Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “CATHODE”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,477 records · Page 82Linked to original sources

Preservation of ventricular capture by anodal stimulation after dislodgment of an epicardial electrode.

A 58-year-old man had a bipolar epicardial left ventricular (LV) implanted for cardiac resynchronization therapy after a failed transvenous approach. The system was programmed in an LV tip-right ventricular coil configuration, but during follow-up loss of LV capture with recurrence of symptoms occurred. Changing to an LV tip-LV ring configuration restored LV pacing through anodal capture. Loss of cathodal capture was caused by dislodgment of the cathodal electrode due to a broken fixation suture. Anodal capture was used to reinstall resynchronization therapy, which resulted in clinical improvement. There were no adverse effects from anodal stimulation in a follow-up period of 6 months.

Bundle-Branch Block↗

Transmembrane voltage changes produced by real and virtual electrodes during monophasic defibrillation shock delivered by an implantable electrode.

INTRODUCTION: Epicardial point stimulation produces nonuniform changes in the transmembrane voltage of surrounding cells with simultaneous occurrence of areas of transient positive and negative polarization. This is the phenomenon of virtual electrode. We sought to characterize the responses of epicardial ventricular tissue to the application of monophasic electric shocks from an internal transvenous implantable cardioverter defibrillator (ICD) lead. METHODS AND RESULTS: Langendorff-perfused rabbit hearts (n = 12) were stained with di-4-ANEPPS. A 9-mm-long distal electrode was placed in the right ventricle. A 6-cm proximal electrode was positioned horizontally 3 cm posteriorly and 1 cm superiorly with respect to the heart. Monophasic anodal and cathodal pulses were produced by discharging a 150-microF capacitor. Shocks were applied either during the plateau phase of an action potential (AP) or during ventricular fibrillation. Leading-edge voltage of the pulse was 50 to 150 V, and the pulse duration was 10 msec. Transmembrane voltage was optically recorded during application of the shock, simultaneously from 256 sites on a 11 x 11 mm area of the anterior right ventricular epicardium directly transmural to the distal electrode. The shock effect was evaluated by determining the difference between the AP affected by the shock and the normal AP. During cathodal stimulation an area of depolarization near the electrode was observed, surrounded by areas of hyperpolarization. The amplitude of polarization gradually decreased in areas far from the electrode. Inverting shock polarity reversed this effect. CONCLUSION: ICD monophasic defibrillation shocks create large dynamically interacting areas of both negative and positive polarization.

Action Potentials↗

Quatrefoil reentry in myocardium: an optical imaging study of the induction mechanism.

INTRODUCTION: The "critical point hypothesis" for induction of ventricular fibrillation has previously been extended to infer the coexistence of four critical points, and hence four simultaneous spiral reentries or a quatrefoil reentry, resulting from only one premature stimulus delivered to the same location as the pacing stimulus. An optical imaging technique was used to explore its existence and to study the induction mechanism of this peculiar reentry pattern. METHODS AND RESULTS: In 16 isolated, Langendorff-perfused rabbit hearts, high-speed optical imaging at 133 or 267 frames/sec was performed to observe the induced response with a unipolar point electrode. A novel quatrefoil-shaped reentry pattern consisting of two pairs of opposing rotors was created by delivering long stimuli during the vulnerable phase. Successful induction occurred in a narrow range of coupling intervals. A dogbone pattern of virtual electrodes was established during the premature stimulus. Propagating wavefronts launched from the virtual anodes immediately after the termination of S2. The alternating blocking and conducting effects of the virtual electrodes, as well as the boundary between virtual cathode and virtual anode, provided the necessary pathways for quatrefoil reentry. Propagation directions of the reentrant spiral wavefronts reversed with a reversal in S2 polarity. Quatrefoil reentries were not sustained and lasted 1 to 4 complete cycles. CONCLUSION: The initiation of quatrefoil reentry followed anodal- or cathodal-break stimulation as a result of local symmetrical enhancement of the dispersion of tissue excitability. The "critical point hypothesis" provides the minimum topology required for this type of reentry; the "graded response hypothesis" can be viewed as providing a more detailed explanation of how this topology is actually realized. Triggering mechanisms due to the "break" mode of stimulation also posits a new mechanism for defibrillation.

