在人类中,商用双相脉冲的除功效. 负相峰值电压的重要性
G Tomassoni1, K Newby, S Deshpande
1Electrophysiology Laboratory, Duke University, VA Medical Center, Durham, NC 27705, USA.
Circulation
|April 1, 1997
概括
为植入式心脏转换器-除器优化双相波形至关重要. 通过特定的波形形状实现了对除的较低能量需求,突出显示了峰值电压在持续时间上的重要性.
科学领域:
- 心血管电生理学 心血管电生理学
- 医疗设备工程 医疗设备工程
背景情况:
- 植入式心脏转换器-除器 (ICD) 中的双相波形可以减少室内除的能量需求.
- 未来的研究正在评估各种双相波形形状的有效性.
研究的目的:
- 为了比较商业ICD三种不同双相波形的除功效.
- 调查负相峰值电压和持续时间对除成功的影响.
主要方法:
- 42名接受ICD植入的患者通过随机双相波形进行了除门 (DFT) 测试.
- 波形在正相 (P1) 和负相 (P2) 倾斜,P2 持续时间和P2 峰值电压方面有所不同.
- 在患者群体中使用了CPI和Medtronic的领先系统.
主要成果:
- 与Ventritex波形相比,CPI波形显示储能需求明显较低.
- 通过特定的波形塑造,观察到能源需求减少.
- 在2组中,较小的P2峰值电压增加了能源需求,而P2持续时间没有显著的影响.
结论:
- 商业上可用的双相波形显著影响除能量需求.
- 对于人类的双相波形,P2峰值电压幅度是除成功的关键因素,而不是P2持续时间.
更多相关视频
08:55Use of a Foot-Induced Digitally Controlled Resistance Device for Functional Magnetic Resonance Imaging Evaluation in Patients with Foot Paresis
Published on: July 7, 2023
08:33Bidirectional Electrical and Optoelectronic Interfaces in Healthy and Ischemic Ex Vivo Rat Hearts
Published on: July 18, 2025
相关概念视频
Pulse
The pulse is one of the most fundamental physiological indicators of the body's cardiovascular health. It is the rhythmic expansion and contraction of the arterial walls in response to the pressure generated by the heart's pumping action.
Pulse Rate and its Significance
Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls between...
Pulse Rate and its Significance
Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls between...
Equipments Used To Measure Blood Pressure
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Instrumentation Amplifier
An electrocardiography (ECG) machine is an essential piece of medical equipment used to monitor the electrical activity of the heart. It operates by detecting small electrical changes on the skin that result from the depolarization of the heart muscle during each heartbeat. However, these signals are in the microvolt range and can be easily overwhelmed by noise or interference.
To overcome this challenge, an ECG machine utilizes an instrumentation amplifier. This specialized amplifier is...
To overcome this challenge, an ECG machine utilizes an instrumentation amplifier. This specialized amplifier is...
Measurement of Blood Pressure
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.
Pulse
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical indicator...
The pulse serves as a clinical indicator...
