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At least 19 records

Abnormalities of the QT interval in primary disorders of autonomic failure

BACKGROUND: Experimental evidence shows that activation of the autonomic nervous system influences ventricular repolarization and, therefore, the QT interval on the ECG. To test the hypothesis that the QT interval is abnormal in autonomic dysfunction, we examined ECGs in patients with severe primary autonomic failure and in patients with congenital dopamine beta-hydroxylase (DbetaH) deficiency who are unable to synthesize norepinephrine and epinephrine. SUBJECTS AND METHODS: Maximal QT and rate-corrected QT (QTc) intervals and adjusted QTc dispersion [(maximal QTc - minimum QTc on 12 lead ECG)/square root of the number of leads measured] were determined in blinded fashion from ECGs of 67 patients with primary autonomic failure (36 patients with multiple system atrophy [MSA], and 31 patients with pure autonomic failure [PAF]) and 17 age- and sex-matched healthy controls. ECGs of 5 patients with congenital DbetaH deficiency and 6 age- and sex-matched controls were also analyzed. RESULTS: Patients with MSA and PAF had significantly prolonged maximum QTc intervals (492+/-58 ms(1/2) and 502+/-61 ms(1/2) [mean +/- SD]), respectively, compared with controls (450+/-18 ms(1/2), P < .05 and P < .01, respectively). A similar but not significant trend was observed for QT. QTc dispersion was also increased in MSA (40+/-20 ms(1/2), P < .05 vs controls) and PAF patients (32+/-19 ms(1/2), NS) compared with controls (21+/-5 ms(1/2)). In contrast, patients with congenital DbetaH deficiency did not have significantly different RR, QT, QTc intervals, or QTc dispersion when compared with controls. CONCLUSIONS: Patients with primary autonomic failure who have combined parasympathetic and sympathetic failure have abnormally prolonged QT interval and increased QT dispersion. However, QT interval in patients with congenital DbetaH deficiency was not significantly different from controls. It is possible, therefore, that QT abnormalities in patients with primary autonomic failure are not solely caused by lesions of the sympathetic nervous system, and that the parasympathetic nervous system is likely to have a modulatory role in ventricular repolarization.

Non-NASA Center↗

Mechanisms of QT prolongation by buprenorphine cannot be explained by direct hERG channel block

Buprenorphine is a μ-opioid receptor (MOR) partial agonist used to manage pain and addiction. QT C prolongation that crosses the 10 msec threshold of regulatory concern was observed at a supratherapeutic dose in two thorough QT studies for the transdermal buprenorphine product BUTRANS®. Because QT C prolongation can be associated with Torsades de Pointes (TdP), a rare but potentially fatal ventricular arrhythmia, these results have led to further investigation of the electrophysiological effects of buprenorphine. Drug-induced QT C prolongation and TdP are most commonly caused by acute inhibition of hERG current (I hERG ) that contribute to the repolarizing phase of the ventricular action potentials (APs). Concomitant inhibition of inward late Na + (I NaL ) and/or L-type Ca 2+ (I CaL ) current can offer some protection against proarrhythmia. Therefore, we characterized the effects of buprenorphine and its major metabolite norbuprenorphine on cardiac hERG, Ca 2+ , and Na + ion channels, as well as cardiac APs. For comparison, methadone, a MOR agonist associated with QT C prolongation and high TdP risk, and naltrexone and naloxone, two opioid receptor antagonists, were also studied. Whole cell recordings were performed at 37°C on cells stably expressing hERG, Ca V 1.2, and Na V 1.5 proteins. Microelectrode array (MEA) recordings were made on human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs). The results showed that buprenorphine, norbuprenorphine, naltrexone, and naloxone had no effect on I hERG , I CaL , I NaL , and peak Na + current (I NaP ) at clinically relevant concentrations. In contrast, methadone inhibited I hERG , I CaL , and I NaL . Experiments on iPSC-CMs showed a lack of effect for buprenorphine, norbuprenorphine, naltrexone, and naloxone, and delayed repolarization for methadone at clinically relevant concentrations. The mechanism of QT C prolongation is opioid moiety-specific. This remains undefined for buprenorphine, while for methadone it involves direct hERG channel block. There is no evidence that buprenorphine use is associated with TdP. Whether this lack of TdP risk can be generalized to other drugs with QT C prolongation not mediated by acute hERG channel block warrants further study.

