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Biomedical subjects

B R Reddy

Publications and source records attributed to B R Reddy.

31 records · Page 2Linked to original sources

Evaluation of Fourier transform filter for high-resolution ECG.

The high-resolution electrocardiography has become an important clinical tool for analyzing the high-frequency content of electrocardiograms (ECGs). Recent emphasis has been on the detection of ventricular late potential activity due to its ability to predict ventricular tachycardia (VT) in myocardial infarction (MI) patients. To accentuate the high-frequency components, the signal-averaged ECG data are filtered using high-pass filters. Two types of filters used in commercial systems, bidirectional Butterworth and Fourier transform filters, are compared using a common signal-averaged ECG data base. Signal-averaged ECG data acquired at two clinical sites (Mayo Clinic and Bowman Gray School of Medicine) using the MAC15 HIRES system were filtered using a 40-Hz fast Fourier transform (FFT) filter with a 6 dB/octave rolloff on an IBM-compatible personal computer. The same average data were filtered using a 40-Hz bidirectional Butterworth filter with similar rolloff. Using a common algorithm, outputs of both filters were used to compute vector magnitude and to obtain the measurements to quantify high-frequency, low-amplitude (HFLA) signals. The measurements include total QRS duration, duration of HFLA signals, root mean square voltage, and mean voltage in the terminal 40 msec. Applying the published criteria for late potentials, sensitivity and specificity were computed for both filters on data obtained from 59 patients of old MI (group 1, 29 with clinical or inducible VT and group 2, 30 with no history of VT and noninducible). The results were very similar, and both filters were found to be functionally equivalent.

Action Potentials↗

Enhancement of cyanobacterial salt tolerance by combined nitrogen.

Presence of certain nitrogenous compounds in the growth medium significantly enhanced the salt tolerance of the fresh-water cyanobacterium Anabaena sp. strain L-31 as well as the brackish water cyanobacterium Anabaena torulosa. Among these, nitrate, ammonium, and glutamine were most effective followed by glutamate and aspartate. These nitrogenous compounds also inhibited Na(+) influx in both Anabaena spp. with the same order of effectiveness as that observed for protection against salt stress. The inhibition of Na(+) influx on addition of the nitrogenous substances was rapid; nitrate and ammonium inhibited Na(+) influx competitively. Proline and glycine did not affect Na(+) influx and also had no influence on the salt tolerance of either Anabaena sp. The observed protection was not consequent to a stimulatory effect of combined nitrogen on growth per se. Uptake of NO(3) (-) and NH(4) (+) increased during salt stress but was not correlated with growth. Intracellular levels of NO(3) (-) and NH(4) (+) were found to be inadequate to constitute a major component of the internal osmoticum. The results suggest that inhibition of Na(+) influx by combined nitrogen is a major mechanism for protection of cyanobacteria against salt stress.

Journal Article↗

Favourable long term prognosis in patients with non-Q wave acute myocardial infarction not associated with specific electrocardiographic changes. Diltiazem Reinfarction Study Research Group.

Electrocardiograms obtained serially from 544 patients with non-Q wave infarction in the Diltiazem Reinfarction Study were analysed to compare the short term (less than or equal to 14 days) and long term (one year) follow up of 105 patients (19%) whose admission electrocardiogram showed no localisable repolarisation abnormalities (group 1) with the outcome in 439 patients (81%) who had ST-T wave abnormalities (group 2) localised to two or more contiguous leads within an anterior, inferior, or lateral lead group. There were no major between group differences in baseline clinical variables, concomitant medications, or treatment allocation (diltiazem v placebo). Group 2 patients, in the first year, had a higher incidence of early recurrent ischaemia (angina greater than or equal to 24 hours after myocardial infarction associated with ischaemic repolarisation changes), reinfarction, and readmission for chest pain than group 1 patients, despite comparable creatine kinase and creatine kinase MB activities in both groups. About 20% of patients with acute non-Q wave myocardial infarction did not have definable ST-T wave abnormalities. These patients had a similar clinical and enzymatic profile as patients with non-Q wave infarction with definable ST-T wave abnormalities and they were more likely to have a favourable short term and long term outcome.

