumed that the cardiac generator (the boundary between resting and depolarized cells) was a uniform double layer generator. (The strength of the generator is constant everywhere along the boundary). Meanwhile physiologists and anatomists had worked out the mechanism of communication between cardiac cells. The cells are longer than they are wide, and each cell can depolarize contiguous cells. The connections between cells are predominantly at the ends of the cell and the longitudinal depolarization of a cardiac mass travels three times as fast as transverse depolarization. The generator is not uniform but is strongest parallel to the long axes of the cells. Many or most of those working in the field did not recognize the importance

  2. [Differential diagnosis of a narrow QRS tachycardia].

    PubMed

    Lewalter, Thorsten

    2015-09-01

    The differential diagnosis of a narrow QRS tachycardia requires on the one hand knowledge about the clinical data of the tachycardia patient but on the other hand a systematic step by step analysis of the electrocardiogram (ECG) is the most successful approach. Apart from the question of regularity or irregularity of the QRS complexes, the presence and detection of P waves is also of importance. The P wave timing in relation to the preceding and the following QRS complexes as well as the numerical relationship of P waves and QRS complexes allow a well-founded suspected diagnosis to be achieved in most cases. Even the differentiation between atrioventricular (AV) nodal reentrant tachycardia (AVNRT) versus orthodromic AV reentrant tachycardia (AVRT), e.g. by accessory leads, is in most cases possible in a surface ECG. Obviously, there are constellations which need an invasive electrophysiological procedure for a definitive diagnosis. PMID:26287273

  3. High Frequency QRS ECG Accurately Detects Cardiomyopathy

    NASA Technical Reports Server (NTRS)

    Schlegel, Todd T.; Arenare, Brian; Poulin, Gregory; Moser, Daniel R.; Delgado, Reynolds

    2005-01-01

    High frequency (HF, 150-250 Hz) analysis over the entire QRS interval of the ECG is more sensitive than conventional ECG for detecting myocardial ischemia. However, the accuracy of HF QRS ECG for detecting cardiomyopathy is unknown. We obtained simultaneous resting conventional and HF QRS 12-lead ECGs in 66 patients with cardiomyopathy (EF = 23.2 plus or minus 6.l%, mean plus or minus SD) and in 66 age- and gender-matched healthy controls using PC-based ECG software recently developed at NASA. The single most accurate ECG parameter for detecting cardiomyopathy was an HF QRS morphological score that takes into consideration the total number and severity of reduced amplitude zones (RAZs) present plus the clustering of RAZs together in contiguous leads. This RAZ score had an area under the receiver operator curve (ROC) of 0.91, and was 88% sensitive, 82% specific and 85% accurate for identifying cardiomyopathy at optimum score cut-off of 140 points. Although conventional ECG parameters such as the QRS and QTc intervals were also significantly longer in patients than controls (P less than 0.001, BBBs excluded), these conventional parameters were less accurate (area under the ROC = 0.77 and 0.77, respectively) than HF QRS morphological parameters for identifying underlying cardiomyopathy. The total amplitude of the HF QRS complexes, as measured by summed root mean square voltages (RMSVs), also differed between patients and controls (33.8 plus or minus 11.5 vs. 41.5 plus or minus 13.6 mV, respectively, P less than 0.003), but this parameter was even less accurate in distinguishing the two groups (area under ROC = 0.67) than the HF QRS morphologic and conventional ECG parameters. Diagnostic accuracy was optimal (86%) when the RAZ score from the HF QRS ECG and the QTc interval from the conventional ECG were used simultaneously with cut-offs of greater than or equal to 40 points and greater than or equal to 445 ms, respectively. In conclusion 12-lead HF QRS ECG employing

  4. A PD control-based QRS detection algorithm for wearable ECG applications.

    PubMed

    Choi, Changmok; Kim, Younho; Shin, Kunsoo

    2012-01-01

    We present a QRS detection algorithm for wearable ECG applications using a proportional-derivative (PD) control. ECG data of arrhythmia have irregular intervals and magnitudes of QRS waves that impede correct QRS detection. To resolve the problem, PD control is applied to avoid missing a small QRS wave followed from a large QRS wave and to avoid falsely detecting noise as QRS waves when an interval between two adjacent QRS waves is large (e.g. bradycardia, pause, and arioventricular block). ECG data was obtained from 78 patients with various cardiovascular diseases and tested for the performance evaluation of the proposed algorithm. The overall sensitivity and positive predictive value were 99.28% and 99.26%, respectively. The proposed algorithm has low computational complexity, so that it can be suitable to apply mobile ECG monitoring system in real time. PMID:23367208

  5. Real-time, high frequency QRS electrocardiograph

    NASA Technical Reports Server (NTRS)

    Schlegel, Todd T. (Inventor); DePalma, Jude L. (Inventor); Moradi, Saeed (Inventor)

    2006-01-01

    Real time cardiac electrical data are received from a patient, manipulated to determine various useful aspects of the ECG signal, and displayed in real time in a useful form on a computer screen or monitor. The monitor displays the high frequency data from the QRS complex in units of microvolts, juxtaposed with a display of conventional ECG data in units of millivolts or microvolts. The high frequency data are analyzed for their root mean square (RMS) voltage values and the discrete RMS values and related parameters are displayed in real time. The high frequency data from the QRS complex are analyzed with imbedded algorithms to determine the presence or absence of reduced amplitude zones, referred to herein as RAZs. RAZs are displayed as go, no-go signals on the computer monitor. The RMS and related values of the high frequency components are displayed as time varying signals, and the presence or absence of RAZs may be similarly displayed over time.

  6. Magnetocardiographic intra-QRS fragmentation analysis in the identification of patients with sustained ventricular tachycardia after myocardial infarction.

    PubMed

    Korhonen, P; Montonen, J; Endt, P; Mäkijärvi, M; Trahms, L; Katila, T; Toivonen, L

    2001-08-01

    The aim of this study was to investigate if magnetocardiographic (MCG) analysis of cardiac micropotentials within the QRS complex can identity patients prone to ventricular arrhythmias, and to compare it to MCG time-domain, late-field analysis. The study population consisted of 136 patients with remote MI, 53 with and 83 without a history of VT. After averaging and high pass filtering of multichannel MCG signals, time-domain parameters describing the end-QRS activity and fragmentation index M and score S describing the whole QRS complex were computed. Fragmentation and time-domain parameters differed between the VT and control groups: fragmentation index M was 12 +/- 3 versus 9 +/- 2 (P <0.001), fragmentation score S was 83 +/- 42 versus 56 +/- 21 (P < 0.001), and filtered QRS duration was 144 +/- 32 versus 114 +/- 19 ms (P < 0.001) in VT and control groups, respectively. A combination of fragmentation parameters yielded 87% sensitivity and 61% specificity in VT identification. Corresponding figures for a time-domain parameter combination were 81% and 72%. Sensitivity of time-domain analysis was 88% and specificity was 75% in a subgroup with anterior MI. In multivariate analysis, fragmentation and time-domain analyses discriminated VT patients from controls independently of the extent of coronary artery disease or left ventricular dysfunction. MCG in postinfarction patients reveals pathology associated with propensity to ventricular arrhythmias inside and not only at the end of the QRS complex. MCG seems most accurate in the anterior infarct location. PMID:11523602

  7. QRS alternans with 2:1 atrioventricular conduction block: what is the mechanism?

    PubMed

    Yamada, Takumi; Tabereaux, Paul B; McElderry, H Thomas; Kay, G Neal

    2008-07-01

    An 81-year-old woman was admitted for symptomatic bradycardia. On admission, the ECG exhibited QRS alternans, narrow QRS complex and left bundle branch block with 2:1 AV block. The patient soon had complete AV block and underwent a pacemaker implantation. An appropriate mechanism for explaining those ECG findings might be 4:1 conduction over the left bundle branch and 2:1 conduction over the right bundle branch. An ECG pattern exhibiting QRS alternans with a narrow QRS complex and bundle branch block with 2:1 AV block may suggest the coexistence of both bundle branch blocks and a high risk of complete AV block. PMID:18713334

  8. Prosodic complexity and phrase length as factors in pause duration

    NASA Astrophysics Data System (ADS)

    Krivokapic, Jelena

    2001-05-01

    Research on pauses has mainly focused on predicting the likelihood of pause occurrence and on the effect of syntactic structure on pause duration within an utterance. Very little is known about what factors, apart from syntactic and discourse factors, influence the length of pauses between utterances or phrases. This experiment examines the effect of prosodic structure and phrase length on pause duration. Subjects read 24 English sentences varying along the following parameters: (a) the length in syllables of the intonational phrase preceding and following the pause and (b) the prosodic structure of the intonational phrase preceding and following the pause, specifically whether or not the intonational phrase branches into smaller phrases. In order to minimize variability due to speech rate and individual differences, speakers read sentences synchronously in dyads (Cummins, 2002; Zvonik and Cummins, 2002). The results show that length has a significant effect on pause duration both pre- and postboundary for all dyads, and that prosodic complexity has a significant postboundary effect for some dyads. The possible reasons for the observed pause duration effects and the implications of these results on the question of incrementality in speech production are discussed. [Work supported by NIH DC03172.

  9. Microcontroller-based real-time QRS detection.

    PubMed

    Sun, Y; Suppappola, S; Wrublewski, T A

    1992-01-01

    The authors describe the design of a system for real-time detection of QRS complexes in the electrocardiogram based on a single-chip microcontroller (Motorola 68HC811). A systematic analysis of the instrumentation requirements for QRS detection and of the various design techniques is also given. Detection algorithms using different nonlinear transforms for the enhancement of QRS complexes are evaluated by using the ECG database of the American Heart Association. The results show that the nonlinear transform involving multiplication of three adjacent, sign-consistent differences in the time domain gives a good performance and a quick response. When implemented with an appropriate sampling rate, this algorithm is also capable of rejecting pacemaker spikes. The eight-bit single-chip microcontroller provides sufficient throughput and shows a satisfactory performance. Implementation of multiple detection algorithms in the same system improves flexibility and reliability. The low chip count in the design also favors maintainability and cost-effectiveness. PMID:1450792

  10. Effect of QRS Narrowing After Cardiac Resynchronization Therapy on Functional Mitral Regurgitation in Patients With Systolic Heart Failure.

    PubMed

    Karaca, Oguz; Omaygenc, Mehmet Onur; Cakal, Beytullah; Cakal, Sinem Deniz; Gunes, Haci Murat; Barutcu, Irfan; Boztosun, Bilal; Kilicaslan, Fethi

    2016-02-01

    The determinants of improvement in functional mitral regurgitation (FMR) after cardiac resynchronization therapy (CRT) remain unclear. We evaluated the predictors of FMR improvement and hypothesized that CRT-induced change in QRS durationQRS) might have an impact on FMR response after CRT. One hundred ten CRT recipients were enrolled. CRT response (≥ 15 reduction in left ventricular end-systolic volume) and FMR response (absolute reduction in FMR volume) were assessed with echocardiography before and 6 months after CRT. The study end points included all-cause death or hospitalization assessed in 12 ± 3 months (range 1 to 18). A total of 71 patients (65%) responded to CRT at 6 months. FMR response was observed in 49 (69%) of the CRT responders and 8 (20%) of the CRT nonresponders (p <0.001). Although the baseline QRS durations were similar, the paced QRS durations were shorter (p = 0.012) and the ΔQRS values were greater (p = 0.003) in FMR responders compared with FMR nonresponders. There was a linear correlation between ΔQRS and change in regurgitant volume (r = 0.49, p <0.001). At multivariate analysis, baseline tenting area (p = 0.012) and ΔQRS (p = 0.028) independently predicted FMR response. A ΔQRS ≥ 20 ms was related to CRT response, FMR improvement, and lower rates of death or hospitalization during follow-up (p values <0.05). In conclusion, QRS narrowing after CRT independently predicts FMR response. A ΔQRS ≥ 20 ms after CRT is associated with a favorable outcome in all clinical end points. PMID:26721652

  11. Envelopment filter and K-means for the detection of QRS waveforms in electrocardiogram.

    PubMed

    Merino, Manuel; Gómez, Isabel María; Molina, Alberto J

    2015-06-01

    The electrocardiogram (ECG) is a well-established technique for determining the electrical activity of the heart and studying its diseases. One of the most common pieces of information that can be read from the ECG is the heart rate (HR) through the detection of its most prominent feature: the QRS complex. This paper describes an offline version and a real-time implementation of a new algorithm to determine QRS localization in the ECG signal based on its envelopment and K-means clustering algorithm. The envelopment is used to obtain a signal with only QRS complexes, deleting P, T, and U waves and baseline wander. Two moving average filters are applied to smooth data. The K-means algorithm classifies data into QRS and non-QRS. The technique is validated using 22 h of ECG data from five Physionet databases. These databases were arbitrarily selected to analyze different morphologies of QRS complexes: three stored data with cardiac pathologies, and two had data with normal heartbeats. The algorithm has a low computational load, with no decision thresholds. Furthermore, it does not require any additional parameter. Sensitivity, positive prediction and accuracy from results are over 99.7%. PMID:25922210

  12. Effects of presentation duration on measures of complexity in affective environmental scenes and representational paintings.

    PubMed

    Marin, Manuela M; Leder, Helmut

    2016-01-01

    Complexity constitutes an integral part of humans' environment and is inherent to information processing. However, little is known about the dynamics of visual complexity perception of affective environmental scenes (IAPS pictures) and artworks, such as affective representational paintings. In three experiments, we studied the time course of visual complexity perception by varying presentation duration and comparing subjective ratings with objective measures of complexity. In Experiment 1, 60 females rated 96 IAPS pictures, presented either for 1, 5, or 25s, for familiarity, complexity, pleasantness and arousal. In Experiment 2, another 60 females rated 96 representational paintings. Mean ratings of complexity and pleasantness changed according to presentation duration in a similar vein in both experiments, suggesting an inverted U-shape. No common pattern of results was observed for arousal and familiarity ratings across the two picture sets. The correlations between subjective and objective measures of complexity increased with longer exposure durations for IAPS pictures, but results were more ambiguous for paintings. Experiment 3 explored the time course of the multidimensionality of visual complexity perception. Another 109 females rated the number of objects, their disorganization and the differentiation between a figure-ground vs. complex scene composition of pictures presented for 1 and 5s. The multidimensionality of visual complexity only clearly emerged in the 5-s condition. In both picture sets, the strength of the correlations with objective measures depended on the type of subdimension of complexity and was less affected by presentation duration than correlations with general complexity in Experiments 1 and 2. These results have clear implications for perceptual and cognitive theories, especially for those of esthetic experiences, in which the dynamical changes of complexity perception need to be integrated. PMID:26595281

  13. Purkinje-cell plasticity and cerebellar motor learning are graded by complex-spike duration.

    PubMed

    Yang, Yan; Lisberger, Stephen G

    2014-06-26

    Behavioural learning is mediated by cellular plasticity, such as changes in the strength of synapses at specific sites in neural circuits. The theory of cerebellar motor learning relies on movement errors signalled by climbing-fibre inputs to cause long-term depression of synapses from parallel fibres to Purkinje cells. However, a recent review has called into question the widely held view that the climbing-fibre input is an 'all-or-none' event. In anaesthetized animals, there is wide variation in the duration of the complex spike (CS) caused in Purkinje cells by a climbing-fibre input. Furthermore, the amount of plasticity in Purkinje cells is graded according to the duration of electrically controlled bursts in climbing fibres. The duration of bursts depends on the 'state' of the inferior olive and therefore may be correlated across climbing fibres. Here we provide a potential functional context for these mechanisms during motor learning in behaving monkeys. The magnitudes of both plasticity and motor learning depend on the duration of the CS responses. Furthermore, the duration of CS responses seems to be a meaningful signal that is correlated across the Purkinje-cell population during motor learning. We suggest that during learning, longer bursts in climbing fibres lead to longer-duration CS responses in Purkinje cells, more calcium entry into Purkinje cells, larger synaptic depression, and stronger learning. The same graded impact of instructive signals for plasticity and learning might occur throughout the nervous system. PMID:24814344

  14. Intra-QRS Spectral Changes Accompany ST Segment Changes During Episodes of Myocardial Ischemia

    PubMed Central

    Gramatikov, Boris; Iyer, Vivek

    2014-01-01

    Background Coronary artery disease and myocardial ischemia cause substantial morbidity and mortality. While ischemia is traditionally diagnosed on the 12-lead electrocardiogram (ECG) by shifts in the ST segment, electrical changes are also produced within the QRS complex during depolarization of ischemic ventricular tissue, though these are often of small amplitude and can be missed in traditional ECG analysis. We explore the utility of an easily implemented spectral analysis method for detecting intra-QRS changes during episodes of myocardial ischemia, using Holter recordings from the European ST-T database. Methods Time-frequency distributions of QRS complexes from each recording were computed using the continuous wavelet transform. Indices corresponding to frequency content of four overlapping frequency bands were computed: F1 (24–35 Hz), F2 (30–45 Hz), F3 (40–60 Hz), and F4 (50–80 Hz). Values of these indices were compared during annotated episodes of ST change and during a baseline during the recording. Results Marked changes in intra-QRS frequency content were identified during ischemia, grouped by ECG lead analyzed. In lead III, a pronounced and statistically significant increase in the highest frequency sub-bands (F3 and F4) was consistently observed. Analysis of anterior precordial leads also showed significant increases in F4. Conclusions Intra-QRS time-frequency analysis using the continuous wavelet transform can identify a spectral signature corresponding to myocardial ischemia in the range 24–80 Hz. Intra-QRS spectral analysis has the potential for many clinical applications. PMID:25266140

  15. QRS template matching for recognition of ventricular ectopic beats.

    PubMed

    Krasteva, Vessela; Jekova, Irena

    2007-12-01

    We propose a quasi real-time method for discrimination of ventricular ectopic beats from both supraventricular and paced beats in the electrocardiogram (ECG). The heartbeat waveforms were evaluated within a fixed-length window around the fiducial points (100 ms before, 450 ms after). Our algorithm was designed to operate with minimal expert intervention and we define that the operator is required only to initially select up to three 'normal' heartbeats (the most frequently seen supraventricular or paced complexes). These were named original QRS templates and their copies were substituted continuously throughout the ECG analysis to capture slight variations in the heartbeat waveforms of the patient's sustained rhythm. The method is based on matching of the evaluated heartbeat with the QRS templates by a complex set of ECG descriptors, including maximal cross-correlation, area difference and frequency spectrum difference. Temporal features were added by analyzing the R-R intervals. The classification criteria were trained by statistical assessment of the ECG descriptors calculated for all heartbeats in MIT-BIH Supraventricular Arrhythmia Database. The performance of the classifiers was tested on the independent MIT-BIH Arrhythmia Database. The achieved unbiased accuracy is represented by sensitivity of 98.4% and specificity of 98.86%, both being competitive to other published studies. The provided computationally efficient techniques enable the fast post-recording analysis of lengthy Holter-monitor ECG recordings, as well as they can serve as a quasi real-time detection method embedded into surface ECG monitors. PMID:17805974

  16. Value of the Qrs-T Angle in Predicting the Induction of Ventricular Tachyarrhythmias in Patients with Chagas Disease

    PubMed Central

    Zampa, Hugo Bizetto; Moreira, Dalmo AR; Ferreira Filho, Carlos Alberto Brandão; Souza, Charles Rios; Menezes, Camila Caldas; Hirata, Henrique Seichii; Armaganijan, Luciana Vidal

    2014-01-01

    Background The QRS-T angle correlates with prognosis in patients with heart failure and coronary artery disease, reflected by an increase in mortality proportional to an increase in the difference between the axes of the QRS complex and T wave in the frontal plane. The value of this correlation in patients with Chagas heart disease is currently unknown. Objective Determine the correlation of the QRS-T angle and the risk of induction of ventricular tachycardia / ventricular fibrillation (VT / VF) during electrophysiological study (EPS) in patients with Chagas disease. Methods Case-control study at a tertiary center. Patients without induction of VT / VF on EPS were used as controls. The QRS-T angle was categorized as normal (0-105º), borderline (105-135º) or abnormal (135-180º). Differences between groups for continuous variables were analyzed with the t test or Mann-Whitney test, and for categorical variables with Fisher's exact test. P values < 0.05 were considered significant. Results Of 116 patients undergoing EPS, 37.9% were excluded due to incomplete information / inactive records or due to the impossibility to correctly calculate the QRS-T angle (presence of left bundle branch block and atrial fibrillation). Of 72 patients included in the study, 31 induced VT / VF on EPS. Of these, the QRS-T angle was normal in 41.9%, borderline in 12.9% and abnormal in 45.2%. Among patients without induction of VT / VF on EPS, the QRS-T angle was normal in 63.4%, borderline in 14.6% and abnormal in 17.1% (p = 0.04). When compared with patients with normal QRS-T angle, those with abnormal angle had a fourfold higher risk of inducing ventricular tachycardia / ventricular fibrillation on EPS [odds ratio (OR) 4; confidence interval (CI) 1.298-12.325; p = 0.028]. After adjustment for other variables such as age, ejection fraction (EF) and QRS size, there was a trend for the abnormal QRS-T angle to identify patients with increased risk of inducing VT / VF during EPS (OR 3

  17. Differential diagnosis of wide QRS tachycardias.

    PubMed

    Lobban, J H; Schmidt, S B; Rhodes, L A; Jain, A C

    1994-06-01

    This article has reviewed the differential diagnosis of wide QRS tachycardia. We have found the stepwise approach suggested by Brugada to be very useful. Of the newer criteria that he proposes, the R to S interval of > 100 ms. appears to be a particularly helpful clue favoring the diagnosis of ventricular tachycardia. Hemodynamic stability, young age, 1:1 AV association, and the absence of structural heart disease do not exclude a diagnosis of ventricular tachycardia. Most wide QRS tachycardias in adults are ventricular, and when all else fails, one will be right more often than not in favoring this as the diagnosis over supraventricular tachycardia with aberrancy. The R to S interval is measured in the precordial (V) leads from the onset of the R wave to the deepest part of the S wave. A value > 100 ms. in any V lead strongly favors ventricular tachycardia. Example is from Case 1 (upper tracing is V1). PMID:8067039

  18. Ischemia detection from morphological QRS angle changes.

    PubMed

    Romero, Daniel; Martínez, Juan Pablo; Laguna, Pablo; Pueyo, Esther

    2016-07-01

    In this paper, an ischemia detector is presented based on the analysis of QRS-derived angles. The detector has been developed by modeling ischemic effects on the QRS angles as a gradual change with a certain transition time and assuming a Laplacian additive modeling error contaminating the angle series. Both standard and non-standard leads were used for analysis. Non-standard leads were obtained by applying the PCA technique over specific lead subsets to represent different potential locations of the ischemic zone. The performance of the proposed detector was tested over a population of 79 patients undergoing percutaneous coronary intervention in one of the major coronary arteries (LAD (n  =  25), RCA (n  =  16) and LCX (n  =  38)). The best detection performance, obtained for standard ECG leads, was achieved in the LAD group with values of sensitivity and specificity of [Formula: see text], [Formula: see text], followed by the RCA group with [Formula: see text], Sp  =  94.4 and the LCX group with [Formula: see text], [Formula: see text], notably outperforming detection based on the ST series in all cases, with the same detector structure. The timing of the detected ischemic events ranged from 30 s up to 150 s (mean  =  66.8 s) following the start of occlusion. We conclude that changes in the QRS angles can be used to detect acute myocardial ischemia. PMID:27243441

  19. Revisiting QRS Detection Methodologies for Portable, Wearable, Battery-Operated, and Wireless ECG Systems

    PubMed Central

    Elgendi, Mohamed; Eskofier, Björn; Dokos, Socrates; Abbott, Derek

    2014-01-01

    Cardiovascular diseases are the number one cause of death worldwide. Currently, portable battery-operated systems such as mobile phones with wireless ECG sensors have the potential to be used in continuous cardiac function assessment that can be easily integrated into daily life. These portable point-of-care diagnostic systems can therefore help unveil and treat cardiovascular diseases. The basis for ECG analysis is a robust detection of the prominent QRS complex, as well as other ECG signal characteristics. However, it is not clear from the literature which ECG analysis algorithms are suited for an implementation on a mobile device. We investigate current QRS detection algorithms based on three assessment criteria: 1) robustness to noise, 2) parameter choice, and 3) numerical efficiency, in order to target a universal fast-robust detector. Furthermore, existing QRS detection algorithms may provide an acceptable solution only on small segments of ECG signals, within a certain amplitude range, or amid particular types of arrhythmia and/or noise. These issues are discussed in the context of a comparison with the most conventional algorithms, followed by future recommendations for developing reliable QRS detection schemes suitable for implementation on battery-operated mobile devices. PMID:24409290

  20. Duration of Purkinje cell complex spikes increases with their firing frequency

    PubMed Central

    Warnaar, Pascal; Couto, Joao; Negrello, Mario; Junker, Marc; Smilgin, Aleksandra; Ignashchenkova, Alla; Giugliano, Michele; Thier, Peter; De Schutter, Erik

    2015-01-01

    Climbing fiber (CF) triggered complex spikes (CS) are massive depolarization bursts in the cerebellar Purkinje cell (PC), showing several high frequency spikelet components (±600 Hz). Since its early observations, the CS is known to vary in shape. In this study we describe CS waveforms, extracellularly recorded in awake primates (Macaca mulatta) performing saccades. Every PC analyzed showed a range of CS shapes with profoundly different duration and number of spikelets. The initial part of the CS was rather constant but the later part differed greatly, with a pronounced jitter of the last spikelets causing a large variation in total CS duration. Waveforms did not effect the following pause duration in the simple spike (SS) train, nor were SS firing rates predictive of the waveform shapes or vice versa. The waveforms did not differ between experimental conditions nor was there a preferred sequential order of CS shapes throughout the recordings. Instead, part of their variability, the timing jitter of the CS’s last spikelets, strongly correlated with interval length to the preceding CS: shorter CS intervals resulted in later appearance of the last spikelets in the CS burst, and vice versa. A similar phenomenon was observed in rat PCs recorded in vitro upon repeated extracellular stimulation of CFs at different frequencies in slice experiments. All together these results strongly suggest that the variability in the timing of the last spikelet is due to CS frequency dependent changes in PC excitability. PMID:25918500

  1. Conditional statistical properties of the complex systems having long-duration memory

    NASA Astrophysics Data System (ADS)

    Huang, Zhifu; Ou, Congjie; Lin, Bihong; Su, Guozhen; Chen, Jincan

    2014-09-01

    A new concept of the available force is proposed to investigate the performance of the complex systems having long-duration memory. Since the covariance of average velocity in double time interval and available force equals zero, it is possible to calculate the conditional probability distribution function (CPDF) within the systems. It is found that the asymmetric CPDF of the velocity between two adjacent time intervals can be derived from the symmetrical CPDF between the available force and the double time interval velocity. Two typical currency exchange databases, i.e., EUR/USD and GBP/USD, which collect the minutely opening exchange prices from 1 January 1999 to 31 December 2011, are adopted as examples. It is found that the analytical CPDF needs only six parameters for an arbitrary system. By calculating the CPDF in the currency exchange databases, it is shown that the results are well fitted by our analytical expression. The analytical CPDF can also be used to calculate the conditional expectation and the conditional variance of velocity. Interestingly, the two databases show that the conditional expectation of the velocity between two adjacent time intervals is not monotonic, while the conditional variance tends to monotonic. All of these results are well described by our theory. It is worthwhile to note that the analytical CPDF is a general expression. It is valid not only for current exchange systems but also for any complex systems having long-duration memory.

