Search

Objectives: The aim of the study was to investigate the impact of obstructive sleep apnea (OSA) on the QT interval variability and duration in patients during different sleep stages., Methods: Polysomnographic recordings of 28 (13 male, 15 female) patients with OSA and 30 (15 male, 15 female) patients without OSA were analyzed. The QT interval variability index (QTVI) and the corrected QT interval (QTc) analyses were performed using two awake, 3-4 non-rapid eye movement (NREM) and three rapid eye movement (REM) sleep episodes (each 300 s). The Bazett formula, linear, and parabolic heart rate correction formulas with two separate α values were used., Results: QTVI was statistically higher in OSA than in non-OSA patients for males while awake (awake -0.7 ± 0.3 vs -1.2 ± 0.2, p = 0.001; NREM ‒0.9 ± 0.4 vs -1.1 ± 0.3, p = 0.110; REM ‒1.1 ± 0.3 vs -1.3 ± 0.2, p = 0.667) and for females in all wake-sleep stages (awake -0.3 ± 0.7 vs -0.9 ± 0.5, p = 0.001; NREM ‒0.3 ± 0.5 vs -0.8 ± 0.4, p = 0.002; REM -0.3 ± 0.5 vs -1.0 ± 0.4, p < 0.001). QTVI was significantly higher during awake compared to sleep stages in OSA males (p < 0.05); no difference between wake-sleep stages was found in females (p > 0.05). Significant gender differences in QTVI existed in OSA patients during sleep (p < 0.05) but not while awake. No significant differences in QTc between patients groups were observed., Conclusions: OSA is associated with increased QT variability. REM sleep per se does not increase QTVI. In OSA patients, QTVI might be a more useful measure to detect ventricular repolarization abnormality than measures of QTc., (Copyright © 2017 Elsevier B.V. All rights reserved.)

Introduction: The aim of the study was to determine the influence of gender and sleep stages, especially rapid eye movement sleep (REM), on QT interval variability and duration in normal subjects., Methods: Polysomnographic recordings of 24 male and 24 female patients without obstructive sleep apnea were analyzed. In each patient, the QT interval variability index (QTVI) and the corrected QT interval (QTc) values were calculated as means of 2 awake, 4 non-rapid eye movement sleep (NREM) and 3 REM episodes, 300s each. For the QTc calculation, five different correction formulas were used., Results: Gender-related differences in the QT interval variability and duration were detected between all sleep stages (P<0.05). In males, mean values of QTVI while awake, in NREM and REM sleep were -1.1±0.2, -1.1±0.3, -1.3±0.2. In females, mean values of QTVI were -0.9±0.4, -0.9±0.4, and -1.1±0.3, respectively. No difference between sleep stages was detected in the mean values of QTVI and QTc in both groups (P>0.05)., Conclusion: The results of our study demonstrate no significant overall impact of sleep stages on ventricular repolarization variability and duration during physiological sleep in both genders. We found gender differences in the mean values of QTVI and QTc during different sleep stages, which confirm that gender is a modulating factor of ventricular repolarization., (Copyright © 2017 Elsevier Inc. All rights reserved.)

The aim of this study is to explain the mechanism of the effect of low-level modulated microwave radiation on brain bioelectrical oscillations. The proposed model of excitation by low-level microwave radiation bases on the influence of water polarization on hydrogen bonding forces between water molecules, caused by this the enhancement of diffusion and consequences on neurotransmitters transit time and neuron resting potential. Modulated microwave radiation causes periodic alteration of the neurophysiologic parameters and parametric excitation of brain bioelectric oscillations. The experiments to detect logical outcome of the mechanism on physiological level were carried out on 15 human volunteers. The 450-MHz microwave radiation modulated at 7, 40 and 1000 Hz frequencies was applied at the field power density of 0.16 mW/cm 2 . A relative change in the EEG power with and without radiation during 10 cycles was used as a quantitative measure. Experimental data demonstrated that modulated at 40 Hz microwave radiation enhanced EEG power in EEG alpha and beta frequency bands. No significant alterations were detected at 7 and 1000 Hz modulation frequencies. These results are in good agreement with the theory of parametric excitation of the brain bioelectric oscillations caused by the periodic alteration of neurophysiologic parameters and support the proposed mechanism. The proposed theoretical framework has been shown to predict the results of experimental study. The suggested mechanism, free of the restrictions related to field strength or time constant, is the first one providing explanation of low-level microwave radiation effects.

