Complete AV Block Induced by Right Coronary Artery Spasm Following Radiofrequency Ablation for Atrial Fibrillation.

Coronary artery spasm during catheter ablation for arrhythmias is a rare but previously reported complication. Timing of presentation, manifestations of vasospasm, and purported mechanisms vary somewhat in the prior literature. We present a case of chest pain, inferior lead ST elevation, and complete AV block with angiographically confirmed right coronary artery (RCA) vasospasm that occurred immediately after catheter ablation for atrial fibrillation.

Charge transfer and blue shifting of vibrational frequencies in a hydrogen bond acceptor.

A comprehensive Raman spectroscopic/electronic structure study of hydrogen bonding by pyrimidine with eight different polar solvents is presented. Raman spectra of binary mixtures of pyrimidine with methanol and ethylene glycol are reported, and shifts in ν1, ν3, ν6a, ν6b, ν8a, ν8b, ν9a, ν15, ν16a, and ν16b are compared to earlier results obtained for water. Large shifts to higher vibrational energy, often referred to as blue shifts, are observed for ν1, ν6b, and ν8b (by as much as 14 cm(-1)). While gradual blue shifts with increasing hydrogen bond donor concentration are observed for ν6b and ν8b, ν1 exhibits three distinct spectral components whose relative intensities vary with concentration. The blue shift of ν1 is further examined in binary mixtures of pyrimidine with acetic acid, thioglycol, phenylmethanol, hexylamine, and acetonitrile. Electronic structure computations for more than 100 microsolvated structures reveal a significant dependence of the magnitude of the ν1 blue shift on the local microsolvation geometry. Results from natural bond orbital (NBO) calculations also reveal a strong correlation between charge transfer and blue shifting of pyrimidine's normal modes. Although charge transfer has previously been linked to blue shifting of the X-H stretching frequency in hydrogen bond donors, here, a similar trend in a hydrogen bond acceptor is demonstrated.

Effects of hydrogen bonding on vibrational normal modes of pyrimidine.

The effects of weak intermolecular interactions on 10 vibrational normal modes of pyrimidine are investigated by Raman spectroscopy and electronic structure computations. Hydrogen-bonded networks of water induce a shift to higher energy in certain normal modes of pyrimidine with increasing water concentration, while other modes are relatively unaffected. Pyrimidine molecules also exhibit weak C-H...N interactions and shifted normal modes upon crystallization. The selective nature of the shifting of normal modes to higher energy allows for definitive assignments of the nearly degenerate nu(8a) and nu(8b) modes with polarized Raman spectroscopy. Natural bond orbital (NBO) analyses indicate that when water molecules donate hydrogen bonds to the nitrogen atoms of pyrimidine, there is significant charge transfer from pyrimidine to water, much of which can be accounted for by substantial decreases in the populations of the nitrogen lone pair orbitals. Despite the overall decrease of electron density in pyrimidine upon complexation with water, there are concomitant changes in NBO populations that polarize the pi-electron system toward the proton acceptor N atoms, as well as contractions of the bonds associated with the N-C-N and C-C-C regions of the pyrimidine ring.