  2. Colorado Qualistar. QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Colorado's Qualistar prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family…

  3. Minnesota Parent Aware: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Minnesota's Parent Aware prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family…

  4. Illinois Quality Counts: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Illinois' Quality Counts prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family…

  5. Pennsylvania Keystone STARS: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Pennsylvania's Keystone STARS prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  6. Iowa Child Care Quality Rating System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Iowa's Child Care Quality Rating System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile is divided into the following categories: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family Child Care Programs;…

  7. Missouri Quality Rating System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Missouri's Quality Rating System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  8. Virginia Star Quality Initiative: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Virginia's Star Quality Initiative prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators…

  9. Oregon Child Care Quality Indicators Program: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Oregon's Child Care Quality Indicators Program prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  10. Delaware Stars for Early Success. QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Delaware's Stars for Early Success prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators…

  11. Mississippi Quality Step System: QRS Profile. The Child Care Quality Rating System (QRS)Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Mississippi's Quality Step System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Application…

  12. Palm Beach Quality Counts: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Palm Beach's Quality Counts prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  13. North Carolina Star Rated License System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of North Carolina's Star Rated License System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  14. Kentucky STARS for KIDS NOW: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Kentucky's STARS for KIDS NOW prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  15. New Hampshire Quality Rating System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of New Hampshire's Quality Rating System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  16. Ohio Step Up to Quality: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Ohio's Step Up to Quality prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family…

  17. Vermont STep Ahead Recognition System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Vermont's STep Ahead Recognition System (STARS) prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for All Child Care Programs;…

  18. Indiana Paths to Quality: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Indiana's Paths to Quality prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  19. Miami-Dade Quality Counts: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Miami-Dade's Quality Counts prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  20. Maine Quality for ME: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Maine's Quality for ME prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family…

  1. A real-time microprocessor QRS detector system with a 1-ms timing accuracy for the measurement of ambulatory HRV.

    PubMed

    Ruha, A; Sallinen, S; Nissilä, S

    1997-03-01

    The design, test methods and results of an ambulatory QRS detector are presented. The device is intended for the accurate measurement of heart rate variability (HRV) and reliable QRS detection in both ambulatory and clinical use. The aim of the design work was to achieve high QRS detection performance in terms of timing accuracy and reliability, without compromising the size and power consumption of the device. The complete monitor system consists of a host computer and the detector unit. The detector device is constructed of a commonly available digital signal processing (DSP) microprocessor and other components. The QRS detection algorithm uses optimized prefiltering in conjunction with a matched filter and dual edge threshold detection. The purpose of the prefiltering is to attenuate various noise components in order to achieve improved detection reliability. The matched filter further improves signal-to-noise ratio (SNR) and symmetries the QRS complex for the threshold detection, which is essential in order to achieve the desired performance. The decision for detection is made in real-time and no search-back method is employed. The host computer is used to configure the detector unit, which includes the setting of the matched filter impulse response, and in the retrieval and postprocessing of the measurement results. The QRS detection timing accuracy and detection reliability of the detector system was tested with an artificially generated electrocardiogram (ECG) signal corrupted with various noise types and a timing standard deviation of less than 1 ms was achieved with most noise types and levels similar to those encountered in real measurements. A QRS detection error rate (ER) of 0.1 and 2.2% was achieved with records 103 and 105 from the MIT-BIH Arrhythmia database, respectively. PMID:9216129

  2. An Improved QRS Wave Group Detection Algorithm and Matlab Implementation

    NASA Astrophysics Data System (ADS)

    Zhang, Hongjun

    This paper presents an algorithm using Matlab software to detect QRS wave group of MIT-BIH ECG database. First of all the noise in ECG be Butterworth filtered, and then analysis the ECG signal based on wavelet transform to detect the parameters of the principle of singularity, more accurate detection of the QRS wave group was achieved.

  3. Value of the Qrs-T Angle in Predicting the Induction of Ventricular Tachyarrhythmias in Patients with Chagas Disease.

    PubMed

    Zampa, Hugo Bizetto; Moreira, Dalmo Ar; Ferreira Filho, Carlos Alberto Brandão; Souza, Charles Rios; Menezes, Camila Caldas; Hirata, Henrique Seichii; Armaganijan, Luciana Vidal

    2014-10-28

    Background: The QRS-T angle correlates with prognosis in patients with heart failure and coronary artery disease, reflected by an increase in mortality proportional to an increase in the difference between the axes of the QRS complex and T wave in the frontal plane. The value of this correlation in patients with Chagas heart disease is currently unknown. Objective: Determine the correlation of the QRS-T angle and the risk of induction of ventricular tachycardia / ventricular fibrillation (VT / VF) during electrophysiological study (EPS) in patients with Chagas disease. Methods: Case-control study at a tertiary center. Patients without induction of VT / VF on EPS were used as controls. The QRS-T angle was categorized as normal (0-105º), borderline (105-135º) or abnormal (135-180º). Differences between groups for continuous variables were analyzed with the t test or Mann-Whitney test, and for categorical variables with Fisher's exact test. P values < 0.05 were considered significant. Results: Of 116 patients undergoing EPS, 37.9% were excluded due to incomplete information / inactive records or due to the impossibility to correctly calculate the QRS-T angle (presence of left bundle branch block and atrial fibrillation). Of 72 patients included in the study, 31 induced VT / VF on EPS. Of these, the QRS-T angle was normal in 41.9%, borderline in 12.9% and abnormal in 45.2%. Among patients without induction of VT / VF on EPS, the QRS-T angle was normal in 63.4%, borderline in 14.6% and abnormal in 17.1% (p = 0.04). When compared with patients with normal QRS-T angle, those with abnormal angle had a fourfold higher risk of inducing ventricular tachycardia / ventricular fibrillation on EPS [odds ratio (OR) 4; confidence interval (CI) 1.298-12.325; p = 0.028]. After adjustment for other variables such as age, ejection fraction (EF) and QRS size, there was a trend for the abnormal QRS-T angle to identify patients with increased risk of inducing VT / VF during EPS (OR 3

  4. Real-Time 12-Lead High-Frequency QRS Electrocardiography for Enhanced Detection of Myocardial Ischemia and Coronary Artery Disease

    NASA Technical Reports Server (NTRS)

    Schlegel, Todd T.; Kulecz, Walter B.; DePalma, Jude L.; Feiveson, Alan H.; Wilson, John S.; Rahman, M. Atiar; Bungo, Michael W.

    2004-01-01

    Several studies have shown that diminution of the high-frequency (HF; 150-250 Hz) components present within the central portion of the QRS complex of an electrocardiogram (ECG) is a more sensitive indicator for the presence of myocardial ischemia than are changes in the ST segments of the conventional low-frequency ECG. However, until now, no device has been capable of displaying, in real time on a beat-to-beat basis, changes in these HF QRS ECG components in a continuously monitored patient. Although several software programs have been designed to acquire the HF components over the entire QRS interval, such programs have involved laborious off-line calculations and postprocessing, limiting their clinical utility. We describe a personal computer-based ECG software program developed recently at the National Aeronautics and Space Administration (NASA) that acquires, analyzes, and displays HF QRS components in each of the 12 conventional ECG leads in real time. The system also updates these signals and their related derived parameters in real time on a beat-to-beat basis for any chosen monitoring period and simultaneously displays the diagnostic information from the conventional (low-frequency) 12-lead ECG. The real-time NASA HF QRS ECG software is being evaluated currently in multiple clinical settings in North America. We describe its potential usefulness in the diagnosis of myocardial ischemia and coronary artery disease.

  5. QRS detection based ECG quality assessment.

    PubMed

    Hayn, Dieter; Jammerbund, Bernhard; Schreier, Günter

    2012-09-01

    Although immediate feedback concerning ECG signal quality during recording is useful, up to now not much literature describing quality measures is available. We have implemented and evaluated four ECG quality measures. Empty lead criterion (A), spike detection criterion (B) and lead crossing point criterion (C) were calculated from basic signal properties. Measure D quantified the robustness of QRS detection when applied to the signal. An advanced Matlab-based algorithm combining all four measures and a simplified algorithm for Android platforms, excluding measure D, were developed. Both algorithms were evaluated by taking part in the Computing in Cardiology Challenge 2011. Each measure's accuracy and computing time was evaluated separately. During the challenge, the advanced algorithm correctly classified 93.3% of the ECGs in the training-set and 91.6 % in the test-set. Scores for the simplified algorithm were 0.834 in event 2 and 0.873 in event 3. Computing time for measure D was almost five times higher than for other measures. Required accuracy levels depend on the application and are related to computing time. While our simplified algorithm may be accurate for real-time feedback during ECG self-recordings, QRS detection based measures can further increase the performance if sufficient computing power is available. PMID:22902864

  6. Real-time, high frequency QRS electrocardiograph with reduced amplitude zone detection

    NASA Technical Reports Server (NTRS)

    Schlegel, Todd T. (Inventor); DePalma, Jude L. (Inventor); Moradi, Saeed (Inventor)

    2009-01-01

    Real time cardiac electrical data are received from a patient, manipulated to determine various useful aspects of the ECG signal, and displayed in real time in a useful form on a computer screen or monitor. The monitor displays the high frequency data from the QRS complex in units of microvolts, juxtaposed with a display of conventional ECG data in units of millivolts or microvolts. The high frequency data are analyzed for their root mean square (RMS) voltage values and the discrete RMS values and related parameters are displayed in real time. The high frequency data from the QRS complex are analyzed with imbedded algorithms to determine the presence or absence of reduced amplitude zones, referred to herein as ''RAZs''. RAZs are displayed as ''go, no-go'' signals on the computer monitor. The RMS and related values of the high frequency components are displayed as time varying signals, and the presence or absence of RAZs may be similarly displayed over time.

  7. Noninvasive fetal QRS detection using an echo state network and dynamic programming.

    PubMed

    Lukoševičius, Mantas; Marozas, Vaidotas

    2014-08-01

    We address a classical fetal QRS detection problem from abdominal ECG recordings with a data-driven statistical machine learning approach. Our goal is to have a powerful, yet conceptually clean, solution. There are two novel key components at the heart of our approach: an echo state recurrent neural network that is trained to indicate fetal QRS complexes, and several increasingly sophisticated versions of statistics-based dynamic programming algorithms, which are derived from and rooted in probability theory. We also employ a standard technique for preprocessing and removing maternal ECG complexes from the signals, but do not take this as the main focus of this work. The proposed approach is quite generic and can be extended to other types of signals and annotations. Open-source code is provided. PMID:25069892

  8. [Ventricular pre-excitation revealed by idioventricular rhythm and large QRS tachycardias. Apropos of an operated case].

    PubMed

    Weissenburger, J; Dumoulin, P; Juliard, J M; Frank, R; Kessler, P; Michel, P L; Rozensztajn, L; Valty, J

    1983-06-01

    A 15 year old boy presented with palpitations of sudden onset and termination over a two month period. The heart was clinically and radiologically normal. The electrocardiogramme showed sinus rhythm with a short PR interval (0,11 sec) and narrow QRS complexes (0,08 sec) associated with an intermittent escape accelerated idioventricular rhythm (AIVR). During an attack of palpitations a regular tachycardia (250/min) with wide QRS complexes of the same configuration as those of the AIVR (left side delay). The diagnosis of ventricular tachycardia was retained. Endocavitary electrophysiological recording demonstrated preexcitation of the right ventricle associated with accelerated nodal conduction explaining the narrow QRS complexes in sinus rhythm. The wide complex tachycardias initiated and terminated by paired ventricular stimulation were identical to the spontaneous attacks and were attributed to an antidromic reciprocating rhythm. The hypothesis of a rhythm arising from the accessory pathway is suggested. This would explain the identical configuration of the QRS complexes of the AIVR and of the antidromic reciprocating-rhythm and the disappearance of the AIVR after surgical section of the accessory pathway. PMID:6414416

  9. [Wide QRS tachycardia preceded by pacemaker spikes].

    PubMed

    Romero, M; Aranda, A; Gómez, F J; Jurado, A

    2014-04-01

    The differential diagnosis and therapeutic management of wide QRS tachycardia preceded by pacemaker spike is presented. The pacemaker-mediated tachycardia, tachycardia fibrillo-flutter in patients with pacemakers, and runaway pacemakers, have a similar surface electrocardiogram, but respond to different therapeutic measures. The tachycardia response to the application of a magnet over the pacemaker could help in the differential diagnosis, and in some cases will be therapeutic, as in the case of a tachycardia-mediated pacemaker. Although these conditions are diagnosed and treated in hospitals with catheterization laboratories using the application programmer over the pacemaker, patients presenting in primary care clinic and emergency forced us to make a diagnosis and treat the haemodynamically unstable patient prior to referral. PMID:23768570

  10. Time and duration of metamorphism and exhumation of the central Rhodopian core complex, Bulgaria

    NASA Astrophysics Data System (ADS)

    Ovtcharova, M.; von Quadt, A.; Peytcheva, I.; Neubauer, F.; Heinrich, C. A.; Kaiser, M.

    2003-04-01

    The evolution of central Rhodopian dome (Bulgaria) is interpreted in terms of an extensional collapse of thickened crust (Ivanov at al., 2000). U-Pb isotope dating (single Zr and Mnz), Rb-Sr (W.R., Bt and Ap) and Ar-Ar (on Bt) were carried out on different rocks from the central Rhodope, Bulgaria, to constrain the timing and duration of the metamorphism and exhumation of the core complex. The beginning of extensional stage is marked by intrusion of earliest non-penetratively deformed granite bodies at 53Ma (U-Pb on single Zr and Mnz). The late Alpine extensional evolution of the massif is marked by a detachment system connected with exhumation of the migmatites in the core part of the dome (lower plate). U-Pb analyses on Mnz and Zr from mesosome and discordant leucosome yield a Variscan protolith age of the gneiss (311 Ma) and Eocene age (37Ma) of crystallization of the newly formed anatectic melt that corresponds with the peak of the Alpine metamorphic event (P 4.5-6kbar and T 720-750^oC; Georgieva et al., 2002). Rb-Sr mineral system of the weakly deformed gneisses from lower plate of the core complex gives evidence for a cooling age of 34.5±0.34Ma. This result is confirmed by Ar-Ar on Bt from the same rock: 35.5±0.4Ma. Ar-Ar data on biotite from gneisses of the upper plate yield an age of 34.9±0.6Ma. The same age is reflected by an Rb-Sr isochron (W.R., Bt and Ap) of 35.22±0.35Ma. The post-collisional extension was followed by graben depressions filled with sediments of Eocene-Oligocene age and active volcanism and ore mineralization (Zn-Pb and Cu-Pb-Zn ore deposits). Connected with the most intensively "stretched" sections of the extensional system is emplacement of rhyolitic dikes at 32.8±0.41Ma (U-Pb on single Zr, Xe). The available data constrain narrow time bracket between timing of high-grade metamorphism event (37Ma, >600^oC), cooling (35Ma, 300ºC) of the core complex and volcanic activity (32Ma) that corresponds with rapid exhumation tectonic regime

  11. QRS slopes for assessment of myocardial damage in chronic chagasic patients

    NASA Astrophysics Data System (ADS)

    Pueyo, E.; Laciar, E.; Anzuola, E.; Laguna, P.; Jané, R.

    2007-11-01

    In this study the slopes of the QRS complex are evaluated for determination of the degree of myocardial damage in chronic chagasic patients. Previous studies have demonstrated the ability of the slope indices to reflect alterations in the conduction velocity of the cardiac impulse. Results obtained in the present study show that chronic chagasic patients have significantly flatter QRS slopes as compared to healthy subjects. Not only that but the extent of slope lessening turns out to be proportional to the degree of myocardial damage caused by the disease. Additionally, when incorporating the slope indices into a classification analysis together with other indices indicative of the presence of ventricular late potentials obtained from high resolution electrocardiography, results show that the percentages of correct classification increase up to 62.5%, which means eight points above the percentages obtained prior to incorporation of the slope indices. It can be concluded that QRS slopes have great potential for assessing the degree of severity associated with Chagas' disease.

  12. Month-to-month and year-to-year reproducibility of high frequency QRS ECG signals

    NASA Technical Reports Server (NTRS)

    Batdorf, Niles J.; Feiveson, Alan H.; Schlegel, Todd T.

    2004-01-01

    High frequency electrocardiography analyzing the entire QRS complex in the frequency range of 150 to 250 Hz may prove useful in the detection of coronary artery disease, yet the long-term stability of these waveforms has not been fully characterized. Therefore, we prospectively investigated the reproducibility of the root mean squared voltage, kurtosis, and the presence versus absence of reduced amplitude zones in signal averaged 12-lead high frequency QRS recordings acquired in the supine position one month apart in 16 subjects and one year apart in 27 subjects. Reproducibility of root mean squared voltage and kurtosis was excellent over these time intervals in the limb leads, and acceptable in the precordial leads using both the V-lead and CR-lead derivations. The relative error of root mean squared voltage was 12% month-to-month and 16% year-to-year in the serial recordings when averaged over all 12 leads. Reduced amplitude zones were also reproducible up to a rate of 87% and 81%, respectively, for the month-to-month and year-to-year recordings. We conclude that 12-lead high frequency QRS electrocardiograms are sufficiently reproducible for clinical use.

  13. Month-to-Month and Year-to-Year Reproducibility of High Frequency QRS ECG signals

    NASA Technical Reports Server (NTRS)

    Batdorf, Niles; Feiveson, Alan H.; Schlegel, Todd T.

    2006-01-01

    High frequency (HF) electrocardiography analyzing the entire QRS complex in the frequency range of 150 to 250 Hz may prove useful in the detection of coronary artery disease, yet the long-term stability of these waveforms has not been fully characterized. We therefore prospectively investigated the reproducibility of the root mean squared (RMS) voltage, kurtosis, and the presence versus absence of reduced amplitude zones (RAzs) in signal averaged 12-lead HF QRS recordings acquired in the supine position one month apart in 16 subjects and one year apart in 27 subjects. Reproducibility of RMS voltage and kurtosis was excellent over these time intervals in the limb leads, and acceptable in the precordial leads using both the V-lead and CR-lead derivations. The relative error of RMS voltage was 12% month-to-month and 16% year-to-year in the serial recordings when averaged over all 12 leads. RAzs were also reproducible at a rate of up to 87% and 8 1 %, respectively, for the month-to-month and year-to-year recordings. We conclude that 12-lead HF QRS electrocardiograms are sufficiently reproducible for clinical use.

  14. Products of the complex, long duration, AD 1305 rhyolitic eruption of Tarawera, New Zealand

    NASA Astrophysics Data System (ADS)

    Self, S.; Scutter, C. R.; Nairn, I. A.; Sahetapy-Engel, S. T.

    2001-12-01

    The youngest rhyolite eruption in New Zealand is the ~4 km3 (DRE) Kaharoa eruption episode from Tarawera volcano at ~1305AD. The complex eruption sequence occurred from seven magmatic vents which define an 8-km linear fissure across the volcano. The main events were: 1) phreatic blasts; 2) sub-plinian/plinian eruptions dispersing fallout over the northeastern North Island; 3) a rhyolite dome extrusion; 4) more sub-plinian fall units and pyroclastic flows, including at least two plinian fall units widespread to the NW over the North Island; 5)a final effusive phase producing three large lava domes. The total eruption duration is unknown, but the time required to extrude the lava domes indicates that it may have spanned several years to perhaps a decade. Collapse of the domes generated extensive block-and-ash flow deposits (BAFD). Four BAF fans were constructed during this time. The two largest fans are 1x108 m3 (N) and 5x107 m3 (SE), with the NW and W fans contributing 1x107 m3 and 4x106 m3 respectively. Unconfined BAFs within the SE fan reached a distance of 7.6 km from the dome margin. The N fan comprises a region of unconfined BAFD which reach 5.4 km from the source, and two valley-confined deposits that reach 9.2 km from source. Despite a complex internal stratigraphy, due in part to the irregular underlying topography, only three block and ash flow depositional units and associated ash cloud deposits may be identified in each of the two major fans. The block and ash flows of the Kaharoa eruptive episode are significantly larger and more widespread than many documented in the literature (Unzen, Japan; Soufriere Hills, Montserrat; Merapi, Indonesia; Mount St Helens, USA). Enhanced mobility of the Kaharoa block and ash flows is interpreted to be principally due to the large volumes of each collapse, involving substantial amounts of hot dome lava. BAF-related ash clouds and their deposits, which were so devastating at Unzen, may extend for up to 20 km from source

  15. Progress in resolving the duration of magmatism in the Paleoproterozoic Bushveld Complex

    NASA Astrophysics Data System (ADS)

    Scoates, J. S.; Wall, C. J.; Friedman, R. M.; VanTongeren, J. A.; Mathez, E. A.

    2011-12-01

    Determining precise crystallization ages and assessing the duration of magmatism associated with the Paleoproterozoic Bushveld Complex, the world's largest layered intrusion located in the northern Kaapvaal craton of South Africa, is critical for establishing the genetic relations among its different rock units (Rustenburg Layered Suite, overlying Rooiberg Group felsic volcanic rocks, intrusive Rashoop Granophyres). We report chemical abrasion ID-TIMS U-Pb zircon results (weighted 207Pb/206Pb ages) for samples spanning the uppermost ~3/4 of the igneous stratigraphy of the layered mafic rocks and the roof. The temporal relationship between the Upper Zone and the roof from the Eastern Limb is constrained by the age of a diorite ~52 m below the roof (2056.52 ± 0.81 Ma; n = 6 single grains) and a granodiorite mixed with hornfels (40:60) and interpreted as partially melted roof material (2054.83 ± 0.86 Ma; n = 7). The slightly younger age of the granodiorite may indicate that the overlying melt sheet was kept molten due to continued influx of the latent heat of crystallization from the underlying 8 km-thick stack of cooling cumulates. The PGE-rich Merensky Reef and the UG2 chromitite occur in the Upper Critical Zone above the ultramafic rocks that comprise the base of the complex. Two samples from the Merensky Reef, separated by ~300 km, have overlapping ages: a sample from Farm Driekop in the Eastern Limb yields an age of 2055.30 ± 0.61 Ma (n = 10) and a sample from the Rustenburg mining section in the Western Limb an age of 2056.13 ± 0.70 Ma (n = 8; age revised from [1]). These ages are indistinguishable from the Upper Zone diorite indicating rapid construction of the upper 2/3 of the Bushveld Complex at ca. 2056 Ma. Preliminary results for zircon from a feldspathic orthopyroxenite immediately beneath the UG2 chromitite (Middelpunt mine, Eastern Limb), ~380 m below the Merensky Reef, reveal unusual U-Pb systematics with low U concentrations (2-27 ppm

  16. Low power adder based digital filter for QRS detector.

    PubMed

    Murali, L; Chitra, D; Manigandan, T

    2014-01-01

    Most of the Biomedical applications use dedicated processors for the implementation of complex signal processing. Among them, sensor network is also a type, which has the constraint of low power consumption. Since the processing elements are the most copiously used operations in the signal processors, the power consumption of this has the major impact on the system level application. In this paper, we introduce low power concept of transistor stacking to reduce leakage power; and new architectures based on stacking to implement the full adder and its significance at the digital filter level for QRS detector are implemented. The proposed concept has lesser leakage power at the adder as well as filter level with trade-off in other quality metrics of the design. This enabled the design to be dealt with as the low-power corner and can be made adaptable to any level of hierarchical abstractions as per the requirement of the application. The proposed architectures are designed, modeled at RTL level using the Verilog-HDL, and synthesized in Synopsys Design Compiler by mapping the design to 65 nm technology library standard cells. PMID:24895649

  17. Prosodic Planning: Effects of Phrasal Length and Complexity on Pause Duration

    PubMed Central

    Krivokapi, Jelena

    2007-01-01

    Research on pause duration has mainly focused on the impact of syntactic structure on the duration of pauses within an utterance and on the impact of syntax, discourse, and prosodic structure on the likelihood of pause occurrence. Relatively little is known about what factors play a role in determining the duration of pauses between utterances or phrases. Two experiments examining the effect of prosodic structure and phrase length on pause duration are reported. Subjects read sentences varying along the following parameters: a) the length in syllables of the intonational phrase preceding and following the pause, and b) the prosodic structure of the intonational phrase preceding and following the pause, specifically whether or not the intonational phrase branches into smaller phrases. In order to minimize variability due to speech rate and individual differences, speakers read sentences synchronously in dyads. The results showed a significant post-boundary effect of prosodic branching and significant pre- and post-boundary phrase length effects. The results are discussed in terms of production units. PMID:18379639

  18. Aviation System Analysis Capability (ASAC) Quick Response System (QRS) Test Report

    NASA Technical Reports Server (NTRS)

    Roberts, Eileen; Villani, James A.; Ritter, Paul

    1997-01-01

    This document is the Aviation System Analysis Capability (ASAC) Quick Response System (QRS) Test Report. The purpose of this document is to present the results of the QRS unit and system tests in support of the ASAC QRS development effort. This document contains an overview of the project background and scope, defines the QRS system and presents the additions made to the QRS this year, explains the assumptions, constraints, and approach used to conduct QRS Unit and System Testing, and presents the schedule used to perform QRS Testing. The document also presents an overview of the Logistics Management Institute (LMI) Test Facility and testing environment and summarizes the QRS Unit and System Test effort and results.