In this study, we assume that microwave radiation affects hydrogen bonding between dipolar water molecules and through that diffusion in water at constant temperature. The experimental study was performed on the setup of two identical reservoirs filled with pure water and 0.9% NaCl solution and connected by a thin tube. Alterations of NaCl concentration in the reservoir initially filled with pure water were measured using the resistance of the solution as an indicator. The applied 450 MHz continuous-wave microwave field had the maximal specific absorption rate of 0.4 W/kg on the connecting tube. The standard deviation of water temperature in the setup was 0.02 °C during an experiment. Our experimental data demonstrated that microwave exposure makes faster the process of diffusion in water. The time required for reduction of initial resistance of the solution by 10% was 1.7 times shorter with microwave. This result is consistent with the proposed mechanism of low-level microwave effect: microwave radiation, rotating dipolar water molecules, causes high-frequency alterations of hydrogen bonds between water molecules, thereby affects its viscosity and makes faster diffusion.

The aim of the study was to determine whether different sleep stages, especially REM sleep, affect QT interval duration and variability in male patients without obstructive sleep apnea (OSA). Polysomnographic recordings of 30 patients were analyzed. Beat-to-beat QT interval variability was calculated using QTV index (QTVI) formula. For QTc interval calculation, in addition to Bazett's formula, linear and parabolic heart rate correction formulas with two separate α values were used. QTVI and QTc values were calculated as means of 2 awake, 3 NREM, and 3 REM sleep episodes; the duration of each episode was 300 sec. Mean QTVI values were not statistically different between sleep stages. Therefore, elevated QTVI values found in patients with OSA cannot be interpreted as physiological sympathetic impact during REM sleep and should be considered as a risk factor for potentially life-threatening ventricular arrhythmias. The absence of difference of the mean QTc interval values between NREM and REM stages seems to confirm our conclusion that sympathetic surges during REM stage do not induce repolarization variability. In patients without notable structural and electrical remodeling of myocardium, physiological elevation in sympathetic activity during REM sleep remains subthreshold concerning clinically significant increase of myocardial electrical instability.

The aim of this paper is to propose a smart optical sensor for cardiovascular activity monitoring at different tissue layers. Photoplethysmography (PPG) is a noninvasive optical technique for monitoring mainly blood volume changes in the examined tissue. However, different important physiological parameters, such as oxygen saturation, heart and breathing rate, dynamics of skin micro-circulation, vasomotion activity etc., can be extracted from the registered PPG signal. The developed sensor consists of 32 light emitting sources with four different wavelengths, which are located to the four different distances from four photo detectors. Compared to the existing sensors, the system enables to select the optimal LED (light emitting diode) and photo detector couple in order to obtain the pulse wave signal from the interested blood vessels with the highest possible signal to noise ratio. In this study, the designed PPG sensor was tested for the pulse wave registration from radial artery. The highest efficiency and signal to noise ratio was achieved using infrared LED (940 nm) and photo-diode pair.

This study is aimed at evaluating the effect of microwave radiation on human brain bioelectric activity at different levels of exposure. For this purpose, 450 MHz microwave exposure modulated at 40 Hz frequency was applied to a group of 15 healthy volunteers at two different specific absorption rate (SAR) levels: a higher level of 0.303 W/kg (field strength 24.5 V/m) and a lower level of 0.003 W/kg (field strength 2.45 V/m). Ten exposure cycles (1 min off and 1 min on) at fixed SAR values were applied. A resting eyes-closed electroencephalogram (EEG) was continuously recorded. Results showed a statistically significant increase in the EEG power in the EEG beta2 (157%), beta1 (61%) and alpha (68%) frequency bands at the higher SAR level, and in the beta2 (39%) frequency band at the lower SAR level. Statistically significant changes were detected for six individual subjects in the EEG alpha band and four subjects in the beta1 and beta2 bands at the higher SAR level; three subjects were affected in the alpha, beta1 and beta2 bands at the lower SAR level. The study showed that decreasing the SAR 100 times reduced the related changes in the EEG three to six times and the number of affected subjects, but did not exclude the effect., (Copyright © 2012 Wiley Periodicals, Inc.)