59 BASIC BIOLOGICAL SCIENCES↗

A new technique to determine the correlation between the QT interval and heart-rate for control and SIDS babies

The ability of the autonomic nervous system to alter the QT interval in response to heart rate changes is essential to cardiovascular control. An accurate way to determine the relation between QT intervals and their corresponding RR intervals is described. A computer algorithm measures the RR intervals using digital filtering and cross-correlating the QRS sections of consecutive waveforms. The QT intervals is calculated by choosing a section of, the ECG that includes the T wave and cross-correlating it with all the consecutive T waves. At least 4000 pairs of QT-RR intervals are computed for each subject and a best fit correlation function determines the relations between the QT and RR intervals. This technique enables to establish a precise correlation between RR and QT in order to distinguish between control and SIDS babies.

Non-NASA Center↗

High Resolution ECG for Evaluation of QT Interval Variability during Exposure to Acute Hypoxia

Ventricular repolarization instability as quantified by the index of QT interval variability (QTVI) is one of the best predictors for risk of malignant ventricular arrhythmias and sudden cardiac death. Because it is difficult to appropriately monitor early signs of organ dysfunction at high altitude, we investigated whether high resolution advanced ECG (HR-ECG) analysis might be helpful as a non-invasive and easy-to-use tool for evaluating the risk of cardiac arrhythmias during exposure to acute hypoxia. 19 non-acclimatized healthy trained alpinists (age 37, 8 plus or minus 4,7 years) participated in the study. Five-minute high-resolution 12-lead electrocardiograms (ECGs) were recorded (Cardiosoft) in each subject at rest in the supine position breathing room air and then after breathing 12.5% oxygen for 30 min. For beat-to-beat RR and QT variability, the program of Starc was utilized to derive standard time domain measures such as root mean square of the successive interval difference (rMSSD) of RRV and QTV, the corrected QT interval (QTc) and the QTVI in lead II. Changes were evaluated with paired-samples t-test with p-values less than 0.05 considered statistically significant. As expected, the RR interval and its variability both decreased with increasing altitude, with p = 0.000 and p = 0.005, respectively. Significant increases were found in both the rMSSDQT and the QTVI in lead II, with p = 0.002 and p = 0.003, respectively. There was no change in QTc interval length (p = non significant). QT variability parameters may be useful for evaluating changes in ventricular repolarization caused by hypoxia. These changes might be driven by increases in sympathetic nervous system activity at ventricular level.

Zupet, P.↗

The QT interval in lightning injury with implications for the cessation of metabolism hypothesis

An hypothesis is presented to provide an alternative to the Cessation of Metabolism hypothesis often invoked in lightning injury. Cessation of Metabolism has been proposed to explain the observation of good recovery after a prolonged period in cardiac arrest in some lightning injured patients. Reevaluation of EEGs from lightning injured patients show a high incidence of QT prolongation. Reexamination of the cases used to support Cessation of Metabolism also reveals little evidence to justify the hypothesis. The finding of QT prolongation coupled with the hyperadrenergic state said to exist in lightning injury, may promote a state of episodic induction of and recovery from Torsade de Pointes Ventricular Tachycardia (VT). Histological examination of the myocardium supports the new hypothesis. This the first concerted description of lightning injury as one of the general causes of QT prolongation. It appears to occur frequently after lightning injury, is a prerequisite of and predisposes to episodes of Torsade de Pointes VT. These electrocardiographic abnormalities explain Cessation of Metabolism and recognition may change management and lead to greater survival.

Andrews, Christopher J.↗

Python & Qt, Powerful Tools for Technical Computing

The objective of this presentation is to give a brief overview of Python computer language and Qt for Python which provides an interface to Python for building graphical applications. The Qt language provides a method for rapid programming of Graphical User Interfaces (GUIs) that are highly scalable, robust and platform independent. Both Python and Qt provide a powerful set of tools for Dynamic Analysis which are based on Open-Source software. Many problems and calculations in Structural Dynamics such as Power Spectral Density, Shock Response Spectrum and Vibration Response Spectrum can be easily calculated using these tools. The advantage of using Open-Source software is the ability to create custom graphical user interfaces similar to Matlab without the expense of software licensing and the ability to customize the software to an organization's specific needs. Also, another advantage is the ability to know which algorithms are being used by the GUI, know the numerical limitations and scale to large size data sets. I will end the presentation by demonstrating a Structural Dynamics GUI I created that was designed primarily to interactively analyze Post Flight high speed data provided by the ground station telemetry networks.

