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Background: A novel noninvasive epicardial and endocardial electrophysiology system (NEEES) to identify electrical rotors and focal activity in patients with atrial fibrillation (AF) was recently introduced. Comparison of NEEES data with results from invasive mapping is lacking.Methods: Six male patients (59 ± 11 years) with persistent AF underwent cardiac mapping with the NEEES, which included the creation of isopotential and phase maps. Then patients underwent catheter mapping using a PentaRay NAV catheter and the CARTO 3 system. Signals acquired by the catheter were analyzed by customized software that applied the same phase mapping algorithm as for the NEEES data.Results: In all patients, noninvasive phase mapping revealed short-lived electrical rotors occurring 1.8 ± 0.3 times per second and demonstrating 1-4 (mean 1.2 ± 0.6) rotation cycles. Most of these rotors (72.7%) aggregated in 2-3 anatomical clusters. In two patients, focal excitation from pulmonary veins was observed. Invasive catheter mapping in the dominant rotor aggregation sites and in the three control sites demonstrated the presence of electrical rotors with properties similar to noninvasively detected rotors. Spearman's correlation coefficient between rotor occurrence rate by noninvasive and invasive mapping was 0.97 (p < .0001). Mean rotors' cycle length at dominant aggregation sites, scores of their full rotations, and the proportion of rotors with clockwise rotation were not significantly different between the mapping modalities.Conclusion: In patients with persistent AF, phase processing of unipolar electrograms recorded by catheter mapping could reproduce electrical rotors as characterized by NEEES-based phase mapping. [ABSTRACT FROM AUTHOR]

Polymer matrix composites based on ED-20 epoxy resin, hollandite K1.6(Ni0.8Ti7.2)O16 and carbon nanotubes with a variable content of 0.107; 0.213 and 0.425 vol.% were obtained for the first time. Initial components and composites produced were characterized by XRD, XRA, FTIR, SEM and Raman spectroscopy. The dielectric properties of composite materials were measured by impedance spectroscopy and determined by the volume ratio of the composite components, primarily by the concentration of CNTs. At a CNT content of 0.213 vol.% (before percolation threshold), the maximum synergistic effect of carbon and ceramic fillers on the dielectric properties of a composite based on the epoxy resin was found. Three-phase composites based on epoxy resin, with a maximum permittivity at a minimum dielectric loss tangent, are promising materials for elements of an electronic component base. [ABSTRACT FROM AUTHOR]

In this study, two-dimensional V 2 CT x MXenes were prepared by an accessible and rapid method, which involved aluminothermic combustion synthesis of the V 2 AlC MAX phase and its further processing in an HCl/LiF mixture under hydrothermal conditions. The resulting V 2 CT x MXene was characterised by XRD, SEM, TEM and XANES. A colloidal solution of the V 2 CT x MXene in dimethylformamide was used to prepare nanocomposites based on a poly(vinylidene fluoride) polymer matrix with a conductive filler content of 2.5 to 20 wt%. The nanocomposites were characterised by XRD, SEM and simultaneous DSC-TG analysis. The dielectric properties of the nanocomposites were studied using impedance spectroscopy in the frequency range from 100 Hz to 1 MHz at temperatures from -50 to +140 °C. The results showed that adding 20 wt% V 2 CT x to PVDF allows increasing the permittivity to 425.3 with a dielectric loss tangent of 0.54 at a frequency of 10 kHz. Studies of the temperature behavior of the dielectric response of composites have shown that the nature of the temperature dependence of the permittivity and dielectric loss tangent was determined mainly by the characteristics of the PVDF polymer matrix, while the filler had a significant effect only on the interfacial polarization, which increased with increasing V 2 CT x filler concentration and temperature.

