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Biomedical subjects

M E Valentinuzzi

Publications and source records attributed to M E Valentinuzzi.

At least 19 recordsLinked to original sources

Impedance bacteriometry: medium and interface contributions during bacterial growth.

We measured impedance in a cell containing culture broth inoculated with E. coli, before and during bacterial growth. The electrode interface impedance components (Ri, Xi) and the culture medium component Rm were separated by making use of the Warburg's model frequency dependent properties. Measurements were carried out at different frequencies (from 18 Hz to 18 kHz) with a constant current impedance bridge as growth proceeded. It was found that: Growth curves for Ri and Xi showed a similar temporal pattern within the frequency range of 18-100 Hz. Dispersion was not observed in Rm, meaning that the same growth response was obtained within the 18-18,000 Hz range. At low frequency, the resistive and capacitive reactive components, or Rb and Xb, respectively, were directly measured, where Rb = (2.Ri + Rm) and Xb = 2.Xi and, at high frequency (above 5 kHz), Rm was obtained (for Zi is negligible). Thus, Ri was easily discriminated from Rm by simple arithmetic: Ri = [Rb (low f) - Rb (high f)]/2. In four experiments, the maximum spread of Xi, Ri, and Rm was smaller than 5%, indicating good repeatability. There is potential new information in dissecting out the growth curve in three separate component curves.

Bacteria

Efficiency of the heart as estimated from uncalibrated diagrams of intraventricular pressure related to conductance.

Using a diagram representing the relationship of intraventricular pressure and conductance, we determined ventricular efficiency from the weighted relationship between the area encompassed by the loop (the stroke work) and the total area surrounded by the end-diastolic curve, the systolic segment of the diagram, and the end-systolic line. The basic concept underlying this calculation stems from the linear relationship between consumption of oxygen by the heart and the total area discussed above, a relationship already well established in the literature. In five animals investigated under control conditions, values ranged, as expected, from 17.5 to 30.6% (average 21.78%, SD 5.06). They showed a significant increase (P less than 0.05) after an inotropic maneuver (range 19.9-40.0%, average 31.17, SD 7.43). An attractive feature is that the diagrams need not be calibrated in absolute terms. The procedure can be easily applied during routine cardiac catheterization to obtain complementary information (ventricular efficiency) which is of value in the evaluation of cardiac performance.

Heart

Evidence for chaotic behavior in driven ventricles.

Toad ventricles were externally driven by periodic pulses while monophasic action potential (MAP) signals were recorded in seven excised and seven in situ ventricles. As the frequency was slowly increased in steps, the stimulated tissue displayed several dynamic characteristics. Hierarchies of periodic behavior, like phase-locking and period-doubling sequences leading to chaos, were observed. Results showed that subharmonic bifurcations (order one and two) and chaotic-like behavior may systematically occur in the MAP signal within a definite frequency interval in the 1:1 phase locking regime. The chaotic, or more cautiously expressed, chaotic-like behavior is characterized by the power spectrum, the autocorrelation function, the Poincaré map, and the reconstructed 2-D phase portrait. It is concluded that (a) bifurcations of order one and two and the characteristic irregular behavior are evidences of local universal chaotic dynamics in cardiac tissue; (b) there are no qualitative differences in the dynamics of the in situ and excised ventricles; and (c) fibrillation seems to be related to chaotic behavior, but whether they are similar or equivalent phenomena still remains to be seen.

Animals

Low-cost digital impedance meter for the detection of micro-organisms.

The digital impedance meter is a microprocessor-based instrument able to detect, quantify and identify micro-organisms. The equipment makes use of the bipolar technique of measuring the impedance modulus of six cells containing inoculated culture broth. It performs temperature compensation automatically. Growth curves are stored in memory as time course events and can be displayed on any suitable device.

Calibration

Ventricular fibrillation-defibrillation in the toad Bufo paracnemis.

