Value of the Qrs-T Angle in Predicting the Induction of Ventricular Tachyarrhythmias in Patients with Chagas Disease

Background:The QRS-T angle correlates with prognosis in patients with heart failure and coronary artery disease, reflected by an increase in mortality proportional to an increase in the difference between the axes of the QRS complex and T wave in the frontal plane. The value of this correlation in patients with Chagas heart disease is currently unknown.Objective:Determine the correlation of the QRS-T angle and the risk of induction of ventricular tachycardia / ventricular fibrillation (VT / VF) during electrophysiological study (EPS) in patients with Chagas disease.Methods:Case-control study at a tertiary center. Patients without induction of VT / VF on EPS were used as controls. The QRS-T angle was categorized as normal (0-105º), borderline (105-135º) or abnormal (135-180º). Differences between groups for continuous variables were analyzed with the t test or Mann-Whitney test, and for categorical variables with Fisher's exact test. P values < 0.05 were considered significant.Results:Of 116 patients undergoing EPS, 37.9% were excluded due to incomplete information / inactive records or due to the impossibility to correctly calculate the QRS-T angle (presence of left bundle branch block and atrial fibrillation). Of 72 patients included in the study, 31 induced VT / VF on EPS. Of these, the QRS-T angle was normal in 41.9%, borderline in 12.9% and abnormal in 45.2%. Among patients without induction of VT / VF on EPS, the QRS-T angle was normal in 63.4%, borderline in 14.6% and abnormal in 17.1% (p = 0.04). When compared with patients with normal QRS-T angle, those with abnormal angle had a fourfold higher risk of inducing ventricular tachycardia / ventricular fibrillation on EPS [odds ratio (OR) 4; confidence interval (CI) 1.298-12.325; p = 0.028]. After adjustment for other variables such as age, ejection fraction (EF) and QRS size, there was a trend for the abnormal QRS-T angle to identify patients with increased risk of inducing VT / VF during EPS (OR 3.95; CI 0.99-15.82; p = 0.052). The EF also emerged as a predictor of induction of VT / VF: for each point increase in EF, there was a 4% reduction in the rate of sustained ventricular arrhythmia on EPS.Conclusions:Changes in the QRS-T angle and decreases in EF were associated with an increased risk of induction of VT / VF on EPS.

Reflective and adaptive middleware for software evolution of information systems

Magdeburg, Univ., Fak. für Informatik, Diss., 2007

Selection of information in auditory virtual reality

ERP, auditory virtual reality, dichotic listening, selective auditory attention, cocktail-party phenomenon, HRTF

Quantum phase transitions in magnetic systems: application of coupled cluster method

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2009

Asymmetrische Information zwischen Krankenhaus und Krankenkasse : eine Analyse anhand der Verweildauerstruktur im neuen Fallpauschalensystem

Magdeburg, Univ., Fak. für Wirtschaftswiss., Diss., 2009

influence of different forms of outcome information on the neural substrates of the acquisition and representation of categories

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2012

Issues of information support for the process of scientific enterprise's management in the universities and research organizations

This article describes the problem of commercializing of scientific researches in universities. Management tasks are reduced to subtasks and combined formal algorithm. The overall control problem is reduced to a set of formal subtasks combined into a single algorithm. Here the necessity of joint control of all commercialization projects as well as the use of information systems for the successful implementation of the existing commercialpotential is shown.

Tarnkappe Information – Arzneimittelwerbung im Internet : Eine Analyse der Webseiten gebaermutterhalskrebs.com und tell-someone.de

Die Untersuchung der beiden Webseiten verfolgte das Ziel, festzustellen, ob und inwieweit die beiden Hersteller GlaxoSmithKline und Sanofi Pasteur MSD Marketingstrategien auf ihren Informationsseiten anwenden. Es zeigte sich in beiden Fällen, dass dies in großem Maße stattfindet. Durch Gestaltung und Inhalt sind Rückschlüsse auf den jeweiligen Impfstoff möglich. Dadurch wird deutlich, dass die Seiten keine reine Informationsabsicht verfolgen. Zusammenfassend bleibt festzustellen,dass die Hersteller die ihnen eingeräumten Freiheiten zur Information auch zu Marketingzwecken missbrauchen.Der zugrundeliegende Schutzzweck des Heilmittelwerbegesetzes (HWG) wird hiermit konterkariert.

Regarding Information Systems Dependability Analysis

The article presents classification of information systems by different parameters. Factors influencing information systems dependability are also presented. The article describes the strategy of information systems dependability analysis and methods of its increase. The example of analysis of real information system is considered to show how to implement the strategy.

Targeted search engines for children : search user interfaces and information-seeking behaviour

Magdeburg, Univ., Fak. für Informatik, Diss., 2015

Morphology and arrangement of meromes in Ischadites dixonensis, an Ordovician Receptaculitid / Daniel C. Fisher -- and Matthew H. Nitecki --.

v.39:no.2(1978)

New information on the Holocystites fauna (Diploporita) of the Middle Silurian of Wisconsin, Illinois, and Indiana / Terrence J. Frest --, Donald G. Mikulic -- and Christopher R. C. Paul --.

v.35:no.6(1977)

The Natural history of Enewetak Atoll / edited by Dennis M. Devaney ... [et al.] ; prepared by Office of Scientific and Technical Information, U.S. Department of Energy.

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Security prices and market transparency: the role of prior information

This paper analyzes the role of traders' priors (proper versus improper) on the implications of market transparency by comparing a pre-trade transparent market with an opaque market in a set-up based on Madhavan (1996). We show that prices may be more informative in the opaque market, regardless of how priors are modelled. In contrast, the comparison of market liquidity and volatility in the two market structures are affected by prior specification. Key words: Market microstructure, Transparency, Prior information

Delegation and information sharing in oligopoly

Information sharing in oligopoly has been analyzed by assuming that firms behave as a sole economic agent. In this paper I assume that ownership and management are separated. Managers are allowed to falsely report their costs to owners and rivals. Under such circumstances, if owners want to achieve information sharing they must use managerial contracts that implement truthful cost reporting by managers as a dominant strategy. I show that, contrary to the classical result, without the inclusion of message-dependent payments in managerial contracts there will be no information sharing. On the other hand, with the inclusion of such publicly observable payments and credible ex-ante commitment by owners not to modify these payments, there will be perfect information sharing without the need for third parties. Keywords: Information sharing, Delegation, Managerial contracts. JEL classification numbers: D21, D82, L13, L21