Rapid atrial pacing above the maximum sensor rate: a case report.

Background: While ventricular-based timing modes are known to cause elevated atrial pacing above the lower rate when intrinsic atrioventricular (AV) conduction is shorter than programmed AV delay, there is one case report in 2015 by Jafri et al. where rapid atrial pacing was induced in an Abbott device set DDI with a lower rate of 90 by an unsensed premature atrial complex and slow intrinsic AV conduction allowing pacemaker 'crossover.' Case summary: We present a very unusual case of rapid atrial pacing at >180 b.p.m. due to a perfect storm of events that we believe has not been previously reported. A patient with a St. Jude Abbott DCPPM set DDDR had an atrial tachyarrhythmia causing a mode switch to DDIR, which uses ventricular-based timing. This was followed by a period of rapid atrial pacing that terminated spontaneously. Discussion: This phenomenon depended on an initial atrial tachyarrhythmia causing a mode switch to DDIR. In addition, the set lower rate would not have led to a short enough calculated ventriculo-atrial interval (VAI), but because rate responsive pacing was enabled, the calculated VAI was short enough to promote the crossover in setting of slow AV conduction and allow the rapid atrial pacing. Understanding this unique mechanism requires careful attention to pacemaker timing cycles and appreciation of the limitations of device programming. While it appears that a similar phenomenon was reported once in the literature, we believe that this episode of rapid atrial pacing was even more serendipitous due to the unlikely series of events required for its inception.

Fragmentation of [Ni(NO3)3](-): A Study of Nickel-Oxygen Bonding and Oxidation States in Nickel Oxide Fragments.

Gas-phase nickel nitrate anions are known to produce nickel oxide nitrate anions, [NiOx(NO3)y](-) upon fragmentation. The goal of this study was to investigate the properties of nickel oxide nitrate complexes generated by electrospray ionization using a tandem quadrupole mass spectrometer and theoretical calculations. The [Ni(NO3)3](-) ion undergoes sequential NO2(•) elimination to yield [NiO(NO3)2](-) and [NiO2(NO3)](-), followed by elimination of O2. The electronic structure of the nickel oxide core influences decomposition. Calculations indicate electron density from oxygen is delocalized onto the metal, yielding a partially oxidized oxygen in [NiO(NO3)2](-). Theoretical studies suggest the mechanism for O2 elimination from [NiO2(NO3)](-) involves oxygen atom transfer from a nitrate ligand to yield an intermediate, [NiO(O2)(NO2)](-), containing an oxygen radical anion ligand, O(•-), a superoxide ligand, O2(•-), and a nitrite ligand bound to Ni(2+). Electron transfer from superoxide partially reduces both the metal and oxygen and yields the energetically favored [NiO(NO2)](-) + O2 products.

Gas-Phase Fragmentation of Aluminum Oxide Nitrate Anions Driven by Reactive Oxygen Radical Ligands.

Gas-phase metal nitrate anions are known to yield a variety of interesting metal oxides upon fragmentation. The aluminum nitrate anion complexes, Al(NO3)4(-) and AlO(NO3)3(-) were generated by electrospray ionization and studied with collision-induced dissociation and energy-resolved mass spectrometry. Four different decomposition processes were observed, the loss of NO3(-), NO3(•), NO2(•), and O2. The oxygen radical ligand in AlO(NO3)3(-) is highly reactive and drives the formation of AlO(NO3)2(-) upon loss of NO3(•), AlO2(NO3)2(-) upon NO2(•) loss, or Al(NO2)(NO3)2(-) upon abstraction of an oxygen atom from a neighboring nitrate ligand followed by loss of O2. The AlO2(NO3)2(-) fragment also undergoes elimination of O2. The mechanism for O2 elimination requires oxygen atom abstraction from a nitrate ligand in both AlO(NO3)3(-) and AlO2(NO3)2(-), revealing the hidden complexity in the fragmentation of these clusters.

Fragmentation of Cr(NO3)4(-): Metal Oxidation upon O(•-) Abstraction.

The decomposition of chromium nitrate anion, Cr(NO3)4(-), was investigated by tandem mass spectrometry. The major fragments correspond to sequential elimination of NO2(•) via O(•-) abstraction from each nitrate ligand to yield CrOn(NO3)(4-n)(-), n = 1-4, products. The metal is oxidized upon the first three O(•-) abstraction reactions to yield the fully oxidized Cr(VI), closed-shell, CrO3(NO3)(-) fragment. A CrO4(-) fragment was detected, but the metal is not further oxidized upon the fourth O(•-) abstraction. Experiment and theory indicate the first three O(•-) abstraction reactions are low energy processes, but the formation of CrO4(-) is considerably higher in energy. Theoretical studies show the 3d electrons in chromium are removed by O(•-) for CrOn(NO3)(4-n)(-), n = 1-3, to yield oxo, O(2-) ligands, but the electron density is replaced by donation from π bonds involving the oxygen lone pairs. Theory predicts a decrease in metal charge for each O(•-) abstraction, opposite the trend expected for oxidation, due to π electron donation from the oxygen atoms.

Experimental and theoretical study of the decomposition of copper nitrate cluster anions.

Copper nitrate anion clusters Cu(NO3)3(-) and Cu(NO3)2(-) were generated by electrospray ionization and studied with collision-induced dissociation and energy-resolved mass spectrometry. Collision-induced dissociation resulted in three different fragmentation reactions-loss of NO3(-), NO3(•), and NO2(•). The type of fragmentation reaction depends on the oxidation state of the metal. The Cu(NO3)3(-) cluster showed loss of NO3(•) but no loss of NO2(•), whereas the Cu(NO3)2(-) cluster showed loss of NO2(•) but no loss of NO3(•). The fragmentation reactions were studied by theoretical methods. These studies show loss of NO3(•) corresponds to reduction of the metal charge by electron transfer, whereas loss of NO2(•) and metal-oxide bond formation by O(-) abstraction in Cu(NO3)2(-) does not necessarily result in the expected oxidation of the metal.

Communication: photoelectron angular distributions of CH(-) reveal a temporary anion state.

Photoelectron imaging has broadened the scope of traditional photoelectron spectroscopy by combining a simultaneous photoelectron angular distribution, PAD, measurement with kinetic energy analysis. A fundamental understanding of PADs has been largely limited to simple atomic systems. However, a new model has recently been developed that predicts PADs as a function of electron kinetic energy for a simple linear combination of s and p atomic orbitals. We used CH(-) to test this model by acquiring PADs in a photoelectron imaging spectrometer at wavelengths from 600 to 355 nm. The PADs for electron detachment from the HOMO (1π) of CH(-) fit model predictions. However, the PADs associated with detachment from the HOMO-1 (3σ) orbital exhibit anomalous behavior at low electron kinetic energies because of a resonant process that arises from a previously undetected excited state of CH(-).