Fibrillation is more likely to occur in animals showing a high degree of cellular differentiation. Lower species, with cardiac tissue histologically and electrophysiologically more uniform, very rarely, if ever, can fall into this uncoordinated activity. We describe experiments during which two specimens of the South American toad, Bufo paracnemis (body weights, 363 g and 297 g; ventricular weights, 1.8 g and 1.4 g, respectively), were repeatedly fibrillated and defibrillated almost at will. However, we failed when we tried a series of experiments in a given number of animals. Over a total of 16 fibrillation-defibrillation episodes, a fibrillation threshold of about 3.8 mA/g was estimated. The lowest defibrillation values were, respectively, 43 mA/g and 507 mA/g, using rectangular pulses (less than 7 msec pulses width). There were also a few spontaneous reversals before and after defibrillation shocks. These cases point to our still poor understanding of the mechanisms involved in the process. It is suggested that reentry or multiple ectopic foci might not be the basic mechanisms, as traditionally accepted. Rather, it might well be a new behavior of the cells or group of cells like that predicted by the theory of deterministic chaos.

Animals

Detection of left ventricular regional myocardial ischaemia in dogs by intraventricular conductance catheter.

Nine adult mongrel dogs were instrumented with ultrasonic microcrystals to measure left ventricular basal anteroposterior diameter and midwall myocardial segment length near the cardiac apex. Pneumatic cuff occluders were positioned around the left circumflex coronary artery near its origin and around the left anterior descending coronary artery two thirds of the way along its length. A pressure microtransducer was implanted into the left ventricle. Ten days after instrumentation the animals were anaesthetised with morphine chlorhydrate and pentobarbital sodium. An eight electrode catheter was advanced into the left ventricle to measure ventricular apical and basal regional and total electrical conductance. Minor ischaemia caused by occlusion of the left anterior descending artery was detected only by the electrode pair located near the apex, as decreased local ejection fraction. Major ischaemia caused by left circumflex artery occlusion was detected by both apical and basal electrode pairs and by total conductance, the three conductance signals indicating reduced ejection fractions compared with control values. The basal diameter signal indicated that basal regional motility changed only during major ischaemia, thus confirming the specificity of the changes in the basal conductance signals. The apical segment length signal confirmed the altered motility indicated by the apical conductance signal. These results suggest that regional wall motion abnormalities may be detected by the use of a multielectrode conductance catheter.

Animals

Impedancimetric bacterial detection: theoretical and experimental aspects.

By means of the bipolar impedance technique, we detected bacterial growth in an inoculated broth as its time course absolute impedance. From it, the impedance change relative to sterile medium was obtained, calculating also its time derivative. The repeatability of the derivative curves (they overlapped within a band better than 3.3%) permitted the identification of a double-hump pattern which, in principle, could be accepted as an indicator of the type of bacteria (Escherichia coli). After six experimental series, the growth curves appeared as sensitive to the initial concentration of bacteria and to the culture time preceding inoculation; they were also dependent on the temperature and on the average basal impedance. Temperature showed a greater effect (one order of magnitude) on the lag-phase of the growth curve than on the stationary-phase. This effect occurs because the impedance growth curves tend to get away from the reference offered by the sterile medium. The best working conditions were obtained for an average basal impedance of 510 ohms under well controlled temperature conditions (variations smaller than or equal to 0.20 degrees C) with wire stainless steel electrodes vertically immersed in the culture broth. This impedance technique appears as inexpensive and easy to automatizing for large number of samples.

Electric Conductivity

Left intraventricular pressure-impedance diagrams (DPZ) to assess cardiac function. Part I: morphology and potential sources of artifacts.

Left ventricular function can be assessed with pressure-volume diagrams (DPV). Since there exists a relationship between ventricular volume changes and changes in intraventricular impedance (ZIV), we propose a diagram, DPZ, obtained from the intraventricular pressure (PIV) and the ZIV signals. This method was tested in 10 anesthetized mongrel dogs (morphine, sc, 30 mg/kg, and pentobarbital, sc, 5-7 mg/kg). PIV was measured with a Millar microtip catheter advanced under fluoroscopy via the femoral artery. ZIV was measured with a laboratory impedance meter (100 microA rms constant current, 12 kHz) in a tetrapolar configuration using another intraventricular catheter. ECG, aortic pressure and basal ZIV were also recorded to help identification of the different cardiac cycle phases on the diagram. Single-beat and multiple-beat loops were obtained in bradycardia and tachycardia to test for repeatability. These loops were always of a quadrangular-like shape with clockwise rotation. No attempt was made to calibrate the impedance axis in terms of volume. Apparent small volume changes in the isovolumic phases were probably due to ZIV catheter bending and/or movement. It is suggested that DPZ can serve in itself as a complementary evaluation tool of ventricular function by application of different maneuvers (physical, physiological of pharmacological).

