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[Spatial tuning curve recording in inferior colliculus during electrical stimulation of the cochlea].

OBJECTIVE: To explore the electrical activity mechanism of auditory center to intracochlear electrical stimulation and provide physiological foundation for spatial encoding of electrical stimulation in multiple channel cochlear implant. METHODS: The spatial tuning curves(STC) in the inferior colliculus(IC) to monopolar electrical stimulation, bipolar electrical stimulation and tone stimulation in cats were composed by using the single unit and the multi-units cluster recording method. RESULTS: The bipolar electrical stimulation excited the response in the specific region in IC, which was similar to the response induced by tone stimulation. The monopolar electrical stimulation excited an extensive response and could not provide the spatial encoding. CONCLUSION: Using the bipolar electrical stimulation, the stimulation region is the key point for improving the spatial encoding. The physiological results of spatial encoding of monopolar electrical stimulation contradicted the psychophysical conclusion and the clinical effect of CI patients. The explanation to this needs further studies.

Animals↗

[Electrical tinnitus suppression--a comparative study of clinical trials and animal experiments].

Electrical tinnitus suppressor was newly developed and clinical study of electrical tinnitus suppression was discussed. Tinnitus was treated with this prototype suppressor in 38 ears out of 34 outpatients. Tinnitus was suppressed during electrical stimulation in all patients. After cessation of electrical stimulation, in 5 ears out of them tinnitus has disappeared at least for more than six months. In 12 ears it made tinnitus more than 10 dBHL softer for the following period, about six months. Hearing was unchanged in all patients. To know the mechanism how electrical stimulation of the cochlea suppressed tinnitus, animal experiments using a single fiber recording technique were made. A positive direct current on the cochlea suppressed the spontaneous activity of the cochlear nerve fiber, while a negative direct current increased the spontaneous activity. An alternative current on the cochlea increased the spontaneous activity of the cochlear nerve fiber. These electrical effects on the spontaneous activity were temporary. Therefore, after cessation of electrical stimulation on the cochlea, changed spontaneous activity restored to the level of prestimulation. Comparing temporary electrical effects on the spontaneous activity of cochlear nerve fiber with a longer suppression on tinnitus, tinnitus suppression following electrical stimulation of the cochlea was not thought to occur at the level of cochlea, but at auditory central nervous system.

Action Potentials↗

The effect of low-frequency electrical fields on osteogenesis.

An in vivo animal model of disuse osteopenia was used to determine the osteogenic potential of specific components of electrical fields. The ability of a complex pulsed electrical field to inhibit loss of bone was compared with the remodeling response generated by extremely low-power, low-frequency (fifteen, seventy-five, and 150-hertz) sinusoidal electrical fields. The left ulnae of thirty adult male turkeys were functionally isolated by creation of distal and proximal epiphyseal osteotomies and then were exposed, for one hour each day, to an electrical field that had been induced exogenously by means of magnetic induction. After a fifty-six-day protocol, the remodeling response was quantified by a comparison of the cross-sectional area of the mid-part of the diaphysis of the functionally isolated ulna with that of the intact contralateral ulna. Disuse resulted in a 13 per cent mean loss of osseous tissue, which was not significantly different than the 10 per cent loss that was caused by disuse treated with inactive coils. Exposure to the pulsed electrical fields prevented this osteopenia and stimulated a 10 per cent mean increase in the bone area. The osteogenic influence of the sinusoidal electrical fields was strongly dependent on the frequency; the 150, seventy-five, and fifteen-hertz sinusoidal fields, respectively, generated a -3 per cent, + 5 per cent, and + 20 per cent mean change in the bone area. These results suggest a tissue sensitivity that is specific to very low-frequency sinusoidal electrical fields, and they imply that the induced electrical fields need not have complex waveforms to be osteogenic. Since the frequency and intensity range of the sinusoidal fields producing the greatest osteogenic response are similar to the levels produced intrinsically by normal functional activity, these results support the hypothesis that electricity plays a role in the retention of the normal remodeling balance within mature bone.

