A miniature voltmeter for monitoring small amplitude electrical activity in the hypothermic arrested myocardium. 1990

A E Marble, and R W Landymore, and D W Church
Department of Electrical Engineering, Technical University of Nova Scotia, Halifax, Canada.

A measurement system which is capable of detecting microfibrillation in the hypothermic, arrested heart has been developed. It is shown that this system can reliably measure microfibrillation signals as low as 10 microV in amplitude. Using this system, it has been shown that even after the heart has been rendered visibly arrested using cold potassium, it may still be producing a low level of electrical activity. It has also been shown that the presence of this microfibrillation during the period of the cold potassium administration and visible arrest, is very highly correlated with the decrease in high energy phosphates (ATP), mitochondrial injury, and a decreased cardiac function post-operatively. Using the information obtained from this first measurement system, a miniature, battery powered voltmeter has been designed and fabricated. This voltmeter has been tested using the initial measurement system as reference and produces the same information concerning the small signal electrical activity (i.e.: same waveform and RMS value). Because this voltmeter is battery powered and is, therefore, completely isolated from all electrical equipment in the operating theatre, it can be used to monitor the presence, or absence, of microfibrillation in the human heart. Of greatest importance, however, is the fact that the voltmeter can serve as a monitoring device which will indicate when the potassium should be administered in order to render the heart both mechanically and electrically arrested.

UI MeSH Term Description Entries
D007036 Hypothermia, Induced Abnormally low BODY TEMPERATURE that is intentionally induced in warm-blooded animals by artificial means. In humans, mild or moderate hypothermia has been used to reduce tissue damages, particularly after cardiac or spinal cord injuries and during subsequent surgeries. Induced Hypothermia,Mild Hypothermia, Induced,Moderate Hypothermia, Induced,Targeted Temperature Management,Therapeutic Hypothermia,Hypothermia, Therapeutic,Induced Mild Hypothermia,Induced Mild Hypothermias,Induced Moderate Hypothermia,Induced Moderate Hypothermias,Mild Hypothermias, Induced,Moderate Hypothermias, Induced,Targeted Temperature Managements
D008991 Monitoring, Physiologic The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine. Patient Monitoring,Monitoring, Physiological,Physiologic Monitoring,Monitoring, Patient,Physiological Monitoring
D011211 Electric Power Supplies Devices that control the supply of electric current for running electrical equipment. Power Sources,Power Supplies,Electric Power Sources,Power Sources, Electric,Power Supplies, Electric,Electric Power Source,Electric Power Supply,Power Source,Power Source, Electric,Power Supply,Power Supply, Electric,Supply, Electric Power
D002138 Calibration Determination, by measurement or comparison with a standard, of the correct value of each scale reading on a meter or other measuring instrument; or determination of the settings of a control device that correspond to particular values of voltage, current, frequency or other output. Calibrations
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006321 Heart The hollow, muscular organ that maintains the circulation of the blood. Hearts
D006324 Heart Arrest, Induced A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate). Cardiac Arrest, Induced,Cardioplegia,Induced Cardiac Arrest,Induced Heart Arrest,Cardioplegias
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

Related Publications

A E Marble, and R W Landymore, and D W Church
March 1997, Anesthesia and analgesia,
A E Marble, and R W Landymore, and D W Church
October 1981, The Journal of surgical research,
A E Marble, and R W Landymore, and D W Church
October 1958, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine (New York, N.Y.),
A E Marble, and R W Landymore, and D W Church
April 2017, IEEE transactions on biomedical circuits and systems,
A E Marble, and R W Landymore, and D W Church
January 2012, Journal of pharmacological sciences,
A E Marble, and R W Landymore, and D W Church
July 1975, The Annals of thoracic surgery,
A E Marble, and R W Landymore, and D W Church
January 1992, Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft fur Medizinische Physik and the European Federation of Organisations for Medical Physics,
A E Marble, and R W Landymore, and D W Church
January 2021, Nature nanotechnology,
Copied contents to your clipboard!