Animals

Left intraventricular pressure-impedance diagrams (DPZ) to assess cardiac function. Part II: determination of end-systolic loci.

UNLABELLED: By means of tetrapolar intraventricular impedancimetric measurements and by modifying the aortic impedance with a brief volume unit step afterload increase, with a balloon catheter, we obtained the geometric locus of the end-systolic pressure-admittance points (PES-YES) from the beat to beat pressure-impedance diagram (DPZ), usually three or four beats after inflation. Six experiments in five anesthetized mongrel dogs (average weight 21.6 kg, SD 2.5) were carried out under control conditions and after a slow infusion (4 micrograms/kg/min) of epinephrine to change the myocardial inotropic state. In control, the PES-YES points fell in all cases on a straight line (average correlation 0.968, SD 0.033). After epinephrine, linearity was still good in four experiments (average correlation 0.938, SD 0.059). All animals showed displacements of the regression lines after epinephrine with respect to control. However, the direction of the shifts was not always consistent: three dogs yielded an upward-leftward shift; one showed a crossing point between the two regression lines with an increase in slope after epinephrine; in the remaining two experiments (same dog in different days), the post-epinephrine regression lines of the pressure-admittance end-systolic points were displaced downwards and rightwards. Five out of the six experiments increased the slopes of the lines after infusion of epinephrine. IN CONCLUSION: the method supplied the end-systolic point locus obtained from simple cardiac catheterization and this locus was altered by inotropic intervention.

Animals

Multichannel tetrapolar admittance meter (MY) for intracardiac volume measurements in animals.

With an 8-electrode catheter, this instrument measures simultaneously five intraventricular sections of admittance and, also, total admittance, the latter obtained as the sum of five component sections. It injects through the two outermost electrodes of the catheter a constant current (828 microA rms) of high frequency (14 kHz). Actually, the instrument measures the mathematical inverse of the resistive component (conductance) of the impedance seen by the voltage sensing electrodes. The sensitivity per channel was adjusted to 25 V/mho, resulting in an overall sensitivity of 5.28 V/mho for the total intraventricular admittance. Nonlinearity in any single channel was less than or equal to 3.4% while, for the total admittance, it was less than or equal to 1.5%. The difference between any two individual channels when the same calibration resistor was connected, relative to the expected value, was less than or equal to 4.8%. The equipment demonstrated good performance in animal experiments and showed the possibility of detecting localized dysfunctions. Human applications still remain to be done.

Animals

[Respirometry by bipolar electric transthoracic impendance].

In a population of ten young normal male subjects (average height of 174.2 cm +/- 3.8, average weight of 70.2 kg +/- 6.16), which was subjectively classified as mainly ectomorph (slightly biased towards the mesomorph type) a good correlation was found between the transthoracic impedance changes due to normal respiratory movements and tidal volume (average r of 0.963 +/- 0.034) and a mean coefficient b1 of 3.64 ohms/liter +/- 1.82. For equal volume, inspiratory and expiratory movements, on the average, produced impedance changes with no significant difference (p less than 0.55). Attempts to quantitatively correlate the coefficient b1 (ohms/liter) with the anthropometric parameters did not produce any consistent result.

Body Constitution

[High linearity biologic impedancemeter (author's transl)].

A high linearity instrument for biological use which permits the measurement of impedance modulus and its variations in the range of 50 to 1,000 ohms is described. It has two outputs (Z and delta Z) which can be connected to an oscilloscope or to any conventional physiological recorder. The deviation from linearity is not greater than 0,06%, with a sensitivity of up to 100 mV/ohm, and an estimated average error better than 1% in absolute value with standard deviation better than 3% and an expected range smaller than +/- 10%. The instrument can stand changes of +/- 10% in the a.c. power supply without showing significant alterations in its behavior. Besides, it has good isolating characteristics in order to prevent undesirable leak currents which are potentially dangerous for the patient. The instrument was tested satisfactorily in human beings and in experimental dogs by recording respiratory movements and cardiac activity.

Adult