Animals↗

Cortical somatosensory evoked potentials from lumbosacral dermatomes: airpuff versus electrical stimulation.

Cortical potentials were elicited by airpuff stimulation of the L5 and S1 dermatome in a group of 24 healthy volunteers. The results were compared with the SEPs obtained by conventional electrical stimulation. Both stimulus modalities produce stable and good reproducible cortical responses of similar waveform. The most stable second negative peak, labeled N2, was used in this study. Mean latencies (in msec) were: N2 L5 air = 67.1 +/- 3.3, N2 L5 electr. = 55.7 +/- 3.7 N2 S1 air = 67.2 +/- 3.9, and N2 S1 electr. = 55.1 +/- 2.9 The maximum R/L difference (mean + 3 SD) was 5.7 msec, 5.9 msec, 7.2 msec and 7.2 msec for respectively N2 L5 air, N2 L5 electrical, N2 S1 air and N2 S1 electrical. Single regression analysis showed a significant influence of height, but not age upon all latencies. Multiple regression analysis with height and age as independent variables showed a significant influence of height and age together upon the latencies of the electrical SEP (both L5 and S1). For the airpuff SEP only height was significant. Gender had no effect on the cortical components. The amplitude of peak N2 after electrical stimulation of the S1 dermatome was significant higher than after airpuff stimulation, 2.9 and 1.7 microvolt respectively. For the L5 dermatome both types of stimuli produced responses of nearly equal amplitude, 2.5 and 2.1 microvolt for electrical and airpuff stimulation respectively. Airpuff SEPs may provide a good alternative for electrical stimulation.

Adult↗

60-Hz electric fields inhibit protein kinase C activity and multidrug resistance gene (MDR1) up-regulation.

Sixty-hertz electric fields have been shown to affect biological systems in a variety of ways, but the mechanisms by which electric fields influence cell function remain uncertain. We have investigated the effects of electric fields on cellular protein kinase C (PKC) activity and on the regulation of the multidrug resistance gene (MDR1), which is responsible for a major form of drug resistance in cancer. We found that exposure of H9 human leukemia cells to 60-Hz sinusoidal electric fields (330 or 750 mV/cm for 60 min) resulted in significantly decreased PKC activity in the cytosolic fraction, whereas electric fields at higher (1250 and 3000 mV/cm) or lower (10 mV/cm) intensities had no effect on PKC activity. Exposure of these cells to electric fields (330 or 750 mV/cm for 17 h) inhibited up-regulation of MDR1 expression by treatment with 25 microM 1-beta-D-arabinofuranosylcytosine (AraC). Again, lower or higher field strengths had little or no effect on the levels of AraC-induced MDR1 mRNA. Similarly, exposure of intact cells to staurosporine (100 nM), a potent PKC inhibitor, significantly reduced cytosolic PKC activity, but not that of the particulate fraction. Staurosporine also prevented AraC-induced MDR1 overexpression. These data show that intermediate-strength electric fields inhibit cytosolic PKC and suggest that electric fields and pharmacological inhibitors of PKC, such as staurosporine, affect cytosolic PKC activity and AraC-induced MDR1 overexpression through related mechanisms. Our findings also suggest the possible utility of 60-Hz electric fields for modulating multidrug resistance in tumor cells.

Cytarabine↗

Effect of transthoracic electric current on the coronary circulation of the dog.

