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Wyniki wyszukiwania dla: congestive heart failure
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Entropy Measures of heart rate variability for short ECG datasets in patients with congestive heart failure
PublikacjaWe investigated the usefulness of entropy measures calculated for short ECG series in distinguishing healthy subjects from patients with congestive heart failure (CHF). Four entropy measures were tested: Approximate Entropy (ApEn), Sample Entropy (SampEn), Fuzzy Entropy (Fuzzy En) and Permutation Entropy (PE), each computed for ECG series of 1000, 500, 250 and 100 RR intervals. We found that with a reduction of the data set length...
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Entropy measures of heart rate variability for short ECG datasets in patients with congestive heart failure
PublikacjaWe investigated the usefulness of entropy measures calculated for short ECG series in distinguishing healthy subjects from patients with congestive heart failure (CHF). Four entropy measures were tested: Approximate Entropy (ApEn), Sample Entropy (SampEn), Fuzzy Entropy (FuzzyEn) and Permutation Entropy (PE), each computed for ECG series of 1000, 500, 250 and 100 RR intervals. We found that with a reduction of the data set length...
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APPLICATION OF ENTROPY-BASED METHODS TO DISTINGUISH HEALTHY INDIVIDUALS WITH NORMAL SINUS RHYTHM FROM PATIENTS WITH CONGESTIVE HEART FAILURE
PublikacjaIn this paper, we examined whether entropy-based methods are able to differentiate healthy individuals from patients with congestive heart failure. To this aim, we applied two methods: Permutation Entropy and Block Entropy. Long-term ECG recordings (75 000 RR intervals) were analyzed. The results proved that both methods can distinguish those groups on condition that the parameters are appropriately chosen.
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The PARAGON-Heart failure trial – another disappointment for heart failure patients with hypertension and preserved ejection fraction
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A machine learning approach to classifying New York Heart Association (NYHA) heart failure
PublikacjaAccording to the European Society of Cardiology, globally the number of patients with heart failure nearly doubled from 33.5 million in 1990 to 64.3 million in 2017, and is further projected to increase dramatically in this decade, still remaining a leading cause of morbidity and mortality. One of the most frequently applied heart failure classification systems that physicians use is the New York Heart Association (NYHA) Functional...
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Acceptance of the disease and sexual functions of patients with heart failure
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The PARAGON Heart Failure trial – ongoing investigation of the angiotensin receptor antagonist/neprilysin inhibitor sacubitril/valsartan in heart failure patients with hypertension and preserved ejection fraction
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Rationale and design of Mind-HF: randomized trial of the original Mindfulness-Based Heart Training for patients with heart failure
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Echocardiographic correlates of dyspnoea during acute decompensated heart failure treatment
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Sympathetic Activation in Chronic Heart Failure: Potential Benefits of Interventional Therapies
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Enhanced Sympathetic and Ventilatory Responses to Central Chemoreflex Activation in Heart Failure
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Cognition and Frailty in Patients With Heart Failure: A Systematic Review of the Association Between Frailty and Cognitive Impairment
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Prevention of heart failure mortality and hospitalizations in SPRINT, EMPA-REG, ALLHAT and HYVET: are diuretics the clue?
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Angiotensin receptor - neprilysin inhibiton (ARNI) – A novel therapeutic concept for management of hypertension and heart failure
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Long-term effects of device-guided slow breathing in stable heart failure patients with reduced ejection fraction
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Eligible-and-enrolled vs. eligible-but-not-enrolled patients with chronic ischaemic heart failure in randomized clinical trials of myocardial regeneration
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Clinical characteristics and medical therapy in randomized clinical trial eligible-and-enrolled vs. eligible-but-not enrolled patients with ischaemic heart failure
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The serum concentration of brain-derived neurotrophic factor is lower in ambulatory and clinically stable patients with more advanced systolic heart failure
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Acute decompensated heart failure as a reason of premature chemotherapy discontinuation may be independent of a lifetime doxorubicin dose in lymphoma patients with cardiovascular disorders
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Comparison of Hemodynamic Response between Patients with Systolic Heart Failure Differing in Serum Aldosterone Concentrations during and after a 6-Minute Walk Test
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P774Transcoronary transfer of Wharton's jelly mesenchymal pluripotent stem cells in patients with chronic ischaemic heart failure shows safety and unprecedented high-grade myocardial uptake
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Insulin-like growth factor type 2 is better than insulin-like growth factor type 1 a survival marker in patients after acute decompensation of heart failure
PublikacjaIntroduction:A decreased IGF-1 has been found in heart failure (HF). There are no reports assessing IGF-2 in HF, although in vitro study has shown, that IGF-2 stimulates cardiomyocyte proliferation more than IGF-1. The study aim was to compare the IGF-1 and IGF-2 concentration depending on HF exacerbation and annual survival.Material and methods:Among 75 patients hospitalized...
