The short-term effect of smoking on fetal ECG.

BACKGROUND: The number of women who smoke during pregnancy is significant even today. The harmful effects of smoking during pregnancy are well known but there are no data on the effects of smoking on fetal electrocardiography (ECG). The lack of data is in connection with the difficulties of recording fetal ECG through the maternal abdomen. METHOD: Third trimester pregnant women who were not able to give up the harmful passion of smoking despite repeated attempts of persuasion were recruited in the study on voluntary basis. The fetal ECG was recorded non-invasively through the maternal abdomen before, during and after smoking, then the data were processed offline. The electrophysiological measurements were performed by a self developed ECG device, which allowed the examination of the morphological differences in "true-to-form" fetal ECG in addition to studying the variability of fetal heart rate. The study involved nine pregnant women. The observed changes are presented through case studies of those pregnant women who showed the most significant anomalies. RESULTS: Compared with the resting state fetal heart rate was increased during smoking. The short-term variability of fetal heart rate was narrowed, while the mother's heart rate did not change significantly - which was an indication of direct fetal stress. No explicit ischemic signs were detected in fetal ECG during smoking, however, in the increasing period of the fetal heart rate, the T wave morphology changed slightly, then it returned to normal. CONCLUSIONS: Demonstrable by the electrophysiological methods, smoking has a direct effect on fetal cardiac function. The fetal heart rate variability shows a pattern during smoking which is a typical sign of stress conditions among adults. The results may have educational consequences as well. Understanding those, hopefully will help pregnant women give up this harmful addiction.

New Validated Signal-averaging-based Electrocardiography Method to Determine His-ventricle Interval.

BACKGROUND/AIM: The signal-averaging (SA) technique is used to record high-resolution electrocardiograms (HRECGs) showing cardiac micropotentials. We aimed to develop a non-invasive signal-averaging-based portable bedside device to determine His-ventricle interval. PATIENTS AND METHODS: After amplifying the HRECG recordings, signal duration and voltage can be measured up to four decimal precision. To validate our system, comparison of the invasively and non-invasively determined HV intervals has been performed in 20 patients. RESULTS: Our workgroup has developed a system capable of displaying and measuring cardiac micropotentials on storable ECG. Neither related paired-sample T-test (p=0.263) nor Wilcoxon's non-parametric signed ranks test (p=0.245) showed significant deviations of the HV intervals. Furthermore, related paired-sample T-test showed strong correlation (corr=0.910, p<0.001) between HV intervals determined by electrophysiology (EP) and non-invasive measurements. CONCLUSION: Our research group managed to assemble and validate an easy to use device capable of determining HV intervals even under ambulatory conditions.

Noninvasive Recording of True-to-Form Fetal ECG during the Third Trimester of Pregnancy.

Objective. The aim of the study was to develop a complex electrophysiological measurement system (hardware and software) which uses the methods of electrophysiology and provides significant information about the intrauterine status of the fetus, intending to obtain true-to-form, morphologically evaluated fetal ECG from transabdominal maternal lead. Results. The present method contains many novel ideas that allow creating true-to-form noninvasive fetal ECG in the third trimester of the pregnancy in 80% of the cases. Such ideas are the telemetric data collection, the "cleanse" of the real time recording from the maternal ECG, and the use of the cardiotocograph (CTG) that allows identifying the fetal heart events. The advantage of this developed system is that it does not require any qualified staff, because both the extraction of the information from the abdominal recording and the processing of the data are automatic. Discussion. Although the idea of a noninvasive fetal electrocardiography is more than 100 years old still there is no simple, effective, and cheap method available that would enable an extensive use. This developed system can be used in the third trimester of the pregnancy efficiently. It can produce true-to-form fetal ECGs with amplitude less than 10 µV.

The assessment of neural injury following open heart surgery by physiological tremor analysis.

INTRODUCTION: The appearance of post-operative cognitive dysfunction as a result of open heart surgery has been proven by several studies. Focal and/or sporadic neuron damage emerging in the central nervous system may not only appear as cognitive dysfunction, but might strongly influence features of physiological tremor. MATERIAL AND METHODS: We investigated 110 patients (age: 34-73 years; 76 male, 34 female; 51 coronary artery bypass grafting (CABG), 25 valve replacement, 25 combined open heart surgery, 9 off-pump CABG) before surgery and after open-heart surgery on the 3(rd) to 5(th) post-operative day. The assessment of the physiological tremor analysis was performed with our newly developed equipment based on the Analog Devices ADXL 320 JPC integrated accelerometer chip. Recordings were stored on a PC and spectral analysis was performed by fast Fourier transformation (FFT). We compared power integrals in the 1-4 Hz, 4-8 Hz and 8-12 Hz frequency ranges and these were statistically assessed by the Wilcoxon rank correlation test. RESULTS: We found significant changes in the power spectrum of physiological tremor. The spectrum in the 8-12 Hz range (neuronal oscillation) decreased and a shift was recognised to the lower spectrum (p < 0.01). The magnitude of the shift was not significantly higher for females than for males (p < 0.157). We found no significant difference between the shift and the cross-clamp or perfusion time (p < 0.6450). CONCLUSIONS: The assessment of physiological tremor by means of our novel, feasible method may provide a deeper insight into the mechanism of central nervous system damage associated with open heart surgery.