OBJECTIVE: In vitro experiments have shown that an electric field changes coronary vascular resistance (CVR) tone and damages the vascular endothelium. The effect of transthoracic electric current in dogs on the vasodilatory responses mediated through the endothelium and reactive hyperemia were studied. The manner of delivery of the electric current was similar to that used clinically during cardiac resuscitation. DESIGN: Eight mongrel dogs of either sex weighing between 15 and 22 kg were anesthetized with sodium pentobarbital. The lungs were mechanically ventilated and the thorax was opened. Circumflex coronary flow was measured with an electromagnetic flowmeter. Mean aortic pressure and the heart rate were kept constant and left ventricular systolic and diastolic pressures did not change during the procedures. The changes in CVR produced by different intracoronary doses of acetylcholine and reactive hyperemia to 10 and 30 s of circumflex coronary occlusion were measured before and after the transthoracic delivery of five synchronized electric shocks, 300 J each 1 min apart. MAIN RESULTS: CVR decreased by 32.8 +/- 2.1% (P < 0.01) from the effects of the electric shocks in spite of no changes in heart rate, ventricular systolic and diastolic pressures nor left ventricular oxygen consumption. After the delivery of the electric shocks, the vasodilatory response to acetylcholine decreased by a mean value of 35.9 +/- 2.6% for the different doses (P < 0.001) and reactive hyperemia decreased by 42.5 +/- 5.5% (P < 0.001) and by 31.5 +/- 9.6% (P < 0.02) for the 10 and 30 s occlusion duration, respectively. The intracoronary infusion of sodium nitroprusside decreased the coronary vascular resistance to a minimal value lower than that obtained by the maximal dose of acetylcholine but similar to before and after the passage of the electrical current revealing the preservation of the coronary vasodilatory reserve after the electrical shocks. CONCLUSIONS: These results show that transthoracic electrical shocks as used clinically induce coronary vasodilation but simultaneously produce endothelial dysfunction.

Acetylcholine↗

Effect of electrical stimulation on callus maturation during callus distraction in rabbits.

Callus distraction is currently the most widely used technique for limb lengthening. Prolonged treatment time is its main shortcoming. In this study, we tested the effectiveness of electrical stimulation during various stages of lengthening in order to decrease the treatment time. Seventy-five New Zealand white rabbits, about 2 kg in body weight, were divided into five groups. All groups received single level tibial lengthening of 1 cm by callotasis using a mini-lengthener. Group 1 rabbits did not receive electrical stimulation and could move freely in their cages. Group 2 rabbits (sham control), with electrodes on their left legs, were restrained on a wooden frame for 8 hours every day without electrical stimulation. Group 3 rabbits received capacitively coupled electrical stimulation, 60 kHz, 500 mV, on the left leg for 8 hours every day during the distraction period. Group 4 rabbits received electrical stimulation during the neutralization period. Group 5 rabbits received electrical stimulation during both the distraction and neutralization period. All rabbits were restrained during electrical stimulation. Weekly radiographs were taken to determine the time of appearance of at least three neocortices in the lengthening callus. At that time, the fixators were removed. The healing indexes (total time in fixator divided by length gained, days/cm) in the five groups of rabbits were compared. The range of motion of the ipsilateral knees and ankles and complications of treatment were recorded. The results showed that electrical stimulation applied during leg lengthening by callus distraction can significantly reduce the treatment time and the healing indexes, but the electrical stimulation may contribute to decreased motion in the ipsilateral knee and ankle joints.

Animals↗

Effect of drugs that alter alertness and emotionality on the novelty response of a weak electric fish, Gymnotus carapo.

Weak field electric fish respond to alerting stimuli with a transient increase in the frequency of electric organ discharge (novelty response). In an attempt to demonstrate the influence of different degrees of alertness and of emotionality on the novelty response of Gymnotus carapo, we studied the variations in the magnitude of this response induced by the application of an electric stimulus to the water of the experimental box using a pair of electrodes, before and after intramuscular injections of d-amphetamine (1-2 and 4 mg/kg), sodium pentobarbital (10-20 and 30 mg/kg), diazepam (1-2 and 4 mg/kg), beta-carboline (2 mg/kg), and saline. After d-amphetamine injection the animal presented increased somatic motility but no changes in electric organ baseline firing rate or in response to the alerting electric stimulus. Sodium pentobarbital induced a partial loss of posture and a reduction of fin and operculum movements, as well as a reduction of baseline firing rate and of the response to the alerting electric stimulus, with frequent interruptions in electric organ firing. Beta-carboline caused increased motility, but no changes in basal firing rate or in response to the alerting stimulus. Diazepan-injected fishes remained still throughout the experiment, and some of those threated with the higher dose (4 mg/kg) presented interruptions on electric organ discharges in response to stimulation but no change on baseline firing rate. The data suggest that a reduction of the degree of alertness by the barbiturate and a decrease in emotionality and/or stress by the benzodiazepine interfere with the novelty response. The possible site of action of the drugs is discussed.

