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Cardiac action potential duration alternans is characterized by a beat-to-beat alternation in action potential waveform. Its presence has been putatively linked to the onset of lethal cardiac arrhythmias. Previous studies, which have been limited to cardiac Purkinje fibers, have shown that closed-loop alternans control techniques, which apply a succession of externally administered cycle perturbations,...
Heart Rate Variability analysis has been shown in several studies to measure the Autonomic Nervous System tone, which is strongly influenced by pain, stress or anxiety. We have previously described and developed an Analgesia/Nociception Index for pain measurement during surgical procedure. This index based on a heart rate variability analysis can be considered as a vagal tone index and used in several...
It has been long recognized that there are 2 methods for inducing VF (ventricular fibrillation) with electrical currents.. These are: (1) delivering a high-charge shock into the cardiac T-wave, and (2) delivering lower level currents for 1-5 seconds. Present electrical safety standards are based on this understanding. We present new data showing a 3rd mechanism of inducing VF which involves the steps...
Imaging of cardiac morphology and functions in high spatiotemporal resolution using MRI is a challenging problem due to limited imaging speed and the inherent tradeoff between spatial resolution, temporal resolution, and signal-to-noise ratio (SNR). The partially separable function (PSF) model has been shown to achieve high spatiotemporal resolution but can lead to noisy reconstructions. This paper...
The cardiac Monodomain model is a mathematical model extensively used in studies of propagation of bioelectric wavefronts in the heart. To be able to use the model for complex and large cardiac simulations, such as the case of whole heart and 3D simulations, some parameters of the model that are known to physiologically vary in space, such as the intracellular conductivity, are traditionally kept...
Brain injury, such as hypoxic-ischemia produced in brain after cardiac arrest, is known to alter somatosensory evoked potential (SSEP) signals, thus serving a diagnostic role. This study explores the high-frequency oscillation (HFO) in SSEP recorded in a rat model of asphyxial cardiac arrest. To best characterize this complex oscillatory activity, several time-frequency representation strategies are...
Techniques as Intima Media Thickness (IMT) and (Pulse Wave velocity) PWV have been strongly suggested by European and American Guidelines to assess subclinical ahterosclerotic vascular disease as target organ damage, and when they are present, they have been clearly associated to an increased risk of cardiovascular complications and death.
In this work we assessed the possibility of using the pulse rate variability (PRV) extracted from photoplethysmography signal as an alternative measurement of the HRV signal in non-stationary conditions. The study is based on the analysis of the changes observed during tilt table test in the heart rate modulation of 17 young subjects. Time-varying spectral properties of both signals were compared...
Cardiac volume estimation in the Left Ventricle from impedance or admittance measurement is subject to two major sources of error: parallel current pathways in surrounding tissues and a non uniform current density field. The accuracy of volume estimation can be enhanced by incorporating the complex electrical properties of myocardium to identify the muscle component in the measurement and by including...
This paper presents a methodology for Obstructive Sleep Apnea (OSA) detection based on the HRV analysis, where as a measure of relevance PLS is used. Besides, two different combining approaches for the selection of the best set of contours are studied. Attained results can be oriented in research focused on finding alternative methods minimizing the HRV-derived parameters used for OSA diagnosing,...
Long QT syndrome is a repolarization disorder characterized by marked prolongation of QT interval. A clear consequence of long QT syndrome is the occurrence of a polymorphic ventricular tachycardia called Torsade de Pointes, which has been related to early after depolarizations (EADs) formation. This repolarizing disorder has been observed under pathological situations, such as heart failure, oxidative...
Catheter based radio frequency ablation of atrial fibrillation requires real-time 3D tracking of cardiac surfaces with sub-millimeter accuracy. To best of our knowledge, there are no commercial or non-commercial systems capable to do so. In this paper, a system for high-accuracy 3D tracking of cardiac surfaces in real-time is proposed and results applied to a real patient dataset are presented. Proposed...
Cardiovascular oscillations following spontaneous ventricular premature complexes (VPC) are characterized by a short-term heart rate fluctuation known as heart rate turbulence (HRT) described by the so-called turbulence onset (TO) and slope (TS). Despite a recent written consensus on the standard of HRT measurement, reproducibility data are lacking. Aim of the paper was a reproducibility study of...
Remote surveillance is important for patients with atrial fibrillation (AF). Atrial signal recognition with conventional monitoring devices is difficult; remote AF detection is predominantly accomplished by R-R interval analysis. Twelve lead ECG (12L) displays atrial activity and remains the gold standard for AF diagnosis. CardioBip is a portable wireless patient-activated event monitor providing...
Compensating for cardio-thoracic motion artifacts in contrast-enhanced cardiac perfusion MRI (p-MRI) sequences is a key issue for the quantitative assessment of myocardial iscæmia. The classical paradigm consists of registering each sequence frame on some reference using an intensity-based matching criterion. In this paper, we present a novel unsupervised method for the groupwise registration of cardiac...
Technology advantages of body sensor networks (BSN) have shown great deal of promises in medical applications. In this paper we introduced a wearable device for biofeedback application based on the BSN platform we had developed. The biofeedback device we have developed includes the heart rate monitoring belt with conductive fabric and the biofeedback device with respiration belt. A wearable respiratory...
The Modeling Markup Language (MML) framework is a conceptual paradigm to quickly develop and solve biological models utilizing the CellML specification. In this study, we present the open source toolkit developed for this project and a possible workflow to create different scales of cardiac tissue models from a range of CellML models. Models from the CellML repository and other sources were tested...
Heart rate monitoring has been a significant topic of interest in the areas of healthcare, sports and gaming. Compared to locations such as the neck, ear, or chest, the wrist is a convenient measurement point, as the measurement technology can be integrated into a wristwatch. However, key technical challenges exist, namely a small physiological SNR and large disturbances due to motion artifact. This...
Heart sound occurs when the heart contracts and expands. It provides information on myocardial contractility and blood vessels, which is not obtainable from ECG. For this reason, stethoscopy of heart sound in anesthesiology is a very crucial means for acquiring cardiac information and preventing intraoperative medical accidents, and it requires a system for precise objective measurement and analysis...
This paper presents a system for touch-less heartbeat detection and a cardiopulmonary signal modeling approach. Using a vector network analyzer, a microwave system is tested for the detection of the heartbeat signal at a distance of 1 m from a person. The proposed system shows the ability of detecting the heartbeat signals with the possibility of tuning both frequency and power. Measurements are performed...
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