This study addresses application of Higuchi's fractal dimension (FD) as a measure to evaluate the effect of external periodic stressor on electrical oscillations in the brain. Modulated microwave radiation was applied as a weak periodic stressor with strongly inhomogeneous distribution inside the brain. Experiments were performed on a group of 14 volunteers. Ten cycles (1 min on, 1 min off) of 450-MHz microwave radiation modulated at 40 Hz were applied. Higuchi's FD was calculated in eight symmetric electroencephalographic (EEG) channels located in frontal, temporal, parietal, and occipital areas. FD values averaged over a group detected a small (1-2%) but statistically significant increase with exposure in all EEG channels. FD increased for 12, decreased for one, and was constant for one subject. FD showed the most remarkable effect in temporal and parietal regions of the left hemisphere where the microwave field was maximal. Changes of FD in these regions of the right hemisphere were much higher than expected in accordance with the field distribution. Correlation of FD between different EEG channels was high and retained its value in exposed conditions. Spreading of disturbance between different brain areas is supposed to be crucial for the effect of exposure on the electrical oscillations in the brain.

Objective: To assess the association between QT interval, QT dispersion and main cardiovascular risk factors in Tallinn women population aged 50-69 years., Design: A random sample of Tallinn population, 302 women underwent 12-lead rest ECG, echocardiography and laboratory tests. Corrected QT interval and QT dispersion were calculated., Results: The significant correlation coefficients for corrected QT interval and dispersion were observed with systolic, diastolic, pulse pressure, blood pressure value grade, heart rate, left ventricular mass index, and total cardiovascular risk grade. According to the data of multiple logistic regression, risk factors independently associated with prolonged QTc and QTD were arterial hypertension: OR 2.69, p < 0.001 and OR 3.29, p < 0.001, pulse pressure ≥ 60 mm Hg: OR 2.62, p < 0.001 and OR 3.04, p < 0.001, age > 65 years: OR 2.44, p < 0.001 and OR 1.91, p < 0.01, family history of cardiovascular disease: OR 2.02, p < 0.01 and OR 2.48, p < 0.001, left ventricular hypertrophy: OR 2.78, p < 0.001 and OR 5.29, p < 0.001. Multivariable linear regression data showed an independent association between corrected QT interval, QT dispersion and systolic blood pressure: β = 0.32, p < 0.001 and β = 0.39, p=0.003, pulse pressure: β = 0.21, p = 0.004 and β = 0.27, p < 0.001, blood pressure value grade: β = 0.35, p < 0.001 (for QT dispersion only), heart rate: β = 0.21, p < 0.001 and β = -0.19, p = 0.001, left ventricular mass index: β = 0.23, p < 0.001 and β = 0.27, p < 0.001., Conclusion: In Tallinn women population, electrocardiographic parameters reflecting ventricular repolarization are associated with systolic blood pressure, pulse pressure, blood pressure value grade, heart rate and left ventricular hypertrophy.

Background: Information transmission and processing in the nervous system has stochastic nature. Multiple factors contribute to neuronal trial-to-trial variability. Noise and variations are introduced by the processes at the molecular and cellular level (thermal noise, channel current noise, membrane potential variations, biochemical and diffusion noise at synapses etc). The stochastic processes are affected by different physical (temperature, electromagnetic field) and chemical (drugs) factors. The aim of this study was experimental investigation of hypotheses that increase in the noise level in the brain affects processing of visual information. Change in the noise level was introduced by an external factor producing excess noise in the brain., Methods: An exposure to 450 MHz low-frequency modulated microwave radiation was applied to generate excess noise. Such exposure has been shown to increase diffusion, alter membrane resting potential, gating variables and intracellular Calcium efflux. Nine healthy volunteers passed the experimental protocol at the lower (without microwave) and the higher (with microwave) noise level. Two photos (visual stimuli) of unfamiliar, young male faces were presented to the subjects, one picture after another. The task was to identify later the photos from a group of six photos and to decide in which order they were presented. Each subject had a total of eight sessions at the lower and eight at the higher noise level. Each session consisted of 50 trials; altogether a subject made 800 trials, 400 at the lower and 400 at the higher noise level. Student t-test was applied for statistical evaluation of the results., Results: Correct recognition of both stimuli in the right order was better at the lower noise level. All the subjects under investigation showed higher numbers of right answers in trials at the lower noise level. Average number of correct answers from n=400 trials with microwave exposure was 50.3, without exposure 54.4, difference 7.5%, p<0.002. No difference between results at the lower and the higher noise level was revealed in the case of only partly correct or incorrect answers., Conclusions: Our experimental results showed that introduced excess noise reduced significantly ability of the nervous system in correct processing of visual information.