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The SPRINT study: Outcome may be driven by difference in diuretic treatment demasking heart failure and study design may support systolic blood pressure target below 140 mmHg rather than below 120 mmHg
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Artificial intelligence models in prediction of response to cardiac resynchronization therapy: a systematic review
PublikacjaThe aim of the presented review is to summarize the literature data on the accuracy and clinical applicability of artificial intelligence (AI) models as a valuable alternative to the current guidelines in predicting cardiac resynchronization therapy (CRT) response and phenotyping of patients eligible for CRT implantation. This systematic review was performed...
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Monitoring of CRT by means of impedance multiple measurements - simulation studies
PublikacjaCardiac resynchronization therapy (CRT) is a very promising treatment for patients with congestive heart failure. An Impedance Cardiography (ICG) is used for evaluation of heart mechanical activity. A simulation study with the use of a FEM model was performed. The developed realistic model of the thorax, based on CT data obtained from examination of a 68-year-old man, consisted of 212 000 tetrahedral elements. Different configurations...
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Innovative Implantable Left Ventricular Assist Device—Performance under Various Resistances and Operating Frequency Conditions
PublikacjaThis paper presents the operation of an innovative left ventricular assist device under various resistances and operating frequencies. The operating principle of the device is based on pulsatile blood flow, which is forced by a suction–discharge device pumping helium into a set of intra-cardiac balloons. In this way, the ejection fraction of the left ventricle is increased, and the mitral valve is additionally occluded. What is...
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Experimental Investigation of the Performance of an Innovative Implantable Left Ventricular Assist Device—Proof of Concept
PublikacjaThis paper presents the results of experimental performance of an innovative left ventricular assist device working on a specially designed test stand. The introduced invention is mainly applied for supporting the heart in patients with end-stage heart failure accompanied by mitral valve regurgitation and pulmonary hypertension. Moreover, the developed device has the form of a flexible balloon forming an intracardiac inert gas-filled...
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Effect of Vascular Lumen Reduction on the Performance and Energy Consumption of an Innovative Implantable LVAD
PublikacjaThis paper presents the results of a study on the effect of vascular lumen reduction on the performance of an innovative implantable LVAD (left ventricular assist device). It details the pressures in the individual cardiac chambers as a function of device frequency. In addition, mass flow rates and energy consumption of the device are examined, varying with lumen reduction and operating frequency. While the lumen reduction of the...
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Application of spectroscopy to the measurement of blood parameters
PublikacjaSpectroscopy is the study of formation and interpretation of the spectra arising from the interactions of all types of radiation on matter, understood as a collection of atoms and molecules. This is a very important department of optics which gives us many opportunities to measure various parameters such as material blood parameters. Among the diseases that are associated significantly with changes in rheological properties of...
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Numerical Model of the Aortic Valve Implanted Within Real Human Aorta
PublikacjaCardiovascular system diseases are the main cause of deaths in developed and developing countries. The main reasons are myocardial infarction, heart failure, stroke and valvular diseases. These are caused mainly by arteriosclerosis. The valvular diseases involve a significant burden for the health care system and their frequency is rising with the patient age. This work describes the tools and numerical models appropriate for modeling...