Animals↗

Electric field-induced effects on neuronal cell biology accompanying dielectrophoretic trapping.

Trapping neuronal cells may aid in the creation of the cultured neuron probe. The aim of the development of this probe is the creation of the interface between neuronal cells or tissue in a (human) body and electrodes that can be used to stimulate nerves in the body by an external electrical signal in a very selective way. In this way, functions that were (partially) lost due to nervous system injury or disease may be restored. First, a direct contact between cultured neurons and electrodes is created. This is realized using a microelectrode array (MEA) which can be fabricated using standard photolithographic and etching methods. Section 1 gives an overview of the human nervous system, methods for functional recovery focused on the cultured neuron probe, and the prerequisites for culturing neurons on a microelectrode array. An important aspect in the selective stimulation of neuronal cells is the positioning of cells or a small group of cells on top of each of the electrode sites of the MEA. One of the most efficient methods for trapping neuronal cells is to make use of di-electrophoresis (DEP). Dielectrophoretic forces are created when (polarizable) cells are located in nonuniform electric fields. Depending on the electrical properties of the cells and the suspending medium, the DEP force directs the cells towards the regions of high field strength (positive dielectrophoresis; PDEP) or towards regions of minimal field intensities (negative dielectrophoresis; NDEP). Since neurons require a physiological medium with a sufficient concentration of Na+, the medium conductivity is rather high (~ 1.6 S/m). The result is that negative dielectrophoretic forces are created over the entire frequency range. With the use of a planar quadrupole electrode sturcture negative forces are directed so that in the center of this structure cell can be collected. The process of trapping cortical rat neurons is described in Sect. 2 theoretically and experimentally. Medium and cell properties are frequency-dependent due to relaxation processes, which have a direct influence on the strength of the dielectrophorectic force. On the other hand, the nonideal material properties of the gold electrodes and glass substrate largely determine the electric field strength created inside the medium. Especially, the electrode-medium interface results in a significant loss of the imput signal at lower frequencies (< 1 MHz), and thus a reduction of the electric field strength inside the medium. Furthermore, due to the high medium conductivity, the electric field causes Joule heating. Local temperature rises result in local gradients in fluid density, which induces fluid flow. The electrode-medium interface and induced fluid flow are theoretically investigated with the use of modeling techniques such as finite elements modeling. Experimental and theoretical results agreed with each other on the occurrence of the effects described in this section. For the creation of the cultured neuron probe, preservation of cell viability during the trapping process is a prerequisite. Cell viability of dielectrophoretically trapped neurons has to be investigated. The membrane potential induced by the external field plays a crucial role in preservation of cell viability. The membrane can effectively be represented by a capaticance in parallel woth a low conductance; with increasing frequency and /or decreasing field strength the induced membrane potential decreases. At high induced membrane potentials ths representation for the membrane is no longer valid. At this point membrane breakdown occurs and the normally insulating membrane becomes conductive and permeable. The creation of electropores has been proposed in literature to be the cause of this high permeability state. Pores may grow or many small pores may be created which eventually may lead to membrane rupture, and thus cell death. Membrane breakdown may be reversible, but a chemical imbalance created during the high permeability state may still exist after the resealing of the membrane. This may cause cell death after several hours or even days after field application. Section 3 gives a detailed description of membrane breakdown. Since many investigations on electroporation of lipid bilayers and cell membranes are based on uniform electric fields, a finite element model is used to investigate induced membrane potentials in the nonuniform field created by the quadropole electrode structure. Modeling results are presented in cmbination with the results of breakdown experiments using four frequencies in the range from 100 kHz to 1MHz. Radomly positioned neuronals cells were exposed to stepwise increasing electric field strengths. The field strength at which membrane rupture occurred gives an indication of the maximum induced membrane potential. Due to the nonuniformity of the electric field, cell collapse was expected to be position-dependent. However, at 100 kHz cells collapsed at a break down level of about 0.4 V, in contradistinction to findings at higher frequencies where more variation in breakdown levels were found. Model simulations were able to explain the experimental results. For examining whether the neuronal cells trapped by dielectrophoresis were still viable after the trapping process, the frequency range was divided into two ranges. First, a high frequency (14 MHz) and a rather low signal amplitude (3 Vpp) were used to trap cells. At this high frequency the field-induced membrane potential is small according to the theoretical model, and therefore no real damage is expected. The experimental analysis included the investigation of the growth of the neurons, number and length of the processes (dendrites and axons), and the number of outgrowing (~ viable) versus nonoutgrowing (~ nonviable) neural cells. The experimental results agreed with the expectation. The effect of the use of driving signals with lower frequencies and/or higher amplitudes on cell viability was investigated using a staining method as described in the second part of Sect. 4. Survival chances are not directly linked to the estimated maximum induced membrane potential. The frequency of the dield plays an important role, decreasing frequency lowering the chance of survival. A lower frequency limit of 100 kHz is preferable at field strengths less than 80 k V/m, while with increasing field strength this limit shifts towards higher frequencies. The theoretical and experimental results presented in this review form the inception of the development of new electrode structures for trapping neuronal cells on top of each of the electrodes of the MEA. New ways to investigate cell properties and the phenomenon of electroporation using electrokinetic methods were developed that can be exploited in future research linking cell biology to technology.