  19. QRS pattern and improvement in right and left ventricular function after cardiac resynchronization therapy: a radionuclide study

    PubMed Central

    2012-01-01

    Background Predicting response to cardiac resynchronization therapy (CRT) remains a challenge. We evaluated the role of baseline QRS pattern to predict response in terms of improvement in biventricular ejection fraction (EF). Methods Consecutive patients (pts) undergoing CRT implantation underwent radionuclide angiography at baseline and at mid-term follow-up. The relationship between baseline QRS pattern and mechanical dyssynchrony using phase analysis was evaluated. Changes in left and right ventricular EF (LVEF and RVEF) were analyzed with regard to baseline QRS pattern. Results We enrolled 56 pts, 32 with left bundle branch block (LBBB), 4 with right bundle branch block (RBBB) and 20 with non-specific intraventricular conduction disturbance (IVCD). A total of 48 pts completed follow-up. LBBB pts had significantly greater improvement in LVEF compared to RBBB or non-specific IVCD pts (+9.6 ± 10.9% vs. +2.6 ± 7.6%, p = 0.003). Response (defined as ≥ 5% increase in LVEF) was observed in 68% of LBBB vs. 24% of non-specific IVCD pts (p = 0.006). None of the RBBB pts were responders. RVEF was significantly improved in LBBB (+5.0 ± 9.0%, p = 0.007), but not in non-specific IVCD and RBBB pts (+0.4 ± 5.8%, p = 0.76). At multivariate analysis, LBBB was the only predictor of LVEF response (OR, 7.45; 95% CI 1.80-30.94; p = 0.006), but not QRS duration or extent of mechanical dyssynchrony. Conclusions Presence of a LBBB is a marker of a positive response to CRT in terms of biventricular improvement. Pts with non-LBBB pattern show significantly less benefit from CRT than those with LBBB. PMID:22494365

  20. QRS fragmentation: its role in sherlocking the arrhythmogenic heart

    PubMed Central

    Virk, Hafeez Ul Hassan; Farooq, Salman; Ghani, Ali Raza; Arora, Shilpkakumar

    2016-01-01

    The electrocardiogram (ECG) is a commonly available basic diagnostic modality in in-patient, out-patient, and emergency departments. In patients with coronary artery disease (CAD), the presence of a fragmented QRS (f-QRS), which is an extra R wave (R′), notching of the single R wave, notching of the S wave in at least two contiguous leads on the 12-lead ECG, is associated with a myocardial scar from previous myocardial injury. Furthermore, the presence of f-QRS has been shown to be associated with adverse outcomes in CAD and non-CAD patients. In the present paper, we will solely focus on the usefulness and utilization of f-QRS in predicting ventricular tachyarrhythmia in many heart diseases, that is, ischemic cardiomyopathy, non-ischemic cardiomyopathy, hypertrophic obstructive cardiomyopathy, Brugada syndrome, and arrhythmogenic right ventricular cardiomyopathy. In the majority of such cases, ventricular tachyarrhythmia results in sudden cardiac death. Diagnosing them beforehand can lead to prevention and/or early treatment of these arrhythmias to prevent potential morbidity and mortality. PMID:27406448

  1. Sonar sound groups and increased terminal buzz duration reflect task complexity in hunting bats

    PubMed Central

    Hulgard, Katrine; Ratcliffe, John M.

    2016-01-01

    More difficult tasks are generally regarded as such because they demand greater attention. Echolocators provide rare insight into this relationship because biosonar signals can be monitored. Here we show that bats produce longer terminal buzzes and more sonar sound groups during their approach to prey under presumably more difficult conditions. Specifically, we found Daubenton’s bats, Myotis daubentonii, produced longer buzzes when aerial-hawking versus water-trawling prey, but that bats taking revolving air- and water-borne prey produced more sonar sound groups than did the bats when taking stationary prey. Buzz duration and sonar sound groups have been suggested to be independent means by which bats attend to would-be targets and other objects of interest. We suggest that for attacking bats both should be considered as indicators of task difficulty and that the buzz is, essentially, an extended sonar sound group. PMID:26857019

  2. Sonar sound groups and increased terminal buzz duration reflect task complexity in hunting bats.

    PubMed

    Hulgard, Katrine; Ratcliffe, John M

    2016-01-01

    More difficult tasks are generally regarded as such because they demand greater attention. Echolocators provide rare insight into this relationship because biosonar signals can be monitored. Here we show that bats produce longer terminal buzzes and more sonar sound groups during their approach to prey under presumably more difficult conditions. Specifically, we found Daubenton's bats, Myotis daubentonii, produced longer buzzes when aerial-hawking versus water-trawling prey, but that bats taking revolving air- and water-borne prey produced more sonar sound groups than did the bats when taking stationary prey. Buzz duration and sonar sound groups have been suggested to be independent means by which bats attend to would-be targets and other objects of interest. We suggest that for attacking bats both should be considered as indicators of task difficulty and that the buzz is, essentially, an extended sonar sound group. PMID:26857019

  3. Tennessee Star-Quality Child Care Program: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Tennessee's Star-Quality Child Care Program prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  4. Louisiana Quality Start Child Care Rating System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Louisiana's Quality Start Child Care Rating System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs;…

  5. New Mexico Look for the STARS--AIM HIGH: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of New Mexico's Look for the STARS--AIM HIGH prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  6. Los Angeles County Steps to Excellence Project: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Los Angeles County's Steps to Excellence Project prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs;…

  7. Elicitation of the Acoustic Change Complex to Long-Duration Speech Stimuli in Four-Month-Old Infants.

    PubMed

    Chen, Ke Heng; Small, Susan A

    2015-01-01

    The acoustic change complex (ACC) is an auditory-evoked potential elicited to changes within an ongoing stimulus that indicates discrimination at the level of the auditory cortex. Only a few studies to date have attempted to record ACCs in young infants. The purpose of the present study was to investigate the elicitation of ACCs to long-duration speech stimuli in English-learning 4-month-old infants. ACCs were elicited to consonant contrasts made up of two concatenated speech tokens. The stimuli included native dental-dental /dada/ and dental-labial /daba/ contrasts and a nonnative Hindi dental-retroflex /daDa/ contrast. Each consonant-vowel speech token was 410 ms in duration. Slow cortical responses were recorded to the onset of the stimulus and to the acoustic change from /da/ to either /ba/ or /Da/ within the stimulus with significantly prolonged latencies compared with adults. ACCs were reliably elicited for all stimulus conditions with more robust morphology compared with our previous findings using stimuli that were shorter in duration. The P1 amplitudes elicited to the acoustic change in /daba/ and /daDa/ were significantly larger compared to /dada/ supporting that the brain discriminated between the speech tokens. These findings provide further evidence for the use of ACCs as an index of discrimination ability. PMID:26798343

  8. Elicitation of the Acoustic Change Complex to Long-Duration Speech Stimuli in Four-Month-Old Infants

    PubMed Central

    Chen, Ke Heng; Small, Susan A.

    2015-01-01

    The acoustic change complex (ACC) is an auditory-evoked potential elicited to changes within an ongoing stimulus that indicates discrimination at the level of the auditory cortex. Only a few studies to date have attempted to record ACCs in young infants. The purpose of the present study was to investigate the elicitation of ACCs to long-duration speech stimuli in English-learning 4-month-old infants. ACCs were elicited to consonant contrasts made up of two concatenated speech tokens. The stimuli included native dental-dental /dada/ and dental-labial /daba/ contrasts and a nonnative Hindi dental-retroflex /daDa/ contrast. Each consonant-vowel speech token was 410 ms in duration. Slow cortical responses were recorded to the onset of the stimulus and to the acoustic change from /da/ to either /ba/ or /Da/ within the stimulus with significantly prolonged latencies compared with adults. ACCs were reliably elicited for all stimulus conditions with more robust morphology compared with our previous findings using stimuli that were shorter in duration. The P1 amplitudes elicited to the acoustic change in /daba/ and /daDa/ were significantly larger compared to /dada/ supporting that the brain discriminated between the speech tokens. These findings provide further evidence for the use of ACCs as an index of discrimination ability. PMID:26798343

  9. Reducing false arrhythmia alarms in the ICU using multimodal signals and robust QRS detection.

    PubMed

    Sadr, Nadi; Huvanandana, Jacqueline; Nguyen, Doan Trang; Kalra, Chandan; McEwan, Alistair; de Chazal, Philip

    2016-08-01

    This study developed algorithms to decrease the arrhythmia false alarms in the ICU by processing multimodal signals of photoplethysmography (PPG), arterial blood pressure (ABP), and two ECG signals. The goal was to detect the five critical arrhythmias comprising asystole (ASY), extreme bradycardia (EBR), extreme tachycardia (ETC), ventricular tachycardia (VTA), and ventricular flutter or fibrillation (VFB). The different characteristics of the arrhythmias suggested the application of individual signal processing for each alarm and the combination of the algorithms to enhance false alarm detection. Thus, different features and signal processing techniques were used for each arrhythmia type. The ECG signals were first processed to reduce the signal interference. Then, a Hilbert-transform based QRS detector algorithm was utilized to identify the QRS complexes, which were then processed to determine the instantaneous heart rate. The pulsatile signals (PPG and ABP) were processed to discover the pulse onset of beats which were then employed to measure the heart rate. The signal quality index (SQI) of the signals was implemented to verify the integrity of the heart rate information. The overall score obtained by our algorithms in the 2015 Computing in Cardiology Challenge was a score of 74.03% for retrospective and 69.92% for real-time analysis. PMID:27455121

  10. Identification of exercise-induced ischemia using QRS slopes.

    PubMed

    Firoozabadi, Reza; Gregg, Richard E; Babaeizadeh, Saeed

    2016-01-01

    In this work we studied a computer-aided approach using QRS slopes as unconventional ECG features to identify the exercise-induced ischemia during exercise stress testing and demonstrated that the performance is comparable to the experts' manual analysis using standard criteria involving ST-segment depression. We evaluated the performance of our algorithm using a database including 927 patients undergoing exercise stress tests and simultaneously collecting the ECG recordings and SPECT results. High resolution 12-lead ECG recordings were collected continuously throughout the rest, exercise, and recovery phases. Patients in the database were classified into three categories of moderate/severe ischemia, mild ischemia, and normal according to the differences in sum of the individual segment scores for the rest and stress SPECT images. Philips DXL 16-lead diagnostic algorithm was run on all 10-s segments of 12-lead ECG recordings for each patient to acquire the representative beats, ECG fiducial points from the representative beats, and other ECG parameters. The QRS slopes were extracted for each lead from the averaged representative beats and the leads with highest classification power were selected. We employed linear discriminant analysis and measured the performance using 10-fold cross-validation. Comparable performance of this method to the conventional ST-segment analysis exhibits the classification power of QRS slopes as unconventional ECG parameters contributing to improved identification of exercise-induced ischemia. PMID:26607407

  11. Comparison of the calculation QRS angle for bundle branch block detection

    NASA Astrophysics Data System (ADS)

    Goeirmanto, L.; Mengko, R.; Rajab, T. L.

    2016-04-01

    QRS angle represent condition of blood circulation in the heart. Normally QRS angle is between -30 until 90 degree. Left Axis Defiation (LAD) and Right Axis Defiation (RAD) are abnormality conditions that lead to Bundle Branch Block. QRS angle is calculated using common method from physicians and compared to mathematical method using difference amplitudos and difference areas. We analyzed the standard 12 lead electrocardiogram data from MITBIH physiobank database. All methods using lead I and lead avF produce similar QRS angle and right QRS axis quadrant. QRS angle from mathematical method using difference areas is close to common method from physician. Mathematical method using difference areas can be used as a trigger for detecting heart condition.

  12. High frequency QRS ECG predicts ischemic defects during myocardial perfusion imaging

    NASA Technical Reports Server (NTRS)

    2004-01-01

    Changes in high frequency QRS components of the electrocardiogram (HF QRS ECG) (150-250 Hz) are more sensitive than changes in conventional ST segments for detecting myocardial ischemia. We investigated the accuracy of 12-lead HF QRS ECG in detecting ischemia during adenosine tetrofosmin myocardial perfusion imaging (MPI). 12-lead HF QRS ECG recordings were obtained from 45 patients before and during adenosine technetium-99 tetrofosmin MPI tests. Before the adenosine infusions, recordings of HF QRS were analyzed according to a morphological score that incorporated the number, type and location of reduced amplitude zones (RAZs) present in the 12 leads. During the adenosine infusions, recordings of HF QRS were analyzed according to the maximum percentage changes (in both the positive and negative directions) that occurred in root mean square (RMS) voltage amplitudes within the 12 leads. The best set of prospective HF QRS criteria had a sensitivity of 94% and a specificity of 83% for correctly identifying the MPI result. The sensitivity of simultaneous ST segment changes (18%) was significantly lower than that of any individual HF QRS criterion (P less than 0.00l). Analysis of 12-lead HF QRS ECG is highly sensitive and specific for detecting ischemic perfusion defects during adenosine MPI stress tests and significantly more sensitive than analysis of conventional ST segments.

  13. High frequency QRS ECG predicts ischemic defects during myocardial perfusion imaging

    NASA Technical Reports Server (NTRS)

    Rahman, Atiar

    2006-01-01

    Background: Changes in high frequency QRS components of the electrocardiogram (HF QRS ECG) (150-250 Hz) are more sensitive than changes in conventional ST segments for detecting myocardial ischemia. We investigated the accuracy of 12-lead HF QRS ECG in detecting ischemia during adenosine tetrofosmin myocardial perfusion imaging (MPI). Methods and Results: 12-lead HF QRS ECG recordings were obtained from 45 patients before and during adenosine technetium-99 tetrofosmin MPI tests. Before the adenosine infusions, recordings of HF QRS were analyzed according to a morphological score that incorporated the number, type and location of reduced amplitude zones (RAZs) present in the 12 leads. During the adenosine infusions, recordings of HF QRS were analyzed according to the maximum percentage changes (in both the positive and negative directions) that occurred in root mean square (RMS) voltage amplitudes within the 12 leads. The best set of prospective HF QRS criteria had a sensitivity of 94% and a specificity of 83% for correctly identifying the MPI result. The sensitivity of simultaneous ST segment changes (18%) was significantly lower than that of any individual HF QRS criterion (P<0.001). Conclusions: Analysis of 12-lead HF QRS ECG is highly sensitive and specific for detecting ischemic perfusion defects during adenosine MPI stress tests and significantly more sensitive than analysis of conventional ST segments.

  14. Real-Time, High-Frequency QRS Electrocardiograph

    NASA Technical Reports Server (NTRS)

    Schlegel, Todd T.; DePalma, Jude L.; Moradi, Saeed

    2003-01-01

    An electronic system that performs real-time analysis of the low-amplitude, high-frequency, ordinarily invisible components of the QRS portion of an electrocardiographic signal in real time has been developed. Whereas the signals readily visible on a conventional electrocardiogram (ECG) have amplitudes of the order of a millivolt and are characterized by frequencies <100 Hz, the ordinarily invisible components have amplitudes in the microvolt range and are characterized by frequencies from about 150 to about 250 Hz. Deviations of these high-frequency components from a normal pattern can be indicative of myocardial ischemia or myocardial infarction

  15. Compendium of Quality Rating Systems and Evaluations: The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Tout, Kathryn; Starr, Rebecca; Soli, Margaret; Moodie, Shannon; Kirby, Gretchen; Boller, Kimberly

    2010-01-01

    Quality Rating Systems (QRS) are currently operating, under development, or being piloted in over 25 states or local areas. As the QRS model becomes integrated into the landscape of child care and education service delivery, policy, and the decisions parents make about child care across the United States, there is an increasing need for…

  16. Circulating serum markers and QRS scar score in Chagas cardiomyopathy.

    PubMed

    Clark, Eva H; Marks, Morgan A; Gilman, Robert H; Fernandez, Antonio B; Crawford, Thomas C; Samuels, Aaron M; Hidron, Alicia I; Galdos-Cardenas, Gerson; Menacho-Mendez, Gilberto Silvio; Bozo-Gutierrez, Ricardo W; Martin, Diana L; Bern, Caryn

    2015-01-01

    Approximately 8 million people have Trypanosoma cruzi infection, and nearly 30% will manifest Chagas cardiomyopathy (CC). Identification of reliable early indicators of CC risk would enable prioritization of treatment to those with the highest probability of future disease. Serum markers and electrocardiogram (EKG) changes were measured in 68 T. cruzi-infected individuals in various stages of cardiac disease and 17 individuals without T. cruzi infection or cardiac disease. T. cruzi-infected individuals were assigned to stage A (normal EKG/chest x-ray [CXR]), B (abnormal EKG/normal CXR), or C (abnormal EKG/cardiac structural changes). Ten serum markers were measured using enzyme-linked immunosorbent assay (ELISA)/Luminex, and QRS scores were calculated. Higher concentrations of transforming growth factor-β1 (TGFβ1), and TGFβ2 were associated with stage B compared with stage A. Matrix Metalloproteinase 2 (MMP2), Tissue Inhibitors of MMP 1, QRS score, and Brain Natriuretic Protein rose progressively with increasing CC severity. Elevated levels of several markers of cardiac damage and inflammation are seen in early CC and warrant additional evaluation in longitudinal studies. PMID:25385865

  17. A fast and accurate FPGA based QRS detection system.

    PubMed

    Shukla, Ashish; Macchiarulo, Luca

    2008-01-01

    An accurate Field Programmable Gate Array (FPGA) based ECG Analysis system is described in this paper. The design, based on a popular software based QRS detection algorithm, calculates the threshold value for the next peak detection cycle, from the median of eight previously detected peaks. The hardware design has accuracy in excess of 96% in detecting the beats correctly when tested with a subset of five 30 minute data records obtained from the MIT-BIH Arrhythmia database. The design, implemented using a proprietary design tool (System Generator), is an extension of our previous work and uses 76% resources available in a small-sized FPGA device (Xilinx Spartan xc3s500), has a higher detection accuracy as compared to our previous design and takes almost half the analysis time in comparison to software based approach. PMID:19163797

  18. Re-entrant tachycardia using two bypass tracts and excluding AV node in short PR interval, normal QRS syndrome.

    PubMed Central

    Ward, D E; Camm, A J; Spurrell, R A

    1978-01-01

    In patients with the short PR interval, normal QRS complex syndrome, paroxysmal tachycardias are usually the result of circus movement involving the AV node and a partial or complete AV nodal bypass. We report 2 patients with this syndrome who suffered distressing rapid paroxysms of tachycardia but in whom there was evidence of a concealed direct VA connection. In both patients, tachycardia was initiated with critical AV prolongation distal to the His bundle, in response to programmed atrial premature stimuli. The constancy of the timing of the atrial echo from the onset of the QRS complex in the presence of a varying HV interval is evidence for involvement of the ventricles in the re-entry pathway. In addition, in both patients the appearance of left bundle-branch block during tachycardia was associated with appropriate prolongation of tachycardia cycle length consistent with the presence of a direct VA connection. The short AH interval during tachycardia and the absence of critical AH prolongation suggests the participation of a rapidly conducting pathway in the anterograde limb of the tachycardia circuit. PMID:708514

  19. Development of a Multi-Channel, High Frequency QRS Electrocardiograph

    NASA Technical Reports Server (NTRS)

    DePalma, Jude L.

    2003-01-01

    With the advent of the ISS era and the potential requirement for increased cardiovascular monitoring of crewmembers during extended EVAs, NASA flight surgeons would stand to benefit from an evolving technology that allows for a more rapid diagnosis of myocardial ischemia compared to standard electrocardiography. Similarly, during the astronaut selection process, NASA flight surgeons and other physicians would also stand to benefit from a completely noninvasive technology that, either at rest or during maximal exercise tests, is more sensitive than standard ECG in identifying the presence of ischemia. Perhaps most importantly, practicing cardiologists and emergency medicine physicians could greatly benefit from such a device as it could augment (or even replace) standard electrocardiography in settings where the rapid diagnosis of myocardial ischemia (or the lack thereof) is required for proper clinical decision-making. A multi-channel, high-frequency QRS electrocardiograph is currently under development in the Life Sciences Research Laboratories at JSC. Specifically the project consisted of writing software code, some of which contained specially-designed digital filters, which will be incorporated into an existing commercial software program that is already designed to collect, plot and analyze conventional 12-lead ECG signals on a desktop, portable or palm PC. The software will derive the high-frequency QRS signals, which will be analyzed (in numerous ways) and plotted alongside of the conventional ECG signals, giving the PC-viewing clinician advanced diagnostic information that has never been available previously in all 12 ECG leads simultaneously. After the hardware and software for the advanced digital ECG monitor have been fully integrated, plans are to use the monitor to begin clinical studies both on healthy subjects and on patients with known coronary artery disease in both the outpatient and hospital settings. The ultimate goal is to get the technology

  20. Prognostic Significance of Frontal QRS-T Angle in Patients with Idiopathic Dilated Cardiomyopathy

    PubMed Central

    Li, Sheng-Na; Zhang, Xin-Lin; Cai, Guo-Long; Lin, Ruo-Wei; Jiang, He; Chen, Jian-Zhou; Xu, Biao; Huang, Wei

    2016-01-01

    Background: Current risk stratification of idiopathic dilated cardiomyopathy (IDC) lacks sufficient sensitivity and specificity. The objective of this study was to investigate the predictive role of frontal QRS-T angles in IDC. Methods: A prospective study with 509 IDC patients was performed from February 2008 to December 2013 in the Affiliated Drum Tower Hospital, Nanjing University School of Medicine. Baseline values and changes in QRS-T angles were recorded. Follow-up was conducted every 6 months. Analyses by Cox Proportional Hazards model were performed to evaluate the association between QRS-T angle and outcomes. The primary outcome of interest was all-cause mortality. Results: During a median follow-up of 34 months, 90 of 316 patients with QRS-T angles >90° died compared to 31 of 193 patients with QRS-T angles ≤90° (hazard ratio [HR] =2.4, P < 0.001). Cardiac death was more prevalent in patients with a wide QRS-T angle (HR = 2.4, P < 0.001), similar to heart failure rehospitalization (HR = 2.5, P < 0.001). After adjustment for potential prognostic factors, the QRS-T angle was independently associated with all-cause mortality (HR = 2.5, P < 0.05), cardiac mortality (HR = 1.9, P < 0. 05), and heart failure rehospitalization (HR = 2.3, P < 0.01). Optimized therapy significantly narrowed the frontal QRS-T angle (100.9 ± 53.4° vs. 107.2 ± 54.4°, P < 0.001). The frontal QRS-T angle correlated well with established risk factors, such as left ventricular ejection fraction, brain natriuretic peptide, and New York Heart Association functional class. Conclusions: The frontal QRS-T angle is a powerful predictor of all-cause mortality, cardiac mortality, and worsening heart failure in IDC patients, independent of well-established prognostic factors. Optimized therapy significantly narrows the QRS-T angle, which might be an indicator of medication compliance, but this requires further investigation. PMID:27503013

  1. Partial suppression of the respiratory defect of qrs1/her2 glutamyl-tRNA amidotransferase mutants by overexpression of the mitochondrial pentatricopeptide Msc6p.

    PubMed

    Moda, Bruno S; Ferreira-Júnior, José Ribamar; Barros, Mario H

    2016-08-01

    Recently, a large body of evidences indicates the existence in the mitochondrial matrix of foci that contain different proteins involved in mitochondrial RNA metabolism. Some of these proteins have a pentatricopeptide repeat motif that constitutes their RNA-binding structures. Here we report that MSC6, a mitochondrial pentatricopeptide protein of unknown function, is a multi copy suppressor of mutations in QRS1/HER2 a component of the trimeric complex that catalyzes the transamidation of glutamyl-tRNAQ to glutaminyl-tRNAQ. This is an essential step in mitochondrial translation because of the lack of a specific mitochondrial aminoacyl glutaminyl-tRNA synthetase. MSC6 over-expression did not abolish translation of an aberrant variant form of Cox2p detected in QRS1/HER2 mutants, arguing against a suppression mechanism that bypasses Qrs1p function. A slight decrement of the mitochondrial translation capacity as well as diminished growth on respiratory carbon sources media for respiratory activity was observed in the msc6 null mutant. Additionally, the msc6 null mutant did not display any impairment in RNA transcription, processing or turnover. We concluded that Msc6p is a mitochondrial matrix protein and further studies are required to indicate the specific function of Msc6p in mitochondrial translation. PMID:26780366

  2. A 0.83- μW QRS detection processor using quadratic spline wavelet transform for wireless ECG acquisition in 0.35- μm CMOS.

