Electrocardiographic aspects of skin diving

Electrocardiographic (ECG) aspects of skin diving were monitored by means of continuous ECG recording in a pool 15 m deep. Ten regularly trained divers with different levels of experience divid a minimum of three consecutive times, holding their beath, reaching depths of 6 m, 9 m, and 12 or 15 m. The water temperature was 28 degrees C. During the ascending part of these dives, bradycardia was observed in all skin-divers. Minimal heart rate correlated negatively with the diver's experience (number of dives previously performed). In six divers cardiac arrhythmia was observed. Atrial arrhythmias were sometimes isolated occurrences, but more frequently they were multiple. Ventricular arrhythmias tended to be bigeminal. Apparently, forced expiration through the snorkel when surfacing precipitated these rhythmic disorders.     

Cardiovascular response of rats exposed to 60-Hz electric fields

Recently, it has been reported that exposure to high-strength electric fields can influence electrocardiogram (ECG) patterns, heart rates, and blood pressures in various species of animals. Our studies were designed to evaluate these reported effects and to help clarify some of the disagreement present in the literature. Various cardiovascular variables were measured in Sprague-Dawley rats exposed or sham-exposed to 60-Hz electric fields at 80 or 100 kV/m for periods up to four months. No significant differences in heart rates, ECG patterns, blood pressures, or vascular reactivity were observed between exposed and sham-exposed rats after 8 hours, 40 hours, 1 month, or 4 months of exposure. Blood pressure and heart rate measurements, made during exposure to a 100-kV/m electric field for one hour, revealed no significant differences between exposed and sham-exposed groups. In addition, physiologic reserve capacity, measured in rats subjected to low temperature after exposure to 100 kV/m for one month, showed that electric-field exposure had no significant effect on physiological response to cold stress. Our studies cannot be directly compared to the work of other investigators because of differences in animal species and electric-field characteristics. However, our failure to detect any cardiovascular changes may have been the result of 1) eliminating secondary field effects such as shocks, audible noise, corona, and ozone; 2) minimizing steady-state microcurrents between the mouth of the animal and watering devices; and 3) minimizing electric-field-induced vibration of the electrodes and animal cages.     

Cold-resistant changes in heartbeat of the Japanese spiny lobster

Heartbeat in Panulirus japonicus acclimated to 20°C is often augmented during cooling to 15^oC. Augmented contractions of the heart coincided with increasing amplitude of electrocardiogram. In cold saline, a pericardial hormone serotonin (10⁻⁷ M) increased both the amplitude and duration of the heartbeat while another hormone octopamine (10⁻⁶ M) slightly relieved the cold depression of heart rate despite a smaller increase in beat amplitude. In contrast, the application of the cold saline containing F1 (a FMRFamide-related peptide of pericardial hormones, 10⁻⁹ M) maintained the rate and amplitude of the heartbeat around the control level during cold exposure. This suggests that in the presence of F1, the lobster heart becomes cold resistant clearly. We previously reported that the pericardial organs of spiny lobsters are activated by a small fall in body temperature. The ligamental nerves, extensions of the pericardial organs, terminate in the heart beside the ostia and their ends remain in the isolated hearts. Therefore, the ligamental nerve ends might release their hormones into the ventricle with the fall in temperature even in the isolated hearts.     

The impact of confounders on the test performance of natriuretic peptides for cardiac dysfunction in subjects aged 80 and older

The hypothesis that natriuretic peptides could be used to identify ‘pancardiac’ damage has been proposed. However, multiple factors are known to influence circulating levels of natriuretic peptides, especially in the very old. Therefore, the impact of confounders on the association between natriuretic peptide levels and cardiac dysfunction was further explored in subjects aged 80 and older. A diagnostic cross-sectional study embedded within the BELFRAIL study (n = 567) was performed. Baseline BNP and NT-proBNP levels were measured and echocardiograms were performed at the subject's home. Cardiac dysfunction was defined as systolic dysfunction, valvular heart disease or isolated severe diastolic dysfunction. Several functional and structural echocardiographic parameters were independently related to circulating levels of natriuretic peptides. Cystatin C, BMI, β blockers, diabetes, heart frequency, usCRP, age and sex were identified as confounders. The prevalence of cardiac dysfunction was 17.1% in the subjects without and 30.8% in the subjects with chronic atrial fibrillation (CAF) or pacemaker (PM). Only in subjects with CAF or PM the C statistic for cardiac dysfunction improved after correcting for confounders. The post-test probability for a negative test (PTP−) ranged from 3.7% to 12.2% and the PTP+ ranged from 21.9% to 62.2% in different strata of confounders. According to these data adjusting for identified confounders does not improve the diagnostic accuracy of the natriuretic peptides for cardiac dysfunction, except in subjects with CAF or PM. Stratifying for individual confounders showed that different cut-off values could be used to optimize the diagnostic characteristics of natriuretic peptides.     

