Journal ArticleAm Heart J · March 18, 2025
Sudden cardiac arrest and death in the young is a critical public health issue. It occurs in children of any age, sex, racial or ethnic demographic, or socioeconomic status. Importantly, it can affect any individual - athlete and non-athlete alike. Prevent ...
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Journal ArticleJACC Clin Electrophysiol · January 2025
BACKGROUND: In patients with structurally normal hearts, algorithms using surface electrocardiographic P-wave morphology are helpful to predict focal atrial tachycardia (FAT) location. However, these algorithms have not been formally assessed in patients w ...
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ConferenceCirculation · November 7, 2023
Introduction:
Patients with adult congenital heart disease (ACHD) often develop atrial arrhythmias, including focal atrial tachycardia (FAT). In non-ACHD patients, algorithms using surface ECG P-wave ...
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Journal ArticlePediatr Cardiol · December 2022
Supraventricular tachycardia (SVT) is a common pediatric arrhythmia. The objective of this investigation was to investigate the existence and degree of the health disparities in the treatment of pediatric patients with supraventricular tachycardia based on ...
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Journal ArticleJ Pediatr · April 2022
In this survey study of institutions across the US, marked variability in evaluation, treatment, and follow-up of adolescents 12 through 18 years of age with mRNA coronavirus disease 2019 (COVID-19) vaccine-associated myopericarditis was noted. Only one ad ...
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Journal ArticleJ Am Heart Assoc · September 7, 2021
Background Pathogenic variation in the ATP1A3-encoded sodium-potassium ATPase, ATP1A3, is responsible for alternating hemiplegia of childhood (AHC). Although these patients experience a high rate of sudden unexpected death in epilepsy, the pathophysiologic ...
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Journal ArticleJ Pediatr Nurs · 2021
BACKGROUND: Children who participate in youth sports are at risk for sudden cardiac arrest (SCA) related to undetected cardiac anomalies or abrupt impact to the chest. Nurse-led interventions may prevent sudden cardiac death by helping leagues implement an ...
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Journal ArticleCurr Cardiol Rep · January 16, 2020
PURPOSE OF REVIEW: Pacing in pediatric and adult patients with congenital heart disease requires careful evaluation and thoughtful planning. Review of current guidelines with assessment of risk/benefit must be performed along with planning on a case-by-cas ...
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Journal ArticlePhysiol Meas · December 2, 2019
OBJECTIVE: We propose a novel algorithm to recover fetal electrocardiogram (ECG) for both the fetal heart rate analysis and morphological analysis of its waveform from two or three trans-abdominal maternal ECG channels. APPROACH: We design an algorithm bas ...
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Journal ArticleCatheter Cardiovasc Interv · December 1, 2018
OBJECTIVES: To evaluate differences in radiation dose and image quality across institutions, fluoroscope vendors and generations of fluoroscopes for pediatric cardiac catheterization. BACKGROUND: Increased recognition of the potentially harmful effects of ...
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Journal ArticleAm Heart J · August 2018
Sudden cardiac death in the young (SCDY) spans gender, race, ethnicity, and socioeconomic class. The loss of any pediatric patient is a matter of national and international public health concern, and focused efforts should be aimed at preventing these burd ...
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Chapter · January 1, 2018
The rapid recognition, diagnosis, and management of cardiac arrhythmias are essential skills in the intensive care unit (ICU). Outcomes can hinge on the timely initiation of arrhythmia therapy. The aim of this chapter is to serve as a useful, practical res ...
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Journal ArticleAm Heart J · August 2017
This White Paper, prepared by members of the Cardiac Safety Research Consortium, discusses important issues regarding sudden cardiac death in the young (SCDY), a problem that does not discriminate by gender, race, ethnicity, education, socioeconomic level, ...
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Journal ArticleCardiol Young · March 2017
BACKGROUND: Knowledge regarding factors that influence deviation of the QRS axis is important when seeking to differentiate between physiological and pathological changes. We hypothesised that, in contrast to those patients with an atrioventricular septal ...
