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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 48 (1993), S. 0 
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Analysis of beat-to-beat fluctuations of heart rate and blood pressure is a promising new approach to the clinical diagnosis and management of alterations in cardiovascular regulation. We investigated the effects of three induction agents on beat-to-beat heart rate and blood pressure fluctuations in man. Beat-to-beat fluctuations were analysed by spectral analysis. Two spectral areas are of main interest. One area is centred on the respiratory frequency and shifts with changes in respiratory rate (High Frequency area). These high frequency flucuations in heart rate are caused by respiratory-induced blood pressure fluctuations, mediated by the vagus nerve through the baroreflex mechanism. Variability in the Low Frequency area, which occurs between 0.06 and 0.12 Hz is considered to be related to haemodynamic fluctuations due to the sympathetic baroreflex control loop of vasomotor activity and heart rate. Results from our study indicate that thiopentone, etomidate and propofol show considerable differences in their effects on beat-to-beat variability of heart rate and blood pressure. These differences can be explained by their specific effects on the cardiovascular system.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Medical & biological engineering & computing 26 (1988), S. 130-135 
    ISSN: 1741-0444
    Keywords: Atrial repolarisation ; High-resolution ; magnetocardiography ; His-Purkinje ; Magnetic isofield contour maps ; PR-interval
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology , Medicine
    Notes: Abstract In this experimental study we measured the magnetocardiograms (MCGs) of 17 normals at 42 measuring sites in a plane near the chest. The recordings were made in an unshielded environment with a single channel second-order SOUID gradiometer. From these recordings spatial maps were constructed of the atrial depolarisation and repolarisation. The two series of maps were found to be dipolar, but opposite in sign for 14 of the 17 subjects. The relatively small change in the amplitude and pattern of the atrial repolarisation maps built up out confidence in the method of subtracting a computed mean repolarisation map from the maps obtained during the last 40 ms before the QRS-onset. This method of separating His-Purkinje activity from atrial repolarisation led to distinct dipolar patterns in 9 out of the 17 cases. The direction and location of the associated electric current dipole was in good agreement with what can be expected electrophysiologically for His-Purkinje activation.
    Type of Medium: Electronic Resource
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