    PubMed

    Ieong, Chio-In; Mak, Pui-In; Lam, Chi-Pang; Dong, Cheng; Vai, Mang-I; Mak, Peng-Un; Pun, Sio-Hang; Wan, Feng; Martins, Rui P

    2012-12-01

    Healthcare electronics count on the effectiveness of the on-patient signal preprocessing unit to moderate the wireless data transfer for better power efficiency. In order to reduce the system power in long-time ECG acquisition, this work describes an on-patient QRS detection processor for arrhythmia monitoring. It extracts the concerned ECG part, i.e., the RR-interval between the QRS complex for evaluating the heart rate variability. The processor is structured by a scale-3 quadratic spline wavelet transform followed by a maxima modulus recognition stage. The former is implemented via a symmetric FIR filter, whereas the latter includes a number of feature extraction steps: zero-crossing detection, peak (zero-derivative) detection, threshold adjustment and two finite state machines for executing the decision rules. Fabricated in 0.35-μm CMOS the 300-Hz processor draws only 0.83 μW, which is favorably comparable with the prior arts. In the system tests, the input data is placed via an on-chip 10-bit SAR analog-to-digital converter, while the output data is emitted via an off-the-shelf wireless transmitter (TI CC2500) that is configurable by the processor for different data transmission modes: 1) QRS detection result, 2) raw ECG data or 3) both. Validated with all recordings from the MIT-BIH arrhythmia database, 99.31% sensitivity and 99.70% predictivity are achieved. Mode 1 with solely the result of QRS detection exhibits 6× reduction of system power over modes 2 and 3. PMID:23853259

  3. District of Columbia Going for the Gold Tiered Rate Reimbursement System. QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    ERIC Educational Resources Information Center

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of District of Columbia's Going for the Gold Tiered Rate Reimbursement Systemp repared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for…

  4. Etanercept Induces Low QRS Voltage and Autonomic Dysfunction in Mice with Experimental Chagas Disease

    PubMed Central

    Rodríguez-Angulo, Héctor; García, Oscar; Castillo, Endher; Cardenas, Edward; Marques, Juan; Mijares, Alfredo

    2013-01-01

    Background Chagas disease is a tropical parasitic disease caused by the flagellate protozoan Trypanosoma cruzi. Chagasic cardiomyopathy is characterized by disorders of autonomic regulation and action potential conduction in the acute and chronic phases of infection. Although tumor necrosis factor alpha (TNF-α) has been linked to cardiomyopathy in experimental models and in patients with Chagas disease, other reports suggest that TNF-α may exert anti-parasitic actions during the acute phase of infection. Objectives This study aimed to determine the effects of a soluble TNF-α blocker, etanercept, on electrocardiographic parameters in the acute phase of experimental infection with Trypanosoma cruzi. Methods Electrocardiograms were obtained from untreated infected mice and infected mice who were treated with etanercept 7 days after infection. ECG wave and heart rate variability parameters were determined using Chart for Windows. Results Etanercept treatment resulted in a low QRS voltage and decreased heart rate variability compared with no treatment. However, the treated mice exhibited a delay in the fall of the survival curve during the acute phase. Conclusion The results of this study suggest that although etanercept treatment promotes survival in mice infected with a virulent T. cruzi strain, TNF-α blockade generates a low voltage complex and autonomic dysfunction during the acute phase of infection. These findings indicate that mortality during the acute phase can be attributed to a systemic inflammatory response rather than cardiac dysfunction. PMID:23877744

  5. Interglacial Durations

    NASA Astrophysics Data System (ADS)

    Mangili, Clara; McManus, Jerry F.; Raynaud, Dominique

    2014-05-01

    In the context of future global warming induced by human activities, it is essential to assess the role of natural climatic variations. Precise knowledge of the duration of past interglacial periods is fundamental to the understanding of the potential future evolution of the Holocene. Past ice age cycles provide a natural laboratory for exploring the progression and duration of interglacial climate. Palaeorecords from ice, land and oceans extend over the last 800 ka, revealing eight glacial-interglacial cycles, with a range of insolation and greenhouse gas influences. The interglacials display a correspondingly large variety of intensity and duration, thus providing an opportunity for major insights into the mechanisms involved in the behaviour of interglacial climates. A comparison of the duration of these interglacials, however, is often difficult, as the definition of an interglacial depends on the archive that is considered. Therefore, to compare interglacial length and climate conditions from different archives, a consistent definition of interglacial conditions is required, ideally one that is not bound to the method nor to the archive under consideration. Here we present a method to identify interglacials and to calculate their length by mean of a simple statistical approach. We based our method on ~ 400 ka windows of time to determine mean climatic conditions while allowing for the possibility of long term evolution of the climatic baseline. For our study of interglacials of the past 800 ka, we used two windows that largely align with the pre- (800-430 ka ago) and post- (430-0 ka ago) mid-Brunhes event (MBE), although the resulting conclusions are not sensitive to this particular division. We applied this method to the last 800 ka of a few palaeoclimate records: the deuterium ice core (EDC) record as a climatic proxy, the benthic δ18O stack (LR04) as a proxy for sea level/ice volume, ice core (Vostok, EDC) atmospheric CO2 and additional records. Although

  6. [ECG QRS signal detection and control system design of ventricular assist device].

    PubMed

    Liao, Huogen; Yang, Ming; Zhuang, Xiaoqi; Huang, Huan

    2013-06-01

    In order to achieve auxiliary timing of ventricular assisting device to automatically track the ECG signals, we designed a set of ECG acquisition circuit in our study for the first time. Then we carried out ECG acquisition, smoothing filter and QRS detection on the LabVIEW. With the QRS signal as a benchmark, the control system immediately triggered ventricular assisting device to trigger the heart to contract for ejection for about 300 ms, and then to assist to make it relax. The practical effects of the experiment proved that ECG acquisition circuit had the feature of strong anti-interference, and control system had no false QRS detection and no false triggering of assist device. This achieves the auxiliary timing which could automatically track the ECG signal. PMID:23865330

  7. A coordinate axis transformation study of spatial QRS loop in hypertrophic cardiomyopathy.

    PubMed

    Takimiya, A; Nakajima, S; Mugikura, M; Mutoh, K; Ibukiyama, C

    1991-01-01

    To obtain an overall view of the QRS loop on vectorcardiograms (VCG) of hypertrophic cardiomyopathy (HCM), the coordinate axis was transformed using the resolver method. The morphological features and planarity of the loop were compared with hypertrophic patterns and hypertensive heart disease (HHD). The subjects in the present study included 30 normal individuals, 40 patients with HCM and 30 with HHD. The HHD group was selected from patients showing left ventricular hypertrophy on VCG similar to that of HCM patients. The HCM group showed significantly greater values than the HHD group in the thickness/length ratio, which represents the planarity of the spatial QRS loop. The above finding suggests that the HCM group had greater deformation in the QRS loop than the HHD group. This may provide a useful indicator for the differential diagnosis of the two diseases. PMID:1920958

  8. Spatial/Frontal QRS-T Angle Predicts All-Cause Mortality and Cardiac Mortality: A Meta-Analysis

    PubMed Central

    Xie, Jun; Huang, Wei; Xu, Biao

    2015-01-01

    Background A number of studies have assessed the predictive effect of QRS-T angles in various populations since the last decade. The objective of this meta-analysis was to evaluate the prognostic value of spatial/frontal QRS-T angle on all-cause death and cardiac death. Methods PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials were searched from their inception until June 5, 2014. Studies reporting the predictive effect of spatial/frontal QRS-T angle on all-cause/cardiac death in all populations were included. Relative risk (RR) was used as a measure of effect. Results Twenty-two studies enrolling 164,171 individuals were included. In the combined analysis in all populations, a wide spatial QRS-T angle was associated with an increase in all-cause death (maximum-adjusted RR: 1.40; 95% confidence interval [CI]: 1.32 to 1.48) and cardiac death (maximum-adjusted RR: 1.71; 95% CI: 1.54 to 1.90), a wide frontal QRS-T angle also predicted a higher rate of all-cause death (maximum-adjusted RR: 1.71; 95% CI: 1.54 to 1.90). Largely similar results were found using different methods of categorizing for QRS-T angles, and similar in subgroup populations such as general population, populations with suspected coronary heart disease or heart failure. Other stratified analyses and meta-analyses using unadjusted data also generated consistent findings. Conclusions Spatial QRS-T angle held promising prognostic value on all-cause death and cardiac death. Frontal QRS-T angle was also a promising predictor of all-cause death. Given the good predictive value of QRS-T angle, a combined stratification strategy in which QRS-T angle is of vital importance might be expected. PMID:26284799

  9. Robust fetal QRS detection from noninvasive abdominal electrocardiogram based on channel selection and simultaneous multichannel processing.

    PubMed

    Ghaffari, Ali; Mollakazemi, Mohammad Javad; Atyabi, Seyyed Abbas; Niknazar, Mohammad

    2015-12-01

    The purpose of this study is to provide a new method for detecting fetal QRS complexes from non-invasive fetal electrocardiogram (fECG) signal. Despite most of the current fECG processing methods which are based on separation of fECG from maternal ECG (mECG), in this study, fetal heart rate (FHR) can be extracted with high accuracy without separation of fECG from mECG. Furthermore, in this new approach thoracic channels are not necessary. These two aspects have reduced the required computational operations. Consequently, the proposed approach can be efficiently applied to different real-time healthcare and medical devices. In this work, a new method is presented for selecting the best channel which carries strongest fECG. Each channel is scored based on two criteria of noise distribution and good fetal heartbeat visibility. Another important aspect of this study is the simultaneous and combinatorial use of available fECG channels via the priority given by their scores. A combination of geometric features and wavelet-based techniques was adopted to extract FHR. Based on fetal geometric features, fECG signals were divided into three categories, and different strategies were employed to analyze each category. The method was validated using three datasets including Noninvasive fetal ECG database, DaISy and PhysioNet/Computing in Cardiology Challenge 2013. Finally, the obtained results were compared with other studies. The adopted strategies such as multi-resolution analysis, not separating fECG and mECG, intelligent channels scoring and using them simultaneously are the factors that caused the promising performance of the method. PMID:26462679

  10. Frictional Heat Generation and Slip Duration Estimated From Micro-fault in an Exhumed Accretionary Complex and Their Relations to the Scaling Law for Slow Earthquakes

    NASA Astrophysics Data System (ADS)

    Hashimoto, Y.; Morita, K.; Okubo, M.; Hamada, Y.; Lin, W.; Hirose, T.; Kitamura, M.

    2015-12-01

    Fault motion has been estimated by diffusion pattern of frictional heating recorded in geology (e.g., Fulton et al., 2012). The same record in deeper subduction plate interface can be observed from micro-faults in an exhumed accretionary complex. In this study, we focused on a micro-fault within the Cretaceous Shimanto Belt, SW Japan to estimate fault motion from the frictional heating diffusion pattern. A carbonaceous material concentrated layer (CMCL) with ~2m of thickness is observed in study area. Some micro-faults cut the CMCL. Thickness of a fault is about 3.7mm. Injection veins and dilatant fractures were observed in thin sections, suggesting that the high fluid pressure was existed. Samples with 10cm long were collected to measure distribution of vitrinite reflectance (Ro) as a function of distance from the center of micro-fault. Ro of host rock was ~1.0%. Diffusion pattern was detected decreasing in Ro from ~1.2%-~1.1%. Characteristic diffusion distance is ~4-~9cm. We conducted grid search to find the optimal frictional heat generation per unit area (Q, the product of friction coefficient, normal stress and slip velocity) and slip duration (t) to fit the diffusion pattern. Thermal diffusivity (0.98*10-8m2/s) and thermal conductivity (2.0 W/mK) were measured. In the result, 2000-2500J/m2 of Q and 63000-126000s of t were estimated. Moment magnitudes (M0) of slow earthquakes (slow EQs) follow a scaling law with slip duration and its dimension is different from that for normal earthquakes (normal EQ) (Ide et al., 2007). The slip duration estimated in this study (~104-~105s) consistent with 4-5 of M0, never fit to the scaling law for normal EQ. Heat generation can be inverted from 4-5 of M0, corresponding with ~108-~1011J, which is consistent with rupture area of 105-108m2 in this study. The comparisons in heat generation and slip duration between geological measurements and geophysical remote observations give us the estimation of rupture area, M0, and

  11. Fetal QRS detection and heart rate estimation: a wavelet-based approach.

    PubMed

    Almeida, Rute; Gonçalves, Hernâni; Bernardes, João; Rocha, Ana Paula

    2014-08-01

    Fetal heart rate monitoring is used for pregnancy surveillance in obstetric units all over the world but in spite of recent advances in analysis methods, there are still inherent technical limitations that bound its contribution to the improvement of perinatal indicators. In this work, a previously published wavelet transform based QRS detector, validated over standard electrocardiogram (ECG) databases, is adapted to fetal QRS detection over abdominal fetal ECG. Maternal ECG waves were first located using the original detector and afterwards a version with parameters adapted for fetal physiology was applied to detect fetal QRS, excluding signal singularities associated with maternal heartbeats. Single lead (SL) based marks were combined in a single annotator with post processing rules (SLR) from which fetal RR and fetal heart rate (FHR) measures can be computed. Data from PhysioNet with reference fetal QRS locations was considered for validation, with SLR outperforming SL including ICA based detections. The error in estimated FHR using SLR was lower than 20 bpm for more than 80% of the processed files. The median error in 1 min based FHR estimation was 0.13 bpm, with a correlation between reference and estimated FHR of 0.48, which increased to 0.73 when considering only records for which estimated FHR > 110 bpm. This allows us to conclude that the proposed methodology is able to provide a clinically useful estimation of the FHR. PMID:25070210

  12. Electrocardiographic Total 12-Lead QRS Voltage in Patients Having Operative Resection of Syphilitic Aortic Aneurysm.

    PubMed

    Roberts, William C; Barbin, Clay M; Weissenborn, Matthew R; Ko, Jong M

    2015-09-15

    Electrocardiographic voltage has been used to determine the presence of left ventricular hypertrophy for about 70 years. Varying electrocardiographic criteria have been applied. We have found total 12-lead QRS voltage to be most useful in this regard. We measured total 12-lead QRS voltage in 24 patients in whom an ascending aortic aneurysm was resected and histologic study of its wall was classic of syphilitic aortitis. In these 24 patients total 12-lead QRS voltage ranged from 57 to 161 mm, averaging 120 ± 32 in the 11 men and 106 ± 24 mm in the 13 women. If normal 12-lead QRS voltage in adults is considered to be >175 mm not a single one of the 24 patients had normal voltage. Indeed, most were in the low normal area. Thus, this study provides some evidence via this indirect means that the heart itself is infrequently involved by syphilitic aortitis which produces an ascending aortic aneurysm of sufficient size to warrant resection. PMID:26209115

  13. Complex movement topography and extrinsic space representation in the rat forelimb motor cortex as defined by long-duration intracortical microstimulation.

    PubMed

    Bonazzi, Laura; Viaro, Riccardo; Lodi, Enrico; Canto, Rosario; Bonifazzi, Claudio; Franchi, Gianfranco

    2013-01-30

    Electrical stimulation of the motor cortex in the rat can evoke complex forelimb multi-joint movements, including movement of limb and paw. In this study, these movements have been quantified in terms of 3D displacement and kinematic variables of two markers positioned on the wrist and middle digits (limb and paw movement, respectively). Electrical microstimulation was applied to the motor cortex using a pulse train of 500 ms duration. Movements were measured using a high-resolution 3D optical system. Five classes of limb movements (abduction, adduction, extension, retraction, elevation) and four classes of paw movements (opening, closure, opening/closure sequence, supination) were described according to their kinematics. A consistent topography of these classes of movements was presented across the motor cortex together with a topography of spatial locations to which the paw was directed. In about one-half of cortical sites, a specific pattern of limb-paw movement combination did exist. Four categories of limb-paw movements resembling behavioral repertoire were identified: reach-shaping, reach-grasp sequence, bring-to-body, and hold-like movement. Overall, the forelimb motor region included: (1) a large caudal forelimb area dominated by reach-shaping movement representation; (2) a small rostral area containing reach-grasp sequence and bring-to-body movement representation; and (3) a more lateral portion where hold-like movement was represented. These results support the view that, in rats, the motor cortex controls forelimb movements at a relatively complex level and suggest that the orderly representation of complex movements and their dynamics/kinematics emerge from the principles of forelimb motor cortex organization. PMID:23365246

  14. Research on electrocardiogram baseline wandering correction based on wavelet transform, QRS barycenter fitting, and regional method.

    PubMed

    Song, Jinzhong; Yan, Hong; Li, Yanjun; Mu, Kaiyu

    2010-09-01

    Baseline wandering in electrocardiogram (ECG) is one of the biggest interferences in visualization and computerized detection of waveforms (especially ST-segment) based on threshold decision. A new method based on wavelet transform, QRS barycenter fitting and regional method was proposed in this paper. Firstly, wavelet transform as a coarse correction was used to remove the baseline wandering, whose frequency bands were non-overlapping with that of ST-segment. Secondly, QRS barycenter fitting was applied as a detailed correction. The third, the regional method was used to transfer baseline to zero. Finally, the method in this paper was proved to perform better than filtering and function fitting methods in baseline wandering correction after the long-term ST database (LTST) verification. In addition, the proposed method is simple and easy to carry out, and in current use. PMID:20882381

  15. Fast QRS Detection with an Optimized Knowledge-Based Method: Evaluation on 11 Standard ECG Databases

    PubMed Central

    Elgendi, Mohamed

    2013-01-01

    The current state-of-the-art in automatic QRS detection methods show high robustness and almost negligible error rates. In return, the methods are usually based on machine-learning approaches that require sufficient computational resources. However, simple-fast methods can also achieve high detection rates. There is a need to develop numerically efficient algorithms to accommodate the new trend towards battery-driven ECG devices and to analyze long-term recorded signals in a time-efficient manner. A typical QRS detection method has been reduced to a basic approach consisting of two moving averages that are calibrated by a knowledge base using only two parameters. In contrast to high-accuracy methods, the proposed method can be easily implemented in a digital filter design. PMID:24066054

  16. Clinical meaning of isolated increase of QRS voltages in hypertrophic cardiomyopathy versus athlete's heart.

    PubMed

    Calore, Chiara; Zorzi, Alessandro; Corrado, Domenico

    2015-01-01

    Recent consensus documents have provided modern criteria for interpretation of the athlete's ECG, which are based on a better definition of physiological versus abnormal ECG changes. The aim of these modern criteria is to lower the traditionally high number of false positives and to reduce unnecessary and expensive investigations, maintaining the sensitivity for identification of cardiac diseases at risk of sudden cardiac death during sports such as hypertrophic cardiomyopathy (HCM). This article reviews the published studies regarding the ECG changes associated with HCM ("pathologic hypertrophy") and athlete's heart ("physiologic hypertrophy"), with particular reference to the prevalence and clinical significance of the ECG pattern of isolated increase of QRS voltages. Taken together the results of the available studies show that ECG provides good accuracy for differentiating HCM from athlete's heart and allows to preserve the ECG power for detection of athletes with HCM. Patients with either completely normal ECGs or showing isolated QRS voltage criteria for LV hypertrophy have a less severe HCM phenotype, which is associated with a lower arrhythmic risk. These scientific data support the current recommendation that further cardiovascular tests including echocardiography are not systematically indicated in trained athletes showing an isolated increase of QRS voltages. PMID:25595718

  17. Real-time, low-complexity, low-memory solution to ECG-based heart rate detection.

    PubMed

    Ravindran, Sourabh; Dunbar, Steven; Nisarga, Bhargavi

    2009-01-01

    This paper addresses the issue of heart rate detection from noisy ECG data, and presents a method with low complexity and low memory requirements that can detect QRS complex in the presence of noise and muscle artifacts. On the MIT-BIH arrhythmia database we were able to detect 99.3% of QRS complexes with 0.47% false detection. This method can also be applied to heart rate detection using phonocardio signals. PMID:19964757

  18. Delineation of QRS offset by instantaneous changes in ECG vector angle can improve detection of acute inferior myocardial infarctions.

    PubMed

    Starc, Vito; Schlegel, Todd T

    2016-01-01

    We developed an automated new method for determining QRS offset, based on angular velocity (AV) changes around the QRS loop, and compared the method's performance to that of manual and more established automated methods for determining QRS offset in both healthy subjects and patients with acute myocardial infarction (AMI). Specifically, using Frank leads reconstructed from standard 12-lead ECGs, we determined AV in the direction of change raised to the 4th power, d(t). We found that the d(t)-determined AV transition (ΔAV) nearly coincided with manually determined QRS offset in healthy subjects, and in 27 patients with anterior AMI. However, in 31 patients with inferior AMI, ΔAV typically preceded that of QRS offset determined by the established automated methods, and by more than 10ms in 32% of cases. While this "ΔAV precedence" coincided with diagnostic ST elevation in only a minority of patients with recent inferior AMI, the use of ΔAV precedence as a complement to traditional determination of ST elevation increased the sensitivity for detecting inferior AMIs from 23 to 42%. PMID:26979381

  19. Association of the Frontal QRS-T Angle with Adverse Cardiac Remodeling, Impaired Left and Right Ventricular Function, and Worse Outcomes in Heart Failure with Preserved Ejection Fraction

    PubMed Central

    Selvaraj, Senthil; Ilkhanoff, Leonard; Burke, Michael A.; Freed, Benjamin H.; Lang, Roberto M.; Martinez, Eva E.; Shah, Sanjiv J.

    2013-01-01

    Background No prior studies have investigated the association of QRS-T angle with cardiac structure/function and outcomes in heart failure with preserved ejection fraction (HFpEF). We hypothesized that increased frontal QRS-T angle is associated with worse cardiac function/remodeling and adverse outcomes in HFpEF. Methods We prospectively studied 376 patients with HFpEF (i.e. symptomatic HF with left ventricular [LV] ejection fraction >50%.) The frontal QRS-T angle was calculated from the 12-lead electrocardiogram. Patients were divided into tertiles by frontal QRS-T angle (0–26°, 27–75°, and 76–179°), and clinical, laboratory, and echocardiographic data were compared among groups. Cox proportional hazards analyses were performed to determine the association between QRS-T angle and outcomes. Results The mean age of the cohort was 64±13 years, 65% were women, and the mean QRS-T angle was 61±51°. Patients with increased QRS-T angle were older, had a lower body-mass index, more frequently had coronary artery disease, diabetes, chronic kidney disease, and atrial fibrillation, and had higher B-type natriuretic peptide (BNP) levels (P<0.05 for all comparisons). After multivariable adjustment, patients with increased QRS-T angle had higher BNP levels in addition to higher LV mass index, worse diastolic function parameters, more right ventricular (RV) remodeling, and worse RV systolic function (P<0.05 for all associations). QRS-T angle was independently associated with the composite outcome of cardiovascular hospitalization or death on multivariable analysis, even after adjusting for BNP (HR for the highest QRS-T tertile = 2.0, 95% CI 1.2–3.4; P=0.008). Conclusions In HFpEF, increased QRS-T angle is independently associated with worse left and right ventricular function/remodeling and adverse outcomes. PMID:24075945

  20. Reversal of Pacing-Induced Cardiomyopathy by Normal QRS Axis Pacing

    PubMed Central

    Yang, Ji Hyun; Kim, Ju Youn; Kim, Sung-Hwan

    2016-01-01

    Right ventricular apical pacing has been a commonly used method for placement of permanent pacemaker, but it is known to be associated with ventricular dyssynchrony and may lead to heart failure. Septal pacing could be an alternative method to improve this complication but the results have been conflicting; hence, other strategies are needed. This case is about a patient with pacing-induced cardiomyopathy who showed much improvement after repositioning the leads to a site different from that of normally paced QRS axis. PMID:27275181

  1. Automatic Real-Time Embedded QRS Complex Detection for a Novel Patch-Type Electrocardiogram Recorder

    PubMed Central

    Tanev, George; Flintrup, Morten; Osmanagic, Armin; Egstrup, Kenneth; Hoppe, Karsten; Jennum, Poul; Jeppesen, Jørgen L.; Iversen, Helle K.; Sorensen, Helge B. D.

    2015-01-01

    Cardiovascular diseases are projected to remain the single leading cause of death globally. Timely diagnosis and treatment of these diseases are crucial to prevent death and dangerous complications. One of the important tools in early diagnosis of arrhythmias is analysis of electrocardiograms (ECGs) obtained from ambulatory long-term recordings. The design of novel patch-type ECG recorders has increased the accessibility of these long-term recordings. In many applications, it is furthermore an advantage for these devices that the recorded ECGs can be analyzed automatically in real time. The purpose of this study was therefore to design a novel algorithm for automatic heart beat detection, and embed the algorithm in the CE marked ePatch heart monitor. The algorithm is based on a novel cascade of computationally efficient filters, optimized adaptive thresholding, and a refined search back mechanism. The design and optimization of the algorithm was performed on two different databases: The MIT-BIH arrhythmia database (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$Se=99.90$ \\end{document}%, \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$P^{+}=99.87$ \\end{document}) and a private ePatch training database (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$Se=99.88$ \\end{document}%, \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$P^{+}=99.37$ \\end{document}%). The offline validation was conducted on the European ST-T database (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$Se=99.84$ \\end{document}%, \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$P^{+}=99.71$ \\end{document}%). Finally, a double-blinded validation of the embedded algorithm was conducted on a private ePatch validation database (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$Se=99.91$ \\end{document}%, \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$P^{+}=99.79$ \\end{document}%). The algorithm was thus validated with high clinical performance on more than 300 ECG records from 189 different subjects with a high number of different abnormal beat morphologies. This demonstrates the strengths of the algorithm, and the potential for this embedded algorithm to improve the possibilities of early diagnosis and treatment of cardiovascular diseases. PMID:27170891

  2. Automatic Real-Time Embedded QRS Complex Detection for a Novel Patch-Type Electrocardiogram Recorder.

    PubMed

    Saadi, Dorthe B; Tanev, George; Flintrup, Morten; Osmanagic, Armin; Egstrup, Kenneth; Hoppe, Karsten; Jennum, Poul; Jeppesen, Jørgen L; Iversen, Helle K; Sorensen, Helge B D

    2015-01-01

    Cardiovascular diseases are projected to remain the single leading cause of death globally. Timely diagnosis and treatment of these diseases are crucial to prevent death and dangerous complications. One of the important tools in early diagnosis of arrhythmias is analysis of electrocardiograms (ECGs) obtained from ambulatory long-term recordings. The design of novel patch-type ECG recorders has increased the accessibility of these long-term recordings. In many applications, it is furthermore an advantage for these devices that the recorded ECGs can be analyzed automatically in real time. The purpose of this study was therefore to design a novel algorithm for automatic heart beat detection, and embed the algorithm in the CE marked ePatch heart monitor. The algorithm is based on a novel cascade of computationally efficient filters, optimized adaptive thresholding, and a refined search back mechanism. The design and optimization of the algorithm was performed on two different databases: The MIT-BIH arrhythmia database ([Formula: see text]%, [Formula: see text]) and a private ePatch training database ([Formula: see text]%, [Formula: see text]%). The offline validation was conducted on the European ST-T database ([Formula: see text]%, [Formula: see text]%). Finally, a double-blinded validation of the embedded algorithm was conducted on a private ePatch validation database ([Formula: see text]%, [Formula: see text]%). The algorithm was thus validated with high clinical performance on more than 300 ECG records from 189 different subjects with a high number of different abnormal beat morphologies. This demonstrates the strengths of the algorithm, and the potential for this embedded algorithm to improve the possibilities of early diagnosis and treatment of cardiovascular diseases. PMID:27170891

  3. Validation of Standard and New Criteria for the Differential Diagnosis of Narrow QRS Tachycardia in Children and Adolescents.