Creatine Kinase↗

High-resolution ECG on a standard ECG cart.

High-resolution (HI-RES) ECG analysis software and a new front end have been designed for a standard 12-lead ECG cart, MAC-12. The front end acquires orthogonal ECG at 1,000 samples/sec and 1.2 microV/bit and transmits to the cart. The HI-RES software delineates QRS complexes and correlates them with a template in frequency domain to compute an average cardiac complex (P, QRS, and T). This complex is used for analysis of late potentials, bundle of His activity, and detection of coronary artery disease using its high-frequency content. Both time- and frequency-domain methods are implemented for analysis of ventricular late potentials. In the time-domain method, the average beat is bandpass filtered using three lower cutoff frequencies--25, 40, and 80 Hz--with the higher cutoff at 250 Hz. For each of these frequencies, the following features are extracted: RMS voltages in terminal 40 and 50 msec; ventricular activation time; and duration of high-frequency, low-amplitude signals. The frequency-domain analysis examines the spectral contents of the windowed segment of terminal QRS; ST-segment; and a combined segment of QRS and ST. The spectral features include ratios of magnitudes of Fourier coefficients and areas above 20 Hz, dB drop at 40 Hz, and areas after 60 dB offset. Initial testing of this system is complete, and it is due for clinical trials soon.

Bundle of His↗

Relationship between Sodium Influx and Salt Tolerance of Nitrogen-Fixing Cyanobacteria.

The relationship between sodium uptake and cyanobacterial salt (NaCl) tolerance has been examined in two filamentous, heterocystous, nitrogen-fixing species of Anabaena. During diazotrophic growth at neutral pH of the growth medium, Anabaena sp. strain L-31, a freshwater strain, showed threefold higher uptake of Na than Anabaena torulosa, a brackish-water strain, and was considerably less salt tolerant (50% lethal dose of NaCl, 55 mM) than the latter (50% lethal dose of NaCl, 170 mM). Alkaline pH or excess K (>25 mM) in the medium causes membrane depolarization and inhibits Na influx in both cyanobacteria (S. K. Apte and J. Thomas, Eur. J. Biochem. 154:395-401, 1986). The presence of nitrate or ammonium in the medium caused inhibition of Na influx accompanied by membrane depolarization. These experimental manipulations affecting Na uptake demonstrated a good negative correlation between Na influx and salt tolerance. All treatments which inhibited Na influx (such as alkaline pH, K above 25 mM, NO(3), and NH(4)), enhanced salt tolerance of not only the brackish-water but also the freshwater cyanobacterium. The results indicate that curtailment of Na influx, whether inherent or effected by certain environmental factors (e.g., combined nitrogen, alkaline pH), is a major mechanism of salt tolerance in cyanobacteria.

Journal Article↗

An experimental microcomputer controlled system for synchronized pulsating anti-gravity suit.

An experimental system to deliver synchronized external pressure pulsations to the lower body is described in this technical note. The system is designed using a microcomputer with a real time interface and an electro-pneumatic subsystem capable of delivering pressure pulses to a modified anti-G suit at a fast rate. It is versatile, containing many options for synchronizing, phasing and sequencing of the pressure pulsations and controlling the pressure level in the suit bladders. Details of its software and hardware are described along with the results of initial testing in a Dynamic Flight Simulator on human volunteers.

Computers↗

17 alpha-allyl estradiol analogues as candidates for development of high-affinity fluorescein-estradiol conjugates.