The aim of this study was to evaluate the effect of modulated microwave exposure on human EEG of individual subjects. The experiments were carried out on four different groups of healthy volunteers. The 450 MHz microwave radiation modulated at 7 Hz (first group, 19 subjects), 14 and 21 Hz (second group, 13 subjects), 40 and 70 Hz (third group, 15 subjects), 217 and 1000 Hz (fourth group, 19 subjects) frequencies was applied. The field power density at the scalp was 0.16 mW/cm(2). The calculated spatial peak SAR averaged over 1 g was 0.303 W/kg. Ten cycles of the exposure (1 min off and 1 min on) at fixed modulation frequencies were applied. All subjects completed the experimental protocols with exposure and sham. The exposed and sham-exposed subjects were randomly assigned. A computer also randomly assigned the succession of modulation frequencies. Our results showed that microwave exposure increased the EEG energy. Relative changes in the EEG beta1 power in P3-P4 channels were selected for evaluation of individual sensitivity. The rate of subjects significantly affected is similar in all groups except for the 1000 Hz group: in first group 3 subjects (16%) at 7 Hz modulation; in second group 4 subjects (31%) at 14 Hz modulation and 3 subjects (23%) at 21 Hz modulation; in third group 3 subjects (20%) at 40 Hz and 2 subjects (13%) at 70 Hz modulation; in fourth group 3 subjects (16%) at 217 Hz and 0 subjects at 1000 Hz modulation frequency.

This paper gives an overview of a research, which is focused on the development of the convenient device for continuous non-invasive monitoring of arterial blood pressure. The blood pressure estimation method is based on a presumption that there is a singular relationship between the pulse wave propagation time in arterial system and blood pressure. The parameter used in this study is pulse wave transit time (PWTT). The measurement of PWTT involves the registration of two time markers, one of which is based on ECG R peak detection and another on the detection of pulse wave in peripheral arteries. The reliability of beat to beat systolic blood pressure calculation during physical exercise was the main focus for the current paper. Sixty-one subjects (healthy and hypertensive) were studied with the bicycle exercise test. As a result of current study it is shown that with the correct personal calibration it is possible to estimate the beat to beat systolic arterial blood pressure during the exercise with comparable accuracy to conventional noninvasive methods.

Objective: To study the relationship between QT interval dispersion, arterial hypertension and different left ventricular geometric patterns in the framework of a population study., Design: A random sample of the population of Tallinn, 717 men and women aged 35-59, underwent standard 12-lead ECG at rest and echocardiography. Corrected QT dispersion was considered as prolonged when the duration was > or =70 ms., Results: In hypertensives with concentric and eccentric hypertrophy, the mean values of corrected QT dispersion were significantly higher than in those with normal geometry. In the normotensive group no significant differences of the mean values of corrected QT dispersion were found in relation to left ventricular geometry. Mean values of corrected QT dispersion were higher in hypertensives than in normotensives in each left ventricular geometric pattern. Corrected QT dispersion > or =70 ms was mainly associated with concentric hypertrophy., Conclusion: Prolonged corrected QT dispersion is associated with left ventricular geometric abnormalities and arterial hypertension and is mostly related to concentric hypertrophy.

The aim of the present study was to determine the prevalence of Left ventricular hypertrophy (LVH) and different left ventricular (LV) geometric patterns in the middle-aged women population of Tallinn, to assess the relationship between LV geometry, age, blood pressure and LV repolarization duration and inhomogeneity. A random sample of the population, 482 women aged 35-59, was examined in the framework of a cardiovascular risk factors survey for the WHO/CINDI programme years 1999-2000. Patients with valvular pathology, primary cardiomyopathy, atrial fibrillation, bundle branch blocks and flat T wave on electrocardiography (ECG) were excluded; 398 (82.2%) of the participants underwent echocardiography (Echo) and standard 12-lead ECG at rest and were included in the study. LVH was defined if left ventricular mass (LVM), LVM/height and LVM/BSA were >198 g, >121 g/m and > 120 g/m2, respectively. Arterial hypertension was determined in 23.1% of the women. The prevalence of arterial hypertension was three times higher in those aged 50-59 than in those aged 40-49 (37.4% vs 13.2%; p < 0.05). Different geometric patterns were found as follows: concentric hypertrophy in 9.1%; eccentric hypertrophy 33.9%; concentric remodelling 9.5% and normal geometry 47.5% of the participants. Concentric hypertrophy was found exclusively in hypertensive women and increased with age. No age-related eccentric hypertrophy and concentric remodelling differences were found, either in the normotensive or in the hypertensive group. Prolonged QT dispersion--a marker of increased myocardial electrical instability, was associated with LVH and arterial hypertension and was related mostly to concentric hypertrophy in hypertensives.