Animals↗

Role of microscopic tissue structure in shock-induced activation assessed by optical mapping in myocyte cultures.

INTRODUCTION: Termination of ventricular fibrillation by electric shocks is believed to be due to the direct activation of large tissue mass that may be caused by microscopic virtual electrodes formed at discontinuities in tissue structure. Here, microscopic shock-induced activation was measured optically in myocyte cultures; spatially averaged microscopic Vm measurements were compared with macroscopic measurements from left ventricular (LV) tissue. METHODS AND RESULTS: Experiments were performed in linear cell strands of different width (approximately 0.1 and 0.8 mm) and isolated porcine LV preparations. Uniform field shocks were applied across strands or LV preparations during diastole and action potential (AP) plateau. Depending on shock strength, three different types of activation were observed in cell strands. Weakest shocks produced "delayed make" activation that started on the cathodal strand side after long latency and rapidly spread to the anodal side. Stronger shocks caused "make" activation with short latency and rapid spread across strands. Strongest shocks caused nonuniform "make-break" activation where the cathodal side was activated with a short latency but activation of the anodal side was delayed until after the shock end due to a large negative shock-induced polarization. Spatial averaging of Vm responses across 0.1-mm (but not 0.8-mm) strands resulted in AP upstrokes and plateau polarizations that closely resembled the Vm responses measured in LV myocardium. The shock strength for the transition between fast and delayed activation in 0.1-mm cell strands and LV myocardium was similar as well. CONCLUSION: These data provide evidence that microscopic tissue structures with dimensions of approximately hundred microns are responsible for shock-induced activation of ventricular tissue.

Action Potentials↗

Effect of an active abdominal pulse generator on defibrillation thresholds with a dual-coil, transvenous ICD lead system.

INTRODUCTION: Many patients with implantable cardioverter defibrillators (ICDs) have older lead systems, which are usually not replaced at the time of pulse generator replacement unless a malfunction is noted. Therefore, optimization of defibrillation with these lead systems is clinically important. The objective of this prospective study was to determine if an active abdominal pulse generator (Can) affects chronic defibrillation thresholds (DFTs) with a dual-coil, transvenous ICD lead system. METHODS AND RESULTS: The study population consisted of 39 patients who presented for routine abdominal pulse generator replacement. Each patient underwent two assessments of DFT using a step-down protocol, with the order of testing randomized. The distal right ventricular (RV) coil was the anode for the first phase of the biphasic shocks. The proximal superior vena cava (SVC) coil was the cathode for the Lead Alone configuration (RV --> SVC). For the Active Can configuration, the SVC coil and Can were connected electrically as the cathode (RV --> SVC + Can). The Active Can configuration was associated with a significant decrease in shock impedance (39.5 +/- 5.8 Omega vs. 50.0 +/- 7.6 Omega, P < 0.01) and a significant increase in peak current (8.3 +/- 2.6 A vs. 7.2 +/- 2.4 A, P < 0.01). There was no significant difference in DFT energy (9.0 +/- 4.6 J vs. 9.8 +/- 5.2 J) or leading edge voltage (319 +/- 86 V vs. 315 +/- 83 V). An adequate safety margin for defibrillation (> or =10 J) was present in all patients with both shocking configurations. CONCLUSION: DFTs are similar with the Active Can and Lead Alone configurations when a dual-coil, transvenous lead is used with a left abdominal pulse generator. Since most commercially available ICDs are only available with an active can, our data support the use of an active can device with this lead system for patients who present for routine pulse generator replacement.

Abdominal Muscles↗

Corrosion of dental alloys in vitro by differential oxygen concentration.

