First experience and validation of the extended early meets late (EEML) tool as part of the novel CARTO software HD COLORING.

BACKGROUND: With CARTO HD COLORING, a new enhanced software-based map visualization is available to highlight among others potential areas of conduction block in complex arrhythmias (extended early meets late (EEML)). The ideal settings of thresholds are still unclear and are examined here by studying 12 left atrial arrhythmias. METHODS: Ten patients with left atrial tachycardia underwent high-density activation mapping of the left atrium. Areas of local conduction block were visualized with different extended early meets late (EEML) thresholds (75/25%; 80/20%; 85/15%; 90/10%) and compared with ripple maps for verification. RESULTS: Settings of 80/20% or 85/15% were more accurate than the default settings of 75/25% in displaying the actual amount of conduction block as assessed by ripple maps. CONCLUSION: HD COLORING leads to further insights into complex tachycardias through a new Voxel Map Surface Concept and color-based visualization of local conduction block. It can be assumed that individual adaption of extended early meets late (EEML) thresholds should be applied for a more accurate visualization of local conduction block.

Cooled, ultrahigh Q, sapphire dielectric resonators for low-noise, microwave signal generation.

Ultra-high Q, X-band resonators, used in a frequency discriminator for stabilization of a low-noise signal generator, can provide a means of obtaining significant reduction in phase noise levels. Resonator unloaded Qs on the order of 500 K can be obtained in sapphire dielectric resonator (DR) operating on a low-order (i.e. TE(01)) mode at 77 K and employing high-temperature superconducting (HTS) films installed in the DR enclosure covers. Rigorous analysis for the determination of resonator frequency, modes, and unloaded Q have been carried out using mode matching techniques. Trade-off studies have been performed to select resonator dimensions for the optimum mode yielding highest unloaded Q and widest spurious mode separation. Field distributions within the resonator have been computed to enable practical excitation of the required mode. The results of both analysis and prototype device evaluation experiments are compared for resonators fabricated using enclosures consisting of conventional, metal sidewalls and covers employing HTS films as a function of cover conductivity.