Grillo, Vincent↗

Multi-channel System for Beat to Beat QT Interval Variability and its Use in Screening for Coronary Artery Disease and Cardiomyopathy

We investigated the ability of beat-to-beat QT interval variability (QTV) and related parameters to differentiate healthy individuals from patients with obstructive coronary artery disease (CAD) and cardiomyopathy (CM). For this purpose we developed a PC-based ECG software program that in real time, acquires, analyzes and displays QTV in each of the eight independent channels that constitute the 12-lead conventional ECG. The system also analyzes and displays the QTV from QT interval signals that are derived from multiple channels and from singular value decomposition (SVD) to substantially reduce the effect of noise and other artifacts on the QTV results. It also provides other useful SVD-related parameters such as the normalized 3-dimensional volume of the T wave (nTV) = 100*(rho(sub 2)*rho(sub 3)rho(sub 1^2). Advanced high-fidelity 12-lead ECG tests (approx. 5-min supine) were first performed on a "training set" of 99 individuals: 33 with ischemic or dilated CM and low ejection fraction (EF less than 40%); 33 with catheterization-proven obstructive CAD but normal EF; and 33 age-/gender-matched healthy controls. All QTV parameters that were studied for their accuracy in detecting CM and CAD significantly differentiated both CM and CAD from controls (p less than 0.0001). Retrospective areas under the ROC curve (AUC) of SDNN-QTV, rmsSD-QTV, and QTV Index (QTVI) for CM vs. controls in the lead V5 were 0.85, 0.90, and 0.99, respectively, and those for CAD vs. controls in the lead II were 0.82, 0.82, and 0.89. Other advanced ECG parameters, such as HFQRS RAZ score, LF Lomb of RRV or QRS-T angle, differentiated both CM and CAD from controls less significantly, with the respective AUC values of 0.89, 0.88 and 0.98 for CM vs. controls, and 0.73, 0.71 and 0.80 for CAD vs. controls. QTV parameters (especially QTVI, which is QTV as indexed to RRV) were, diagnostically speaking, amongst the best performing of the advanced ECG techniques studied thus far.

Starc, V.↗

Analytic reconstruction with massive particles: one-loop amplitudes for $0\to \overline{q} qt\overline{t}H$

We present an analytic reconstruction of one-loop amplitudes for the process $0\to \overline{q} qt\overline{t}H$. Our calculation is a novel use of analytic reconstruction, retaining explicit covariance in the massive spin states through the massive spinor-helicity formalism. The analytic reconstruction relies on embedding the massive five-point kinematics in a fully massless eight-point phase space while still building a minimal ansatz directly in the five-point phase space. In order to obtain compact analytic expressions it is necessary to identify suitable partial fraction decompositions and extract common numerator factors, which we achieve through careful inspection of limits in which pairs of denominators vanish. We find that the resulting amplitudes are more numerically efficient than ones computed using automatic methods but that the gains are not as significant as in the massless case, at least at present. The method opens the door to applications at two-loop order, where numerical efficiency and improvements in the reconstruction methodology are more crucial, especially with regards to the number of free parameters in the ansatz.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Realtime Multichannel System for Beat to Beat QT Interval Variability

The measurement of beat-to-beat QT interval variability (QTV) shows clinical promise for identifying several types of cardiac pathology. However, until now, there has been no device capable of displaying, in real time on a beattobeat basis, changes in QTV in all 12 conventional leads in a continuously monitored patient. While several software programs have been designed to analyze QTV, heretofore, such programs have all involved only a few channels (at most) and/or have required laborious user interaction or offline calculations and postprocessing, limiting their clinical utility. This paper describes a PC-based ECG software program that in real time, acquires, analyzes and displays QTV and also PQ interval variability (PQV) in each of the eight independent channels that constitute the 12lead conventional ECG. The system also processes certain related signals that are derived from singular value decomposition and that help to reduce the overall effects of noise on the realtime QTV and PQV results.

Starc, Vito↗

Impact of isolation and fiducial cuts on qT and N-jettiness subtractions

Kinematic selection cuts and isolation requirements are a necessity in experimental measurements for identifying prompt leptons and photons that originate from the hard-interaction process of interest. We analyze how such cuts affect the application of the q T and N-jettiness subtraction methods for fixed-order calculations. We consider both fixed-cone and smooth-cone isolation methods. We find that kinematic selection and isolation cuts both induce parametrically enhanced power corrections with considerably slower convergence compared to the standard power corrections that are already present in inclusive cross sections without additional cuts. Using analytic arguments at next-to-leading order we derive their general scaling behavior as a function of the subtraction cutoff. We also study their numerical impact for the case of gluon-fusion Higgs production in the H → γγdecay mode and for pp → γγ direct diphoton production. We find that the relative enhancement of the additional cut-induced power corrections tends to be more severe forq T , where it can reach an order of magnitude or more, depending on the choice of parameters and subtraction cutoffs. We discuss how all such cuts can be incorporated without causing additional power corrections by implementing the subtractions differentially rather than through a global slicing method. We also highlight the close relation of this formulation of the subtractions to the projection-to-Born method.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Wind tunnel tests of the 0.010-scale space shuttle integrated vehicle (model 52-QT) in the NASA/Ames 3.5-foot hypersonic wind tunnel (IA18)

