Role of the low amplitude potential in the initial P wave signal-averaged electrocardiogram [corrected] in sick sinus syndrome.

BACKGROUND: The cause of abnormally low amplitude of the initial P wave signal-averaged electrocardiogram (P-SAECG) in patients with sick sinus syndrome (SSS) is unknown. METHODS AND RESULTS: Thirteen normal patients (Group C) and 33 with SSS (Group S) were examined. The root mean square amplitude for the initial 30 ms (EP30) and the duration of below-4 microV signals of the filtered P waves (ED4) were measured using the P-SAECG. The interval from an atrial potential on the sinus-node electrogram (SNE) to P wave onset (AS-P), and the interval from the P wave to the atrial potential on the His-bundle-electrogram (P-AH) were measured in the electrophysiological study. The sino-atrial conduction time was measured by a conventional method (indirect sino-atrial conduction time (SACTi)) and using SNE (direct sino-atrial conduction time (SACTd)). The EP30 was significantly lower and the ED4 significantly longer in Group S. The AS-P was significantly longer in Group S (p<0.01), but the P-AH was not different. In Group S, the AS-P was significantly correlated with EP30 and ED4 (p<0.01), but the P-AH was uncorrelated. The SACTi was significantly correlated with EP30 and ED4 (p<0.05), but the SACTd was uncorrelated. CONCLUSION: The abnormality of the initial portion of the P-SAECG observed in SSS appears to be due to disturbed conduction through the atrial myocardium around the sino-atrial node.

Dependence of mechanochemically induced decomposition of mono-chlorobiphenyl on the occurrence of radicals.

Mechanochemically induced dechlorination of mono-chlorobiphenyl (BP-Cl) on the surfaces of metal oxides was compared with that on metal hydroxides, using the three metals of Mg, Al, and La as examples. The metal oxides, such as gamma-alumina (gamma-Al2O3), magnesium oxide (MgO) and lanthanum oxide (La2O3) showed an efficient ability to dechlorinate the BP-Cl; however, BP-Cl remained in the ground samples when the hydroxides were used. From the product analysis using gas chromatography/mass spectrometry (GC/MS) and electron spin resonance (ESR) measurements, it was confirmed that the charge transfer from the O2- site on the surface of the oxide additives due to the intense grinding has plays a significant role in the decomposition of the chlorinated compound. Based on the observed dependence of the dechlorination on the radical occurrence, some practical methods were proposed to improve the destruction efficiency of the chlorinated organic compounds.