Electromagnetic Fields↗

The electrovaginogram: study of the vaginal electric activity and its role in the sexual act and disorders.

OBJECTIVES: We investigated the hypothesis that the vagina generates electric waves which effect vaginal contraction during penile thrusting. METHODS: In 24 healthy female volunteers, the electric waves of the vagina were recorded by two electrodes applied to its wall. The vaginal pressure was registered by a manometric tube. The electric waves and vaginal pressure were recorded at rest and on vaginal distension by condom in increments of 10 ml of carbon dioxide. The test was repeated after vaginal anesthetization proximally and distally to the electrodes. RESULTS: Slow waves (SWs) were recorded from the two electrodes with regular rhythm and similar frequency, amplitude and conduction velocity. They were randomly followed or superimposed by action potentials (APs). Vaginal pressure increase was coupled with APs. Large-volume condom distension significantly increased the electric waves' variables and pressure. Upon vaginal anesthetization, the electric waves were recorded proximal but not distal to the anesthetized area. CONCLUSIONS: Electric waves could be recorded from the vagina. They spread caudad. A pacemaker was postulated to exist at the upper vagina evoking these waves. The electric waves seem to be responsible for the vaginal contractile activity. Large-volume vaginal distension effected an increase in the vaginal electric waves and pressure which probably denotes increased vaginal muscle contraction. It appears that penile thrusting during coitus stimulates the vaginal pacemaker which effects an increase in vaginal electric activity and muscle contractility and thus leading to an increase in sexual arousal. The vaginal pacemaker seems to represent the G spot, which is claimed to be a small area of erotic sensitivity in the vagina. The electrovaginogram may act as a diagnostic tool in the investigation of sexual disorders.

Action Potentials↗

Influence of cation binding on the electro-optically determined electric moments of purple membranes.

