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Comparison of defibrillation efficacy in humans using a new catheter and superior vena cava spring-left ventricular patch electrodes.

The automatic implantable cardioverter-defibrillator currently utilizes an electrode system that requires a major operation for implantation. Effective defibrillation using an implantable cardioverter-defibrillator catheter positioned transvenously would eliminate the morbidity associated with such surgery. Fifteen patients undergoing defibrillator implantation were studied to compare the efficacy of the catheter with that of the superior vena cava spring (6.7 cm2, anode)-left ventricular patch (13.5 cm2, cathode) electrode system using truncated exponential waveforms with 60% tilt. The catheter is 11F in diameter and tripolar. A distal platinum-iridium tip used for pacing was separated by 4 mm from a middle 4.3 cm2 platinum electrode; these were positioned at the right ventricular apex. The proximal 8.5 cm2 platinum electrode was situated at the superior vena cava-right atrial junction. Defibrillation was performed using the middle (cathode) and proximal (anode) electrodes. Ventricular fibrillation was induced by alternating current six times, and defibrillation shocks of 1, 5, 10, 15, 20 or 25 J were given in random order, first using the catheter and then the spring-patch system. Rescue shocks of higher energy were given if there was failure. Although very low energy levels appeared to be slightly more efficacious when using the spring-patch system, there was no statistically significant difference between the electrode systems for any of the energies tested. Permanent implantation of the catheter would have been suitable in 45% of the patients, as compared with 54% of patients with the spring-patch system (p = NS).(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

Low energy synchronous transcatheter cardioversion of atrial flutter/fibrillation in the dog.

The feasibility and effectiveness of low energy synchronous transcatheter cardioversion of atrial flutter and fibrillation were examined in dogs with talc-induced pericarditis. A conventional electrode catheter was positioned transvenously in the right atrial appendage. Atrial flutter/fibrillation was induced by using the train pulse method, and the tachyarrhythmia-inducing threshold was determined. The minimal effective cardioversion energy levels were compared in three different cardioversion methods: method A = delivery of shock between the proximal electrode (cathode) and the backplate (anode), method B = delivery between the proximal electrode (cathode) and the distal electrode (anode) and method C = conventional external cardioversion. In both methods A and B, all 149 cardioversion attempts were successful with shocks of less than or equal to 5 J. Shocks of less than or equal to 1 J resulted in successful cardioversion in 57 (70%) of 81 attempts, 50 (74%) of 68 attempts and 5 (12%) of 41 attempts with methods A, B and C, respectively. The mean minimal effective cardioversion energy levels were not significantly different between methods A and B (0.62 +/- 0.67 versus 0.58 +/- 0.71 J). Transcatheter cardioversion decreased the defibrillation threshold 3- to 75-fold (mean 6- to 7-fold) from that of transthoracic cardioversion. The defibrillation threshold was not influenced by the inducibility of atrial flutter/fibrillation. There were no complications of heart block, ventricular fibrillation or pathologic evidence of severe shock-induced atrial injury. Thus, low energy synchronous transcatheter cardioversion of atrial flutter/fibrillation is considered feasible and effective. This technique may also be useful in managing the atrial flutter/fibrillation that can occur during electrophysiologic studies.

Animals↗

Successful implantation of cardioverter-defibrillator systems in patients with elevated defibrillation thresholds.

OBJECTIVES: . The purpose of this study was to conduct a retrospective analysis of 16 patients with high initial defibrillation thresholds in whom a three-electrode system was used to lower defibrillation thresholds and permit implantation of a cardioverter-defibrillator system. BACKGROUND: Patients with high defibrillation thresholds (> 25 J) are uncommon but may be problematic to physicians implanting cardioverter-defibrillator systems. Most conventional systems use two defibrillating electrodes, most commonly two epicardial patches. When defibrillation thresholds remain elevated despite extensive testing of a two-electrode system, a third electrode can be incorporated and tested. However, few published data exist on the use of a three-electrode system in patients with high defibrillation thresholds. METHODS: After failure to achieve satisfactory defibrillation thresholds < 25 J with a two-patch electrode system, a third electrode was incorporated and tested. In all cases, two electrodes were joined to form a common cathode or anode, while a single electrode was used as the opposite polarity electrode. Various three-electrode configurations were then tested. RESULTS: In all 16 patients, satisfactory defibrillation thresholds were achieved and a cardioverter-defibrillator was implanted (95% confidence interval [CI] = 0% to 21%). The mean final defibrillation threshold using the revised three-electrode system was 19.5 +/- 3.7 J (p < 0.0001). A mean of 6 +/- 3 electrode configurations/patient were tested before the final configuration was selected. A total of nine different electrode configurations were used in the 16 study patients; the most common of these incorporated left and right ventricular patches as combined cathode and a superior vena cava coil (n = 5) or right atrial patch electrode (n = 3) as single anode. CONCLUSION: Patients with high initial defibrillation thresholds can generally undergo successful cardioverter-defibrillator implantation with a three-electrode system if enough electrode configurations are tested after a third electrode is incorporated.