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Journal ArticleJ Thorac Cardiovasc Surg · March 2017
OBJECTIVES: The study objective was to determine the predictors of new-onset arrhythmia among infants with single-ventricle anomalies during the post-Norwood hospitalization and the association of those arrhythmias with postoperative outcomes (ventilator t ...
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Journal ArticlePediatr Cardiol · December 2016
The need to perform catheter ablation of ventricular arrhythmia from within the sinuses of Valsalva in a pediatric patient is uncommon. This has been reported in adults, but there are little data about the feasibility, safety or efficacy of catheter ablati ...
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Chapter · January 1, 2014
The ability to diagnose basic arrhythmias and conduction disorders in infants, children, adolescents, and adults with congenital heart disease is a fundamental of pediatric and adult congenital cardiovascular medicine. This chapter provides basic knowledge ...
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Journal ArticleCirc Cardiovasc Imaging · November 2013
BACKGROUND: The Pediatric Heart Network's Single Ventricle Reconstruction (SVR) trial randomized infants with single right ventricles (RVs) undergoing a Norwood procedure to a modified Blalock-Taussig or RV-to-pulmonary artery shunt. This report compares R ...
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Journal ArticleCongenit Heart Dis · 2013
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OBJECTIVE: Although many Fontan patients undergo pacemaker placement, there are few studies characterizing this population. Our purpose was to compare clinical characteristics, functional status and measures of ventricular performance in Fontan patients wi ...
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Journal ArticleComputing in Cardiology · December 1, 2012
This study investigates the feasibility of using surface ECG recordings to assess stability of cardiac propagation. Our novel method customizes a reaction-diffusion model of cardiac excitation using measurements of patient's repolarization dynamics. The cu ...
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Journal ArticleJ Am Coll Cardiol · September 7, 2010
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OBJECTIVES: Our aim was to examine the prevalence of arrhythmias and identify independent associations of time to arrhythmia development. BACKGROUND: Since introduction of the Fontan operation in 1971, long-term results have steadily improved with newer mo ...
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Journal ArticleJ Electrocardiol · 2010
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Structural inhomogeneities in cardiac tissue have been associated with increased cellular repolarization alternans in animal experiments and increased T-wave alternans (TWA) in clinical studies. However, the effect of structural inhomogeneities on the rela ...
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Journal ArticleJACC Cardiovasc Imaging · December 2009
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OBJECTIVES: The objective of this study was to test the hypothesis that patients with primum atrioventricular septal defect (AVSD) have an imbalance in the positions of the left ventricular papillary muscles compared with healthy subjects, and that this an ...
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Journal ArticleClin Physiol Funct Imaging · May 2009
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BACKGROUND: Determination of mitral papillary muscle positions is of increasing interest in wide spectrum of clinical cardiology fields. Particularly, relative positioning of the papillary muscles between the inter-ventricular septum and the left ventricul ...
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Journal ArticleJ Cardiovasc Electrophysiol · February 2009
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BACKGROUND: The presence of a single left superior vena cava in the absence of complex congenital heart disease is uncommon, and, in the absence of hemodynamic consequences, it would not be expected to result in cardiovascular signs or symptoms. Single cas ...
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Journal ArticleJ Electrocardiol · 2009
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T-wave alternans (TWA) is a useful marker of cardiac instability, but not much is known about the factors that affect its measurement, such as electrode placement. We used a 1-dimensional myocardial fiber computer model of alternans to investigate the effe ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2009
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Long QT Syndrome (LQTS) is a congenital disorder associated with life-threatening arrhythmias. LQT1, a type of LQTS affecting the slow delayed rectifier potassium current, shows a higher incidence of arrhythmia associated with sympathetic stimulation than ...
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Journal ArticleConference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference · January 1, 2009
Long QT Syndrome (LQTS) is a congenital disorder associated with life-threatening arrhythmias. LQT1, a type of LQTS affecting the slow delayed rectifier potassium current, shows a higher incidence of arrhythmia associated with sympathetic stimulation than ...