The corrosion of a conventional and a high Cu dental amalgam, a Cu-Zn dental alloy, and pure silver (control) were studied in vitro under conditions of differential oxygenation, resembling a partially covered dental filling. The experimental method enabled the simultaneous recording of separate pH changes at anordic and cathodic areas and of the corrosion current generated; the corrosion products formed and the corroded alloys were examined by powder X-ray diffraction, optical and scanning electron microscopy, and EDAX elemental analysis. Marked anodic pH drops and cathodic pH rises were seen which, with the total electric change integrated from the recordings, formed the basis for a qualitative evaluation (electrochemical reaction schemes) and a quantitative evaluation (amounts of metal corroded) of the progress of corrosion. The corrosion products found were SnO2, ZnSn(OH)6, and Cu2O of the amalgams, and Zn5(OH)8Cl2 of the Cu-Zn alloy; twice as much tin corroded from the conventional as from the high Cu amalgam, and zinc corroded selectively from the Cu-Zn alloy. These findings were substantiated by the microscopic and EDAX observations.

Corrosion↗

Crossed immunoelectrophoresis and electroimmunoassay of human IgG subclasses.

Human IgGl, IgG2, IgG3 and IgG4 in WHO pool 67/97, a normal serum pool, Cohn Fraction II and individual sera were examined by crossed immunoelectrophoresis and electroimmunoassay in agarose with IgG subclass specific rabbit antisera. In these methods the fact that IgG subclasses differ in the electrophoretic field is utilized: IgG4 is located anodically, IgG3 cathodically, and IgG2 and IgG1 both anodically and cathodically. The mean, S.D. and range of serum IgG1, IgG2, IgG3 and IgG4 in 20 normal adults found by the electroimmunoassay were given and related to the amount in the WHO pool 67/97. The IgG subclasses values obtained by electroimmunoassay agreed with the values obtained by single radial diffusion. The reproducibility of double determinations (interplate variations) was 1.5--5.5 per cent. Repeated freezing, thawing and storage of the serum at room temperature did not influence quantitation of IgG subclasses. Cohn Fraction II was found to contain smaller amounts of IgG1, IgG2, and IgG4 than those found in the normal serum pools. Crossed immunoelectrophoresis and electroimmunoassay also easily reveal failing quality of IgG subclass antisera. To obtain good antisera in rabbits against IgG subclasses immunization should be done with several myeloma proteins with different electrophoretic mobility within the same subclass.

Humans↗

Discussion paper: loss of cellular antigens during malignant transformation.

Normal human diploid cells, such as WE-38, transformed by an oncogenic virus, SV40, are greatly depleted of a cathodal esterase isozyme using both immunological and enzymatic criteria. This cathodal esterase is primate-specific and associated with lysosomes of many different tissue cells. It provides a clear example of antigenic loss associated with malignant change.

Antigens↗

Electrical fields, nerve growth and nerve regeneration.

The presence of voltage gradients within developing and damaged tissues led to the notion that the resultant electrical fields provide instructional cues to cells. Field effects on avian and amphibian neurones in vitro include increased differentiation, turning of neurites towards the cathode, increased rate of growth towards the cathode, resorption of anodefacing neurites, increased branching and increased filopodial activity. Electric fields enhance regeneration of damaged PNS and CNS neurones in animals as diverse as lampreys, frogs, rats and guinea-pigs, but the mechanisms by which fields produce their effects are not understood. Further examination of the interaction of fields with intracellular elements, such as the cytoskeleton and second messenger systems, may offer some insight.

Animals↗

Electrical responses of smooth muscle to external stimulation in hypertonic solution.