Aged↗

Local increases in intracellular calcium elicit local filopodial responses in Helisoma neuronal growth cones.

Highly localized changes in intracellular Ca2+ concentration ([Ca2+]i) can be evoked in neuronal growth cones; these are followed by local changes in filopodia. Focally applied electric fields evoked spatially restricted, high magnitude increases in growth cone [Ca2+]i. The earliest and greatest increases were localized to small regions within a growth cone. Such fields also produced characteristic changes in the disposition of filopodia: both filopodial length and number were significantly increased on the cathode side of growth cones. The requirement for extracellular Ca2+ and the strong correlation between the evoked rise in [Ca2+]i and the changes in filopodia (r = 0.98) indicate that cathode stimulation results in local Ca2+ influx, leading to locally increased [Ca2+]i and local changes in filopodial behavior.

Animals↗

Cell proliferation and apoptosis in rat mammary cancer after electrochemical treatment (EChT).

BACKGROUND: Several authors have recently reported encouraging results from Electrochemical treatment (EChT) in malignant tumours. However, EChT is not established and mechanisms are not completely understood. In vivo studies were conducted to evaluate the toxic changes and effectiveness of EChT on an animal tumour model. METHODS: Tumours were induced by injecting cells from the R3230AC rat mammary tumour cell line clone D subcutaneously, in 28 female Fischer 344 rats. EChT was conducted by inserting a platinum electrode into the tumours. The positive and negative control groups were subjected to the same conditions but without current. The rats were kept for 0, 7 or 14 days post-treatment. Three hours prior to euthanasia an i.p. injection of Bromodioxyuridine (BrdU) was given. The rats were euthanized, the lesions extirpated and samples were collected for histopathological, and immunohistochemical examination. RESULTS: Significant changes in cell proliferation rate were seen both in the cathode and anode regions. Apoptosis were induced in the anodic treated area outside the primary necrosis, detected with the TUNEL method. DISCUSSION: The results suggest that secondary cell destruction was caused by necrosis with cathodic EChT and apoptosis or necrosis with anodic EChT.

Animals↗

Voltammetric behavior of DNA modified with osmium tetroxide 2,2'-bipyridine at mercury electrodes.

Osmium tetroxide complexes with nitrogen ligands (L) are probes of DNA structure and electroactive labels of DNA. Here adducts of single-stranded (ss) DNA with osmium tetroxide 2,2'-bipyridine (DNA-Os,bipy) were studied by cyclic voltammetry for the first time. It was found that at neutral pH DNA-Os,bipy produces three redox couples in the potential range between 0 and -1 V (peaks I-III) and a cathodic peak at about -1.3 V (peak IV). The latter peak decreased with increasing scan rate, and peaks arising from the forward and reverse scans exhibited the same direction, suggesting catalytic nature of the electrode process. We concluded that this peak corresponds to the known differential pulse voltammetric (polarographic) peak of DNA-Os,L adducts for which catalytic hydrogen evolution is responsible. In contrast, currents of cathodic peaks II and III increased almost linearly with increasing scan rate, suggesting involvement of adsorption in the electrode processes. Adsorptive stripping square-wave voltammetry was used to analyze the DNA-Os,bipy at low concentrations. It was shown that at neutral pH, peak III can offer sensitivity in the ppb range, which is only little lower than that reached by catalytic peak IV. The latter peak is, however, superior in sensitivity at acid pH values.

2,2'-Dipyridyl↗

Indirect electrochemical reduction of nicotinamide coenzymes.

Nicotinamide coenzymes nicotinamide adenine dinucleotide (NAD(+)) and nicotinamide adenine dinucleotide phosphate (NADP(+)) were electrochemically reduced to NADH and NADPH, respectively. As direct reduction of nicotinamide coenzymes leads to inactive by-products, an indirect method using (pentamethylcyclopentadienyl-2,2'-bipyridine aqua) rhodium (III) as the mediator, was applied. A phosphate buffer solution, pH 8, with 1-10 mM NAD(P)(+) and 2.5-200 microM mediator, was pumped through a glassy carbon packed bed cathode. Virtually all the NAD(P)(+) was reduced to NAD(P)H in the cell. No sign of mediator loss due to side-reactions was detected though the mediator molecules shuttled hundreds of times between the oxidised and the reduced form. Adsorption of mediator molecules on the surface of the carbon cathode was found to be important for the reduction process. Due to strong adsorption, only minute amounts of mediator were consumed.

