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Biomedical subjects

M S Mayer

Publications and source records attributed to M S Mayer.

28 records · Page 2Linked to original sources

[Evolution of pacing modes in patients with implanted pacemakers. Personal considerations on a case load of 171 patients].

In this study retrospectively analyse pacemaker-implantation activity carried out during the last 5 years at the Laboratory of Electrophysiology, affiliated with the Cattedra di Cardiologia of the University of Naples--II Ateneo. Evolution in pacing modes is considered with regard to the patient age, the underlying pathologies and the technical progress in the field. The study has been performed in our laboratory, which is fit up for electrophysiologic studies and implantation of either temporary or permanent pacemakers. Patients included in this study have been implanted in our laboratory either for urgency or for election. They have been retrospectively divided into two groups (age < 65 yrs, 129 patients, and age < 65 yrs, 42 patients); in addition the patients have been classified according to the pathology leading to the implantation: atrio-ventricular block (second degree or third degree), low frequency fibrillation, sick sinus syndrome and carotid sinus syndrome. 171 patients have been examined, of whom 129 > 65 yrs. and 42 < 65 yrs. As for the pacing indication, 54 were atrio-ventricular block (56.1%), 50 were sick sinus syndrome (31.6%), 20 low frequency fibrillation (11.7%), and 1 was carotid sinus syndrome (0.6%). The ratio between single- and dual-chamber pacemakers has been progressively changing: in 1987 we implanted 33 single-chamber and no dual-chamber pacemaker, compared to 7 single- and 23 dual-chamber pacemaker implanted in the last year. This trend is in good agreement with literature data.

Aged↗

[Electric alternans of QRS: its electrophysiologic significance in narrow QRS supraventricular paroxysmal tachycardia].

The results of 22 patient's transesophageal electrophysiologic studies were analyzed to value the meaning of QRS alternans during narrow QRS tachycardia. Standard ECG showed ventricular pre-excitation in eight patients. QRS alternans were in six of them: heart rate was included between 230 and 374 m/sec (301.8 +/- 42 m/sec); in the remaining 16 patients, heart rate was included between 240 and 450 m/sec (350.0 +/- 42 m/sec). Our findings suggest that QRS alternans is related to the rate of tachycardia rather than to the presence of an accessory pathway.

Adult↗

[EGG and arrhythmia in subjects with implanted dual-chamber VDD and DDD pacemakers].

The ECGs of four patients with implanted dual chamber VDD and DDD PMKs are shown to demonstrate the difficulty of their interpretation and show some arrhythmias related to dual chamber pacing. In the first patient the DDD PMK caused a high ventricular frequency synchronizing on the atrial fibrillation "f" waves which occurred suddenly some time after PMK implantation; this problem was solved by programming the PMK in VVI. The second and third case, with implanted DDD and VDD PMK respectively, exemplify atrial sensing dysfunction due to atrial catheter displacement. In the fourth patient, with implanted VDD PMK, VDD stimulation periods and VVI ones alternated due to non-adjusted programming. Therefore, the paper re-emphasizes the need for accurate and periodic controls of patients with implanted PMK to correct dysfunction or undesirable patterns of stimulation.

Aged↗

A microcomputer-controlled response measurement and analysis system for insect olfactory receptor neurons.

A microcomputer system has been built to stimulate, record, and analyze responses from peripheral insect olfactory receptor neurons. Software has been developed to sort action potentials (spikes) in extracellular records obtained from multi-innervated antennal sensilla, and perform frequency, interspike interval, distributional, and regression analyses on responses in groups of records. The olfactory stimuli can be presented in different patterns, and plots or histograms of analyses, spike records, and individual spikes can be displayed in different formats and hard-copied during a recording session. This report describes the main features of the system and discusses the methods used for sorting spikes, performing analyses, and managing records and analyses in a database. Examples are given of renewal density analyses for 4 classes of peripheral receptor neuron in records from 2 types of olfactory sensillum on the antenna of the cabbage looper moth, Trichoplusia ni (Hübner).

Action Potentials↗

A phenomenological model of the perceived intensity of single odorants.

The response of a model olfactory system to a single odorant is quantified by interconnecting three separate stimulus-response relationships. Together, these relationships encompass the deposition of odorant molecules onto an olfactory organ, their movement to the dendrite of the olfactory receptor neuron, their subsequent induction of action potentials, and the processing of induced and spontaneous action potentials by the central nervous system, resulting in perception and a behavioral response. Phenomena discussed within the context of the model include the behavioral threshold, central summation of responses from a number of olfactory neurons, and the effect of organ shape on olfactory detection. The intent of the model is to provide a quantitative conceptual framework for designing and interpreting experiments relating sensory input to perception and behavior. Its utility is particularly evident for insect olfaction since it enables insect sex pheromone behavioral thresholds to be estimated from the literature when bioassays or electrophysiological studies are not possible. It also derives a physiologically meaningful method for comparing behavioral thresholds among different animals, and permits comparisons of different kinds of behavioral responses in the same species. Vertebrate olfaction is treated briefly in a discussion of the effect of sniffing on the threshold of detection.

Action Potentials↗