Analysis of the electro-optically determined permanent dipole moment and electric polarizability of purple membrane fragments reveals the complex nature of the membrane electric moments. The problem to distinguish between the contribution of the membrane structural charges (charged groups of the polypeptide chain and polar lipid headgroups), bound cations and the electric double layer structure deserves particular attention not only because of its importance for electro-optics but also in respect to the relation of the membrane surface electric properties to the membrane transport function. The removal of divalent cations (Ca2+ and Mg2+) bound to purple membrane in the native state induces a cation-free species of purple membrane (deionized--blue membrane) with drastically changed spectroscopic properties and function. The present paper summarizes our study on the electric moments of blue membrane and their changes during the blue to purple transition. We intended to provide an insight into the possible regulation of this reversible transition (purple-to-blue and blue-to-purple) through changes of the asymmetric charge distribution and the importance of the asymmetric interfacial charge distribution for the proton transfer in purple membranes. The changes in the electric moments (permanent and induced dipole moments) of purple membrane fragments upon di- and trivalent cations binding to cation-depleted purple membranes were studied by electric light scattering (rotational electrokinetics) in d.c. and a.c. electric fields, and by electric pulses with reversing polarity. The results show a recovery of the membrane charge asymmetry (permanent dipole moment) though not of the induced dipole moment.

Bacteriorhodopsins↗

Electric polarization of polyelectrolyte and colloid media: dielectric versus electro-optic approach.

The theories of dielectric dispersion and of electric birefringence as a representative of electro-optic methods are considered and it is shown that they both depend in a similar way simply on the real part of the complex electric polarizability of the macromolecules or the particles. The latter also contains the permanent dipole moment. Experimental data on dielectric dispersion, electric birefringence and electric light scattering of strongly elongated, rod-like poly(tetrafluoroethylene) particles are compared and an attempt is made to extend the dielectric dispersion curve to lower frequencies using electric birefringence and electric light scattering data. Further, the experimental data on dielectric dispersion, electric light scattering, electro-orientation and dipolophoresis for the more complicated Escherichia coli particles are compared. Again, the possibility to extend the 10 kHz-100 MHz dielectric dispersion curve down below 1 Hz by using electric light scattering data is examined. The good matching of the dielectric dispersion and electric light scattering frequency curves found in the overlapping frequency range (10 kHz-5 MHz) essentially enhances the chance that dielectric dispersion below 1 MHz is related to alpha dispersion and not to electrode polarization. Thus it is not only possible to obtain additional information on the mechanism of polarization at lower-frequency dielectric dispersion, but also to extend our knowledge about the effective dielectric properties of biological complex fluids to frequencies essentially below 1 MHz. This could be important for the understanding of the effect of low-frequency electromagnetic fields on living matter.

Journal Article↗

Monospecific antiserum against 5'-nucleotidase from Torpedo electric organ: immunocytochemical distribution of the enzyme and its association with Schwann cell membranes.

The cellular and subcellular distribution of 5'-nucleotidase in tissues of the electric ray Torpedo marmorata has been investigated by means of an antiserum raised against the native enzyme purified from the electric organ. As revealed by immunohistochemistry the enzyme is associated with the surface of the axons of the electric nerves and of spinal nerves. Using the post-embedding colloidal gold technique at the electron-microscopical level 5'-nucleotidase could be located at the plasma membrane of the Schwann cells including the myelin and the fine processes covering the terminal axon ramifications. Also the perineurial sheath of the axons inside the electric organ is 5'-nucleotidase positive. The plasma membrane of the axon and the terminal axon region or the postsynaptic membrane do not contain 5'-nucleotidase. Immunoprecipitation studies using polyacrylamide beads suggest that the ecto-Ca2+- or -Mg2+-adenosine 5'-triphosphatase previously ascribed to synaptosomes of the Torpedo electric organ is not associated with the same membranes as 5'-nucleotidase. Within the electric organ the dorsal plasma membrane of the electroplaque cell, blood capillaries and the connective tissue layer surrounding the columns of electroplaque cells also bind the antibodies. In central nervous tissue solely blood vessels show immunofluorescence. Within the electric lobe both the surface of the electromotor neurons as well as the myelinated axons giving rise to the electric nerve are negative. This also applies to the axons of the optic nerve suggesting that the antiserum is Schwann cell specific, and does not bind to a potential oligodendroglial 5'-nucleotidase. In peripheral tissue the surface of skeletal muscle fibres as well as that of individual myofibrils bind the anti-5'-nucleotidase antibodies. Our results demonstrate that the Schwann cell plasma membrane, including myelin, contains 5'-nucleotidase and that one can distinguish by means of a specific antiserum between Schwann cell and oligodendroglia plasma membranes. The functional significance of the association of 5'-nucleotidase with Schwann cells along the entire surface of axons including the synaptic region as well as with other parts of the electric tissue is discussed regarding its catalytic activity and also the possibility that this surface glycoprotein may be involved in mediating cellular interactions.