    PubMed

    Deutsch, Karol; Stec, Sebastian; Kukla, Piotr; Morka, Aleksandra; Jastrzebski, Marek; Baszko, Artur; Pitak, Maciej; Sledz, Janusz; Fijorek, Kamil; Mazij, Mariusz; Ludwik, Bartosz; Gubaro, Marcin; Szydlowski, Leslaw

    2015-12-01

    To establish an appropriate treatment strategy and determine if ablation is indicated for patients with narrow QRS complex supraventricular tachycardia (SVT), analysis of a standard 12-lead electrocardiogram (ECG) is required, which can differentiate between the 2 most common mechanisms underlying SVT: atrioventricular nodal reentry tachycardia (AVNRT) and orthodromic atrioventricular reentry tachycardia (OAVRT). Recently, new, highly accurate electrocardiographic criteria for the differential diagnosis of SVT in adults were proposed; however, those criteria have not yet been validated in a pediatric population.All ECGs were recorded during invasive electrophysiology study of pediatric patients (n = 212; age: 13.2 ± 3.5, range: 1-18; girls: 48%). We assessed the diagnostic value of the 2 new and 7 standard criteria for differentiating AVNRT from OAVRT in a pediatric population.Two of the standard criteria were found significantly more often in ECGs from the OAVRT group than from the AVNRT group (retrograde P waves [63% vs 11%, P < 0.001] and ST-segment depression in the II, III, aVF, V1-V6 leads [42% vs 27%; P < 0.05]), whereas 1 standard criterion was found significantly more often in ECGs from the AVNRT group than from the OAVRT group (pseudo r' wave in V1 lead [39% vs 10%, P < 0.001]). The remaining 6 criteria did not reach statistical significance for differentiating SVT, and the accuracy of prediction did not exceed 70%. Based on these results, a multivariable decision rule to evaluate differential diagnosis of SVT was performed.These results indicate that both the standard and new electrocardiographic criteria for discriminating between AVNRT and OAVRT have lower diagnostic values in children and adolescents than in adults. A decision model based on 5 simple clinical and ECG parameters may predict a final diagnosis with better accuracy. PMID:26705217

  4. Validation of Standard and New Criteria for the Differential Diagnosis of Narrow QRS Tachycardia in Children and Adolescents

    PubMed Central

    Deutsch, Karol; Stec, Sebastian; Kukla, Piotr; Morka, Aleksandra; Jastrzebski, Marek; Baszko, Artur; Pitak, Maciej; Sledz, Janusz; Fijorek, Kamil; Mazij, Mariusz; Ludwik, Bartosz; Gubaro, Marcin; Szydlowski, Leslaw

    2015-01-01

    Abstract To establish an appropriate treatment strategy and determine if ablation is indicated for patients with narrow QRS complex supraventricular tachycardia (SVT), analysis of a standard 12-lead electrocardiogram (ECG) is required, which can differentiate between the 2 most common mechanisms underlying SVT: atrioventricular nodal reentry tachycardia (AVNRT) and orthodromic atrioventricular reentry tachycardia (OAVRT). Recently, new, highly accurate electrocardiographic criteria for the differential diagnosis of SVT in adults were proposed; however, those criteria have not yet been validated in a pediatric population. All ECGs were recorded during invasive electrophysiology study of pediatric patients (n = 212; age: 13.2 ± 3.5, range: 1–18; girls: 48%). We assessed the diagnostic value of the 2 new and 7 standard criteria for differentiating AVNRT from OAVRT in a pediatric population. Two of the standard criteria were found significantly more often in ECGs from the OAVRT group than from the AVNRT group (retrograde P waves [63% vs 11%, P < 0.001] and ST-segment depression in the II, III, aVF, V1–V6 leads [42% vs 27%; P < 0.05]), whereas 1 standard criterion was found significantly more often in ECGs from the AVNRT group than from the OAVRT group (pseudo r′ wave in V1 lead [39% vs 10%, P < 0.001]). The remaining 6 criteria did not reach statistical significance for differentiating SVT, and the accuracy of prediction did not exceed 70%. Based on these results, a multivariable decision rule to evaluate differential diagnosis of SVT was performed. These results indicate that both the standard and new electrocardiographic criteria for discriminating between AVNRT and OAVRT have lower diagnostic values in children and adolescents than in adults. A decision model based on 5 simple clinical and ECG parameters may predict a final diagnosis with better accuracy. PMID:26705217

  5. When Deriving the Spatial QRS-T Angle from the 12-lead ECG, which Transform is More Frank: Regression or Inverse Dower?

    NASA Technical Reports Server (NTRS)

    Schlegel, Todd T.; Cortez, Daniel

    2010-01-01

    Our primary objective was to ascertain which commonly used 12-to-Frank-lead transformation yields spatial QRS-T angle values closest to those obtained from simultaneously collected true Frank-lead recordings. Simultaneous 12-lead and Frank XYZ-lead recordings were analyzed for 100 post-myocardial infarction patients and 50 controls. Relative agreement, with true Frank-lead results, of 12-to-Frank-lead transformed results for the spatial QRS-T angle using Kors regression versus inverse Dower was assessed via ANOVA, Lin s concordance and Bland-Altman plots. Spatial QRS-T angles from the true Frank leads were not significantly different than those derived from the Kors regression-related transformation but were significantly smaller than those derived from the inverse Dower-related transformation (P less than 0.001). Independent of method, spatial mean QRS-T angles were also always significantly larger than spatial maximum (peaks) QRS-T angles. Spatial QRS-T angles are best approximated by regression-related transforms. Spatial mean and spatial peaks QRS-T angles should also not be used interchangeably.

  6. Fine grid computer simulation of QRS-T and criteria for the quantitation of regional ischemia.

    PubMed

    Selvester, R H; Solomon, J C; Tolan, G D

    1987-10-01

    A comprehensive fine grid simulation of excitation and recovery (QRS-T), realistic cardiac and torso anatomy, and electrophysiologic properties has been developed that produces a total body surface electrocardiogram (ECG) as output. The simulation leads to the specific hypothesis that additional leads on the upper and lower torso, and on the back, are required to optimize the quantitation and localization of regional ischemia and infarction. Criteria in the STT portion of the ECG for quantitating the severity of the ischemia were developed and presented. The combination of the leads in which the STT changes occur and the severity of the STT change provide a testable set of hypotheses for predicting the severity of ischemia, the probable coronary perfusion bed involved, the severity of the perfusion defect, and the severity of the proximal coronary obstruction. PMID:3694084

  7. A Literature Review of the Use of Sodium Bicarbonate for the Treatment of QRS Widening.

    PubMed

    Bruccoleri, Rebecca E; Burns, Michele M

    2016-03-01

    Sodium bicarbonate is a well-known antidote for tricyclic antidepressant (TCA) poisoning. It has been used for over half a century to treat toxin-induced sodium channel blockade as evidenced by QRS widening on the electrocardiogram (ECG). The purpose of this review is to describe the literature regarding electrophysiological mechanisms and clinical use of this antidote after poisoning by tricyclic antidepressants and other agents. This article will also address the literature supporting an increased serum sodium concentration, alkalemia, or the combination of both as the responsible mechanism(s) for sodium bicarbonate's antidotal properties. While sodium bicarbonate has been used as a treatment for cardiac sodium channel blockade for multiple other agents including citalopram, cocaine, flecainide, diphenhydramine, propoxyphene, and lamotrigine, it has uncertain efficacy with bupropion, propranolol, and taxine-containing plants. PMID:26159649

  8. Role of common and rare variants in SCN10A: results from the Brugada syndrome QRS locus gene discovery collaborative study

    PubMed Central

    Behr, Elijah R.; Savio-Galimberti, Eleonora; Barc, Julien; Holst, Anders G.; Petropoulou, Evmorfia; Prins, Bram P.; Jabbari, Javad; Torchio, Margherita; Berthet, Myriam; Mizusawa, Yuka; Yang, Tao; Nannenberg, Eline A.; Dagradi, Federica; Weeke, Peter; Bastiaenan, Rachel; Ackerman, Michael J.; Haunso, Stig; Leenhardt, Antoine; Kääb, Stefan; Probst, Vincent; Redon, Richard; Sharma, Sanjay; Wilde, Arthur; Tfelt-Hansen, Jacob; Schwartz, Peter; Roden, Dan M.; Bezzina, Connie R.; Olesen, Morten; Darbar, Dawood; Guicheney, Pascale; Crotti, Lia; Jamshidi, Yalda

    2015-01-01

    Aims Brugada syndrome (BrS) remains genetically heterogeneous and is associated with slowed cardiac conduction. We aimed to identify genetic variation in BrS cases at loci associated with QRS duration. Methods and results A multi-centre study sequenced seven candidate genes (SCN10A, HAND1, PLN, CASQ2, TKT, TBX3, and TBX5) in 156 Caucasian SCN5A mutation-negative BrS patients (80% male; mean age 48) with symptoms (64%) and/or a family history of sudden death (47%) or BrS (18%). Forty-nine variants were identified: 18 were rare (MAF <1%) and non-synonymous; and 11/18 (61.1%), mostly in SCN10A, were predicted as pathogenic using multiple bioinformatics tools. Allele frequencies were compared with the Exome Sequencing and UK10K Projects. SKAT methods tested rare variation in SCN10A finding no statistically significant difference between cases and controls. Co-segregation analysis was possible for four of seven probands carrying a novel pathogenic variant. Only one pedigree (I671V/G1299A in SCN10A) showed co-segregation. The SCN10A SNP V1073 was, however, associated strongly with BrS [66.9 vs. 40.1% (UK10K) OR (95% CI) = 3.02 (2.35–3.87), P = 8.07 × 10–19]. Voltage-clamp experiments for NaV1.8 were performed for SCN10A common variants V1073, A1073, and rare variants of interest: A200V and I671V. V1073, A200V and I671V, demonstrated significant reductions in peak INa compared with ancestral allele A1073 (rs6795970). Conclusion Rare variants in the screened QRS-associated genes (including SCN10A) are not responsible for a significant proportion of SCN5A mutation negative BrS. The common SNP SCN10A V1073 was strongly associated with BrS and demonstrated loss of NaV1.8 function, as did rare variants in isolated patients. PMID:25691538

  9. A 300-mV 220-nW event-driven ADC with real-time QRS detection for wearable ECG sensors.

    PubMed

    Zhang, Xiaoyang; Lian, Yong

    2014-12-01

    This paper presents an ultra-low-power event-driven analog-to-digital converter (ADC) with real-time QRS detection for wearable electrocardiogram (ECG) sensors in wireless body sensor network (WBSN) applications. Two QRS detection algorithms, pulse-triggered (PUT) and time-assisted PUT (t-PUT), are proposed based on the level-crossing events generated from the ADC. The PUT detector achieves 97.63% sensitivity and 97.33% positive prediction in simulation on the MIT-BIH Arrhythmia Database. The t-PUT improves the sensitivity and positive prediction to 97.76% and 98.59% respectively. Fabricated in 0.13 μm CMOS technology, the ADC with QRS detector consumes only 220 nW measured under 300 mV power supply, making it the first nanoWatt compact analog-to-information (A2I) converter with embedded QRS detector. PMID:25608283

  10. Electrocradiographic Qrs Axis, Q Wave and T-wave Changes in 2nd and 3rd Trimester of Normal Pregnancy

    PubMed Central

    S., Chandrasekharappa; Brid, S.V

    2014-01-01

    Background: Pregnancy although a physiological phenomena affects all the functions of the maternal body and brings about remarkable changes in the cardiovascular system. The cardiovascular changes and many of the physiological adaptations of normal pregnancy alter the physical findings thus, sometimes misleading the diagnosis of heart disease. Pregnancy also brings about various changes in the electrocardiogram, further confusing with that of heart disease. This study is undertaken to highlight the effect of normal pregnancy on the QRS axis, Q wave and T-wave of the Electrocardiogram and thereby helps us to distinguish it from that of pathological changes. Objectives: To study the effect of normal pregnancy on the QRS axis, Q wave and T-wave in the electrocardiogram and to compare with that of normal non pregnant women. Materials and Methods: Fifty normal pregnant women in 2nd and 3rd trimester each between 20– 35 y of age and 50 normal non pregnant women of the same age group were selected for the study. A 12 lead ECG was recorded by using ECG machine with special emphasis on QRS axis, Q wave and T-wave changes and all the parameters were analysed. Results: The ECG changes observed in our study include, deviation of QRS axis towards left as pregnancy advanced, significant increased incidence of occurrence of prominent Q waves in lead II, III and avF in pregnant group (p < 0.05 ) and, T-wave abnormalities like flat and inverted T-waves in lead III, V1 – V3 were more frequent in pregnant group ( p<0.05 ) than in non pregnant group. Conclusion:Normal pregnancy brings about various changes in ECG. These changes during pregnancy should be interpretated with caution by the physicians. It is necessary to understand the normal physiological changes which in turn help us in better management of those with cardiac disease. PMID:25386425

  11. Implications of Franciscan Complex graywacke geochemistry for sediment transport, provenance determination, burial-exposure duration, and fluid exchange with cosubducted metabasites

    NASA Astrophysics Data System (ADS)

    Ghatak, Arundhuti; Basu, Asish R.; Wakabayashi, John

    2013-09-01

    of graywacke provenance has long been used to evaluate the record of tectonic process in orogenic belts. Our geochemical data from graywackes of the Franciscan subduction complex, California, show that the connection between sedimentary record and geologic processes may be more complex than previously believed. Trace elements and Nd-Sr-Pb isotopes of Franciscan graywackes indicate two sources types. One group lacking negative Eu anomaly (Eu/Eu* > 0.9), shows slightly concave-up heavy rare earth elements, arc-like trace element patterns, and western Pacific island arc-like Pb isotopes, reflecting derivation from older accreted oceanic-arc terranes in the Sierra Nevada-Klamath Mountains. The other group displays small negative Eu anomalies, with trace element patterns resembling post-Archean Australian shale and Pb isotopes similar to Jurassic-Cretaceous Sierran batholith. There is no systematic separation of these two groups by depositional ages. Thus, geochemistry of the graywackes may partly reflect variation in location of sediment delivery systems, rather than solely reflecting evolution of the neighboring arc. Variation of Nd-Sr isotopes with stratigraphic-age for the graywackes mimics the trends of the coeval Great Valley Group clastic-rocks, suggesting that (1) they share the same sediment sources, (2) there are no "exotic" sediment sources that fed the Franciscan trench, and (3) burial-exposure cycles for Franciscan clastic rocks were comparatively brief. Comparison of Franciscan graywacke and metabasite geochemistry corroborates earlier conclusions that metabasites had little or no chemical exchange with fluids from cosubducted graywacke. Detrital zircon age populations, major element chemistry, and detrital framework modes, when compared to our data suggest that the former three parameters underrepresent the mafic component of clastic sediment provenance.

  12. Significance of high voltage QRS anterior forces in young asymptomatic adults. Evaluation by wide-angle two-dimensional echocardiography.

    PubMed

    Loperfido, F; Digaetano, A; Pennestri, F; Mongiardo, R; Infantino, S; Fanelli, R; Guccione, P; Coppola, E

    1983-07-01

    Thirteen asymptomatic adults less than 40 years old who showed tall right precordial R waves on the ECG were examined by VCG, M-mode and two-dimensional echocardiography (2D Echo). Common causes of QRS anterior displacement, such as right ventricular enlargement or right bundle branch block, were excluded in each subject. Although each subject was normal at physical examination, 2D Echo revealed areas of left ventricular hypertrophy in eight of these 13 subjects. Four had a prevailing hypertrophy of the basal portion of the interventricular septum, three had an isolated apical hypertrophy, and one had a diffuse concentric left ventricular hypertrophy. Results were normal in five cases. 2D Echo classification was confirmed by heart catheterization findings, when available. The subjects with asymmetric septal hypertrophy showed low-voltage QRS leftward forces on the ECG and VCG. ECGs and VCGs were not useful in differentiating the subjects with atypically distributed left ventricular hypertrophy from the normals: high-voltage QRS leftward forces and T wave abnormalities were evident in some subjects of both groups. Tall right precordial R waves may constitute a marker of hypertrophic cardiomyopathy in asymptomatic young adults. 2D Echo is useful to exactly classify these subjects. PMID:6225816

  13. Dynamic Changes of QRS Morphology of Premature Ventricular Contractions During Ablation in the Right Ventricular Outflow Tract: A Case Report.

    PubMed

    Yue-Chun, Li; Jia-Feng, Lin; Jia-Xuan, Lin

    2015-10-01

    Electrocardiographic characteristics can be useful in differentiating between right ventricular outflow tract (RVOT) and aortic sinus cusp (ASC) ventricular arrhythmias. Ventricular arrhythmias originating from ASC, however, show preferential conduction to RVOT that may render the algorithms of electrocardiographic characteristics less reliable. Even though there are few reports describing ventricular arrhythmias with ASC origins and endocardial breakout sites of RVOT, progressive dynamic changes in QRS morphology of the ventricular arrhythmias during ablation obtained were rare.This case report describes a patient with symptomatic premature ventricular contractions of left ASC origin presenting an electrocardiogram (ECG) characteristic of right ventricular outflow tract before ablation. Pacing at right ventricular outflow tract reproduced an excellent pace map. When radiofrequency catheter ablation was applied to the right ventricular outflow tract, the QRS morphology of premature ventricular contractions progressively changed from ECG characteristics of right ventricular outflow tract origin to ECG characteristics of left ASC origin.Successful radiofrequency catheter ablation was achieved at the site of the earliest ventricular activation in the left ASC. The distance between the successful ablation site of the left ASC and the site with an excellent pace map of the RVOT was 20 mm.The ndings could be strong evidence for a preferential conduction via the myocardial bers from the ASC origin to the breakout site in the right ventricular outflow tract. This case demonstrates that ventricular arrhythmias with a single origin and exit shift may exhibit QRS morphology changes. PMID:26496347

  14. Origin of body surface QRS and T wave potentials from epicardial potential distributions in the intact chimpanzee.

    PubMed

    Spach, M S; Barr, R C; Lanning, C F; Tucek, P C

    1977-02-01

    Epicardial and body surface QRS-T wave potential distributions were measured during normal and ectopic sequences in intact chimpanzees. Epicardial potential distributions were used because they provide a comprehensive picture of total cardiac electrical activity for relating heart and body surface events during both ventricular activation and repolarization. When the epicardial potential gradients existed over a distance greater than that to the recording points on the body surface, e.g., as occurred during the overlap of terminal ventricular activation and early repolarization, the epicardial events were mirrored well on the anterior chest surface. However, when the recording points were at a distance greater than that over which the epicardial potential gradients existed, the details of the epicardial events disappeared and their effect was to produce distinct changes in the low-level potentials over broad distant areas. The major manifestations on the body surface of selective epicardial events frequently were changes in the distant low-level potential areas while there was no change in the pattern near the maximum or minimum. The ST-T wave body surface distributions were as useful as the QRS patterns for localizing the ventricular ectopic foci presented. A direct experimental basis is provided for explaining T wave notches which occurred during normal and ectopic beats and resembled U waves. It should be possible to achieve as precise an understanding of ST-T waves on the basis of epicardial potential distributions as has thus far been achieved for QRS on the basis of isochrones. PMID:832342

  15. A vector-free ECG interpretation with P, QRS & T waves as unbalanced transitions between stable configurations of the heart electric field during P-R, S-T & T-P segments.

    PubMed

    Kurbel, Sven

    2014-01-01

    duration than the QRS wave in the same lead. The proposed interpretation is applied to bundle branch blocks, fascicular (hemi-) blocks and changes during heart muscle ischemia. PMID:24506945

  16. Icon Duration and Development.

    ERIC Educational Resources Information Center

    Gummerman, Kent; And Others

    In this study, developmental changes in duration of the icon (visual sensory store) were investigated with three converging tachistoscopic tasks. (1) Stimulus interuption detection (SID), a variation of the two-flash threshold method, was performed by 29 first- and 32 fifth-graders, and 32 undergraduates. Icon duration was estimated by stimulus…

  17. PULSE DURATION LENGTHENER

    DOEpatents

    Aiken, W.R.

    1958-02-01

    This patent pertains to pulse modifying apparatus and, more particularly, describes a device to provide a rise time and time base expander for signal pulses having a very short duration. The basic element of the device is a vacuum tube comprising a charged particie beam, grid control means, an accelerating electrode, a drift tube, and a collector electrode. As the short duration input pulse modulates the particle beam through the grid control means, the voltage between the drift tube and accelerating electrode is caused to vary, whereby the output signal from the collector is a pulse having longer rise time, expanded duration and proportionate characteristics of the original pulse. The invention is particuiarly useful where subsequent pulse circultry does not have the frequency bandwidth to handle the short duration pulse without distorting it.

  18. Utility of Routine Exercise Testing to Detect Rate-Related QRS Widening in Patients Without Structural Heart Disease on Class Ic Antiarrhythmic Agents (Flecainide and Propafenone).

    PubMed

    Vallurupalli, Srikanth; Pothineni, Naga Venkata K; Deshmukh, Abhishek; Paydak, Hakan

    2015-09-01

    Class Ic antiarrhythmic agents are effective in the treatment of various atrial tachyarrhythmias. They are known to cause rate-related QRS widening in the presence of structural heart disease, which can lead to life-threatening arrhythmias. The role of routine exercise electrocardiography in patients without structural heart disease is unknown. All patients initiated on class Ic antiarrhythmic agents and who had exercise electrocardiography performed from June 2009 to June 2013 were included. Symptom-limited treadmill electrocardiography was performed to detect significant QRS widening at peak exercise (defined as an increase of >25% of baseline QRS). Fifty-six patients were included in the study. All patients were screened for structural heart disease before initiation of the medication. Significant QRS widening and atrial tachycardia occurred in a single patient, which terminated with cessation of exercise. This patient had a history of tachycardia-mediated cardiomyopathy with normalization of ejection fraction 3 years before being placed on flecainide. In conclusion, routine exercise testing to detect QRS widening is not warranted in patients with no structural heart disease. PMID:26100588

  19. Complex Solar Eruption - Duration: 3 seconds.

    NASA Video Gallery

    On August 1, 2010 around 0855 UT, Earth orbiting satellites detected a C3-class solar flare. The origin of the blast was sunspot 1092. At about the same time, an enormous magnetic filament stretchi...

  20. Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries.

    PubMed

    Shenthar, Jayaprakash; Rai, Maneesh K

    2015-01-01

    A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered - complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed. PMID:26937115

  1. Diagnostic dilemma with a narrow QRS regular rhythm at normal rates in a patient with corrected transposition of great arteries

    PubMed Central

    Shenthar, Jayaprakash; Rai, Maneesh K.

    2015-01-01

    A 35 year old male, known case of corrected transposition of great arteries presented with exertional dyspnea and recurrent pre-syncope. 12 lead electrocardiogram revealed a regular rhythm at 75 beats per minute, P waves occurring on the upstroke of T waves and apparent 1:1 P-QRS relationship. The possibilities to be considered – complete AV block with junctional escape, junctional rhythm with 1:1 retrograde conduction, junctional rhythm with isorhythmic AV dissociation and prolonged PR interval have been discussed. PMID:26937115

  2. Word Durations in Non-Native English

    PubMed Central

    Baker, Rachel E.; Baese-Berk, Melissa; Bonnasse-Gahot, Laurent; Kim, Midam; Van Engen, Kristin J.; Bradlow, Ann R.

    2010-01-01

    In this study, we compare the effects of English lexical features on word duration for native and non-native English speakers and for non-native speakers with different L1s and a range of L2 experience. We also examine whether non-native word durations lead to judgments of a stronger foreign accent. We measured word durations in English paragraphs read by 12 American English (AE), 20 Korean, and 20 Chinese speakers. We also had AE listeners rate the `accentedness' of these non-native speakers. AE speech had shorter durations, greater within-speaker word duration variance, greater reduction of function words, and less between-speaker variance than non-native speech. However, both AE and non-native speakers showed sensitivity to lexical predictability by reducing second mentions and high frequency words. Non-native speakers with more native-like word durations, greater within-speaker word duration variance, and greater function word reduction were perceived as less accented. Overall, these findings identify word duration as an important and complex feature of foreign-accented English. PMID:21516172

  3. Flow-duration curves

    USGS Publications Warehouse

    Searcy, James Kincheon

    1959-01-01

    The flow-duration curve is a cumulative frequency curve that shows the percent of time specified discharges were equaled or exceeded during a given period. It combines in one curve the flow characteristics of a stream throughout the range of discharge, without regard to the sequence of occurrence. If the period upon which the curve is based represents the long-term flow of a stream, the curve may be used to predict the distribution of future flows for water- power, water-supply, and pollution studies. This report shows that differences in geology affect the low-flow ends of flow-duration curves of streams in adjacent basins. Thus, duration curves are useful in appraising the geologic characteristics of drainage basins. A method for adjusting flow-duration curves of short periods to represent long-term conditions is presented. The adjustment is made by correlating the records of a short-term station with those of a long-term station.

  4. Long Duration Sorbent Testbed

    NASA Technical Reports Server (NTRS)

    Howard, David F.; Knox, James C.; Long, David A.; Miller, Lee; Cmaric, Gregory; Thomas, John

    2016-01-01

    The Long Duration Sorbent Testbed (LDST) is a flight experiment demonstration designed to expose current and future candidate carbon dioxide removal system sorbents to an actual crewed space cabin environment to assess and compare sorption working capacity degradation resulting from long term operation. An analysis of sorbent materials returned to Earth after approximately one year of operation in the International Space Station's (ISS) Carbon Dioxide Removal Assembly (CDRA) indicated as much as a 70% loss of working capacity of the silica gel desiccant material at the extreme system inlet location, with a gradient of capacity loss down the bed. The primary science objective is to assess the degradation of potential sorbents for exploration class missions and ISS upgrades when operated in a true crewed space cabin environment. A secondary objective is to compare degradation of flight test to a ground test unit with contaminant dosing to determine applicability of ground testing.

  5. Long duration ash probe

    DOEpatents

    Hurley, J.P.; McCollor, D.P.; Selle, S.J.

    1994-07-26

    A long duration ash probe includes a pressure shell connected to a port in a combustor with a sample coupon mounted on a retractable carriage so as to retract the sample coupon within the pressure shell during soot blowing operation of the combustor. A valve mounted at the forward end of the pressure shell is selectively closeable to seal the sample coupon within the shell, and a heating element in the shell is operable to maintain the desired temperature of the sample coupon while retracted within the shell. The carriage is operably mounted on a pair of rails within the shell for longitudinal movement within the shell. A hollow carrier tube connects the hollow cylindrical sample coupon to the carriage, and extends through the carriage and out the rearward end thereof. Air lines are connected to the rearward end of the carrier tube and are operable to permit coolant to pass through the air lines and thence through the carrier tube to the sample coupon so as to cool the sample coupon. 8 figs.