Simple and choice reaction times are prolonged following extracorporeal circulation: a potential method for the assessment of acute neurocognitive deficit.

BACKGROUND: Cognitive deficit related to open heart surgery came into the focus of interest according to professional and social expectations. The negative effects on quality of life and the large number of involved patients emphasize the need its investigation. MATERIAL/METHODS: The bedside measurement of simple and choice reaction times (sRT and cRT) has the objectivity of cortical evoked potential analysis without the need for EEG instrumentation and laboratory. This is a functional assessment similar to neuropsychological tests, but requires a significantly shorter time and is less demanding for the patient. RESULTS: Fifty patients who had undergone open heart surgery were investigated. Statistically significant positive correlation of sRT and cRT prolongation and perfusion time was found. At the same time there were no statistically significant changes in mean sRT and cRT values before (sRT: 208+/-54 s, cRT: 369+/-59 s) and after (sRT: 229+/-67 s, cRT: 392+/-105 s) the surgery, probably due to the inhomogeneous patient population. The weak correlation (coefficients: 0.1418-0.8484) for sRT and cRT changes as a function of perfusion time confirms the presence of other factors of postoperative brain damage. CONCLUSIONS: The investigated bedside test is clinically feasible, simple, and can be completed within 30 minutes. Further studies are encouraged to compare this method with other tests in a larger, stratified cardiac surgery population.

Short GSM mobile phone exposure does not alter human auditory brainstem response.

BACKGROUND: There are about 1.6 billion GSM cellular phones in use throughout the world today. Numerous papers have reported various biological effects in humans exposed to electromagnetic fields emitted by mobile phones. The aim of the present study was to advance our understanding of potential adverse effects of the GSM mobile phones on the human hearing system. METHODS: Auditory Brainstem Response (ABR) was recorded with three non-polarizing Ag-AgCl scalp electrodes in thirty young and healthy volunteers (age 18-26 years) with normal hearing. ABR data were collected before, and immediately after a 10 minute exposure to 900 MHz pulsed electromagnetic field (EMF) emitted by a commercial Nokia 6310 mobile phone. Fifteen subjects were exposed to genuine EMF and fifteen to sham EMF in a double blind and counterbalanced order. Possible effects of irradiation was analyzed by comparing the latency of ABR waves I, III and V before and after genuine/sham EMF exposure. RESULTS: Paired sample t-test was conducted for statistical analysis. Results revealed no significant differences in the latency of ABR waves I, III and V before and after 10 minutes of genuine/sham EMF exposure. CONCLUSION: The present results suggest that, in our experimental conditions, a single 10 minute exposure of 900 MHz EMF emitted by a commercial mobile phone does not produce measurable immediate effects in the latency of auditory brainstem waves I, III and V.

The application of surface plethysmography for heart rate variability analysis after GSM radiofrequency exposure.

The aim of the present study was to test whether the electromagnetic field emitted by standard GSM mobile phones results in changes in heart rate (HR) and heart rate variability (HRV) of 35 healthy young male and female subjects. Two parallel signals, electrocardiogram and infrared surface plethysmogram were recorded and compared to test their validity for the analysis. Plethysmographic recording is proved to be a fast and reliable method for HRV measurements. In the radiofrequency (RF) exposure study, there was no significant difference in the values of HR and HRV between the RF and the sham groups. Our preliminary study demonstrates that, in our experimental conditions, RF fields emitted by cellular phones do not cause observable effects on the regulation of heart rate of healthy, young adults.

Selective induction of ultrastructural (neurofilament) compaction in axons by means of a new head-injury apparatus.

