was attempted in eight patients with drug refractory type I atrial flutter. In seven of eight patients, a zone of prolongation and fragmentation of the endocardial electrogram was found in the low posterior part of the right atrium. Entrainment of the atrial flutter by high right atrial pacing was accompanied by local recording of second-degree regional block in several atrial sectors but never...

Chest physical therapy techniques are essential in order to reduce the frequency of recurrent pulmonary infections that progressively affect lung function in cystic fibrosis patients. Recently, ELTGOL (L'Expiration Lente Totale Glotte Ouverte en décubitus Latéral) emerged as an inexpensive and easy to perform therapeutic option. The aim of this study was to compare the acute effects of ELTGOL a...

pacemaker infection has multiple risk factors. its presentation is most often similar to infected endocarditis and the diagnosis is made through studying blood cultures. transesophageal echocardiography can confirm the diagnosis. the most common microorganisms are staphylococcus speciesis. as a matter of fact, complete pacemaker removal appears to be the only definite treatment. we presented a ...

In a prospective, double-blind, randomized, placebocontrolled study we investigated the facilitating influence of intravenous procainamide on conversion of atrial flutter by rapid atrial pacing. Fifty consecutive patients with spontaneous sustained atrial flutter were 1:1 randomized into two homogenous groups: group A received 10 mg.kg-1 procainamide intravenously, group B placebo. After infusi...

The usefulness of flutter as a design metric is diluted for wings with destabilizing (softening) nonlinearities, as a stable high-amplitude limit cycle (subcritical) may exist for flight speeds well below the flutter point. It is thus desired to design aeroelastic structures such that the post-flutter behavior is as benign (i.e., supercritical) as possible, among the other constraints commonly ...

This paper examines efficacy of tuned mass dampers ~TMD! in controlling self-excited motion resulting from negative damping. New optimal TMD parameters are suggested which provide better performance than those suggested in the literature. The dependence of TMD performance on structural damping is highlighted. The equations of motion of a combined system comprised of multiple TMDs attached to a ...

OBJECTIVE To assess the changes in quality of life, arrhythmia symptoms, and hospital resource utilisation following catheter ablation of typical atrial flutter. DESIGN Patient questionnaire to compare the time interval following ablation with a similar time interval before ablation. SETTING Tertiary referral centre. PATIENTS 63 consecutive patients were studied. Four patients subsequentl...

In current bridge aeroelastic analysis frameworks, predictions of flutter instability and buffeting response to wind fluctuations are treated as two separate procedures. The flutter instability is analyzed through the solution of a complex eigenvalue problem, offering information on how the self-excited forces influence bridge dynamics, especially the modal damping, and eventually drive the bri...

Sixteen patients with type I atrial flutter underwent an attempt at radiofrequency catheter ablation (8 women, 8 men, mean age 53 +/- 11 years). The primary criterion used to identify sites for radiofrequency energy delivery was the identification of a fractionated electrogram. Radiofrequency energy was delivered for 20 to 30 seconds. Radiofrequency catheter ablation was acutely successful in 1...

I@? pzpz prcoents results of wind tunnel flutter tests wing a wing-G.lcron-tab model on which it was possible to represent any of the following 1P!b s~-StEm ; spring, geared, trim or servo. Prediction of the flutter-r;h?racteristics has ken made in the trim tab case using three sets of aero-dJTwic dwlvatives and fair agreement has been reached with the measured charccteristics. A comparison has...