In order to develop stable, high-affinity fluorescein-estradiol conjugates, the fluorescein moiety must be leashed to the estradiol molecule at a point which interferes least with estradiol's binding to the receptor. Because of the high affinity of 17 alpha-substituted estradiol (e.g. ethynyl estradiol), we investigated a series of 17 alpha-substituted estradiol compounds to determine the optimal properties of a leash at this position. Twelve estradiol derivatives bearing a three-carbon 17 alpha side chain with or without a terminal functional group and with varying degrees of unsaturation were synthesized. Initial comparison of the receptor binding affinities of some of these derivatives suggested that three factors might reduce affinity: internal hydrogen bonding of the 17 beta-hydroxyl proton with an oxygen atom of the 17 alpha side chain; hydrophilicity of the ligand; or steric interference of the side chain with receptor binding. Further comparisons were designed to evaluate the relative contribution of these factors. The results suggest that the relative affinities of these 17 alpha-substituted estradiol derivatives are influenced primarily by the steric interference of the side chains and also by their hydrophilicity. Internal hydrogen bonding involving the 17 beta-hydroxyl proton does not seem to have a profound effect.

Animals↗

Mineralization of parathion in the rice rhizosphere.

We studied CO(2) evolution from ring-labeled [2,6-C]parathion (O,O-diethyl-O-p-nitrophenyl phosphorothioate) in the rhizosphere of rice seedlings. The soil samples (nonflooded [60% water-holding capacity] and flooded) were treated first with technical parathion (20 mug/g) and then after 10 days with ring-labeled [C]parathion. In unplanted soil, less than 5.5% of the C in the parathion was evolved as CO(2) in 15 days under both flooded and nonflooded conditions. In soil planted with rice, 9.2% of the radiocarbon was evolved as CO(2) under nonflooded conditions, and 22.6% was evolved under flooded conditions. These results suggest that soil planted with rice permits significant ring cleavage, especially under flooded conditions.

Journal Article↗

A simple VCG system with temporal dimension, directional reference and display of component loops.

A vectorcardiogram (VCG) represents the cardiac electrical activity as continuous vector loops in three mutually perpendicular planes, namely frontal, transverse and sagittal. This technical note describes a simple system developed to record VCG with an ordinary x-y oscilloscope and simple camera. Facilities exist for recording VCG with temporal dimension, directional reference and display of specific component loops of a cardiac cycle. The system is in use for recording VCG at rest and during stress tests involving exercise and hypoxia at simulated altitude. Its performance has been found satisfactory and the system highly reliable.

Data Display↗

Data compression for storage of resting ECGs digitized at 500 samples/second.

Data compression of resting electrocardiograms (ECGs) digitized at 500 samples per second (sps) is presented. Tradeoffs between the fidelity of reconstructed data and the overall compression are examined. Data of the median (average) complexes are retained at 500 sps and full resolution and encoded only to reduce redundancy. The raw data for rhythm analysis are evaluated for lowpass filtering and down-sampling (decimation) and requantization. After subtracting the medians from the raw data, the resulting residue signal is examined in detail for data reduction and encoding. Various options for compression of the residue signal are presented. Specific issues examined are the acceptable decimation and requantization of the residue signal. Another important aspect evaluated is the bimodal decimation of the QRS and the rest of the cardiac complex. Here, the QRS complexes are kept at 500 sps and the rest of the data decimated to lower sampling rates. This novel approach reduces data distortion while achieving significant compression. Details of the compression scheme and its evaluation on uncompressed 500-sps ECGs from the European Common Standards for Electrocardiography (CSE) database (128 ECGs with normal sinus rhythm, atrioventricular blocks, atrial fibrillation and flutter, ventricular arrhythmias, and excessive noise) are elucidated. Performance indexes [root mean square (RMS) error, percent RMS difference, normalized RMS difference, maximum peak error, and compression ratio] are computed. To validate the compression method, qualitative evaluation was performed by two physicians overreading the ECGs by comparing the reconstructed waveforms with the original uncompressed data. The median data are retained at 500 sps and full precision. For rhythm data, the bimodal decimation of the residue signal to 125 sps at 10 microvolts resolution preserved the fidelity of the ECG signals well, while giving good data compression. Abnormal atrial activity was well preserved and the QRS was retained without distortion. The average size of a 10-sec compressed ECG with the medians is around 4.5 kilobytes.

Diagnosis, Computer-Assisted↗