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Journal ArticleJ Electrocardiol · 2008
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Long QT syndrome is a disease characterized by abnormal lengthening of the QT interval and by sudden cardiac death. It is a disease of development, with the incidence of a sudden event increasing during childhood. Repolarization instability during postnata ...
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Journal ArticleIEEE Trans Ultrason Ferroelectr Freq Control · 2008
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Ultrasound image guidance of interventional devices during minimally invasive surgery provides the clinician with improved soft tissue contrast while reducing ionizing radiation exposure. One problem with ultrasound image guidance is poor visualization of ...
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Journal ArticleProceedings - IEEE Ultrasonics Symposium · December 1, 2007
We have previously described guidance of several interventional devices using a real time 3D (RT3D) ultrasound system with 3D color Doppler combined with the ColorMark technology. We then developed an analytical model for a vibrating needle to maximize the ...
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Journal ArticleUltrason Imaging · July 2007
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At present, there are limited methods of acquiring three-dimensional visualization of cardiac structure and function in real-time during interventional electrophysiology procedures. Images acquired for integration of computerized tomography and magnetic re ...
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Journal ArticleAm J Physiol Heart Circ Physiol · March 2007
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Spatial heterogeneity of repolarization can provide a substrate for reentry to occur in myocardium. This heterogeneity may result from spatial differences in action potential duration (APD) restitution. The restitution portrait (RP) measures many aspects o ...
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Journal ArticleComput Cardiol · 2007
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Novel methods need to be developed to detect electrical instability in children. The dynamical properties of action potential restitution play an important role in the development of instability leading to arrhythmias. A new method, the Restitution Portrai ...
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Journal ArticleIEEE Trans Biomed Eng · August 2006
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We present a high-efficiency, low-cost wavelength division multiplexer to record cardiac optical action potentials (APs) within the myocardial wall using optical fibers. APs with signal-to-noise ratio as high as 60, without spatial or temporal averaging, a ...
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Journal ArticleGenet Med · May 2006
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PURPOSE: Electrocardiogram (ECG) abnormalities are universal in infantile Pompe disease or glycogen storage disease type II, a fatal genetic muscle disorder caused by deficiency of acid alpha-glucosidase (GAA). Hallmarks of this disease include a shortened ...
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Journal ArticleIEEE Trans Ultrason Ferroelectr Freq Control · January 2006
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Modifications were made to a commercial real-time, three-dimensional (3-D) ultrasound system for near simultaneous 3-D scanning with two matrix array transducers. As a first illustration, a transducer cable assembly was modified to incorporate two independ ...
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Journal ArticlePediatr Cardiol · 2006
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Endomyocardial biopsy is the gold standard survey for cardiac graft rejection. Signal-averaged electrocardiography (SAECG) identifies slowly conducting, diseased myocardium. We sought to determine whether SAECG is a sensitive, noninvasive transplant survei ...
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Journal ArticleProceedings - IEEE Ultrasonics Symposium · December 1, 2005
We have previously described 2D array ultrasound transducers operating up to 13.5 MHz for applications including real time 3D transthoracic imaging, real time volumetric intracardiac echocardiography (ICE), real time transesophageal echocardiography (TEE) ...
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Journal ArticleUltrason Imaging · July 2005
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We have previously described 2D array ultrasound transducers operating up to 10 MHz for applications including real time 3D transthoracic imaging, real time volumetric intracardiac echocardiography (ICE), real time 3D intravascular ultrasound (IVUS) imagin ...
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Journal ArticleIFMBE Proc · 2005
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Measuring cardiac action potentials at many sites within the ventricular wall is important for understanding cardiac arrhythmias; however, recording in the depth of the heart wall presents many difficulties. We have developed a multichannel optical mapping ...
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Journal ArticleProceedings - IEEE Ultrasonics Symposium · December 1, 2004
We tested the feasibility of real time three dimensional ultrasound imaging in the brain with a 2.5MHz 2D array using a Volumetrics Model 1 scanner. In a human subject, the real time 3D scans produced simultaneous transcranial axial, coronal and saggital i ...