5'-Nucleotidase↗

Ultrastructure of electrical synapses: review.

This article reviews studies providing information on the ultrastructure of electrical synapses. Although the review focuses on electron-microscopic investigations, its aim is to examine how the structure of an electrical synapse relates to its function. It begins by presenting a historical overview of the early studies which were responsible for the recognition of electrical synapses. The structure of gap junctions which are the morphological correlates of electrical synapses is illustrated and the ultrastructure and function of the two types of electrical synapse, rectifying and non-rectifying, described. Recent papers investigating the ultrastructure of electrical and mixed electrical-chemical synapses in invertebrates and vertebrates are reviewed. For earlier references, the reader is directed to previous reviews on the subject. Much new information, however, on the structure and formation of electrical synapses has been obtained from work on cultured neurons and from electron-microscopic, immunocytochemical, conformational and molecular studies. This article reviews those studies and in light of their findings, re-examines the relationships of the structure of electrical synapses with their function.

Animals↗

The relationship between electrical axis by 12-lead electrocardiogram and anatomical axis of the heart by cardiac magnetic resonance in healthy subjects.

BACKGROUND: The traditional assumption has been that there is a close relationship between the electrical and anatomical axes of the heart. The aim of this study was to test the hypothesis that there is a correlation between the electrical and anatomical axes of the heart, in both the frontal and transverse planes, in healthy subjects. METHODS: Ninety-four healthy volunteers (48 men, 46 women; age 21-82 years) were studied by cardiac magnetic resonance and 12-lead electrocardiogram. The anatomical axis was determined by cardiac magnetic resonance and projected onto the frontal and transverse orthogonal planes for comparison with the electrical axis in the corresponding planes. RESULTS: The electrical and anatomical axes were in the same range in the frontal plane (mean +/- SD, +39 degrees +/- 31 degrees and +38 degrees +/- 10 degrees), but in different ranges in the transverse plane (mean +/- SD, -30 degrees +/- 18 degrees and +46 degrees +/- 7 degrees). The partial correlation coefficients between electrical and anatomical axes were r = 0.30 (P < .01) and r = 0.14 (P = NS) in the frontal and transverse planes, respectively. Age was more strongly correlated to electrical axis than to anatomical axis in the frontal plane. CONCLUSIONS: There is only a weak correlation between electrical and anatomical axes in the frontal plane and no correlation in the transverse plane. The change of electrical axis with increased age is not explained only by change in the anatomical axis. The results suggest that there is no simple relationship between the electrical and anatomical axes of the heart.

Adult↗

Electrical storm in patients with transvenous implantable cardioverter-defibrillators: incidence, management and prognostic implications.

OBJECTIVES: The purpose of this study was to determine the precise incidence, therapeutic options and prognostic implications of electrical storm in patients with transvenous implantable cardioverter-defibrillator (ICD) systems. BACKGROUND: Approximately 50% to 70% of patients treated with an ICD receive appropriate device-based therapy within the first 2 years. Most arrhythmic events require only one appropriate ICD firing for termination. However, some patients receive multiple appropriate shocks during a short period of time, a condition referred to as "arrhythmic or electrical storm." METHODS: This prospectively designed observational study comprised 136 recipients of transvenous ICDs who were followed for 403+/-242 days. Electrical storm was defined as ventricular tachycardia or fibrillation resulting in device intervention > or = 3 times during a single 24-h period. RESULTS: During follow-up, 57/136 patients (42%) received appropriate ICD therapy. Electrical storm occurred in 14/136 patients (10%) at an average of 133+/-135 days after ICD implantation. The mean number of arrhythmic episodes constituting electrical storm was 17+/-17 (range: 3 to 50; median 8) per patient. In 12 patients, electrical storm required hospital admission. The arrhythmia cluster could be terminated by a combined therapy with beta-blockers and intravenous amiodarone whereas class I antiarrhythmic drugs were only occasionally successful. The cumulative probability of survival as estimated by the Kaplan-Meier method showed that patients with an episode of electrical storm did not have a worse outcome compared to those without such an event. CONCLUSIONS: Electrical storm represents a frequent event in patients treated with modern ICDs. It occurs most commonly late after ICD implantation and can be managed by combined therapy with beta-blockers and amiodarone. Electrical storm does not independently confer increased mortality.

