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  • 2000-2004  (4)
  • 1975-1979  (2)
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  • 1
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK . : Blackwell Science Inc
    Annals of noninvasive electrocardiology 9 (2004), S. 0 
    ISSN: 1542-474X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: We evaluated the usefulness of heart rate turbulence (HRT) parameters and frequency of ventricular premature beats (VPBs) for risk-stratifying postinfarction patients with depressed left ventricular function enrolled in Multicenter Automatic Defibrillator Trial II (MADIT II). Methods: In 884 MADIT II patients, 10-minute Holter monitoring at enrollment was used to evaluate HRT parameters and frequency of VPBs. The primary endpoints were defined as all-cause mortality in patients randomized to conventional treatment and as appropriate therapy for ventricular tachycardia or fibrillation in patients randomized to implantable cardioverter defibrillator (ICD) therapy. Results: The median turbulence slope was lower in patients who died in comparison to survivors in the conventional arm (2.3 vs 4.5 ms/RR; P 〈 0.05); but it was not a significant predictor of mortality after adjustment for clinical covariates (age, ejection fraction, beta-blocker use, and BUN levels). There was no association between HRT parameters and arrhythmic events in ICD patients. Conventionally treated patients who died and ICD patients who had appropriate ICD therapy had significantly more frequent VPBs than those without such adverse events. After adjustment for clinical covariates, frequent VPBs〉3/10 min were associated with death in the conventional arm (HR = 1.63; P = 0.070) and were predictive for appropriate ICD therapy in the ICD arm (HR = 1.75; P = 0.003). Conclusion: In postinfarction patients with severe left ventricular dysfunction, frequent VPBs are associated with increased risk of mortality and with appropriate ICD therapy. HRT obtained from 10-min Holter ECG showed a trend toward the association with mortality in univariate analysis but HRT parameters were not predictive of the outcome in multivariate analyses.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5018 , U.S.A . : Blackwell Publishing Inc
    Pacing and clinical electrophysiology 26 (2003), S. 0 
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: ERDOGAN, A., et al.: Quality-of-Life in Patients with Paroxysmal Atrial Fibrillation After Catheter Ablation: Results of Long-Term Follow-Up. Paroxysmal atrial fibrillation (PAF) significantly impairs patients' quality-of-life (QOL). The effect on QOL of recently developed ablation techniques with curative intention has not been studied. Thirty patients (21 men, age 54.1 ± 9.5 years) with PAF (duration 5.6 ± 5.2 years) who failed antiarrhythmic (3.8 ± 1.2 trials) drug therapy underwent catheter ablation. The follow-up time was 33.9 ± 11 months. QOL was assessed preablation, 3, 6, 9, 12, 24, and 36 months after catheter ablation. The Medical Outcomes Survey Short-Form (SF-36), scored on a 0–100 scale for each of eight domains: bodily pain, general health, mental health, physical functioning, role-emotional, role-physical, social functioning, and vitality, was used. Simultaneously, patients filled out a symptom-specific checklist (SSC) with seven clinical items scored 1–4 (1 best): dyspnea, nausea, palpitations, anxiety, syncope, presyncope, and NYHA classification. Patients with successful catheter ablation had a significant benefit in seven of eight subscales while patients with recurrence had an impact on QOL in two of eight subscales. Using SSC, a successful ablation influenced scores in all seven items while patients with recurrence had a significant change of clinical symptoms in only one item, anxiety. The subscales of the study group compared to a healthy population show higher scores after 24 months of follow-up. Patients with PAF experience a significant improvement in QOL after a successful catheter ablation. In contrast, in patients with recurrence of PAF the QOL showed improvement to a lesser extent and patients experienced ongoing symptoms. (PACE 2003; 26:678–684)
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    350 Main Street , Malden , MA 02148-5018 , USA . : Blackwell Futura Publishing, Inc.
