Cavotricuspid isthmus: anatomy and electrophysiology features: its evaluation before radiofrequency ablation

The cavotricuspid isthmus (CTI) in the lower pan of the right atrium, between the inferior caval vein and the tricuspid valve, is considered crucial in producing a conduction delay and. hence, favoring the perpetuation of a reentrant circuit. Non-uniform wall thickness, muscle fiber orientation and the marked variability in muscular architecture in the CTI should be taken into consideration from the perspective of anisotropic conduction, thus producing an electrophysiologic isthmus. The purpose of this article is to review the anatomy and electrophysiology of the CTI in human hearts to provide useful information to plan CTI radio frequency ablation for the patients with atrial flutter.

Identification technologies to support Alzheimer contexts

Alzheimer's disease makes great demands on care by assistants, due to the fact that they cannot distract their attention from patients while they are at the same time managing records. For that reason, technologies to complement this process need to be adapted. In this work we present a proposal to adapt identification technologies: Radiofrequency Identification (RFID) and Near Field Communications (NFC), focusing especially on the last one. We fuse both technologies and apply them to an Alzheimer's day center. Patients are tagged with two kinds of labels: 13.56Mhz.Mifare for NFC and UHF for RFID. With the first one we tag the context, which means patients, devices (displays, exercise books, etc) and places. With a simple interaction, which involves touching tags with mobile phones, it is possible to manage the information easily. Moreover, with RFID, we localize each patient by the simple act of their passing by an antenna placed in the doors.

Anatomical basis for the cardiac interventional electrophysiologist

The establishment of radiofrequency catheter ablation techniques as the mainstay in the treatment of tachycardia has renewed new interest in cardiac anatomy. The interventional arrhythmologist has drawn attention not only to the gross anatomic details of the heart but also to architectural and histological characteristics of various cardiac regions that are relevant to the development or recurrence of tachyarrhythmias and procedural related complications of catheter ablation. In this review, therefore, we discuss some anatomic landmarks commonly used in catheter ablations including the terminal crest, sinus node region, Koch’s triangle, cavotricuspid isthmus, Eustachian ridge and valve, pulmonary venous orifices, venoatrial junctions, and ventricular outflow tracts. We also discuss the anatomical features of important structures in the vicinity of the atria and pulmonary veins, such as the esophagus and phrenic nerves. This paper provides basic anatomic information to improve understanding of the mapping and ablative procedures for cardiac interventional electrophysiologists.