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Journal ArticleProceedings - IEEE Ultrasonics Symposium · December 1, 2004
Transesophageal echocardiography (TEE) is established as an essential diagnostic tool for patients that are obese or that exhibit signs of pulmonary disease. However, current techniques in transesophageal scanning of the heart are limited by the maneuverab ...
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Journal ArticleProceedings - IEEE Ultrasonics Symposium · December 1, 2004
The goal of this investigation is to examine the feasibility of guiding interventional devices using piezoelectric buzzers to create a velocity source, which is imaged and tracked with real time 3D (RT3D) ultrasound and Color Doppler. Interventional device ...
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Journal ArticleIEEE Trans Ultrason Ferroelectr Freq Control · October 2004
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The design, fabrication, and characterization of a 112 channel, 5 MHz, two-dimensional (2-D) array transducer constructed on a six layer flexible polyimide interconnect circuit is described. The transducer was mounted in a 7 Fr (2.33 mm outside diameter) c ...
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Journal ArticleUltrasound Med Biol · October 2004
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We tested the feasibility of real-time, 3-D ultrasound (US) imaging in the brain. The 3-D scanner uses a matrix phased-array transducer of 512 transmit channels and 256 receive channels operating at 2.5 MHz with a 15-mm diameter footprint. The real-time sy ...
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Journal ArticleUltrason Imaging · October 2004
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Transesophageal echocardiography (TEE) is an essential diagnostic tool in patients with poor transthoracic echocardiographic windows or when detailed imaging of structures distant from the chest wall is necessary. A real-time 3D TEE probe has been fabricat ...
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Journal ArticleJ Cardiovasc Electrophysiol · July 2004
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INTRODUCTION: In the hereditary long QT syndrome, arrhythmia risk changes with age despite the presence of an ion channel mutation throughout development. Age-dependent changes in the transmural dispersion of repolarization may modulate this vulnerability. ...
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Journal ArticleUltrason Imaging · July 2004
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The goal of this investigation was to examine the feasibility of guiding interventional devices using piezoelectric buzzers to create velocity sources, which were imaged and tracked with real-time 3D color flow Doppler. The interventional devices examined ...
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Journal ArticleJ Cardiovasc Electrophysiol · June 2004
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INTRODUCTION: Electrical restitution, relating action potential duration (APD) to diastolic interval (DI), was believed to determine the stability of heart rhythm. However, recent studies demonstrate that stability also depends on long-term APD changes cau ...
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Journal ArticleJ Interv Card Electrophysiol · April 2004
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Well-tolerated internal atrial defibrillation shocks must be below the pain threshold, which has been estimated to be less than 1 Joule. Defibrillation of the atria with low energy is made possible by delivering shocks at the low end of the defibrillation ...
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Journal ArticleProceedings of the IEEE Ultrasonics Symposium · December 1, 2003
In this paper, we describe advances in the design, fabrication and testing of two-dimensional catheter-mounted arrays for real-time three-dimensional (RT3-D) intracardiac echocardiography (ICE). These include a 7 Fr (2.3 mm O.D.), 112 element 2-D array uti ...
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Journal ArticleUltrasound Med Biol · September 2003
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We have developed dual lumen probes incorporating a forward-viewing matrix array transducer with an integrated working lumen for delivery of tools in real-time 3-D (RT3-D) interventional echocardiography. The probes are of 14 Fr and 22 Fr sizes, with 112 c ...
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Journal ArticleProceedings of the IEEE Ultrasonics Symposium · December 1, 2002
Phased array ultrasound transducers have been fabricated in our laboratories at Duke University since 1970. In 1986, we began the development of 2-D arrays with a 20 × 20 element Mills cross array including 64 active channels operating at 1 MHz which produ ...
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Journal ArticleJ Cardiovasc Electrophysiol · June 2002
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INTRODUCTION: The cause of sudden infant death syndrome is unknown, but increased cardiac vulnerability due to repolarization instability may be a contributing factor. The QT interval normally is long at birth and increases further during the first few pos ...