Adsorption↗

Redox kinetic measurements of glutathione at the mercury electrode by means of square-wave voltammetry. The role of copper, cadmium and zinc ions.

The electrode reaction of glutathione (GSH) at the hanging mercury drop electrode is studied by means of square-wave voltammetry (SWV). At potentials more positive than -0.350 V (vs. Ag/AgCl (3 mol/l KCl)) the oxidation of the mercury electrode in the presence of GSH leads to creation of a sparingly soluble mercury-GSH complex that deposits onto the electrode surface. Under cathodic potential scan, the deposited complex acts as a reducible reactant, giving raise to a well-defined cathodic stripping reversible SW voltammetric response. The electrode reaction can be described by the scheme: Hg(SG)(2(s))+e(-)+2H((aq))(+) = Hg((l))+2GSH((aq)). Thus, the electrode reaction provides information on both thermodynamics and kinetics of the chemical interactions of GSH with mercury. An experimental methodology for measuring the kinetics of the electrode reactions, based on the property known as "quasireversible maximum", is developed. The standard redox rate constant is 5.09, 5.75 and 5.22 cm s(-1) in a phosphate buffer at pH 5.6, 7.0 and 8.5, respectively, with a precision of +/-10%. The high rate of the electrode reaction reflects the strong affinity of GSH towards chemical interaction with mercury. The electrode reaction is particularly sensitive to the presence of heavy metal ions such as Cu(2+), Cd(2+), and Zn(2+.) The rate of the electrode reaction decreases significantly in the presence of these ions due to simultaneous interactions of GSH with the respective ion and mercury.

Buffers↗

Study on the electrochemical behavior and differential pulse voltammetric determination of rhein using a nanoparticle composite film-modified electrode.

A sensitive electrochemical method was developed for the differential pulse voltammetric determination of rhein at a glassy carbon electrode (GCE) modified with a nanoparticle composite film. In the present paper, multi-wall carbon nanotube (MWNT) was dispersed into dihexadecyl phosphate (DHP) to give a homogeneous suspension. After the solvent evaporation, a uniform film of MWNT-DHP composite film was obtained on the GCE surface. The MWNT-DHP composite film-modified GCE exhibited excellent electrocatalytic behavior toward the redox of rhein. Compared with an irreversible reduction of rhein at the bare GCE, a reversible redox behavior of rhein was observed at the MWNT-DHP composite film-modified GCE and the redox current was also enhanced greatly. Based on this, a cathodic differential pulse voltammetry (DPV) was applied for the determination of rhein. The experimental parameters, which influence the current of rhein, were optimized. Under optimal conditions, the cathodic DPV measurements were performed and a linear response of rhein was obtained in the range from 1.0 x 10(-8) to 5.0 x 10(-6) mol L(-1) and with a limit of detect (LOD) of 5.0 x 10(-9) mol L(-1). The proposed procedure was successfully applied to assay rhein in real samples with satisfactory results.

Anthraquinones↗

Corrosion behavior of titanium in the presence of calcium phosphate and serum proteins.

The effect of calcium phosphate surface deposit and the surface adsorption of the serum proteins, bovine serum albumin (BSA) and fibrinogen, on the corrosion resistance and electrochemical behavior of (cp)titanium in phosphate buffer saline solution (pH 7.4) was investigated at physiological temperature, 37 degrees C, using electrochemical impedance spectroscopy and dc electrochemical polarization techniques. The formation of calcium phosphate deposit on the Ti surface decreased both the corrosion rate at the open circuit potential (OCP) and the anodic reaction current in the high anodic potential range (>2.6 V). Addition of BSA significantly moved the OCP towards a more negative (cathodic) potential and inhibited the cathodic corrosion reaction, but did not significantly change the corrosion resistance at the OCP. Addition of fibrinogen showed a similar, but less pronounced effect than BSA. The possible mechanisms leading to these observed effects are discussed.

Biocompatible Materials↗

Electricity generation and microbial community analysis of alcohol powered microbial fuel cells.