Respiratory sinus arrhythmia as a second order system

The presented study describes the influence of respiration on heart rate, under controlled respiration conditions. In addition, this study makes a comparison of a simple physical model, the spring-mass system, with the biophysics of respiration. It is possible to use the equations describing the behaviour of the respiratory system, under certain conditions, and analyse them in a way similar to the equations that describe the physical spring-mass system. The results of the heart rate and respiration measurements effected on 10 subjects at various respiration frequencies show us that the heart rate behaves as a second order system within the boundary conditions during a longer period of constant respiration. The results also show that the heart rate behaves as a second order system within the intermediate mode during short time intervals when there is no respiration.     

尿素对小鼠体表心电图和心室肌细胞钠离子通道电流的影响

目的：观察尿素对小鼠体表心电图和心室肌细胞钠离子通道电流的影响。方法：使用常规的心电图记录方法和膜片钳实验技术,分别记录小鼠体表心电图和心室肌细胞钠离子通道电流。结果：尿素可以使小鼠心率明显减慢（P〈0．01）,呈浓度依赖性,低、中、高三个剂量组的心率分别由给药前的（612±27、615±23、619±26）b·min^-1下降到给药后的（556±29、469±37、378±48）b·min^-1,并且中、高剂量组发生了不同程度的传导阻滞性心律失常;尿素对小鼠心室肌细胞钠电流有明显的抑制作用（P〈0．05）,钠电流分别由给药前的（8．76±0．91、8．87±1．01、8．77±0．96）nA降低到给药后的（7．32±0．68、5．69±0．64、4．58±0．57）nA,呈浓度依赖性。结论：尿素可以通过抑制心室肌细胞钠电流使小鼠发生传导阻滞性心律失常。     

鸡胚发育后期心电图的无损测定及心率变化

目的：测量鸣胚发育后期心电图,测定鸡胚发育后期心率及其变化.方法：利用壳膜外电极测量鸡胚心电图,根据RR间期计算鸡胚心率。结果：引出了具有较为清晰Q波、R波（振幅在8—20μV波动）、S波的鸡胚心电图。鸡胚的QRs间期在发育后期无明显变化,心率在D14～D20早期的心率变化较小,在D20后期和D21显著增加（P〈0．01）。结论：建立了壳膜外记录鸡胚心电图的方法,鸡胚在啄壳期心率显著增加.     

便携式心电监护中实时信号处理方法研究

针对心电信号处理过程中的心电信号数字滤波、心电波形的动态显示、心电数据存储等问题,阐述了3个可用于心电信号实时处理的方法：一是运用滤波器频谱的周期性减少了滤波器系数个数,提高了运算速度,并根据卷积公式特点实现了数字滤波的实时性;二是运用基于内存虚拟屏幕技术实现心电波形动态显示,解决了屏幕闪烁和绘图不连续问题;三是采用嵌入式数据库SQLITE实现了心电数据存储。所有方法均考虑实时性要求,并已成功用于课题组开发的便携式心电监护仪,效果较为理想,具有很强的实用价值。     

基于独立元分析和联合小波熵检测多导联ECG信号的QRS

QRS波群的准确定位是ECG信号自动分析的基础。为提高QRS检测率,提出一种基于独立元分析（ICA）和联合小波熵（CWS）检测多导联ECG信号QRS的算法。ICA算法从滤波后的多导联ECG信号中分离出对应心室活动的独立元;然后对各独立元进行连续小波变换（CWT）,重构小波系数的相空间,结合相空间中的QRS信息对独立元排序;最后检测排序后独立元的CWS得到QRS信息。实验对St.Petersburg12导联心率失常数据库及64导联犬心外膜数据库测试,比较本文算法与单导联QRS检测算法和双导联QRS检测算法的性能。结果表明,该文算法的性能最好,检测准确率分别为99.98%和100%。