Experimental aerodynamic investigations were conducted in the NASA/Ames Research Center 3.5-foot hypersonic wind tunnel on an 0.010-scale model of the space shuttle integrated vehicle consisting of an orbiter and external tank. The basic hypersonic stability characteristics of the orbiter attached rigidly to the external tank and the basic hypersonic stability characteristics of external tank alone simulating RTLS abort conditions were evaluated. The integrated vehicle was tested at angles of attack from- 8 deg through +30 deg and angles of sideslip of- 8 deg through +8 deg at fixed angles of attack of -4 deg, 0 deg, and +4 deg. A maximum angle of attack range of +15 deg through +40 deg was obtained for this configuration, at Mach number 7.3, for one run only. External tank alone testing was conducted at angles of attack from +8 deg through -30 deg and angles of sideslip of -8 deg at fixed angles of attack of -4 deg, 0 deg and +4 deg. Six-component force data and static base pressures were recorded during the test.

Esparza, V.↗

Results of tests using a 0.0125-scale model (70-QT) of the space shuttle vehicle orbiter in the AEDC VKF tunnel B (IA22), volume 2

Tabulated data of an experimental investigation are presented which was conducted in the AEDC/VKF Tunnel B to obtain interaction effects of RCS thruster jet plumes on SSV aerodynamics during staging to simulate RTLS abort. Interaction effects of the orbiter RCS thruster jet plumes on the orbiter and ET aerodynamics were investigated. RCS thruster jet plumes were simulated using both air and a 15 percent argon 85 percent helium gas mixture. The ET angle of attack range was -40 to +25 deg at sideslip angles of 0, 3, and 6 degrees. Orbiter angle of attack was varied from -15 to +10 degrees at sideslip angles of 0 and 3 deg. External tank full scale separation distances simulated were 0 to 1400 in. axially; 0 to 54 in. laterally; and a range of -100 to 1000 in. vertically. Data were also obtained on the ET in the interference-free flow field. Quiescent (no tunnel flow) thruster plume interaction data were obtained on the orbiter and orbiter-ET combination. Tests were conducted at Mach number 6 and a Reynolds number of 0.86 million per foot.

Daileda, J. J.↗

SO-QT: Collaborative Tool to Project the Future Space Object Population

Earth orbit gets increasingly congested, a challenge to space operators, both in governments and industry. We present a web tool that provides: 1) data on todays and the historic space object environments, by aggregating object-specific tracking data; and 2) future trends through a collaboration platform to collect information on planed launches. The collaborative platform enables experts to pool and compare their data in order to generate future launch scenarios. The tool is intended to support decision makers and mission designers while they investigate future missions and scholars as they develop strategies for space traffic management.

space debris↗

Predicting solid state material platforms for quantum technologies

Semiconductor materials provide a compelling platform for quantum technologies (QT). However, identifying promising material hosts among the plethora of candidates is a major challenge. Therefore, we have developed a framework for the automated discovery of semiconductor platforms for QT using material informatics and machine learning methods. Different approaches were implemented to label data for training the supervised machine learning (ML) algorithms logistic regression, decision trees, random forests and gradient boosting. We find that an empirical approach relying exclusively on findings from the literature yields a clear separation between predicted suitable and unsuitable candidates. In contrast to expectations from the literature focusing on band gap and ionic character as important properties for QT compatibility, the ML methods highlight features related to symmetry and crystal structure, including bond length, orientation and radial distribution, as influential when predicting a material as suitable for QT.

36 MATERIALS SCIENCE↗

Superdiffusion of quantized vortices uncovering scaling laws in quantum turbulence

Significance Quantum turbulence (QT) can appear in the presence of a chaotic tangle of quantized vortices in various quantum-fluid systems, including atomic Bose–Einstein condensates, superfluid helium, superfluid neutron stars, etc. Insights into the generic scaling behaviors of tangled vortices are crucial in developing an advanced statistical model of QT. By tracking tracer particles trapped on vortices in superfluid 4 He, we report the observation of an apparent superdiffusion of the vortices in QT. Our analysis shows that this superdiffusion is not due to Lévy flights, i.e., long-distance hops that are responsible for superdiffusion of random walkers. Instead, a power-law scaling of the vortex–velocity correlation is identified as the cause. This finding may motivate extensive future research on hidden scaling laws in QT.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