Two different microbial fuel cell (MFC) configurations were investigated for electricity production from ethanol and methanol: a two-chambered, aqueous-cathode MFC; and a single-chamber direct-air cathode MFC. Electricity was generated in the two-chamber system at a maximum power density typical of this system (40+/-2 mW/m2) and a Coulombic efficiency (CE) ranging from 42% to 61% using ethanol. When bacteria were transferred into a single-chamber MFC known to produce higher power densities with different substrates, the maximum power density increased to 488+/-12 mW/m2 (CE = 10%) with ethanol. The voltage generated exhibited saturation kinetics as a function of ethanol concentration in the two-chambered MFC, with a half-saturation constant (Ks) of 4.86 mM. Methanol was also examined as a possible substrate, but it did not result in appreciable electricity generation. Analysis of the anode biofilm and suspension from a two-chamber MFC with ethanol using 16S rDNA-based techniques indicated that bacteria with sequences similar to Proteobacterium Core-1 (33.3% of clone library sequences), Azoarcus sp. (17.4%), and Desulfuromonas sp. M76 (15.9%) were significant members of the anode chamber community. These results indicate that ethanol can be used for sustained electricity generation at room temperature using bacteria on the anode in a MFC.

Electric Power Supplies↗

Biofuel cell based on direct bioelectrocatalysis.

A biofuel cell, consisting of two 3mm diameter carbon rod electrodes and operating at ambient temperature in aqueous solution, pH 6, is described. Biofuel cell based on enzymes able to exchange directly electrons with carbon electrodes was constructed and characterized. Anode of the biofuel cell was based on immobilized Quino-hemoprotein alcohol dehydrogenase from Gluconobacter sp. 33 (QH-ADH), cathode on co-immobilized glucose oxidase from Aspergilus niger (GO(x)) and microperoxidase 8 from the horse heart (MP-8) acting in the consecutive mode. Two enzymes GO(x) and MP-8 applied in the design of biofuel cell cathode were acting in consecutive mode and by hydrogen peroxide oxidized MP-8 was directly accepting electrons from carbon rod electrode. If ethanol was applied as an energy source the maximal open circuit potential of the biofuel cell was -125 mV. If glucose was applied as energy source the open circuit potential of the cell was +145 mV. The maximal open circuit potential (270 mV) was achieved in the presence of extent concentration (over 2 mM) of both substrates (ethanol and glucose). Operational half-life period (tau(1/2)) of the biofuel cell was found to be 2.5 days.

Alcohol Dehydrogenase↗

Degradation of azo dye Acid Red 14 in aqueous solution by electrokinetic and electrooxidation process.

A new wastewater treatment technology--electrokinetic-electrooxidation process (EK-EO process) is developed in this paper. The EK-EO process can take advantage of both electrooxidation on the anode surface and the electrokinetic process of anionic impurities under an electric field, which can enhance the TOC removal in electrolysis process. The degradation of an anionic azo dye Acid Red 14 (AR14) was experimentally investigated. It was found that under an electric field AR14 could be migrated into anode compartment and be efficiently mineralized. After 360 min electrolysis of 100 mgl(-1) AR14 solutions at 4.5 mAcm(-2), complete discoloration was observed in both cathode and anode compartment. About 60% TOC was electromigrated from cathode compartment to anode compartment, and more than 25 mgl(-1) TOC was abated in anode compartment. A possible degradation mechanism of AR14 by EK-EO process was proposed. Additionally, the effect of current density, recycling flux, and electrolyte concentration on the EK-EO degradation of AR14 was also investigated.

Azo Compounds↗

Electrokinetic remediation of a Cu-Zn contaminated red soil by controlling the voltage and conditioning catholyte pH.

Electrokinetics is an innovative technique for treating heavy metals contaminated soil, especially low pH soils such as the Chinese red soil (Udic Ferrisols). In this paper, a Cu-Zn contaminated red soil is treated by electrokinetics. When the Cu-Zn contaminated red soil was treated without control of catholyte pH during the electrokinetic treatment, the soil pH in the soil sections near cathode after the experiment was high above 6, which resulted in accumulation of large amounts of Cu and Zn in the soil sections with such high pH values. Compared to soil Cu, soil Zn was more efficiently removed from the soil by a controlled electrokinetic method. Application of lactic acid as catholyte pH conditioning solution caused an efficient removal of Cu and Zn from the soil. Increasing the electrolyte strength (salt concentration) of the conditioning solution further increased Cu removal, but did not cause a significant improvement for soil Zn. Soil Cu and Zn fractions after the electrokinetic treatments were analyzed using sequential extraction method, which indicated that Cu and Zn precipitation in the soil section closest to the cathode in the treatments without catholyte pH control limited their removal from the soil column. When the catholyte pH was controlled by lactic acid and CaCl(2), the soil Cu and Zn removal percentage after 554 h running reached 63% and 65%, respectively. Moreover, both the residual soil Cu and Zn concentrations were lower than 100 mg kg(-1), which is adequate and meets the requirement of the Chinese soil environmental quality standards.