  6. Long duration ash probe

    DOEpatents

    Hurley, John P.; McCollor, Don P.; Selle, Stanley J.

    1994-01-01

    A long duration ash probe includes a pressure shell connected to a port in a combustor with a sample coupon mounted on a retractable carriage so as to retract the sample coupon within the pressure shell during sootblowing operation of the combustor. A valve mounted at the forward end of the pressure shell is selectively closeable to seal the sample coupon within the shell, and a heating element in the shell is operable to maintain the desired temperature of the sample coupon while retracted within the shell. The carriage is operably mounted on a pair of rails within the shell for longitudinal movement within the shell. A hollow carrier tube connects the hollow cylindrical sample coupon to the carriage, and extends through the carriage and out the rearward end thereof. Air lines are connected to the rearward end of the carrier tube and are operable to permit coolant to pass through the air lines and thence through the carrier tube to the sample coupon so as to cool the sample coupon.

  7. Striatal dynamics explain duration judgments

    PubMed Central

    Gouvêa, Thiago S; Monteiro, Tiago; Motiwala, Asma; Soares, Sofia; Machens, Christian; Paton, Joseph J

    2015-01-01

    The striatum is an input structure of the basal ganglia implicated in several time-dependent functions including reinforcement learning, decision making, and interval timing. To determine whether striatal ensembles drive subjects' judgments of duration, we manipulated and recorded from striatal neurons in rats performing a duration categorization psychophysical task. We found that the dynamics of striatal neurons predicted duration judgments, and that simultaneously recorded ensembles could judge duration as well as the animal. Furthermore, striatal neurons were necessary for duration judgments, as muscimol infusions produced a specific impairment in animals' duration sensitivity. Lastly, we show that time as encoded by striatal populations ran faster or slower when rats judged a duration as longer or shorter, respectively. These results demonstrate that the speed with which striatal population state changes supports the fundamental ability of animals to judge the passage of time. DOI: http://dx.doi.org/10.7554/eLife.11386.001 PMID:26641377

  8. Long Duration Exposure Facility

    NASA Technical Reports Server (NTRS)

    1995-01-01

    The Long Duration Exposure Facility (LDEF) materials were useful for testing technical concepts that needed to be validated for the Cosmic Dust Collector Facility (CDCF) - a large instrument that was under study for inclusion on the upcoming Space Station. As it turned out, CDCF, which was approved at one point as an external payload, was ultimately canceled due to the scaling back of the Space Station capabilities. However, the study of cosmic dust is still a field of great interest for NASA, being the crucial part of at least one experiment that is still being considered for a Discovery mission. The optimum analysis of hypervelocity impacts is thus a continuing NASA concern. Two experiments, AO187-1 and AO187-2 were explicitly designed to measure the flux and composition of dust particles impacting LDEF. The former consisted of flat targets of Au and Al while the second comprised a set of 237 "capture cells" using Ge target plates covered by thin (2.5 microns) metallized plastic foils. The spacecraft maintained a constant orientation with respect to its velocity vector thereby defining leading and trailing edges that faced respectively into and away from the direction of motion. Both AO187-1 and AO187-2 had detectors on both the leading and trailing edges of LDEF. It was expected that interplanetary dust particles would dominate impacts on the trailing edge while the leading edge would be exposed to both cosmic dust and particles of orbital manmade debris. In AO187-1, the compositions of the impactors was determined by SEM-EDS techniques; in AO187-2 a sensitive surface analysis technique - SIMS - was used to determine both elemental and (some) isotopic compositions. In the initial analysis of AO187-2, it was found that SIMS was more sensitive for the analysis of thin impact debris layers than SEM-EDS. The present grant was made to determine if SIMS analysis could also be applied to impacts recorded in the Au surfaces of AO187-1. Success would extend the analysis

  9. Intra-QRS high-frequency ECG changes with ischemia. Is it possible to evaluate these changes using the signal-averaged Holter ECG in dogs?

    PubMed

    Yakubo, S; Ozawa, Y; Komaki, K

    1995-01-01

    The purpose of this experiment is to study the possibility of intra-QRS high-frequency electrocardiographic (HFECG) changes for the evaluation of and recovery from myocardial ischemia in both the time-domain and spectral-turbulence analyses on the signal-averaged ECG using the Holter ECG monitoring (Holter SAECG) system. A balloon catheter was inserted into the left anterior descending coronary artery (LAD of 8 mongrel dogs and was maintained inflated for 2 hours to occlude the LAD and then was deflated to allow for reperfusion. The cardiac signal from the three orthogonal leads of the surface ECG (X, Y, and Z) was recorded and analyzed with a Del Mar Avionics (model 459, Irvine, CA) recorder and analyzer (model 563). The Holter SAECG was assessed before the LAD occlusion phase (control), during the coronary occlusion phase (ischemia), after the reperfusion phase (recovery). To evaluate intra-QRS ECG changes in the time-domain analysis, root-mean-square (RMS) voltage of the entire QRS in 40-250 HZ (40 RMS), 100-250 Hz (100 RMS), and 150-250 Hz (150 RMS) were studied and the vector magnitude of the QRS was depicted. In the spectral-turbulence analysis and spectrocardiogram to study the discordance of the ECG wave front velocity by fast Fourier transformation analysis, the interslice correlation mean (IC mean) and interslice correlation standard deviation (IC SD), which were calculated as the mean and standard deviation of the Pearson correlation coefficient of each time slice with its neighbor, were investigated. In the time-domain analysis, the LAD occlusion by balloon catheter at ischemia produced a reduction in 40 RMS, 100 RMS, and 150 RMS, while a restoration was seen at recovery in 40 RMS and 100 RMS. In the spectral-turbulence analysis, LAD occlusion at ischemia caused a decrease in IC mean and an increase in IC SD. The waveform of the vector magnitude and the spectrocardiogram seen at control showed changes with ischemia and was restored at recovery with the

  10. Duration of an elastic collision

    NASA Astrophysics Data System (ADS)

    de Izarra, Charles

    2012-07-01

    With a pedagogical goal, this paper deals with a study of the duration of an elastic collision of an inflatable spherical ball on a planar surface suitable for undergraduate studies. First, the force generated by the deformed spherical ball is obtained under assumptions that are discussed. The study of the motion of the spherical ball colliding with the planar surface allows us to determine the duration of the elastic collision. In order to check the theoretical model, an experiment is proposed to measure the duration of the collision. A more refined model built with masses and springs gives good agreement between theoretical and experimental values.

  11. Task duration in contextual interference.

    PubMed

    Smith, Peter J K

    2002-12-01

    Duration of practice trial on a pursuit rotor task in contextual interference was investigated. Participants practiced at each of 4 angular velocities, with 24 participants completing 28 trials lasting 20 sec., and 24 participants completing 112 trials of 5 sec. Half of the participants in each trial-duration condition practiced in a blocked format and half practiced in a random format. After random practice posttest performance was better than blocked practice when practice-trial duration was 20 sec., but worse when practice-trial duration was 5 sec. This result is not consistent with theoretical explanations of the contextual interference effect and is discussed with reference to the task characteristics and demands of the pursuit rotor. PMID:12578255

  12. Premature Ventricular Complexes in Apparently Normal Hearts.

    PubMed

    Luebbert, Jeffrey; Auberson, Denise; Marchlinski, Francis

    2016-09-01

    Premature ventricular complexes (PVCs) are consistently associated with worse prognosis and higher morbidity and mortality. This article reviews PVCs and their presentation in patients with an apparently normal heart. Patients with PVCs may be completely asymptomatic, whereas others may note severely disabling symptoms. Cardiomyopathy may occur with frequent PVCs. Diagnostic work-up is directed at obtaining 12-lead ECG to characterize QRS morphology, Holter monitor to assess frequency, and echo and advanced imaging to assess for early cardiomyopathy and exclude structural heart disease. Options for management include watchful waiting, medical therapy, or catheter ablation. Malignant variants of PVCs may induce ventricular fibrillation even in a normal heart. PMID:27521085

  13. Extended Duration Orbiter Medical Project

    NASA Technical Reports Server (NTRS)

    Leach, C. S.; Pool, S. L.; Sawin, C. F.; Nicogossian, A. E.

    1990-01-01

    The Extended Duration Orbiter (EDO) program addresses a need for more time to perform experiments and other tasks during Space Shuttle missions. As a part of this program, the Extended Duration Orbiter Medical Project (EDOMP) has been instituted to obtain information about physiologic effects of extending mission duration and the effectiveness of countermeasures against factors that might compromise crew health, safety, or performance on extended-duration missions. Only those investigations that address and characterize operational problems, develop countermeasures, or evaluate the effectiveness of countermeasures will be pursued. The EDOMP investigations will include flight-associated Detailed Supplementary Objectives as well as ground-based studies simulating the influence of microgravity. Investigator teams have been formed in the following areas: biomedical physiology, cardiovascular and fluid/electrolyte physiology, environmental health, muscle and exercise physiology, and neurophysiology. Major operational questions must be answered in each of these areas, and investigations have been designed to answer them. The EDO program will proceed only after countermeasures have been shown to be effective in preventing or mitigating the adverse changes they have been designed to attenuate. The program is underway and will continue on each Shuttle flight as the manifest builds toward a 16-day orbital flight.

  14. JACEE long duration balloon flights

    SciTech Connect

    Burnett, T.; Iwai, J.; Lord, J.J.; Strausz, S.; Wilkes, R.J. ); Dake, S.; Oda, H. ); Miyamura, O. ); Fuki, M. ); Jones, W.V. ); Gregory, J.; Hayashi, T.; Takahashi, U. ); Tominaga,

    1989-01-01

    JACEE balloon-borne emulsion chamber detectors are used to observe the spectra and interactions of cosmic ray protons and nuclei in the energy range 1-100A TeV. Experience with long duration mid-latitude balloon flights and characteristics of the detector system that make it ideal for planned Antarctic balloon flights are discussed. 5 refs., 2 figs.

  15. Duration of an Elastic Collision

    ERIC Educational Resources Information Center

    de Izarra, Charles

    2012-01-01

    With a pedagogical goal, this paper deals with a study of the duration of an elastic collision of an inflatable spherical ball on a planar surface suitable for undergraduate studies. First, the force generated by the deformed spherical ball is obtained under assumptions that are discussed. The study of the motion of the spherical ball colliding…

  16. FLUOROSCOPY DURATION IN ORTHOPEDIC SURGERY

    PubMed Central

    Salvia, Joao Caron La; de Moraes, Pablo Reis; Ammar, Tiago Yossef; Schwartsmann, Carlos Roberto

    2015-01-01

    Objective: To ascertain the mean length of radiation emission from fluoroscopic devices during several types of orthopedic surgery and which of these required greater use of radiation. Methods: The times taken to perform sixteen different types of surgery (total of 80 procedures) were measured. At the end of each procedure, the length of time for which fluoroscopy was used directly from the image intensifier was ascertained. Results: The mean time required for fluoroscopy per operation was 61 seconds. The procedures that demanded greatest mean duration of radiation use were bilateral proximal femoral epiphysiodesis (5.1 minutes) and femoral shaft osteosynthesis using a locked intramedullary nail (3.33 min). Conclusion: The mean duration of fluoroscopy use in orthopedic operations was 61 seconds. The procedures using an intramedullary device were the ones that required greatest radiation emission. PMID:27027000

  17. Voice attractiveness: influence of stimulus duration and type.

    PubMed

    Ferdenzi, C; Patel, S; Mehu-Blantar, I; Khidasheli, M; Sander, D; Delplanque, S

    2013-06-01

    Voice attractiveness is a relatively new area of research. Some aspects of the methodology used in this domain deserve particular attention. Especially, the duration of voice samples is often neglected as a factor and happens to be manipulated without the perceptual consequences of these manipulations being known. Moreover, the type of voice stimulus varies from a single vowel to complex sentences. The aim of this experiment was to investigate the extent to which stimulus duration (nonmanipulated vs. normalized) and type (vowel vs. word) influence perceived voice attractiveness. Twenty-seven male and female raters made attractiveness judgments of 30 male and female voice samples. Voice samples included a single vowel /a/, a three-vowel series /i a o/, and the French word "bonjour" (i.e., "hello"). These samples were presented in three conditions: nonmanipulated, shortened, and lengthened duration. Duration manipulation was performed using the pitch synchronous overlap and add (PSOLA) algorithm implemented in Praat. Results for the effect of stimulus type showed that word length samples were more attractive to the opposite sex than vowels. Results for the effect of duration showed that the nonmanipulated sound sample duration was not predictive of perceived attractiveness. Duration manipulation, on the other hand, altered perceived attractiveness for the lengthening condition. In particular, there was a linear decrease in attractiveness as a function of modification percentage (especially for the word, as compared with the vowels). Recommendations for voice sample normalization with the PSOLA algorithm are thus to prefer shortening over lengthening and, if not possible, to limit the extent of duration manipulation-for example, by normalizing to the mean sample duration. PMID:23239065

  18. Prevalence and inter-relationship of different Doppler measures of dyssynchrony in patients with heart failure and prolonged QRS: a report from CARE-HF

    PubMed Central

    Edner, Magnus; Kim, Yong; Hansen, Knud Norregaard; Nissen, Henrik; Espersen, Geert; La Rosee, Karl; Maru, Fikru; Freemantle, Nick; Cleland, John; Sogaard, Peter

    2009-01-01

    Background Cardiac resynchronisation therapy (CRT) improves mortality and morbidity in heart failure patients with wide QRS. Observational studies suggest that patients having more left ventricular dyssynchrony pre-implantation obtain greater benefit on ventricular function and symptoms with CRT. Aim To provide an analysis of the prevalence and type of dyssynchrony in patients included in the CARE-HF trial. Methods 100 patients 67 (58 to 71) years were examined with echocardiography including tissue doppler imaging before receiving a CRT-pacemaker. Atrio-ventricular dyssynchrony (LVFT/RR) was defined as left ventricular filling time <40% of the RR-interval. Inter-ventricular mechanical delay (IVMD) was measured as the difference in onset of Doppler-flow in the pulmonary and aortic outflow tracts >40 ms. Intra-ventricular (regional) dyssynchrony in a 16-segment model was expressed either as a delayed longitudinal contraction (DLC) during the postsystolic phase or by tissue synchronisation imaging (TSI) with a predefined time-difference in systolic maximal velocities >85 ms. Results LVFT/RR was present in 34% and IVMD in 60% of patients while intra-ventricular dyssynchrony was present in 85% (DLC) and 86% (TSI) with a high agreement between the measures (Kappascore 0.86–1.00), indicating the methods being interchangeable. Patients with cardiomyopathy (53%) were more likely to have LVFT/RR <40% (45% vs. 21% (p= 0.02)) and more segments affected by intra-ventricular dyssynchrony 4(3, 5) vs. 3(1, 4), p = 0.002, compared to patients with ischemic heart disease. Conclusion The prevalence of intra-ventricular dyssynchrony is high in patients with heart failure, wide QRS and depressed systolic function. Most important, TSI appears to be a fast and reliable method to identify patients with intra-ventricular dyssynchrony likely to benefit from CRT. PMID:19128462

  19. Normal labor: mechanism and duration.

    PubMed

    Liao, John B; Buhimschi, Catalin S; Norwitz, Errol R

    2005-06-01

    Labor is refers to the chain of physiologic events that allows a fetus to undertake its journey from the uterus to the outside world. The mean duration of a singleton preganancy is 40.0 weeks (280 days), which is dated from the first day of the last normal menstrual period. The period from 37.0 weeks (259 days) to 42.0 weeks (294 days) of gestation is regarded as "term". This article focuses on the onset progress, and mechanics of normal labor term. Topics such as preterm labor (labor before 37 weeks), postterm labor (labor after 42 weeks), and abnormal labor and delivery have not been addressed and are discussed in detail elsewhere in this issue. PMID:15899352

  20. On a Possible Unified Scaling Law for Volcanic Eruption Durations

    NASA Astrophysics Data System (ADS)

    Cannavò, Flavio; Nunnari, Giuseppe

    2016-03-01

    Volcanoes constitute dissipative systems with many degrees of freedom. Their eruptions are the result of complex processes that involve interacting chemical-physical systems. At present, due to the complexity of involved phenomena and to the lack of precise measurements, both analytical and numerical models are unable to simultaneously include the main processes involved in eruptions thus making forecasts of volcanic dynamics rather unreliable. On the other hand, accurate forecasts of some eruption parameters, such as the duration, could be a key factor in natural hazard estimation and mitigation. Analyzing a large database with most of all the known volcanic eruptions, we have determined that the duration of eruptions seems to be described by a universal distribution which characterizes eruption duration dynamics. In particular, this paper presents a plausible global power-law distribution of durations of volcanic eruptions that holds worldwide for different volcanic environments. We also introduce a new, simple and realistic pipe model that can follow the same found empirical distribution. Since the proposed model belongs to the family of the self-organized systems it may support the hypothesis that simple mechanisms can lead naturally to the emergent complexity in volcanic behaviour.

  1. On a Possible Unified Scaling Law for Volcanic Eruption Durations

    PubMed Central

    Cannavò, Flavio; Nunnari, Giuseppe

    2016-01-01

    Volcanoes constitute dissipative systems with many degrees of freedom. Their eruptions are the result of complex processes that involve interacting chemical-physical systems. At present, due to the complexity of involved phenomena and to the lack of precise measurements, both analytical and numerical models are unable to simultaneously include the main processes involved in eruptions thus making forecasts of volcanic dynamics rather unreliable. On the other hand, accurate forecasts of some eruption parameters, such as the duration, could be a key factor in natural hazard estimation and mitigation. Analyzing a large database with most of all the known volcanic eruptions, we have determined that the duration of eruptions seems to be described by a universal distribution which characterizes eruption duration dynamics. In particular, this paper presents a plausible global power-law distribution of durations of volcanic eruptions that holds worldwide for different volcanic environments. We also introduce a new, simple and realistic pipe model that can follow the same found empirical distribution. Since the proposed model belongs to the family of the self-organized systems it may support the hypothesis that simple mechanisms can lead naturally to the emergent complexity in volcanic behaviour. PMID:26926425

  2. On a Possible Unified Scaling Law for Volcanic Eruption Durations.

    PubMed

    Cannavò, Flavio; Nunnari, Giuseppe

    2016-01-01

    Volcanoes constitute dissipative systems with many degrees of freedom. Their eruptions are the result of complex processes that involve interacting chemical-physical systems. At present, due to the complexity of involved phenomena and to the lack of precise measurements, both analytical and numerical models are unable to simultaneously include the main processes involved in eruptions thus making forecasts of volcanic dynamics rather unreliable. On the other hand, accurate forecasts of some eruption parameters, such as the duration, could be a key factor in natural hazard estimation and mitigation. Analyzing a large database with most of all the known volcanic eruptions, we have determined that the duration of eruptions seems to be described by a universal distribution which characterizes eruption duration dynamics. In particular, this paper presents a plausible global power-law distribution of durations of volcanic eruptions that holds worldwide for different volcanic environments. We also introduce a new, simple and realistic pipe model that can follow the same found empirical distribution. Since the proposed model belongs to the family of the self-organized systems it may support the hypothesis that simple mechanisms can lead naturally to the emergent complexity in volcanic behaviour. PMID:26926425

  3. SPEECH DURATIONS OF ASTRONAUT AND GROUND COMMUNICATOR.

    PubMed

    MATARAZZO, J D; WIENS, A N; SASLOW, G; DUNHAM, R M; VOAS, R B

    1964-01-10

    Laboratory studies suggest that an interviewer can influence the speech duration of an interviewee by modifications in his own speech duration. What appears to be a related association between the speech duration of communicators on the ground and an astronaut in orbital flight was found. PMID:14075727

  4. Extended Duration Orbiter Medical Project

    NASA Technical Reports Server (NTRS)

    Sawin, Charles F. (Editor); Taylor, Gerald R. (Editor); Smith, Wanda L. (Editor); Brown, J. Travis (Technical Monitor)

    1999-01-01

    Biomedical issues have presented a challenge to flight physicians, scientists, and engineers ever since the advent of high-speed, high-altitude airplane flight in the 1940s. In 1958, preparations began for the first manned space flights of Project Mercury. The medical data and flight experience gained through Mercury's six flights and the Gemini, Apollo, and Skylab projects, as well as subsequent space flights, comprised the knowledge base that was used to develop and implement the Extended Duration Orbiter Medical Project (EDOMP). The EDOMP yielded substantial amounts of data in six areas of space biomedical research. In addition, a significant amount of hardware was developed and tested under the EDOMP. This hardware was designed to improve data gathering capabilities and maintain crew physical fitness, while minimizing the overall impact to the microgravity environment. The biomedical findings as well as the hardware development results realized from the EDOMP have been important to the continuing success of extended Space Shuttle flights and have formed the basis for medical studies of crew members living for three to five months aboard the Russian space station, Mir. EDOMP data and hardware are also being used in preparation for the construction and habitation of International Space Station. All data sets were grouped to be non-attributable to individuals, and submitted to NASA s Life Sciences Data Archive.

  5. Sentence durations and accentedness judgments

    NASA Astrophysics Data System (ADS)

    Bond, Z. S.; Stockmal, Verna; Markus, Dace

    2003-04-01

    Talkers in a second language can frequently be identified as speaking with a foreign accent. It is not clear to what degree a foreign accent represents specific deviations from a target language versus more general characteristics. We examined the identifications of native and non-native talkers by listeners with various amount of knowledge of the target language. Native and non-native speakers of Latvian provided materials. All the non-native talkers spoke Russian as their first language and were long-term residents of Latvia. A listening test, containing sentences excerpted from a short recorded passage, was presented to three groups of listeners: native speakers of Latvian, Russians for whom Latvian was a second language, and Americans with no knowledge of either of the two languages. The listeners were asked to judge whether each utterance was produced by a native or non-native talker. The Latvians identified the non-native talkers very accurately, 88%. The Russians were somewhat less accurate, 83%. The American listeners were least accurate, but still identified the non-native talkers at above chance levels, 62%. Sentence durations correlated with the judgments provided by the American listeners but not with the judgments provided by native or L2 listeners.

  6. Icing Encounter Duration Sensitivity Study

    NASA Technical Reports Server (NTRS)

    Addy, Harold E., Jr.; Lee, Sam

    2011-01-01

    This paper describes a study performed to investigate how aerodynamic performance degradation progresses with time throughout an exposure to icing conditions. It is one of the first documented studies of the effects of ice contamination on aerodynamic performance at various points in time throughout an icing encounter. Both a 1.5 and 6 ft chord, two-dimensional, NACA-23012 airfoils were subjected to icing conditions in the NASA Icing Research Tunnel for varying lengths of time. At the end of each run, lift, drag, and pitching moment measurements were made. Measurements with the 1.5 ft chord model showed that maximum lift and pitching moment degraded more rapidly early in the exposure and degraded more slowly as time progressed. Drag for the 1.5 ft chord model degraded more linearly with time, although drag for very short exposure durations was slightly higher than expected. Only drag measurements were made with the 6 ft chord airfoil. Here, drag for the long exposures was higher than expected. Novel comparison of drag measurements versus an icing scaling parameter, accumulation parameter times collection efficiency was used to compare the data from the two different size model. The comparisons provided a means of assessing the level of fidelity needed for accurate icing simulation.

  7. Visual duration aftereffect is position invariant

    PubMed Central

    Li, Baolin; Yuan, Xiangyong; Chen, Youguo; Liu, Peiduo; Huang, Xiting

    2015-01-01

    Adaptation to relatively long or short sensory events leads to a negative aftereffect, such that the durations of the subsequent events within a certain range appear to be contracted or expanded. The distortion in perceived duration is presumed to arise from the adaptation of duration detectors. Here, we focus on the positional sensitivity of those visual duration detectors by exploring whether the duration aftereffect may be constrained by the visual location of stimuli. We adopted two different paradigms, one that tests for transfer across visual hemifields, and the other that tests for simultaneous selectivity between visual hemifields. By employing these experimental designs, we show that the duration aftereffect strongly transfers across visual hemifields and is not contingent on them. The lack of position specificity suggests that duration detectors in the visual system may operate at a relatively later stage of sensory processing. PMID:26500591

  8. The Case for Durative Actions: A Commentary on PDDL2.1

    NASA Technical Reports Server (NTRS)

    Smith, David E.

    2003-01-01

    The addition of durative actions to PDDL2.1 sparked some controversy. Fox and Long argued that actions should be considered as instantaneous, but can start and stop processes. Ultimately, a limited notion of durative actions was incorporated into the language. I argue that this notion is impoverished, and that the underlying philosophical position of regarding durative actions as being a shorthand for a start action, process, and stop action ignores the realities of modelling and execution for complex systems.