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Insight into heart regeneration
PublikacjaThe mammalian heart is thought to be incapable of regeneration because of the limited ability of cardiomyocytes. to proliferate. However, it has been recently shown that the neonatal murine heart is able to restore its normal function after coronary artery ligation or even partial resection. Unfortunately, this feature is lost in a few days after birth, although lower vertebrates as zebrafish or newt, retain this ability until adulthood. Therefore,...
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A System for Heart Sounds Classification
PublikacjaThe future of quick and efficient disease diagnosis lays in the development of reliable non-invasive methods. As for the cardiac diseases – one of the major causes of death around the globe – a concept of an electronic stethoscope equipped with an automatic heart tone identification system appears to be the best solution. Thanks to the advancement in technology, the quality of phonocardiography signals is no longer an issue. However,...
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Assessment of unusual failure in crankshaft of heavy-duty truck engine
PublikacjaThe unusual premature failure of a heavy-duty truck engine crankshaft has been the subject of a rigorous study, and this manuscript describes it in detail. The failure was happened to begin with the growth of the crack from the surface defects, in the form of the clusters of non-metallic inclusions, in the lubrication hole zone of the first main journal, which was the stress concentration zone. A series of experiments including...
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Ordinal pattern statistics for the assessment of heart rate variability
PublikacjaThe recognition of all main features of a healthy heart rhythm (the so-called sinus rhythm) is still one of the biggest challenges in contemporary cardiology. Recently the interesting physiological phenomenon of heart rate asymmetry has been observed. This phenomenon is related to unbalanced contributions of heart rate decelerations and accelerations to heart rate variability. In this paper we apply methods based on the concept...
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Thermal failure of a second rotor stage in heavy duty gas turbine
PublikacjaThe impulse mode of operation and the supply of various types of fuels causes frequent failures even in the heavy duty gas turbines. The paper presents the ravages of second rotor stage failure in a gas turbine. The excessive thermal elongation rise caused by fuel change was indicated as the main cause. We applied nonlinear numerical analysis, preceded by thermodynamic calculations of the turbine and visual inspection of the effects...
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Combined thrust radial bearing of a submarine main shaft – Design and analysis of failure
PublikacjaThis paper presents an analysis of the combined thrust radial bearing of a submarine propulsion shaft. The lubrication system of the bearing is based on a fixed ring. The efficiency of the lubrication system depends on the shaft speed and temperature, which affects oil viscosity. In turn, the thrust bearing load also depends on the rotational speed of the shaft, because as the speed increases, the drag of the ship increases simultaneously,...
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Cross-talk Between the Heart and Arteries in Older 65+ Adults
PublikacjaRegulatory synchronization between the heart and the arterial walls is essential for optimal blood delivery to tissues. We investigated functional coherence between heart rhythm and aortic wall compliance in 30 volunteers aged 65 – 74. ECG and carotid and iliac pulse-wave were recorded and digitized at 2 kHz. Carotid-femoral pulse-wave transit time (cfTT) which reflex aortic compliance was assessed using the intersecting tangent...
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FEM simulations applied to the failure analysis of RC structure under the influence of municipal sewage pressure
PublikacjaThe paper discusses a failure mechanism of reinforced concrete (RC) structure with steel cover that failed under the influence of municipal sewage pressure. To explain the reasons of failure, in-situ measurements, laboratory experiments and comprehensive Finite Element Method (FEM) computations were performed. Non-destructive in-situ scanning tests were carried out to determine quantity and cover thickness of embedded reinforcement...
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Measures of region failure survivability for wireless mesh networks
PublikacjaWireless mesh networks (WMNs) are considered as a promising alternative to wired local, or metropolitan area networks. However, owing to their exposure to various disruptive events, including natural disasters, or human threats, many WMN network elements located close to the failure epicentre are frequently in danger of a simultaneous failure, referred to as a region failure. Therefore, network survivability, being the ability...
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Determination of Failure Causes of a Steam Turbine Casing
PublikacjaThe paper presents results of research and failure analysis undertaken to determine failure causes of a steam turbine casing. After 130,000 hours of service the crack in a outer shell of the turbine casing was found. The inner shell of the casing was made of cast steel grade G21CrMoV5-7, and the outer shell of grade G20CrMo4-5. Following research were performed in order to determine causes of the casing failure: chemical analysis;...