Adult↗

Using electrical noise to enhance the ability of humans to detect subthreshold mechanical cutaneous stimuli.

Stochastic resonance (SR) is a phenomenon wherein the response of a nonlinear system to a weak input signal is optimized by the presence of a particular, nonzero level of noise. Our objective was to demonstrate cross-modality SR in human sensory perception. Specifically, we were interested in testing the hypothesis that the ability of an individual to detect a subthreshold mechanical cutaneous stimulus can be significantly enhanced by introducing a particular level of electrical noise. Psychophysical experiments were performed on 11 healthy subjects. The protocol consisted of the presentation of: (a) a subthreshold mechanical stimulus plus electrical noise, or (b) no mechanical stimulus plus electrical noise. The intensity of the electrical noise was varied between trials. Each subject's ability to identify correctly the presence of the mechanical stimulus was determined as a function of the noise intensity. In 9 of the 11 subjects, the introduction of a particular level of electrical noise significantly enhanced the subject's ability to detect the subthreshold mechanical cutaneous stimulus. In 2 of the 11 subjects, the introduction of electrical noise did not significantly change the subject's ability to detect the mechanical stimulus. These findings indicate that input electrical noise can serve as a negative masker for subthreshold mechanical tactile stimuli, i.e., electrical noise can increase the detectability of weak mechanical signals. Thus, for SR-type effects to be observed in human sensory perception, the noise and stimulus need not be of the same modality. From a bioengineering and clinical standpoint, this work suggests that an electrical noise-based technique could be used to improve tactile sensation in humans when the mechanical stimulus is around or below threshold. (c) 1998 American Institute of Physics.

Journal Article↗

Transmembrane calcium influx induced by ac electric fields.

Exogenous electric fields induce cellular responses including redistribution of integral membrane proteins, reorganization of microfilament structures, and changes in intracellular calcium ion concentration ([Ca2+]i). Although increases in [Ca2+]i caused by application of direct current electric fields have been documented, quantitative measurements of the effects of alternating current (ac) electric fields on [Ca2+]i are lacking and the Ca2+ pathways that mediate such effects remain to be identified. Using epifluorescence microscopy, we have examined in a model cell type the [Ca2+]i response to ac electric fields. Application of a 1 or 10 Hz electric field to human hepatoma (Hep3B) cells induces a fourfold increase in [Ca2+]i (from 50 nM to 200 nM) within 30 min of continuous field exposure. Depletion of Ca2+ in the extracellular medium prevents the electric field-induced increase in [Ca2+]i, suggesting that Ca2+ influx across the plasma membrane is responsible for the [Ca2+]i increase. Incubation of cells with the phospholipase C inhibitor U73122 does not inhibit ac electric field-induced increases in [Ca2+]i, suggesting that receptor-regulated release of intracellular Ca2+ is not important for this effect. Treatment of cells with either the stretch-activated cation channel inhibitor GdCl3 or the nonspecific calcium channel blocker CoCl2 partially inhibits the [Ca2+]i increase induced by ac electric fields, and concomitant treatment with both GdCl3 and CoCl2 completely inhibits the field-induced [Ca2+]i increase. Since neither Gd3+ nor Co2+ is efficiently transported across the plasma membrane, these data suggest that the increase in [Ca2+]i induced by ac electric fields depends entirely on Ca2+ influx from the extracellular medium.

Biological Transport↗