Calcium Chloride↗

Bromate formation on the non-porous TiO2 photoanode in the photoelectrocatalytic system.

The increasing use of ozone in water disinfection processes has been the focus of considerable concern in regards to inorganic disinfection by product formation of bromate in waters containing bromide. Due to the public health risk caused by the presence of bromate as a suspected carcinogen, attention had been addressed to the conditions under which bromate is formed. In this study, photoanodic bromine generation and bromate (BrO(3)(-)) formation were investigated using a TiO(2) electrode in a photoelectrocatalytic (PEC) treatment process. The separation of anodic and cathodic reactions in the PEC system resulted in a pH decrease from 9.3 to 3.0 in the photoanode compartment and an increase to 11.0 in the cathode compartment. Under a photo-illumination intensity of 5.7 m W cm(-2) UV, a biasing potential of +1.0V vs SCE, a pH of 6.0 and at a NaBr concentration of 1.0 x 10(-2) M, active bromine formation increased over time with 2.4 x 10(-6) M min(-6) rate and reached a steady-state concentration of 1.44 x 10(-4) M in 60 min. Bromate formation was detected after a lag-period of 15 min and exhibited a continuous increasing trend with respect to irradiation time. No bromate formation was observed below pH 6.5 whereas an increasing bromate concentrations and pH up to pH=8.5 were noted.

Bromates↗

Modeling of electrodialytic and dialytic removal of Cr, Cu and As from CCA-treated wood chips.

A one-dimensional model is developed for simulating the electrodialytic and dialytic treatment of a saturated bed of wood chips containing chromium, copper and arsenic. The movement of Cr, Cu and As is mathematically modeled taking into account the diffusion transport resulting from the concentration gradients of their compounds and the electromigration of their ionic, simple and complex species during the operation. The model also includes the electromigration of the non-contaminant principal ionic species in the system, H(+) and OH(-), proceeding from the electrolysis at the electrodes, Na(+) and NO(3)(-) used as electrolyte solutions in the electrode compartments, and oxalate ions and protons incorporated with the oxalic acid solution during wood chips incubation. The model simulation also takes into account that OH(-) generated on the cathode, during electrodialytic remediation, is periodically neutralized by addition of nitric acid in the cathode compartment. The anion and cation-exchange membranes are simply represented as ionic filters that preclude the transport of co-ions (the cations and anions respectively) with the exception of H(+), which is retarded but considered to pass through the anion-exchange membrane.

Arsenates↗

Two-dimensional capillary electrophoresis involving capillary isoelectric focusing and capillary zone electrophoresis.

Capillary isoelectric focusing (cIEF) and capillary zone electrophoresis (CZE) was on-line hyphenated by a dialysis interface to achieve a 2D capillary electrophoresis (CE) system. The system was used with just one high-voltage power supply and three electrodes (one cathode shared by the two dimensions). The focused zone in the first dimension (i.e. the cIEF) was driven to the dialysis interface by electroosmotic flow (EOF), besides chemical mobilization from the first anode to the shared cathode. And then in the second dimension (i.e. the CZE), the separated zone was further separated and driven by an inverted EOF, which originated from the charged layer of a cationic surfactant adsorbed onto the inner wall of the capillary. Finally, a solution of ribonuclease was rapidly separated to assess the feasibility of the two-dimensional CE implement.

Electrolytes↗

Qualification of an electro-deionization module via experimental design and ion-chromatographic studies.

To meet the needs of the laboratory-water market, a modified electro-deionization (EDI) module has been developed to produce Type 2 purified water. An EDI module consists of desalting and concentrating fluidic compartments that are both filled with anion and cation ion-exchange resins; an anode and a cathode electrode are at opposite ends. In the design in this research, the anode electrode is segmented into three parts and individual dc amperages are applied to each segment; the cathode electrode is a single common electrode. Critical to the performance and longevity of this type of EDI module are: (1) the optimization of the applied dc amperages and (2) the ionic mass balance (i.e., the concentrations of specific and total ions of the RO feedwater to the module compared to the concentrations in the water exiting the module via the desalting and concentrating compartments). To determine a suitable current for each electrode pair, a full-factorial experimental design was developed and employed. For the application of this combination of amperages, the critical parameter of specific-ion mass balance was determined using ion-chromatographic measurements.

Calibration↗