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Journal ArticlePacing Clin Electrophysiol · March 2002
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The authors tested the feasibility of real-time three-dimensional intracardiac echocardiography for guidance of interventional electrophysiological studies. The three-dimensional scanner uses a matrix array ultrasound transducer of 64 channels operating at ...
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Journal ArticleUltrason Imaging · January 2002
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Using catheter-mounted two-dimensional array transducers, we have obtained real-time three-dimensional color flow and spectral Doppler ultrasound images in phantoms. We have constructed several transducers operating at 5 MHz with up to 137 channels inside ...
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Journal ArticleProceedings of the IEEE Ultrasonics Symposium · December 1, 2001
We have tested the feasibility of real-time three dimensional intracardiac echocardiography for guidance of interventional electrophysiology studies. We have constructed 2D array ultrasound transducers operating at 5MHz with 64 channels in a 12 F catheter, ...
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Journal ArticleUltrasound Med Biol · September 2001
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Using catheter-mounted 2-D array transducers, we have obtained real-time 3-D intracardiac ultrasound (US) images. We have constructed several transducers with 64 channels inside a 12 French catheter lumen operating at 5 MHz. The transducer configuration ma ...
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Journal ArticleProceedings of the IEEE Ultrasonics Symposium · December 1, 2000
Design, fabrication and performance of a two-dimensional array operating at 10 MHz for real time volumetric and intracardiac imaging with simultaneous electrocardiagram was presented. Use of the device to monitor and quantify RF ablation study was demonstr ...
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Journal ArticleAm J Physiol · November 1999
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The critical point hypothesis for the upper limit of vulnerability (ULV) states that the site of S1 pacing should not affect the ULV S2 shock strength for a single S2 shock electrode configuration but may affect the S1-S2 interval at which sub-ULV shocks i ...
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Journal ArticleCirculation · November 15, 1995
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BACKGROUND: In previous studies, epicardial patch electrodes decreased transthoracic defibrillation efficacy. We studied the effects of two inactive epicardial 14-cm2 titanium mesh patches on defibrillation energy requirements with nonthoracotomy internal ...
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Journal ArticleCirculation · September 1, 1995
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BACKGROUND: The critical-point and upper-limit-of-vulnerability (ULV) hypotheses predict that the ULV dose-response curve should be steeper and to the right of the defibrillation (DF) curve. Yet, some recent experimental data contradict this prediction. Tw ...
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Journal ArticleAm J Physiol · June 1995
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A method of defibrillation threshold determination that utilizes low-strength shocks delivered in a benign rhythm would be desirable. Because the two-dimensional epicardial potential gradient (PG) is a shock parameter that is linked to defibrillation, we e ...
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Journal ArticleJ Am Coll Cardiol · May 1995
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OBJECTIVES: This study sought to assess the effect of passive "bystander" epicardial electrodes on defibrillation efficacy. BACKGROUND: We hypothesized that an inactive epicardial patch placed in an area of low potential gradient from an endocardial electr ...
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Journal ArticleJ Cardiovasc Electrophysiol · May 1995
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INTRODUCTION: We determined the effects of decreasing the ventricular blood volume and altering cardiac geometry on defibrillation, the upper limit of vulnerability (ULV), and the relationship between them. METHODS AND RESULTS: In six pigs, fibrillation/de ...
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Journal ArticleIEEE Trans Biomed Eng · October 1993
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Spatial organization has been observed during episodes of ventricular fibrillation (VF) by recording epicardial unipolar electrograms on a grid of electrodes. In such studies, the choice of spacing between electrodes is an important decision, affecting the ...
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ConferenceProceedings - Computers in Cardiology, CIC 1992 · January 1, 1992
Electrode arrays are commonly used to study spatial patterns during ventricular fibrillation (VF) where the choice of spacing between electrodes is an important decision. The Nyquist criterion states that an electrode spacing smaller than half the smallest ...
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Journal ArticleProceedings of the Annual Conference on Engineering in Medicine and Biology · December 1, 1991
An examination is made of the errors generated when calculating the magnitude of the epicardial potential gradient using voltages recorded from three unipolar electrodes in a fixed triangular geometry on the epicardial surface. The error sensitivity of the ...
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