  9. Duration perception in crossmodally-defined intervals.

    PubMed

    Mayer, Katja M; Di Luca, Massimiliano; Ernst, Marc O

    2014-03-01

    How humans perform duration judgments with multisensory stimuli is an ongoing debate. Here, we investigated how sub-second duration judgments are achieved by asking participants to compare the duration of a continuous sound to the duration of an empty interval in which onset and offset were marked by signals of different modalities using all combinations of visual, auditory and tactile stimuli. The pattern of perceived durations across five stimulus durations (ranging from 100 ms to 900 ms) follows the Vierordt Law. Furthermore, intervals with a sound as onset (audio-visual, audio-tactile) are perceived longer than intervals with a sound as offset. No modality ordering effect is found for visualtactile intervals. To infer whether a single modality-independent or multiple modality-dependent time-keeping mechanisms exist we tested whether perceived duration follows a summative or a multiplicative distortion pattern by fitting a model to all modality combinations and durations. The results confirm that perceived duration depends on sensory latency (summative distortion). Instead, we did not find evidence for multiplicative distortions. The results of the model and the behavioural data support the concept of a single time-keeping mechanism that allows for judgments of durations marked by multisensory stimuli. PMID:23953664

  10. Deletion of FoxO1 Leads to Shortening of QRS by Increasing Na+ Channel Activity through Enhanced Expression of both Cardiac NaV1.5 and β3 Subunit

    PubMed Central

    Cai, Benzhi; Wang, Ning; Mao, Weike; You, Tao; Lu, Yan; Li, Xiang; Ye, Bo; Li, Faqian; Xu, Haodong

    2014-01-01

    Our in vitro studies revealed that a transcription factor, Forkhead box protein O1 (FoxO1), negatively regulates the expression of NaV1.5, a main α subunit of the cardiac Na+ channel, by altering the promoter activity of SCN5a in HL-1 cardiomyocytes. The in vivo role of FoxO1 in the regulation of cardiac NaV1.5 expression remains unknown. The present study aimed to define the role of FoxO1 in the regulation of NaV1.5 expression and cardiac Na+ channel activity in mouse ventricular cardiomyocytes and assess the cardiac electrophysiological phenotype of mice with cardiac FoxO1 deletion. Tamoxifen-induced and cardiac-specific FoxO1 deletion was confirmed by polymerase chain reaction (PCR). Cardiac FoxO1 deletion failed to result in either cardiac functional changes or hypertrophy as assessed by echocardiography and individual ventricular cell capacitances, respectively. Western blotting showed that FoxO1 was significantly decreased while NaV1.5 protein level was significantly increased in mouse hearts with FoxO1 deletion. Reverse transcription-PCR (RT-PCR) revealed that FoxO1 deletion led to an increase in NaV1.5 and Na+ channel subunit β3 mRNA, but not β1, 2, 4, or connexin 43. Whole patch-clamp recordings demonstrated that cardiac Na+ currents were significantly augmented by FoxO1 deletion without affecting the steady-state activation and inactivation, leading to accelerated depolarization of action potentials in mouse ventricular cardiomyocytes. Electrocardiogram recordings showed that the QRS complex was significantly shortened and P wave amplitude was significantly increased in conscious and unrestrained mice with cardiac FoxO1 deletion. NaV1.5 expression was decreased in the peri-infarct (border-zone) of mice with myocardial infarction and FoxO1 accumulated in the cardiomyocyte nuclei of chronic ischemic human hearts. Our findings indicate that FoxO1 plays an important role in the regulation of NaV1.5 and β3 subunit expression as well as Na+ channel activity

  11. Training for long duration space missions

    NASA Technical Reports Server (NTRS)

    Goldberg, Joseph H.

    1987-01-01

    The successful completion of an extended duration manned mission to Mars will require renewed research effort in the areas of crew training and skill retention techniques. The current estimate of inflight transit time is about nine months each way, with a six month surface visit, an order of magnitude beyond previous U.S. space missions. Concerns arise when considering the level of skill retention required for highly critical, one time operations such as an emergency procedure or a Mars orbit injection. The factors responsible for the level of complex skill retention are reviewed, optimal ways of refreshing degraded skills are suggested, and a conceptual crew training design for a Mars mission is outlined. Currently proposed crew activities during a Mars mission were reviewed to identify the spectrum of skills which must be retained over a long time period. Skill retention literature was reviewed to identify those factors which must be considered in deciding when and which tasks need retraining. Task, training, and retention interval factors were identified. These factors were then interpreted in light of the current state of spaceflight and adaptive training systems.

  12. An optimization principle for determining movement duration.

    PubMed

    Tanaka, Hirokazu; Krakauer, John W; Qian, Ning

    2006-06-01

    Movement duration is an integral component of motor control, but nearly all extant optimization models of motor planning prefix duration instead of explaining it. Here we propose a new optimization principle that predicts movement duration. The model assumes that the brain attempts to minimize movement duration under the constraint of meeting an accuracy criterion. The criterion is task and context dependent but is fixed for a given task and context. The model determines a unique duration as a trade-off between speed (time optimality) and accuracy (acceptable endpoint scatter). We analyzed the model for a linear motor plant, and obtained a closed-form equation for determining movement duration. By solving the equation numerically with specific plant parameters for the eye and arm, we found that the model can reproduce saccade duration as a function of amplitude (the main sequence), and arm-movement duration as a function of the ratio of target distance to size (Fitts's law). In addition, it explains the dependency of peak saccadic speed on amplitude and the dependency of saccadic duration on initial eye position. Furthermore, for arm movements, the model predicts a scaling relationship between peak velocity and distance and a reduction in movement duration with a moderate increase in viscosity. Finally, for a linear plant, our model predicts a neural control signal identical to that of the minimum-variance model set to the same movement duration. This control signal is a smooth function of time (except at the endpoint), in contrast to the discontinuous bang-bang control found in the time-optimal control literature. We suggest that one aspect of movement planning, as revealed by movement duration, may be to assign an endpoint accuracy criterion for a given task and context. PMID:16571740

  13. Botulinum toxin: examining duration of effect in facial aesthetic applications.

    PubMed

    Flynn, Timothy Corcoran

    2010-01-01

    durations of response. Across all studies providing relapse rates, most patients relapsed by 6 months. In studies assessing patient satisfaction, satisfaction remained high throughout the duration of the studies ( approximately 4 months). With the Dysport formulation (abobotulinumtoxinA, clostridium botulinum type A toxin-hemagglutinin complex; Ipsen Biopharm Ltd, Wrexham, England), retreatment intervals were estimated at a mean of 3.9 months (median = 3.3 months). These results were consistent with responder rates from another Dysport study in which the active treatment differed from placebo at 3 but not 4 months. A single comparative study demonstrated that the proportion of patients relapsing at week 16 was 23% (95% CI 11.5, 41.6) in the BOTOX Cosmetic group as compared with 40% (95% CI 25.2, 60.1) in the Dysport group. Myobloc (rimabotulinumtoxinB, botulinum toxin type B; Solstice Neurosciences, Inc., South San Francisco, CA, USA) was associated with shorter durations of action (2-3 months). Data from facial areas other than the glabella, although more limited, supported a duration of at least 3-4 months. The addition of BoNTA to dermal fillers or light/laser therapy appeared to increase the degree of effect. Repeated BoNTA treatments may prolong duration of effect or potentiate the effect. In conclusion, patients can expect treatments to last > or =3 months but often as many as 4-5 months depending on the facial area, dose, and formulation. Additional research should help clarify the impact of age, baseline rhytid severity, patient sex, repeated treatments, and combination treatment on longevity of effect. PMID:20369902

  14. Incorporating Duration Information in Activity Recognition

    NASA Astrophysics Data System (ADS)

    Chaurasia, Priyanka; Scotney, Bryan; McClean, Sally; Zhang, Shuai; Nugent, Chris

    Activity recognition has become a key issue in smart home environments. The problem involves learning high level activities from low level sensor data. Activity recognition can depend on several variables; one such variable is duration of engagement with sensorised items or duration of intervals between sensor activations that can provide useful information about personal behaviour. In this paper a probabilistic learning algorithm is proposed that incorporates episode, time and duration information to determine inhabitant identity and the activity being undertaken from low level sensor data. Our results verify that incorporating duration information consistently improves the accuracy.

  15. Characteristics of strong motion duration in Taiwan

    NASA Astrophysics Data System (ADS)

    Lee, Y.; Wang, Y.; Ma, K.

    2012-12-01

    The duration of strong shaking plays an important role to affect the yield damage caused by an earthquake. In this study, we analyzed the acceleration seismograms of Taiwan Strong Motion Network to characterize the strong shacking duration with function of the earthquake magnitude. We defined the duration to be the time interval between the first and the last amplitude, which is equal to or greater than a level of 5gal. We estimated the duration for 70138 events with magnitude ranged from Mw=4.0 to 7.0 during 1994 to 2010. We, thus, obtained the empirical equation for the strong ground motion duration, magnitude and distance. Base on the two relations: the positive relation between duration and magnitude, and the negative relation between duration and distance. The empirical equation can be shown as: ME(τ) =2.45log(τ)+0.01225Δ+2.115, where Δ is distance (km), and τ is duration time (sec) The comparison between ME(τ) and Mw is satisfactory for the events Mw>5.5. For Mw 7.3 as 1999 Chi-Chi earthquake, the estimated duration according to the empirical equation at Δ=50km will be about 74 sec, which is comparable to the observations. The empirical equation would provide the characteristics of source during for large earthquakes.

  16. Health care delivery system for long duration manned space operations

    NASA Technical Reports Server (NTRS)

    Logan, J. S.; Shulman, E. L.; Johnson, P. C.

    1983-01-01

    Specific requirements for medical support of a long-duration manned facility in a low earth orbit derive from inflight medical experience, projected medical scenarios, mission related spacecraft and environmental hazards, health maintenance, and preventive medicine. A sequential buildup of medical capabilities tailored to increasing mission complexity is proposed. The space station health maintenance facility must provide preventive, diagnostic, and therapeutic medical support as immediate rescue capability may not exist.

  17. The effects of cold acclimation on electrocardiogram parameters in five species of turtles.

    PubMed

    Risher, J F; Claussen, D L

    1987-01-01

    The effects of thermal acclimation at 25 or 5 degrees C on electrical activity in the heart were investigated in Pseudemys scripta, Terrapene carolina, Chrysemys picta marginata, Chrysemys picta dorsalis, Chelydra serpentina, and Sternotherus odoratus. The durations of the QRS complex and P-R, R-T and R-R intervals were found to increase with decreasing body temperature in all animals tested. The amplitudes of the P and T waves and QRS complex were dependent upon both acclimation temperature and test temperature. Differences between acclimation groups in the change in QRS amplitudes between 20 and 0 degrees C were statistically significant for all species. PMID:2886260

  18. Repair of Electronics for Long Duration Spaceflight

    NASA Technical Reports Server (NTRS)

    Pettegrew, Richard D.; Easton, John; Struk, Peter

    2007-01-01

    To reduce mission risk, long duration spaceflight and exploration activities will require greater degrees of self-sufficiency with regards to repair capability than have ever been employed before in space exploration. The current repair paradigm of replacing Orbital Replacement Units (ORUs) of malfunctioning avionics and electronic hardware will be impractical, since carrying all of the spares that could possibly be needed for a long duration mission would require upmass and volume at unprecedented and unacceptable levels. A strategy of component-level repair for electronics, however, could significantly reduce the mass and volume necessary for spares and enhance mission safety via a generic contingency capability. This approach is already used to varying degrees by the U.S. Navy, where vessels at sea experience some similar constraints such as the need for self sufficiency for moderately long time periods, and restrictions on volume of repair spares and infrastructure. The concept of conducting component-level repairs of electronics in spacecraft requires the development of design guidelines for future avionics (to enable repair), development of diagnostic techniques to allow an astronaut to pinpoint the faulty component aboard a vastly complex vehicle, and development of tools and methodologies for dealing with the physical processes of replacing the component. This physical process includes tasks such as conformal coating removal and replacement, component removal, replacement, and alignment--all in the difficulty of a reduced gravity environment. Further, the gravitational effects on the soldering process must be characterized and accounted for to ensure reliability of the newly repaired components. The Component-Level Electronics-Assembly Repair (CLEAR) project under the NASA Supportability program was established to develop and demonstrate the practicality of this repair approach. CLEAR involves collaborative efforts between NASA s Glenn Research Center

  19. Genome-Wide Association Study of Absolute QRS Voltage Identifies Common Variants of TBX3 as Genetic Determinants of Left Ventricular Mass in a Healthy Japanese Population

    PubMed Central

    Sano, Motoaki; Kamitsuji, Shigeo; Kamatani, Naoyuki; Tabara, Yasuharu; Kawaguchi, Takahisa; Matsuda, Fumihiko; Yamagishi, Hiroyuki; Fukuda, Keiichi

    2016-01-01

    Left ventricular hypertrophy (LVH) represents a common final pathway leading to heart failure. We have searched for genetic determinants of left ventricular (LV) mass using values for absolute electrocardiographic QRS voltage in a healthy Japanese population. After adjusting for covariates, the corrected S and R wave voltages in leads V1 and V5 from 2,994 healthy volunteers in the Japan Pharmacogenomics Data Science Consortium (JPDSC) database were subjected to a genome-wide association study. Potential associations were validated by an in silico replication study using an independent Japanese population obtained from the Nagahama Prospective Genome Cohort for Comprehensive Human Bioscience. We identified a novel association between the lead V5, R wave voltage in Japanese individuals and SNP rs7301743[G], which maps near the gene encoding T-box transcription factor Tbx3. Meta-analysis of two independent Japanese datasets demonstrated a marginally significant association of SNP rs7301743 in TBX3|MED13L with a 0.071 mV (95% CI, 0.038–0.11 mV) shorter R wave amplitude in the V5 lead per minor allele copy (P = 7.635 x 10−8). The transcriptional repressor, TBX3, is proposed to suppress the development of working ventricular myocardium. Our findings suggest that genetic variation of Tbx3 is associated with LV mass in a healthy Japanese population. PMID:27195777

  20. NMDAR-Dependent Control of Call Duration in Xenopus laevis

    PubMed Central

    Katzen, Abraham W.; Rhodes, Heather J.; Yamaguchi, Ayako

    2010-01-01

    Many rhythmic behaviors, such as locomotion and vocalization, involve temporally dynamic patterns. How does the brain generate temporal complexity? Here, we use the vocal central pattern generator (CPG) of Xenopus laevis to address this question. Isolated brains can elicit fictive vocalizations, allowing us to study the CPG in vitro. The X. laevis advertisement call is temporally modulated; calls consist of rhythmic click trills that alternate between fast (∼60 Hz) and slow (∼30 Hz) rates. We investigated the role of two CPG nuclei—the laryngeal motor nucleus (n.IX–X) and the dorsal tegmental area of the medulla (DTAM)—in setting rhythm frequency and call durations. We discovered a local field potential wave in DTAM that coincides with fictive fast trills and phasic activity that coincides with fictive clicks. After disrupting n.IX–X connections, the wave persists, whereas phasic activity disappears. Wave duration was temperature dependent and correlated with fictive fast trills. This correlation persisted when wave duration was modified by temperature manipulations. Selectively cooling DTAM, but not n.IX–X, lengthened fictive call and fast trill durations, whereas cooling either nucleus decelerated the fictive click rate. The N-methyl-d-aspartate receptor (NMDAR) antagonist dAPV blocked waves and fictive fast trills, suggesting that the wave controls fast trill activation and, consequently, call duration. We conclude that two functionally distinct CPG circuits exist: 1) a pattern generator in DTAM that determines call duration and 2) a rhythm generator (spanning DTAM and n.IX–X) that determines click rates. The newly identified DTAM pattern generator provides an excellent model for understanding NDMAR-dependent rhythmic circuits. PMID:20393064

  1. 12 CFR 1252.2 - Effective duration.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Effective duration. 1252.2 Section 1252.2 Banks and Banking FEDERAL HOUSING FINANCE AGENCY ENTERPRISES PORTFOLIO HOLDINGS § 1252.2 Effective duration. This part shall be in effect for each Enterprise so long as— (a) This part has not been...

  2. 5 CFR 890.1302 - Duration.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Duration. 890.1302 Section 890.1302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... Demonstration Project § 890.1302 Duration. The demonstration project will run from January 1, 2000,...

  3. Stimulus Intensity and the Perception of Duration

    ERIC Educational Resources Information Center

    Matthews, William J.; Stewart, Neil; Wearden, John H.

    2011-01-01

    This article explores the widely reported finding that the subjective duration of a stimulus is positively related to its magnitude. In Experiments 1 and 2 we show that, for both auditory and visual stimuli, the effect of stimulus magnitude on the perception of duration depends upon the background: Against a high intensity background, weak stimuli…

  4. Enhancing duration processing with parietal brain stimulation.

    PubMed

    Dormal, Valérie; Javadi, Amir-Homayoun; Pesenti, Mauro; Walsh, Vincent; Cappelletti, Marinella

    2016-05-01

    Numerosity and duration are thought to share common magnitude-based mechanisms in brain regions including the right parietal and frontal cortices like the supplementary motor area, SMA. Numerosity and duration are, however, also different in several intrinsic features. For instance, in a quantification context, numerosity is known for being more automatically accessed than temporal events, and durations are by definition sequential whereas numerosity can be both sequential and simultaneous. Moreover, numerosity and duration processing diverge in terms of their neuronal correlates. Whether these observed neuronal specificities can be accounted for by differences in automaticity or presentation-mode is however not clear. To address this issue, we used brain stimulation (transcranial random noise stimulation, tRNS) to the right parietal cortex or the SMA combined with experimental stimuli differing in their level of automaticity (numerosity and duration) and presentation mode (sequential or simultaneous). Compared to a no stimulation group, performance changed in duration but not in numerosity categorisation following right parietal but not SMA stimulation. These results indicate that the right parietal cortex is critical for duration processing, and suggest that tRNS has a stronger effect on less automatic processes such as duration. PMID:27037043

  5. Attentional entrainment and perceived event duration

    PubMed Central

    McAuley, J. Devin; Fromboluti, Elisa Kim

    2014-01-01

    This study considered the contribution of dynamic attending theory (DAT) and attentional entrainment to systematic distortions in perceived event duration. Three experiments were conducted using an auditory oddball paradigm, in which listeners judged the duration of a deviant (oddball) stimulus embedded within a series of identical (standard) stimuli. To test for a role of attentional entrainment in perceived oddball duration, oddballs were presented at either temporally expected (on time) or unexpectedly early or late time points relative to extrapolation of the context rhythm. Consistent with involvement of attentional entrainment in perceived duration, duration judgements about the oddball were least distorted when the oddball occurred on time with respect to the entrained rhythm, whereas durations of early and late oddballs were perceived to be shorter and longer, respectively. This pattern of results was independent of the absolute time interval preceding the oddball. Moreover, as expected, an irregularly timed sequence context weakened observed differences between oddballs with on-time and late onsets. Combined with other recent work on the role of temporal preparation in duration distortions, the present findings allot at least a portion of the oddball effect to increased attention to events that are more expected, rather than on their unexpected nature per se. PMID:25385779

  6. Repetition enhancement and memory effects for duration.

    PubMed

    Wiener, Martin; Thompson, James C

    2015-06-01

    A remarkable aspect of conscious perception is that moments carryover from one to the next, also known as temporal continuity. This ability is thus crucial for detecting regularities, such as in speech and music, and may rely on an accurate perception of time. Investigations of human time perception have detailed two electroencephalographic (EEG) components associated with timing, the contingent negative variation (CNV) and late positive component of timing (LPCt); however, the precise roles of these components in timing remain elusive. Recently, we demonstrated that the perception of duration is influenced by durations presented on prior trials, which we explained by the creation of an implicit memory standard that adapts to local changes in sequence presentation. Here, we turn to the neural basis of this effect. Human participants performed a temporal bisection task in which they were required to classify the duration of auditory stimuli into short and long duration categories; crucially, the presentation order was first-order counterbalanced, allowing us to measure the effect of each presented duration on the next. EEG recordings revealed that the CNV and LPCt signals both covaried with the duration presented on the current trial, with CNV predicting reaction time and LPCt predicting choice. Additionally, both signals covaried with the duration presented in the prior trial but in different ways, with the CNV amplitude reflecting the change in the memory standard and the LPCt reflecting decision uncertainty. Furthermore, we observed a repetition enhancement effect of duration only for the CNV, suggesting that this signal additionally indexes the similarity of successive durations. These findings demonstrate dissociable roles for the CNV and LPCt, and demonstrate that both signals are continuously updated on a trial-by-trial basis that reflects shifts in temporal decisions. PMID:25818689

  7. Vowel Duration in Three American English Dialects

    PubMed Central

    Jacewicz, Ewa; Fox, Robert A.; Salmons, Joseph

    2010-01-01

    The article reports on an acoustic investigation into the duration of five American English vowels, those found in hid, head, had, hayed, and hide. We compare duration across three major dialect areas: the Inland North, Midlands, and South. The results show systematic differences across all vowels studied, with the longest durations in the South and the shortest in the Inland North, with the Midlands in an intermediate but distinct position. More generally, the sample differs from and complements other work on this question by including detailed evidence from relatively small, cohesive areas, each within a different established dialect region. PMID:20198113

  8. 18 CFR 430.33 - Duration.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... REGULATIONS GROUND WATER PROTECTION AREA: PENNSYLVANIA § 430.33 Duration. The delineation and declaration of the Southeastern Pennsylvania Ground Water Protected Area made pursuant to this regulation, and...

  9. 18 CFR 430.33 - Duration.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... GROUND WATER PROTECTION AREA: PENNSYLVANIA § 430.33 Duration. The delineation and declaration of the Southeastern Pennsylvania Ground Water Protected Area made pursuant to this regulation, and the...

  10. 18 CFR 430.33 - Duration.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... REGULATIONS GROUND WATER PROTECTION AREA: PENNSYLVANIA § 430.33 Duration. The delineation and declaration of the Southeastern Pennsylvania Ground Water Protected Area made pursuant to this regulation, and...

  11. 18 CFR 430.33 - Duration.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... REGULATIONS GROUND WATER PROTECTION AREA: PENNSYLVANIA § 430.33 Duration. The delineation and declaration of the Southeastern Pennsylvania Ground Water Protected Area made pursuant to this regulation, and...

  12. 18 CFR 430.33 - Duration.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... REGULATIONS GROUND WATER PROTECTION AREA: PENNSYLVANIA § 430.33 Duration. The delineation and declaration of the Southeastern Pennsylvania Ground Water Protected Area made pursuant to this regulation, and...

  13. Rainfall intensity-duration-frequency formulas.

    USGS Publications Warehouse

    Chen, C.-L.

    1983-01-01

    A new general rainfall intensity-duration-frequency formula is presented, utilizing a method similar to, but more accurate than one previously developed. The previously developed formula was based on the average depth-duration ratio of about 40% and the mean depth-frequency ratio of 1.48. It is shown that this formula is only a particular form of the writer's more general formulation. -from Author

  14. Irregular Wide Complex Tachycardia in a Young Man.

    PubMed

    Rochlani, Yogita; Pothineni, Naga Venkata; Paydak, Hakan

    2016-02-01

    Wolf Parkinson White syndrome is a pre-excitation syndrome due to an accessory conduction pathway. Electrocardiography demonstrates a short PR interval, long QRS interval and delta waves in normal sinus rhythm. Atrial fibrillation with underlying Wolf Parkinson White syndrome presents with irregular wide complex tachycardia, and can cause sudden cardiac death by precipitating ventricular fibrillation. Irregular wide complex tachycardia may be the first presentation of this underlying conduction abnormality in young patients. Emergency management for irregular wide complex tachycardia in hemodynamically unstable patients involves synchronized cardioversion, while intra-venous Procainamide can be used in hemodynamically stable patients. AV nodal blocking agents should be avoided. Treatment of choice for WPW syndrome is radiofrequency ablation. PMID:26939470

  15. Prolonged contraction duration in aged myocardium.

    PubMed

    Lakatta, E G; Gerstenblith, G; Angell, C S; Shock, N W; Weisfeldt, M L

    1975-01-01

    Isometric performance at 29degreesC was measured in left ventricular trabeculae carneae from young adult (6-mo) and aged (25-mo) rats (n equals 18 in each group). Active tension and maximal rate of tension development did not differ with age, but contraction duration was 255plus or minus6 ms in the young adult and 283plus or minus6 ms in the aged group (P less than0.001). Although catecholamine content per gram heart weight was less in the aged myocardium, additional experiments showed that neither 1 times 10-6 M propranolol nor pretreatment with 6-hydroxydopamine eliminated the age difference in contraction duration. To determine if this age difference resulted from a prolonged active state, electromechanical dissociation and the overshoot of contraction duration during recovery from hypoxia were measured. During paired stimulation greater mechanical refractoriness was found in aged muscles (P less than0.01), but intracellular action potential recordings showed no age difference in the electrical refractory period. On recovery from hypoxia, contraction duration overshoot was 117plus or minus 4percent of control in the young and 138plus or minus 4percent of control in the aged muscles (P less than0.01). The greater electromechanical dissociation and greater overshoot in contraction duration following hypoxia in aged myocardium suggests that prolonged contraction duration in aged myocardium results from a prolonged active state rather than changes in passive properties or myocardial catecholamine content. PMID:1109181

  16. Strong motion duration and earthquake magnitude relationships

    SciTech Connect

    Salmon, M.W.; Short, S.A.; Kennedy, R.P.

    1992-06-01

    Earthquake duration is the total time of ground shaking from the arrival of seismic waves until the return to ambient conditions. Much of this time is at relatively low shaking levels which have little effect on seismic structural response and on earthquake damage potential. As a result, a parameter termed ``strong motion duration`` has been defined by a number of investigators to be used for the purpose of evaluating seismic response and assessing the potential for structural damage due to earthquakes. This report presents methods for determining strong motion duration and a time history envelope function appropriate for various evaluation purposes, for earthquake magnitude and distance, and for site soil properties. There are numerous definitions of strong motion duration. For most of these definitions, empirical studies have been completed which relate duration to earthquake magnitude and distance and to site soil properties. Each of these definitions recognizes that only the portion of an earthquake record which has sufficiently high acceleration amplitude, energy content, or some other parameters significantly affects seismic response. Studies have been performed which indicate that the portion of an earthquake record in which the power (average rate of energy input) is maximum correlates most closely with potential damage to stiff nuclear power plant structures. Hence, this report will concentrate on energy based strong motion duration definitions.

  17. Effects of pulse duration on magnetostimulation thresholds

    SciTech Connect

    Saritas, Emine U.; Goodwill, Patrick W.; Conolly, Steven M.