1. The electrical responses of single smooth muscle cells of the guinea-pig taenia coli to external stimulation were studied in two times hypertonic solution and compared with the responses to intracellular stimulation.2. Exposure to Krebs solution made two times hypertonic by adding sucrose abolished the mechanical movement and stopped the spontaneous electrical activity. The electrical response to stimulation was essentially similar to that in physiological solution.3. When the tissue was placed between stimulating electrodes, the cells near the cathode were depolarized and produced spikes, while the cells near the anode were hyperpolarized and produced small spikes only with weak stimuli. The cells near the centre were not polarized but produced spikes with a frequency pattern similar to that near the cathode.4. When both stimulating electrodes were put close together at one end of the tissue, the intracellularly recorded extrapolar polarization changed its polarity at 1-2 mm distance from the stimulating electrode. When an insulating partition was placed between the stimulating and recording site, the reversed polarity was no longer observed and the electrotonic potential spread decayed roughly exponentially with distance from the stimulating electrode. The time course of the electrotonic potential was similar to that predicted from the cable equation applied to nerve. The space constant was 1.68 +/- 0.08 mm (S.E. of mean) and the time constant was 60-100 msec. The cable properties may be explained by assuming that many fibres, connected in series and in parallel, are aggregated as functional units.5. The strength-duration curve was a simple hyperbola and the chronaxie was about 20 msec. The relation between extracellularly applied current and intracellularly recorded potential showed that membrane resistance decreased with depolarization and slightly increased with hyperpolarization. The spike was propagated in both directions at the same speed as in physiological solution (7.3 +/- 0.7 cm/sec).6. Long anodal current often produced electrical activity of low amplitude which seemed to be due to the spike activity near the cathode, because the same frequency modulation was seen in both activities, and external hyperpolarization reduced the size of the propagated spike. Cessation of a strong and long anodal current was followed by slow depolarization, about 1 sec in duration and up to 10 mV in amplitude, which sometimes triggered a spike.7. The difference between responses to intracellular and to external stimulation may be explained by assuming that different parts of the cell membrane have different electrical properties. They may be: A, areas of close apposition between cells; B, areas capable of generating the slow component; C, an area capable of producing the spike, but less excitable.

Animals↗

An inhibitory process in the cerebral cortex.

1. In cats, rabbits and monkeys, single cortical shocks can reduce the excitability of cortical neurones for 100-300 msec; the inhibitory effect is readily demonstrated, even in previously quiescent cells, against a background of activity evoked with small amounts of L-glutamate, released from an extracellular recording micropipette by iontophoresis.2. Other forms of cortical activity are also inhibited in a similar way by direct or indirect cortical stimulation; they include single unit discharges produced by iontophoretic applications of ACh or by a cathodal current, spontaneous discharges, and slow wave activity, both spontaneous and evoked.3. Most stimuli which elicit cortical activity also evoke some inhibition in the cortex, for instance, transcallosal volleys, and thalamic or peripheral shocks. In each case, a characteristic, prolonged depression is produced by single shocks.4. The most effective stimuli are direct cortical shocks, especially when applied within the cortex, below a depth of 0.6 mm; surface cathodal shocks are more effective than anodal shocks. These stimuli do not first excite the cells which are inhibited and they are not strong enough to cause appreciable local injury.5. Because of its long duration, the inhibition is often readily maintained by repetitive stimulation at frequencies of 5-7/sec. A cumulative effect leads to a further silent period after the end of stimulation; this increases with the strength, frequency and duration of the tetanus, so that after stimulation at 50-100/sec, the silent period may last for over 1 min. During this time, a stronger depolarizing stimulus can initiate firing.6. The inhibitory effect is often preceded and followed by phases of increased excitability; these may also show cumulative enhancement during repetitive stimulation, and a high frequency tetanus often leads to a short after-discharge, which is then followed by a long silent period, as above. Comparable changes take place in rabbits during spreading depression.7. The inhibitory effect of a direct shock can spread over an area covering 1 cm of cortical surface, affecting the cells through all cortical layers; but the spread is uneven in different directions, being particularly poor under most sulci.8. This type of inhibition can be elicited in all areas of the neocortex, and it is evident in kittens within a week of birth.9. Antidromic pyramidal stimulation is very much less effective in evoking inhibition of Betz cells, and other cortical neurones, than direct cortical stimulation; the inhibition by direct shocks is therefore not likely to be mediated through pyramidal excitation.

Acetylcholine↗

Membrane currents at large positive internal potentials in single myelinated nerve fibres of Rana pipiens.

1. A voltage clamp for single myelinated nerve fibres was developed from commercially available operational amplifiers.2. Under voltage clamp conditions steady-state currents were measured. The currents reached a maximum value at about E = + 100 mV. Currents for greater potentials decreased.3. The preceding polarization markedly affected the magnitude of the delayed current at high cathodal potentials; however, the currents continued to reach maximum values.4. As predicted by the constant field theory, currents at high cathodal polarizations were essentially independent of the external potassium concentration. Also, these currents were independent of the external calcium concentration.5. Two pulse voltage clamp experiments showed that instantaneous outward currents did not reach a limiting value. The limiting steady-state current was reached with an exponential time constant of about 1 msec.