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FEM simulation of laminate failure in the three point bending
PublikacjaThe paper presents a FEM simulation of failure of laminate subjected to the three point bending. The numeri-cal model is based on the equivalent single layer approach with 6-paramater non-linear shell theory kinematics. It is implemented in the non-commercial FEM code. The failure initiation is detected with the use of Tsai-Wu criterion. After the failure onset the progressive failure process is modelled through the appropriate...
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Generalised heart rate statistics reveal neurally mediated homeostasis transients
PublikacjaDistributions of accelerations and decelerations, obtained from increments of heart rate recorded during a head-up tilt table (HUTT) test provide short-term characterization of the complex cardiovascular response to a rapid controlled dysregulation of homeostasis. A generalised statistic is proposed for evaluating the neural reflexes responsible for restoring the homeostatic dynamics. An evaluation of the effects on heart rate...
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Numerical simulation of laminate composite specimens failure
PublikacjaThis work presents some numerical results concerning simulation of failure of laminate composite specimens. In the article two tests to determine ultimate strength in an orthotropic layer, are considered: tension (TT1) and compression (TC1) test. The outcome is compared with experimental data provided by [9,10].
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Chronographic Imprint of Age-Induced Alterations in Heart Rate Dynamical Organization
PublikacjaBeat-to-beat changes in the heart period are transformed into a network of increments between subsequent RR-intervals, which enables graphical descriptions of short-term heart period variability. Three types of such descriptions are considered: (1) network graphs arising from a set of vertices and directed edges, (2) contour plots of adjacency matrices A, representing the networks and transition matrices T, resulting from A, and (3)...
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Analisys of the failure of fixator used in bone surgery
PublikacjaThe Gamma nail (fixator) made of stainless steel, which has broken in the body, was subjected to examination. The fixator was removed from the patient femur. The fracture occurred in the area of the nail hole after two months' stay in the organism. The research included chemical composition, hardness of the Gamma nail material and the observation and analysis of the type of fracture. The research showed the fatigue failure of the...
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Failure Analysis of footbridge made of composite materials
PublikacjaFinite element method analysis of a pedestrian footbridge made of sandwich material is presented. The internal structure of the material is modelled as a structural shell assuming the Equivalent Single Layer approach (ESL). Two FEM commercial codes are employed. The response of the structure is studied in order to determine the load level that activates Hashin and Tsai-Wu failure criteria. Some practical aspects of designing footbridges...
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Experimental study on ultrasonic monitoring of splitting failure in reinforced concrete
PublikacjaThis paper investigates inspection of reinforced concrete elements sensitive to the splitting failure. The behaviour of a reinforced concrete specimen subjected to a tensile stress is considered. The damage detection procedure is based on the ultrasonic wave propagation technique. The piezoelectric transducers are located on both ends of the specimen and the measurements are taken periodically during the incrementally increased...
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Visualization of short-term heart period variability with network tools as a method for quantifying autonomic drive
PublikacjaWe argue that network methods are successful in detecting nonlinear properties in the dynamics of autonomic nocturnal regulation in short-term variability. Two modes of visualization of networks constructed from RR-increments are proposed. The first is based on the handling of a state space. The state space of RR-increments can be modified by a bin size used to code a signal and by the role of a given vertex as the representation...
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ANALYSIS OF THE PUNCHING FAILURE MECHANISM IN WORKING PLATFORMS
PublikacjaPaper presents an analysis of the shear failure mechanism which occurs from the punching of a working platform layer in relation to its thickness, grain size arrangement and mechanical properties, taking into consideration the interaction with soft subgrade. The study is based on the observations of performance of natural scale structures (Streefkerk) and the results of model investigations numerically represented with the use...
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Failure analysis of the exhaust valve face in diesel marine engine
PublikacjaThe exhaust valve from marine diesel engine which was damaged after 2000 hours of service was investigated. In order to prolong the service time the valve face was cladded with cobalt base alloy using laser technique. After failure microstructural and chemical analyses reviled that cladding process was conducted improperly. The chemical composition of the clad layer was far from the designed one and what more completely inhomogeneous....