    2015-06-15

    Purpose: Medical imaging techniques such as magnetic resonance imaging and magnetic particle imaging (MPI) utilize time-varying magnetic fields that are subject to magnetostimulation limits, which often limit the speed of the imaging process. Various human-subject experiments have studied the amplitude and frequency dependence of these thresholds for gradient or homogeneous magnetic fields. Another contributing factor was shown to be number of cycles in a magnetic pulse, where the thresholds decreased with longer pulses. The latter result was demonstrated on two subjects only, at a single frequency of 1.27 kHz. Hence, whether the observed effect was due to the number of cycles or due to the pulse duration was not specified. In addition, a gradient-type field was utilized; hence, whether the same phenomenon applies to homogeneous magnetic fields remained unknown. Here, the authors investigate the pulse duration dependence of magnetostimulation limits for a 20-fold range of frequencies using homogeneous magnetic fields, such as the ones used for the drive field in MPI. Methods: Magnetostimulation thresholds were measured in the arms of six healthy subjects (age: 27 ± 5 yr). Each experiment comprised testing the thresholds at eight different pulse durations between 2 and 125 ms at a single frequency, which took approximately 30–40 min/subject. A total of 34 experiments were performed at three different frequencies: 1.2, 5.7, and 25.5 kHz. A solenoid coil providing homogeneous magnetic field was used to induce stimulation, and the field amplitude was measured in real time. A pre-emphasis based pulse shaping method was employed to accurately control the pulse durations. Subjects reported stimulation via a mouse click whenever they felt a twitching/tingling sensation. A sigmoid function was fitted to the subject responses to find the threshold at a specific frequency and duration, and the whole procedure was repeated at all relevant frequencies and pulse durations

  18. Microcontroller uses in Long-Duration Ballooning

    NASA Astrophysics Data System (ADS)

    Jones, Joseph

    This paper discusses how microcontrollers are being utilized to fulfill the demands of long duration ballooning (LDB) and the advantages of doing so. The Columbia Scientific Balloon Facility (CSBF) offers the service of launching high altitude balloons (120k ft) which provide an over the horizon telemetry system and platform for scientific research payloads to collect data. CSBF has utilized microcontrollers to address multiple tasks and functions which were previously performed by more complex systems. A microcontroller system has been recently developed and programmed in house to replace our previous backup navigation system which is used on all LDB flights. A similar microcontroller system was developed to be independently launched in Antarctica before the actual scientific payload. This system's function is to transmit its GPS position and a small housekeeping packet so that we can confirm the upper level float winds are as predicted from satellite derived models. Microcontrollers have also been used to create test equipment to functionally check out the flight hardware used in our telemetry systems. One test system which was developed can be used to quickly determine if our communication link we are providing for the science payloads is functioning properly. Another system was developed to provide us with the ability to easily determine the status of one of our over the horizon communication links through a closed loop system. This test system has given us the capability to provide more field support to science groups than we were able to in years past. The trend of utilizing microcontrollers has taken place for a number of reasons. By using microcontrollers to fill these needs, it has given us the ability to quickly design and implement systems which meet flight critical needs, as well as perform many of the everyday tasks in LDB. This route has also allowed us to reduce the amount of time required for personnel to perform a number of the tasks required

  19. Estimating magnitude and duration of incident delays

    SciTech Connect

    Garib, A.; Radwan, A.E.; Al-Deek, H.

    1997-11-01

    Traffic congestion is a major operational problem on urban freeways. In the case of recurring congestion, travelers can plan their trips according to the expected occurrence and severity of recurring congestion. However, nonrecurring congestion cannot be managed without real-time prediction. Evaluating the efficiency of intelligent transportation systems (ITS) technologies in reducing incident effects requires developing models that can accurately predict incident duration along with the magnitude of nonrecurring congestion. This paper provides two statistical models for estimating incident delay and a model for predicting incident duration. The incident delay models showed that up to 85% of variation in incident delay can be explained by incident duration, number of lanes affected, number of vehicles involved, and traffic demand before the incident. The incident duration prediction model showed that 81% of variation in incident duration can be predicted by number of lanes affected, number of vehicles involved, truck involvement, time of day, police response time, and weather condition. These findings have implications for on-line applications within the context of advanced traveler information systems (ATIS).

  20. Evidence that gestation duration and lactation duration are coupled traits in primates.

    PubMed

    Dubman, Evgenia; Collard, Mark; Mooers, Arne Ø

    2012-12-23

    Gestation duration and lactation duration are usually treated as independently evolving traits in primates, but the metabolic theory of ecology (MTE) suggests both durations should be determined by metabolic rate. We used phylogenetic generalized least-squares linear regression to test these different perspectives. We found that the allometries of the durations are divergent from each other and different from the scaling exponent predicted by the MTE (0.25). Gestation duration increases much more slowly (0.06 < m < 0.12), and lactation duration much more quickly (0.36 < m < 0.52) with body mass than the MTE predicts. By contrast, we found that the combined duration of gestation and lactation is consistent with the MTE's predictions (0.22 < m < 0.35). These results suggest that gestation duration and lactation duration might best be viewed as distinct but coupled adaptations. When transferring energy to their offspring, primate mothers must meet metabolically dictated physiological requirements while optimizing the timing of the switch from gestation to lactation in relation to some as-yet-unidentified body-size-related factor. PMID:22915631

  1. Ongoing behavior predicts perceptual report of interval duration

    PubMed Central

    Gouvêa, Thiago S.; Monteiro, Tiago; Soares, Sofia; Atallah, Bassam V.; Paton, Joseph J.

    2014-01-01

    The ability to estimate the passage of time is essential for adaptive behavior in complex environments. Yet, it is not known how the brain encodes time over the durations necessary to explain animal behavior. Under temporally structured reinforcement schedules, animals tend to develop temporally structured behavior, and interval timing has been suggested to be accomplished by learning sequences of behavioral states. If this is true, trial to trial fluctuations in behavioral sequences should be predictive of fluctuations in time estimation. We trained rodents in an duration categorization task while continuously monitoring their behavior with a high speed camera. Animals developed highly reproducible behavioral sequences during the interval being timed. Moreover, those sequences were often predictive of perceptual report from early in the trial, providing support to the idea that animals may use learned behavioral patterns to estimate the duration of time intervals. To better resolve the issue, we propose that continuous and simultaneous behavioral and neural monitoring will enable identification of neural activity related to time perception that is not explained by ongoing behavior. PMID:24672473

  2. STS mission duration enhancement study: (orbiter habitability)

    NASA Technical Reports Server (NTRS)

    Carlson, A. D.

    1979-01-01

    Habitability improvements for early flights that could be implemented with minimum impact were investigated. These included: (1) launching the water dispenser in the on-orbit position instead of in a locker; (2) the sleep pallet concept; and (3) suction cup foot restraints. Past studies that used volumetric terms and requirements for crew size versus mission duration were reviewed and common definitions of key habitability terms were established. An accurately dimensioned drawing of the orbiter mid-deck, locating all of the known major elements was developed. Finally, it was established that orbiter duration and crew size can be increased with minimum modification and impact to the crew module. Preliminary concepts of the aft med-deck, external versions of expanded tunnel adapters (ETA), and interior concepts of ETA-3 were developed and comparison charts showing the various factors of volume, weight, duration, size, impact to orbiter, and number of sleep stations were generated.

  3. Fluctuation behaviors of financial return volatility duration

    NASA Astrophysics Data System (ADS)

    Niu, Hongli; Wang, Jun; Lu, Yunfan

    2016-04-01

    It is of significantly crucial to understand the return volatility of financial markets because it helps to quantify the investment risk, optimize the portfolio, and provide a key input of option pricing models. The characteristics of isolated high volatility events above certain threshold in price fluctuations and the distributions of return intervals between these events arouse great interest in financial research. In the present work, we introduce a new concept of daily return volatility duration, which is defined as the shortest passage time when the future volatility intensity is above or below the current volatility intensity (without predefining a threshold). The statistical properties of the daily return volatility durations for seven representative stock indices from the world financial markets are investigated. Some useful and interesting empirical results of these volatility duration series about the probability distributions, memory effects and multifractal properties are obtained. These results also show that the proposed stock volatility series analysis is a meaningful and beneficial trial.

  4. 20 CFR 336.3 - Duration of normal sickness benefits.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Duration of normal sickness benefits. 336.3... INSURANCE ACT DURATION OF NORMAL AND EXTENDED BENEFITS Normal Benefits § 336.3 Duration of normal sickness benefits. The duration of normal sickness benefits is the same as the duration of normal...

  5. 20 CFR 336.3 - Duration of normal sickness benefits.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Duration of normal sickness benefits. 336.3... INSURANCE ACT DURATION OF NORMAL AND EXTENDED BENEFITS Normal Benefits § 336.3 Duration of normal sickness benefits. The duration of normal sickness benefits is the same as the duration of normal...

  6. 20 CFR 336.3 - Duration of normal sickness benefits.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 1 2013-04-01 2012-04-01 true Duration of normal sickness benefits. 336.3... INSURANCE ACT DURATION OF NORMAL AND EXTENDED BENEFITS Normal Benefits § 336.3 Duration of normal sickness benefits. The duration of normal sickness benefits is the same as the duration of normal...

  7. 20 CFR 336.3 - Duration of normal sickness benefits.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 1 2012-04-01 2012-04-01 false Duration of normal sickness benefits. 336.3... INSURANCE ACT DURATION OF NORMAL AND EXTENDED BENEFITS Normal Benefits § 336.3 Duration of normal sickness benefits. The duration of normal sickness benefits is the same as the duration of normal...

  8. 20 CFR 336.3 - Duration of normal sickness benefits.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 1 2014-04-01 2012-04-01 true Duration of normal sickness benefits. 336.3... INSURANCE ACT DURATION OF NORMAL AND EXTENDED BENEFITS Normal Benefits § 336.3 Duration of normal sickness benefits. The duration of normal sickness benefits is the same as the duration of normal...

  9. Slow Wave Sleep and Long Duration Spaceflight

    NASA Technical Reports Server (NTRS)

    Whitmire, Alexandra; Orr, Martin; Arias, Diana; Rueger, Melanie; Johnston, Smith; Leveton, Lauren

    2012-01-01

    While ground research has clearly shown that preserving adequate quantities of sleep is essential for optimal health and performance, changes in the progression, order and /or duration of specific stages of sleep is also associated with deleterious outcomes. As seen in Figure 1, in healthy individuals, REM and Non-REM sleep alternate cyclically, with stages of Non-REM sleep structured chronologically. In the early parts of the night, for instance, Non-REM stages 3 and 4 (Slow Wave Sleep, or SWS) last longer while REM sleep spans shorter; as night progresses, the length of SWS is reduced as REM sleep lengthens. This process allows for SWS to establish precedence , with increases in SWS seen when recovering from sleep deprivation. SWS is indeed regarded as the most restorative portion of sleep. During SWS, physiological activities such as hormone secretion, muscle recovery, and immune responses are underway, while neurological processes required for long term learning and memory consolidation, also occur. The structure and duration of specific sleep stages may vary independent of total sleep duration, and changes in the structure and duration have been shown to be associated with deleterious outcomes. Individuals with narcolepsy enter sleep through REM as opposed to stage 1 of NREM. Disrupting slow wave sleep for several consecutive nights without reducing total sleep duration or sleep efficiency is associated with decreased pain threshold, increased discomfort, fatigue, and the inflammatory flare response in skin. Depression has been shown to be associated with a reduction of slow wave sleep and increased REM sleep. Given research that shows deleterious outcomes are associated with changes in sleep structure, it is essential to characterize and mitigate not only total sleep duration, but also changes in sleep stages.

  10. Slow Wave Sleep and Long Duration Spaceflight

    NASA Technical Reports Server (NTRS)

    Orr, M.; Whitmire, A.; Arias, D.; Leveton, L.

    2011-01-01

    To review the literature on slow wave sleep (SWS) in long duration space flight, and place this within the context of the broader literature on SWS particularly with respect to analogous environments such as the Antarctic. Explore how SWS could be measured within the International Space Station (ISS) context with the aim to utilize the ISS as an analog for future extra-orbital long duration missions. Discuss the potential use of emergent minimally intrusive wireless technologies like ZEO for integrated prelaunch, flight, and return to Earth analysis and optimization of SWS (and general quality of sleep).

  11. Migration and unemployment duration among young adults.

    PubMed

    Bailey, A J

    1994-07-01

    "The relationship between migration and unemployment duration is examined. Standard job search predictors of spell length (replacement income, labor force experience, personal characteristics and economic conditions) are included as control variables alongside measures of migration in a Weibull hazard model. The model is estimated using data from the [U.S.] National Longitudinal Survey of Youth. Young adults who migrated while unemployed had longer durations of unemployment than those who did not migrate. The rate at which they found jobs was also linked to how long they had been unemployed, to being laid off, being African American, to going to college, having a mortgage and to national unemployment conditions." PMID:12292534

  12. LONG-DURATION LOW-FREQUENCY TYPE III BURSTS AND SOLAR ENERGETIC PARTICLE EVENTS

    SciTech Connect

    Gopalswamy, Nat; Maekelae, Pertti

    2010-09-20

    We analyzed the coronal mass ejections (CMEs), flares, and type II radio bursts associated with a set of three complex, long-duration, low-frequency (<14 MHz) type III bursts from active region 10588 in 2004 April. The durations were measured at 1 and 14 MHz using data from Wind/WAVES and were well above the threshold value (>15 minutes) normally used to define these bursts. One of the three type III bursts was not associated with a type II burst, which also lacked a solar energetic particle (SEP) event at energies >25 MeV. The 1 MHz duration of the type III burst (28 minutes) for this event was near the median value of type III durations found for gradual SEP events and ground level enhancement events. Yet, there was no sign of an SEP event. On the other hand, the other two type III bursts from the same active region had similar duration but were accompanied by WAVES type II bursts; these bursts were also accompanied by SEP events detected by SOHO/ERNE. The CMEs for the three events had similar speeds, and the flares also had similar size and duration. This study suggests that the occurrence of a complex, long-duration, low-frequency type III burst is not a good indicator of an SEP event.

  13. Developmental Aspects of English Segment Duration.

    ERIC Educational Resources Information Center

    Smith, Bruce L.

    The experiment reported here attempted to investigate the nature of both intrinsic, unlearned temporal parameters as well as learned, language-specific durational properties in the speech of young children. Developmental aspects of several temporal parameters were investigated in the speech of ten 2 1/2 to 3-year-old and ten 4 to 4 1/2-year-old…

  14. 48 CFR 237.7203 - Duration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Duration. 237.7203 Section 237.7203 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Educational Service Agreements...

  15. Duration and Intensity as Correlates of Fo.

    ERIC Educational Resources Information Center

    Zee, Eric

    1978-01-01

    The speech of two male Taiwanese speakers was analyzed to determine whether fundamental frequency (Fo) is correlated with both duration and intensity; five conclusions are drawn. The results are discussed in terms of theories of pitch production and speed of pitch change. (EJS)

  16. Short-Duration Simulations from Measurements.

    SciTech Connect

    Mitchell, Dean J.; Enghauser, Michael

    2014-08-01

    A method is presented that ascribes proper statistical variability to simulations that are derived from longer-duration measurements. This method is applicable to simulations of either real-value or integer-value data. An example is presented that demonstrates the applicability of this technique to the synthesis of gamma-ray spectra.

  17. long duration dust storm sequences on Mars

    NASA Astrophysics Data System (ADS)

    Wang, H.

    2012-12-01

    The Mars Global Surveyor (MGS) Mars Observer Camera (MOC) and Mars Reconnaissance Orbiter (MRO) Mars Color Imager (MARCI) Mars daily global maps have revealed new characteristics for long duration dust storm sequences. These dust storm sequences have long histories of more than a week, travel long distances out of their origination region, and influence large areas in different regions of the planet. During the Ls = 180 - 360 season, except for global dust storms which involve multiple remote dust lifting centers and generally expand explosively from the southern hemisphere northward, other long-lived dust storm sequences usually travel southward through the Acidalia-Chryse, Utopia-Isidis or Arcadia-Amazonis channels with subsequent dust lifting along the way. Sometimes, they penetrate remarkably deep to the southern high latitudes, producing fantastic display of dust band. During the rest of the year, long duration dust storm sequences usually originate from the Argyre/Solis, Hellas/Noachis, or Cimmeria/Sirenum area and travel northward toward the southern low latitudes. Each route exhibits its own peculiar characteristics. We will present our results about these long duration dust storm sequences summarized from the complete archive of MGS MOC daily global maps and two years of MRO MARCI daily global maps. The systematic daily nearly global coverage of these maps makes it feasible to reconstruct the history of long duration dust storm sequences with detail.

  18. A Short-Duration Gel Diffusion Experiment.

    ERIC Educational Resources Information Center

    Mulcahy, D. E.

    1980-01-01

    Described is a gel diffusion experiment that permits the completion of duplicate diffusion runs within a three-hour laboratory session. Information included for the short-duration gel diffusion experiment is the diffusion cell, the experiment, data treatment, and the expected results of the experiment. (Author/DS)

  19. Effects of Duration of Electronic Cigarette Use

    PubMed Central

    Tackett, Alayna P.; Grant, DeMond M.; Tahirkheli, Noor N.; Driskill, Leslie M.; Wagener, Theodore L.

    2015-01-01

    Introduction: This study examined the effect of duration electronic cigarette (e-cigarette) use on e-cigarette dependence, frequency of use, and strength of nicotine solution as well as number of cigarettes smoked per day. Methods: Individuals were recruited at e-cigarette retail locations in a large Midwestern metropolitan city of the United States in July 2013. A total of 159 participants completed a brief 29-item self-report measure that assessed behaviors and perceptions of use. The mean age of the participants was 35.8 years; 84.4% were White, and 53.7% were male. Results: Increased duration of e-cigarette use was associated with fewer cigarettes smoked per day and differing patterns of dependence to e-cigarettes contingent upon smoking history. Additionally, increased duration of e-cigarette use was associated with increased frequency of use; however, this finding became nonsignificant when current tobacco cigarette use was accounted for, suggesting that individuals may increase e-cigarette use frequency as they decrease cigarette use. Overall, e-cigarette users tended to decrease the strength of nicotine in their e-cigarette products regardless of duration of use. Conclusions: Although preliminary in nature, this study identifies several factors that are important to consider when examining the effects of prolonged e-cigarette use. The implications of the current results should be informative to future studies that examine these variables in longitudinal designs. PMID:24827788

  20. Narrow-QRS and Wide-QRS Tachycardias.

    PubMed

    Glancy, David Luke

    2016-07-01

    In a woman with rheumatic heart disease, atrial flutter with a rapid ventricular response, and congestive heart failure, treatment with digoxin slows conduction in the atrioventricular node and thus allows atrioventricular conduction to occur by way of a previously unrecognized accessory pathway. PMID:27178329

  1. Childhood Sleep Duration and Lifelong Mortality Risk

    PubMed Central

    Duggan, Katherine A.; Reynolds, Chandra A.; Kern, Margaret L.; Friedman, Howard S.

    2014-01-01

    Objective Sleep duration is known to significantly affect health in adults and children, but little is understood about long-term associations. This prospective cohort study is the first to examine whether childhood sleep duration is associated with lifelong mortality risk. Methods Data from childhood were refined and mortality data collected for 1,145 participants from the Terman Life Cycle Study. Participants were born between 1904 and 1915, lived to at least 1940, and had complete age, bedtime, and waketime data at initial data collection (1917–1926). Homogeneity of the cohort sample (intelligent, mostly white) limits generality but provides natural control of common confounds. Through 2009, 1,039 participants had confirmed deaths. Sleep duration was calculated as the difference between each child’s bed and wake times. Age-adjusted sleep (deviation from that predicted by age) was computed. Cox proportional hazards survival models evaluated childhood sleep duration as a predictor of mortality separately by sex, controlling for baseline age. Results For males, a quadratic relation emerged: male children who under-slept or over-slept compared to peers were at increased risk of lifelong all-cause mortality (HR = 1.15, CI = 1.05 – 1.27). Effect sizes were smaller and non-significant in females (HR = 1.02, CI = 0.91 – 1.14). Conclusions Male children with shorter or longer sleep durations than expected for their age were at increased risk of death at any given age in adulthood. The findings suggest that sleep may be a core biobehavioral trait, with implications for new models of sleep and health throughout the entire lifespan. PMID:24588628

  2. Extended duration Orbiter life support definition

    NASA Technical Reports Server (NTRS)

    Kleiner, G. N.; Thompson, C. D.

    1978-01-01

    Extending the baseline seven-day Orbiter mission to 30 days or longer and operating with a solar power module as the primary source for electrical power requires changes to the existing environmental control and life support (ECLS) system. The existing ECLS system imposes penalties on longer missions which limit the Orbiter capabilities and changes are required to enhance overall mission objectives. Some of these penalties are: large quantities of expendables, the need to dump or store large quantities of waste material, the need to schedule fuel cell operation, and a high landing weight penalty. This paper presents the study ground rules and examines the limitations of the present ECLS system against Extended Duration Orbiter mission requirements. Alternate methods of accomplishing ECLS functions for the Extended Duration Orbiter are discussed. The overall impact of integrating these options into the Orbiter are evaluated and significant Orbiter weight and volume savings with the recommended approaches are described.

  3. Extended Duration Orbiter - Meeting the challenge

    NASA Technical Reports Server (NTRS)

    Saucier, D. R.

    1992-01-01

    The paper overviews the Extended Duration Orbiter (EDO) program designed to provide an on-orbit stay capability of 16 days using the Orbiter Vehicle OV-102. Special attention is given to the EDO's subsystems and substructures, including the cryogenic pallet, the cryogenic storage tanks, the cryogenic solenoid valves, the regenerable carbon dioxide removal system, and the waste collection system. The EDO program will start with the STS-50 U.S. Microgravity Lab mission planned for June 1992.

  4. Underwater loudness for pure tones: Duration effects

    NASA Astrophysics Data System (ADS)

    Cudahy, Edward A.; Schwaller, Derek; Fothergill, David; Wolgemuth, Keith

    2003-04-01

    The loudness of underwater pure tones was measured by loudness matching for pure tones from 100 to 16,000 Hz. The standard was a one second tone at 1000 Hz. The signal duration was varied from 20 milliseconds to 5 seconds. Subjects were instructed to match the loudness of the comparison tone at one of the test frequencies to the loudness of the standard tone. Loudness was measured at the threshold, the most comfortable loudness, and the maximum tolerable loudness. The intensity of the standard was varied randomly across the test series. The subjects were bareheaded U.S. Navy divers tested at a depth of 3 meters. All subjects had normal in-air hearing. Tones were presented to the right side of the subject from an array of underwater sound projectors. The sound pressure level was calibrated at the location of the subject's head with the subject absent. Loudness increased and threshold decreased as duration increased. The effect was greatest at the lowest and highest frequencies. The shape of the loudness contours across frequency and duration derived from these measurements are different from in-air measurements. [Research supported by ONR.

  5. Evaluation of Long Duration Flight on Venus

    NASA Technical Reports Server (NTRS)

    Landis, Geoffrey A.; Colozza, Anthony J.

    2006-01-01

    An analysis was performed to evaluate the potential of utilizing either an airship or aircraft as a flight platform for long duration flight within the atmosphere of Venus. In order to achieve long-duration flight, the power system for the vehicle had to be capable of operating for extended periods of time. To accomplish these, two types of power systems were considered, a solar energy-based power system utilizing a photovoltaic array as the main power source and a radioisotope heat source power system utilizing a Stirling engine as the heat conversion device. Both types of vehicles and power systems were analyzed to determine their flight altitude range. This analysis was performed for a station-keeping mission where the vehicle had to maintain a flight over a location on the ground. This requires the vehicle to be capable of flying faster than the wind speed at a particular altitude. An analysis was also performed to evaluate the altitude range and maximum duration for a vehicle that was not required to maintain station over a specified location. The results of the analysis show that each type of flight vehicle and power system was capable of flight within certain portions of Venus s atmosphere. The aircraft, both solar and radioisotope power proved to be the most versatile and provided the greatest range of coverage both for station-keeping and non-station-keeping missions.

  6. Does Sexual Satisfaction Change With Relationship Duration?

    PubMed

    Schmiedeberg, Claudia; Schröder, Jette

    2016-01-01

    Despite a large body of empirical literature on sexual satisfaction, its development over the course of a relationship is still unclear. Only a small number of studies, most of which have relied on cross-sectional data of convenience samples, have explicitly focused on relationship duration, and empirical evidence is mixed. We analyzed how sexual satisfaction changes over the course of a relationship using three waves of the German Family Panel study (pairfam). We concentrated our analyses on young and middle-aged heterosexual individuals in committed relationships (N = 2,814) and applied fixed effects regression models, which have the advantage of estimations based on changes within individuals over time. We found a positive development of sexual satisfaction in the first year of a relationship, followed by a steady decline. This pattern persisted even when controlling for the frequency of intercourse, although the effects were, in part, mediated by intercourse frequency. We explained the non-linear effect of relationship duration on sexual satisfaction with an initial learning effect regarding partner-specific sexual skills, which is then outweighed by a decline in passion at later stages of a relationship. Moreover, we found significant effects for the control variables of health status, intimacy in couple communication, and conflict style, as expected. In contrast to past research, however, cohabitation and marriage were not found to play a role for sexual satisfaction in our data. Further research is required to deepen the understanding of the reasons why sexual satisfaction changes with relationship duration. PMID:26246315

  7. The Prevalence and Diagnostic Validity of Short-Duration Hypomanic Episodes and Major Depressive Episodes.

    PubMed

    Miller, Shefali; Dennehy, Ellen B; Suppes, Trisha

    2016-03-01

    Current diagnostic criteria for a hypomanic episode, as outlined in both the fourth and fifth editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV and DSM-5), require a minimum duration of four consecutive days of symptoms of mood elevation. The 4-day criterion for duration of hypomania has been challenged as arbitrary and lacking empirical support, with many arguing that shorter-duration hypomanic episodes are highly prevalent and that those experiencing these episodes are clinically more similar to patients with bipolar disorder than to those with unipolar major depressive disorder. We review the current evidence regarding the prevalence, diagnostic validity, and longitudinal illness correlates of shorter-duration hypomanic episodes and summarize the arguments for and against broadening the diagnostic criteria for hypomania to include shorter-duration variants. Accumulating findings suggest that patients with major depressive episodes and shorter-duration hypomanic episodes represent a complex clinical phenotype, perhaps best conceptualized as being on the continuum between those with unipolar depressive episodes alone and those with DSM-5-defined bipolar II disorder. Further investigation is warranted, ideally involving large prospective, controlled studies, to elucidate the diagnostic and treatment implications of depression with shorter-duration hypomanic episodes. PMID:26830885

  8. 16 CFR 613.1 - Duration of active duty alerts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Duration of active duty alerts. 613.1 Section 613.1 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT DURATION OF ACTIVE DUTY ALERTS § 613.1 Duration of active duty alerts. The duration of an active duty alert shall...

  9. 16 CFR 613.1 - Duration of active duty alerts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Duration of active duty alerts. 613.1 Section 613.1 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT DURATION OF ACTIVE DUTY ALERTS § 613.1 Duration of active duty alerts. The duration of an active duty alert shall...

  10. 16 CFR 613.1 - Duration of active duty alerts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Duration of active duty alerts. 613.1 Section 613.1 Commercial Practices FEDERAL TRADE COMMISSION THE FAIR CREDIT REPORTING ACT DURATION OF ACTIVE DUTY ALERTS § 613.1 Duration of active duty alerts. The duration of an active duty alert shall...