Aims: Pacing remote from the latest electrically activated site (LEAS) in the left ventricle (LV) may diminish response to cardiac resynchronization therapy (CRT). We tested whether proximity of LV pacing site (LVPS) to LEAS, determined by non-invasive three-dimensional electrical activation mapping [electrocardiographic Imaging (ECGI)], increased likelihood of CRT response., Methods and Results: Consecutive CRT patients underwent ECGI and chest/heart computed tomography 6-24 months of post-implant. Latest electrically activated site and the distance to LVPS (dp) were assessed. Left ventricular end-systolic volume (LVESV) reduction of ≥15% at clinical follow-up defined response. Logistic regression probabilistically modelled non-response; variables included demographics, heart failure classification, left bundle branch block (LBBB), ischaemic heart disease (IHD), atrial fibrillation, QRS duration, baseline ejection fraction (EF) and LVESV, comorbidities, use of CRT optimization algorithm, angiotensin-converting enzyme inhibitor(ACE)/angiotensin-receptor blocker (ARB), beta-blocker, diuretics, and dp. Of 111 studied patients [64 ± 11 years, EF 28 ± 6%, implant duration 12 ± 5 months (mean ± SD), 98% had LBBB, 38% IHD], 67% responded at 10 ± 3 months post CRT-implant. Latest electrically activated sites were outside the mid-to-basal lateral segments in 35% of the patients. dp was 42 ± 23 mm [31 ± 14 mm for responders vs. 63 ± 24 mm non-responders (P < 0.001)]. Longer dp and the lack of use of CRT optimization algorithm were the only independent predictors of non-response [area under the curve (AUC) 0.906]. dp of 47 mm delineated responders and non-responders (AUC 0.931)., Conclusion: The distance between LV pacing site and latest electrical activation is a strong independent predictor for CRT response. Non-invasive electrical evaluation to characterize intrinsic activation and guide LV lead deployment may improve CRT efficacy., Competing Interests: Conflict of interest: N.V.—consulting fees/honoraria from Abbott, Boston Scientific, Biotronik, Medtronic, and Impulse Dynamics; A.A.—consultant to Boston Scientific, Cairdac, Corvia, Microport CRM, EP Solutions, EPD Philips, and Radcliffe Publishers; he received speaker fees from Boston Scientific, Medtronic, and Microport; he participates in clinical trials sponsored by Boston Scientific, Medtronic, EPD Philips, and XSpline; and has intellectual properties with Boston Scientific, Biosense Webster, and Microport CRM; A.T.—shareholder, consultant, and recipient of the financial research support from EP Solutions and consulting fees/honoraria from Abbott, Biosense Webster, and Medtronic; F.L.—consultant and recipient of the financial research support from Medtronic, Abbott, Boston Scientific, Biotronik, and Microport. All remaining authors have declared no conflicts of interest., (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.)

Aims: The aim of the present study was to estimate the accuracy of a novel non-invasive epicardial and endocardial electrophysiology system (NEEES) for mapping ectopic ventricular depolarizations., Methods and Results: The study enrolled 20 patients with monomorphic premature ventricular contractions (PVCs) or ventricular tachycardia (VT). All patients underwent pre-procedural computed tomography or magnetic resonance imaging of the heart and torso. Radiographic data were semi-automatically processed by the NEEES to reconstruct a realistic 3D model of the heart and torso. In the electrophysiology laboratory, body-surface electrodes were connected to the NEEES followed by unipolar EKG recordings during episodes of PVC/VT. The body-surface EKG data were processed by the NEEES using its inverse-problem solution software in combination with anatomical data from the heart and torso. The earliest site of activation as denoted on the NEEES 3D heart model was compared with the PVC/VT origin using a 3D electroanatomical mapping system. The site of successful catheter ablation served as final confirmation. A total of 21 PVC/VT morphologies were analysed and ablated. The chamber of interest was correctly diagnosed non-invasively in 20 of 21 (95%) PVC/VT cases. In 18 of the 21 (86%) cases, the correct ventricular segment was diagnosed. Catheter ablation resulted in acute success in 19 of the 20 (95%) patients, whereas 1 patient underwent successful surgical ablation. During 6 months of follow-up, 19 of the 20 (95%) patients were free from recurrence off antiarrhythmic drugs., Conclusion: The NEEES accurately identified the site of PVC/VT origin. Knowledge of the potential site of the PVC/VT origin may aid the physician in planning a successful ablation strategy., (© The Author 2016. Published by Oxford University Press on behalf of the European Society of Cardiology.)