Animals↗

Current-induced volume flow across bovine tracheal epithelium: evidence for sodium-water coupling.

The passage of a constant current from lumen to serosa (Il-s), in the range 0.5-2.0 mA, across ouabain-treated bovine tracheal epithelium, induced a stable volume flow (Jv) toward the serosa, proportional to the current. No consistent Jv occurred when current was applied from serosa to lumen. When the standard K+ (6 mM) in the bathing solution was omitted or replaced by choline, Jv was in the same direction as, and proportional to, the current, both with Is-l and with Il-s. The electro-osmotic permeability beta was in the range of 10-15 microl h-1 cm-2 mA-1, i.e. 3-4 X 10(-6) cm s-1 mA-1. The fluxes of Na+, Cl- and mannitol were measured in current-clamp (1 mA, passed from serosa to lumen or lumen to serosa) or voltage-clamp (-20, 0 and +20 mV) conditions, with and without K+. Net transepithelial Na+ fluxes toward the cathode were either smaller than (with Is-l) or equal to (with Il-s) the net fluxes of Cl- toward the anode. The total transepithelial conductance (Gt) increased with the applied electrical gradient, both with Is-l and with Il-s, the change in Gt being larger with Il-s than with Is-l. This increase of Gt was less pronounced when K+ was omitted. The analyses of partial ionic conductances (GNa and GCl) and of the flux ratios indicate the existence of non-conductive diffusion for Cl- and also for Na+. The direction of the electrical gradient influenced the permeability ratio PNa/PCl. With Is-l, PNa/PCl was consistently lower than 0.7, i.e. the mobility ratio of Na+ and Cl- in solution. With Il-s, PNa/PCl was closer to 0.7. The highest Cl- selectivity of the epithelium was observed with Is-l in the presence of K+, i.e. under conditions which failed to induce any conspicuous Jv. The passage of current at 1 mA induced a net flux of mannitol toward the cathode, i.e. in the same direction as Na+ net flux and Jv. However, this mannitol flux was significant only in the absence of K+. These results indicate that Jv was predominantly coupled to the migration of Na+ along the electrical gradient, through a paracellular pathway.

Animals↗

The effects of lyotropic anions on electric field-induced guidance of cultured frog nerves.

1. Dissociated Xenopus neurites turn cathodally in small applied electric fields. Increasing the external polycation concentration alters the direction and extent of field-induced orientation. A decrease in membrane surface charge may underlie these effects. 2. Lyotropic anions increase membrane surface charge and we have examined the effect of perchlorate (ClO4-), thiocyanate (SCN-) and sulphate (SO4(2-)) on galvanic nerve orientation. 3. Perchlorate and SCN- had no effect on field-induced cathodal turning, whereas incubation with SO4(2-) was inhibitory. In addition to its effects on surface charge, SO4(2-) increases production of the second messengers diacylglycerol and inositol trisphosphate. Interestingly, lithium (Li+), a blocker of polyphosphoinositide metabolism, had a similar effect to SO4(2-) on field-induced neurite orientation. 4. We conclude that increasing surface charge with lyotropic anions neither enhances galvanotropic orientation nor underlies the inhibitory effects of SO4(2-) and suggest that modulation of galvanotropism by SO4(2-) occurs owing to changes in the inositolphospholipid second messenger system.

Animals↗

Modulation of human vestibular-evoked postural responses by alterations in load.

The effects of body loading and unloading on human postural responses elicited by 1 mA bilateral, bipolar galvanic vestibular stimulation (GVS) were investigated. Subjects stood symmetrically, and in separate experiments were either loaded by 16, 33 and 50 % of their body weight with weights attached to the trunk, or unloaded by 10, 20 and 30 % using a whole-body harness that partially lifted the body but was free to translate horizontally. Randomised blocks of stimuli for each loading/unloading condition were compared to a non-loaded control condition. The rate of lateral reaction force development over the period 200-350 ms poststimulus increased in both legs with loading and decreased with unloading. The rate of force development was always larger from the leg on the side of cathodal stimulation. Vertical force responses were equal and opposite in the two legs, increasing on the side of the cathode and decreasing on the side of the anode. The rate of vertical force development over the period 200-350 ms after stimulus onset was increased with loading and decreased with unloading. In the frontal plane, the rate of head and trunk tilt in space was increased and decreased with loading and unloading, respectively. However, the relative rate of head tilt with respect to the trunk was not affected by loading conditions. These experiments provide further evidence that load-related afferent feedback influences the processing of vestibular information for the control of balance.