A new weight-drop head-injury apparatus is described that can produce a momentary depression of predetermined depth at a predetermined site of the elastic calvaria of scalped young adult rats. In Wistar rats weighing about 200 g, a 0.75-mm deep calvaria depression immediately caused ultrastructural (neurofilament) compaction in many long axon segments, which were diffusely scattered among non-compacted axons in a well-defined area of cortical layers IV and V under the impact site. Apart from these morphological changes and swollen astrocytic processes in their vicinity, the brain tissue appeared non-impaired. The blood pressure, intracranial pressure, heart rate and respiration rate had returned to the normal range in 1 min. Diffuse axonal swelling caused by impaired axonal transport, ultrastructural compaction in neuronal soma-dendrite domains, impression fracture and subarachnoid or subdural hemorrhages were observed only in rats with a calvaria depression of 1mm or more. All these features create favorable circumstances for study of various problems that are closely related to the ultrastructural (neurofilament) compaction in axons, such as the fate of the affected axons.

The corner frequencies of the ECG amplifier for heart rate variability analysis.

Heart rate variability (HRV) analysis is considered a popular method both in clinical and research fields. However, several ignored technical artifacts may falsify its measurements. The current study investigates the effects of corner frequencies of the ECG amplifier on the precision of RR-interval detection. Clear or noise-corrupted ECG records with predefined parameters consisting of 21 cycles were generated, played back through analog filters and data-logged on a Pentium-based computer with a DaqBoard2000 data acquisition card. 0.1-10 Hz second-order high pass and 20-100 Hz fourth-order low pass Bessel and Butterworth filters were used. The RR-intervals were measured between seven reference points of the ventricular complexes before and after filtering. High and low pass at every frequency cutoff and with both filter types results in correct RR-intervals within 1 ms error. However, a lower cutoff below 1 Hz is needed to maintain ECG morphology. AC interference or Gaussian random noise can falsify the measured RR-intervals up to 16 or 34 ms, respectively. These errors may be reduced to 1-4 ms with appropriate low pass filters. A frequency range of 0.5-20 Hz for the ECG amplifier can be sufficient for HRV analysis reducing the errors from AC interference or random noise.

Microiontophoresis electrode location by neurohistological marking: Comparison of four native dyes applied from current balancing electrode channels.

INTRODUCTION: The re-establishment of electrode position after microiontophoresis with multi-barrelled electrodes has always been a complicated and mostly inaccurate procedure. The present report describes a new method for 'on line' neurohistological marking of each recording position during experimental sessions in which in vivo microiontophoresis was combined with extracellular single unit recording. METHODS: We tested the effectiveness of four native dyes: pontamine sky blue (PSB), methylene blue (MB), cresyl violet (CV) and toluidine blue (TB). They were ejected from the continuous balancing channels of multi-barrelled microelectrodes during iontophoresis in place of the usual sodium chloride solution. RESULTS: The present results are based on observations obtained from 66 neuronal recordings and 42 labelled sites in the rat neocortex. Results indicate that none of the tested native dyes altered the spontaneous firing rate of the neurons, nor did they have any influence on the applied bioactive compounds. Recording positions were detected as small, labelled spots in brain slices (2-12 microm in diameter) at the end of the recording tracks. Labelling was successful with MB and PSB, but not with CV or TB. In addition, MB provided good labelling with a low net ejection current. DISCUSSION: The present results suggest that using native dyes, especially MB, instead of sodium chloride in current balancing channels during in vivo microiontophoresis provides fast and accurate confirmation of electrode placement. This method saves the experimenter the time consuming further application of secondary labelling procedures after such experiments. Moreover, the MB-labelling we describe here is focal, enabling a more accurate verification of the site of recording and/or application of various neuroactive compounds. In addition, MB labelled accurately and reliably and with very low ejection currents, presumably due to its smaller molecular weight and higher relative mobility.

EEG early evoked gamma-band synchronization reflects object recognition in visual oddball tasks.

EEG was recorded in 3 visual oddball experiments during presentation of natural photos of butterflies and plants in order to study the early gamma activity evoked by familiar and novel stimuli. In all three experiments a picture of one specific butterfly served as the target and the subjects' task was to silently count them. In Experiment 1 neutral stimuli were individual pictures of butterflies from other species, in Experiment 2 neutral stimuli were individual pictures of plants and in Experiment 3 both types of neutral stimuli were applied. Phase-locking factor was computed by complex sinusoid wavelet method. Consistent with other studies, significant phase-locked gamma-synchronization was found at 80-140 ms post stimulus interval in the 20-50 Hz range at parietal and occipital sites in response to the repeating target. Non-target stimuli did not evoke similar activity in the gamma-frequency range. The observed difference can be explained if we assume that the repeated experience of an object may lead to the rapid formation of a neural assembly representing the object causing the repetition priming effect. In our study the single target stimulus was introduced to the subjects before the experiment, whereas individual non-target stimuli were unfamiliar images. Thus, subjects could form a neural representation of the target only. We suggest, that the early phase-locked gamma-activity in the 20-50 Hz range might reflect the activation of the neural representation of the familiar target stimulus.