RESUMO
BACKGROUND: Re-entrant ventricular tachycardia may be non-inducible or haemodynamically compromising, requiring assessment of the electrophysiological properties of the myocardium during sinus rhythm (i.e., substrate mapping). Areas of heart tissue with slow conduction can act as a critical isthmus for re-entrant electrical excitation and are a potential target for ablation therapy. AIM: To develop and validate a novel metric of local conduction delay in the heart, the amplitude-normalized electrogram area (norm_EA). METHODS: A computational model of a propagating mouse action potential was used to establish the impact of altering sodium channel conductance, intracellular conductivity, fibrosis density, and electrode size/orientation on bipolar electrogram morphology. Findings were then validated in experimental studies in mouse and guinea pig hearts instrumented for the recording of bipolar electrograms from a multipolar linear mapping catheter. norm_EA was calculated by integrating the absolute area of a bipolar electrogram divided by the electrogram amplitude. Electrogram metrics were correlated with the local conduction delay during sodium channel block, gap junction inhibition, and acute ischemia. RESULTS: In computational simulations, reducing sodium channel conductance and intracellular conductivity resulted in a decrease in signal amplitude and increase in norm_EA (reflecting a broadening of electrogram morphology). For larger electrodes (3 mm diameter/7.1 mm2 area), the change in norm_EA was essentially linear with the change in local conduction delay. Experimental studies supported this finding, showing that the magnitude of change in norm_EA induced by flecainide (1-4 µM), carbenoxolone (10-50 µM), and low-flow ischemia (25% of initial flow rate) was linearly correlated with the local conduction delay in each condition (r 2 = 0.92). Qualitatively similar effects were observed in guinea pig hearts perfused with flecainide. Increasing fibrosis density in the computational model also resulted in a decrease in signal amplitude and increase in norm_EA. However, this remains to be validated using experimental/clinical data of chronic infarct. CONCLUSION: norm_EA is a quantitative measure of local conduction delay between the electrode pair that generates a bipolar electrogram, which may have utility in electrophysiological substrate mapping of non-inducible or haemodynamically compromising tachyarrhythmia.
RESUMO
Platinum-nickel (Pt-Ni) nanowires were developed as hydrogen evolving catalysts for anion exchange membrane electrolyzers. Following synthesis by galvanic displacement, the nanowires had Pt surface areas of 90 m2 gPt-1. The nanowire specific exchange current densities were 2-3 times greater than commercial nanoparticles and may benefit from the extended nanostructure morphology that avoids fringe facets and produces higher quantities of Pt{100}. Hydrogen annealing was used to alloy Pt and Ni zones and compress the Pt lattice. Following annealing, the nanowire activity improved to 4 times greater than the as-synthesized wires and 10 times greater than Pt nanoparticles. Density functional theory calculations were performed to investigate the influence of lattice compression and exposed facet on the water-splitting reaction; it was found that at a lattice of 3.77 Å, the (100) facet of a Pt-skin grown on Ni3Pt weakens hydrogen binding and lowers the barrier to water-splitting as compared to pure Pt(100). Moreover, the activation energy of water-splitting on the (100) facet of a Pt-skin grown on Ni3Pt is particularly advantageous at 0.66 eV as compared to the considerably higher 0.90 eV required on (111) surfaces of pure Pt or Pt-skin grown on Ni3Pt. This favorable effect may be slightly mitigated during further optimization procedures such as acid leaching near-surface Ni, necessary to incorporate the nanowires into electrolyzer membrane electrode assemblies. Exposure to acid resulted in slight dealloying and Pt lattice expansion, which reduced half-cell activity, but exposed Pt surfaces and improved single-cell performance. Membrane electrode assembly performance was kinetically 1-2 orders of magnitude greater than Ni and slightly better than Pt nanoparticles while at one tenth the Pt loading. These electrocatalysts potentially exploit the highly active {100} facets and provide an ultralow Pt group metal option that can enable anion exchange membrane electrolysis, bridging the gap to proton exchange membrane-based systems.