Adult↗

Transcranial direct current stimulation of the primary motor cortex affects cortical drive to human musculature as assessed by intermuscular coherence.

Intermuscular coherence analysis can be used to assess the common drive to muscles. Coherence in the beta-frequency band (15-35 Hz) is thought to arise from common cortical sources. Intermuscular coherence analysis is a potentially attractive tool for the investigation of motor cortical excitability changes because it is non-invasive and can be done relatively quickly. We carried out this study to test the hypothesis that intermuscular coherence analysis was able to detect cortical excitability changes in healthy subjects following transcranial direct current stimulation (tDCS). tDCS has been shown to increase (anodal stimulation) or decrease (cathodal stimulation) the size of the muscle potential evoked by TMS. We found that anodal tDCS caused an increase in motor evoked potential (MEP) size that was paralleled by an increase in beta-band intermuscular coherence. Similarly, the reduction in MEP size produced by cathodal tDCS was paralleled by a reduction in beta-band intermuscular coherence, while sham stimulation did not result in any change in either MEP amplitude or beta-band intermuscular coherence. The similar pattern of change observed for MEP and intermuscular coherence may indicate similar mechanisms of action, although this cannot be assumed without further investigation. These changes do suggest that at least some of the action of tDCS is on cortical networks, and that combined tDCS and intermuscular coherence analysis may be useful in the diagnosis of pathologies affecting motor cortical excitability.

Adult↗

Angular dependence of the luminance and contrast in medical monochrome liquid crystal displays.

Active-matrix liquid crystal displays (AMLCDs) are light-modulating devices that generate images by differentially transmitting a nearly uniform luminous field provided by a backlight. While emissive displays exhibit a quasi-Lambertian emission with almost constant contrast at off-normal viewing, the anisotropy of the electro-optic effect that controls light transmission in AMLCDs causes a pixel luminance that varies, sometimes strongly, with viewing angle. These variations are not identical for all gray levels and can eventually cause grayscale inversions. In this paper, we measured the luminance emission of a monochrome medical AMLCD, a medical cathode-ray tube monitor, and a color desktop AMLCD, using a collimated photopic probe positioned on a manual rotation arm, and a research radiometer with automatic readout. The probe measures luminance with a small acceptance angle and provides optical shielding from emissions at other viewing directions that contaminate the readings. We obtained luminance response curves versus angle in the vertical, horizontal and at 45 degrees diagonal directions. The display systems were calibrated to reflect the DICOM Part 3.14 standard grayscale display function (GDF) when measured using the manufacturer's probe and software tools. We analyzed the measurements at different viewing directions with respect to their departure from the GDF by computing the normalized contrast (deltaL/L) as a function of the DICOM just-noticeable difference index. Although cathode-ray tubes are known to be quasi-Lambertian emitters, the luminance at normal viewing is higher than the luminance observed at large angles. This decrease in luminance is however proportionally similar for all gray levels, resulting in a relatively flat contrast response for all angles. In addition to being more pronounced, the angular variation in AMLCDs does not follow the same profile at different intensities with the subsequent variation in the achieved display contrast. The changes due to off-normal viewing are substantial at large angles in the horizontal and vertical directions, and much worse in the diagonal viewing directions.

Anisotropy↗

Intensity distribution, modulation transfer function, and the effective dimension of a line-focus x-ray focal spot.

The radiant intensity along the anode-cathode dimension of a line-focus x-ray focal spot tends to peak at the center and decrease gradually to zero at the edges. In recognition of this varying intensity, the ICRU has recommended that the anode-cathode dimension of the focal spot be reported as 0.7 times the dimension measured with a pinhole camera. In this paper more objective correction factors are developed. These correction factors are based upon comparison of calculated MTFs of focal spots with Gaussian and cosine intensity distributions with the MTF for focal spots with a uniform intensity distribution.

Radiography↗