    Pacing and clinical electrophysiology 26 (2003), S. 0 
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: ERDOGAN, A., et al.: Microwave, Irrigated, Pulsed, or Conventional Radiofrequency Energy Source: Which Energy Source for Which Catheter Ablation? The aim of the study was to compare the diameter of endomyocardial lesions induced with the delivery of microwave, cooled, or pulsed energy versus conventional RF energy. In vitro tests were performed in fresh endomyocardial preparations of pig hearts in a 10-L bath of NaCl 0.9% solution at 37°C and constant 1.5 L/min flow. Ablation 7 Fr catheters with 4-mm tip electrodes were used, except for the delivery of microwave energy. Energy delivery time was set to 60 s/50 W in all experiments. Cooled energy delivery was performed with a closed irrigation catheter. Pulsed energy delivery was performed using a special controller with a duty-cycle of 5 ms. Microwave energy was delivered with a 2.5-GHz generator and 10-mm antenna. Electrode temperature and impedance were measured simultaneously. After ablation, lesion length, width, and depth were measured with microcalipers, and volume calculated by a formula for ellipsoid bodies. Each energy delivery mode was tested in ten experiments. The deepest lesions were created with cooled energy delivery, and the largest volume by microwave energy delivery. Pulsed RF produced significantly deeper lesions than conventional RF energy delivery. Cooled or pulsed RF energy delivery created deeper transmural lesions than conventional RF. To create linear lesions at anatomically complex sites (isthmus), microwave energy seemed superior by rapidly creating deep and long lesions. (PACE 2003; 26:[Pt. II]:504–506)
    Type of Medium: Electronic Resource
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  • 4
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    Ottawa : Periodicals Archive Online (PAO)
    Anthropologica. n.s.:18:1 (1976) 3 
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  • 5
    ISSN: 1573-1421
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Geosciences
    Notes: Abstract The natural early-diagenetic environment ``anoxicporewater – authigenic mineral phases'' has beencharacterized in sediment of the Gotland Deep,Baltic Sea, by a closed-system model. Occurrence ofcarbonate precipitates as thin almost pure whitelaminae was considered as a natural experiment forlong-term equilibration between these phases andporewater. Plots of distribution coefficientsindicate that metastable equilibrium exists betweenporewater and the authigenic Ca-rich rhodochrositephases below 7 cm depth. A thermodynamic model ofporewater geochemistry at in situ P = 25 barand T = 5 °C was developed using the Gibbsenergy minimization (GEM) approach. The values of isobaric-isothermal potentials of Mn, Ca, Fe, Mg,Sr, Ba, C, and O, calculated from the porewatercomposition, were used in a new ``dual thermodynamic''calculation approach to estimate solid activitycoefficients of the end-members in the non-idealsolid solution (Mn, Ca, Mg, Sr, Ba, Fe)CO3,i.e., at full major and minor multi-componentcomplexity. The regular Margules interactionparameters for the composing binaries estimated bythis model were αMn-Ca = 1.9 ± 0.5,αMn-Mg = 0.6,αCa-Mg = 3.7,αMn-Fe = 0.2,αCa-Fe = 2.8,αMn-Sr = 9.7,αCa-Sr = 2.15,αMn-Ba = 4.0,αCa-Ba = 1.4,validating the theoretical predictions given byLippmann in his pioneering 1980's paper. Thestrictly thermodynamic equilibrium model is not onlyable to match both the measured porewater andcarbonate solid-solution composition, but also topredict that the porewater pH, pe, alkalinity, anddissolved Mn, Fe, and S concentrations arecontrolled by the authigenic mineral bufferingassemblage mackinawite-greigite-rhodochrosite. Ourmodel is only compatible with the idea of ACRformation with typical composition (XMnbetween 70–75%) in the topmost sediment layerwhich, however, needs a major source ofMnaq II. This is provided by reduction ofparticulate Mn oxides precipitated in significantamounts in the water column upon major inflow eventsin the Baltic Sea. The model enables also to set upscenarios of changing environmental conditions, e.g.,to predict the non-linear response of the carbonatesolid-solution composition to changes in Mn loading,alkalinity and salinity of the sediment-watersystem. The results suggest that the major andespecially minor element contents (Sr, Mg, Ba) inauthigenic carbonates can be applied as anenvironmental paleoproxy.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Liebigs Annalen 1975 (1975), S. 201-208 
    ISSN: 0075-4617
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Description / Table of Contents: Reaction of Naphthalene, Anthracene and Phenanthrene with DichlorocarbeneNaphthalene (1), anthracene (4) and phenanthrene (8) are allowed to react with CCl2 by Makosza's method. 1 and 4 yield the chlorocycloheptatrienes 2a - c or 5c, and 3 or 6. Phenanthrene (8) gives the norcaradiene 9a which is cleaved to 10 or 11 under drastic conditions. On treatment with butyllithium 8 undergoes substitution to give 9b - d only.
    Notes: Naphthalin (1), Anthracen (4) und Phenanthren (8) werden mit CC12 nach der Makosza-Methode umgesetzt. Dabei ergaben 1 und 4 die Chlorcycloheptatriene 2a- c bzw. 5c sowie 3 bzw. 6. Phenanthren (8) liefert das Norcaradien 9a, das unter drastischen Bedingungen Ringöffnung zu 10 oder 11 erleidet. Mit Butyllithium tritt nur Substitution zu 9b - d ein.
    Type of Medium: Electronic Resource
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