Sharif Digital Repository

In this paper, we proposed a method based on Kalman Filter for predicting the onset of paroxysmal atrial fibrillation (PAF) from the electrocardiogram (ECG) using clinical data available from the Computers in Cardiology (CinC) Challenge 2001. To predict PAF, we developed an algorithm based upon the number of atrial premature complexes (APCs) in the ECG. The algorithm detects classical isolated APCs by monitoring fidelity signals, which is defined here as a function of the innovation signal of Kalman filter, in vicinity of premature heartbeats and decides whether one beat is APC or not then predicts PAF, based on the number of APC. The challenge database consists of 56 pairs of 30-minute ECG... 

In this study, surface ECG recordings have been used to accomplish a non-invasive method which can predict spontaneous termination of Atrial Fibrillation (AF) and discriminate terminating (T) and non-terminating (N) AF episodes. The data set was provided by Physionet including holter recordings of 50 patients (20 training and 30 test sets). Concerning that most relevant information about the AF exists in the atrial fibrillatory wave, Several spectral and time-frequency parameters were extracted from the ECG signal after canceling the QRST complex. Also a temporal feature, RR interval variation, representing the ventricular activity was calculated. These parameters were evaluated using a... 

Drug administration using infusion pumps can find application in treating patients with arrhythmias. These pumps can obviate the need to use drugs several times a day and automatically adapt the dosage to patient situation. Considering the importance of administration of right dosage, a perfect-controlled pump is needed to approach this goal. This paper focuses on controlling Atrial fibrillation (AF) arrhythmia. The abnormal heart rhythm that affects RR interval sequence and there have been some attempts to model these effects. One of these models is proposed by Cohen and colleges. Searching through the variables of this model, selecting the potential control variable (the one that its... 

The role of alpha-synuclein (αS) amyloid fibrillation has been recognized in various neurological diseases including Parkinson’s Disease (PD). In early stages, fibrillation occurs by the structural transition from helix to extended states in monomeric αS followed by the formation of beta-sheets. This alpha-helix to beta-sheet transition (αβT) speeds up the formation of amyloid fibrils through the formation of unstable and temporary configurations of the αS. In this study, the most important regions that act as initiating nuclei and make unstable the initial configuration were identified based on sequence and structural information. In this regard, a Targeted Molecular Dynamics (TMD)... 

Amyloid beta fibrillation can lead to major disorder of neurons processes and is associated with several neuronal diseases (e.g., Alzheimer's disease). We report here an importance of slight temperature changes, in the physiological range (35-42 °C), on the amyloid fibrillation process in the presence and absence of hydrophilic (silica) and hydrophobic (polystyrene) nanoparticles (NPs). The results highlight the fact that slight increases in temperature can induce inhibitory and acceleratory effects of hydrophobic and hydrophilic NPs on the fibrillation process, respectively. Using further in vivo considerations, the outcomes of this study can be used for considerable modifications on the... 

In this paper, we proposed a method based on time-frequency dependent features extracted from Intrinsic Mode Functions (IMFs) and physiological feature such as the number of premature beats (PBs) to predict the onset of Paroxysmal Atrial Fibrillation (PAF) by using electrocardiogram (ECG) signal. To extract IMFs, we used Empirical Mode Decomposition (EMD). In order to predict PAF, we used variance of IMFs of signals, the area under the absolute of IMF curves and the number of PBs, since increasing of all of these parameters are a clear sign of PAF occurrence. We used clinical database which was provided for the 2001 Computer in Cardiology Challenge (CinC). The test set of this database... 

Background: The early repolarization pattern (ERP) has been considered a normal variant in electrocardiography (ECG) for a long time. Nevertheless, increasing evidence has demonstrated its association with adverse outcomes. Objectives: The present study aimed to evaluate the prevalence of ERP in the Iranian general population and demonstrate its clinical and ECG correlates. Methods: A cross sectional study, comprising 1424 consecutive healthy adult individuals, was conducted at two university based hospitals in Tehran, Iran in 2012-2013. The ERP prevalence, clinical characteristics and ECG morphology were investigated in volunteers. Results: ERP was present in 136 out of 1,424 people (9.6%).... 

False alarms ratios of up to 86% in Intensive Care Units (ICU) decrease quality of care, impacting both clinical staff and patients through slowing off response time and noise tribulation. We present a novel algorithm to predict heart arrhythmias in ICUs. We focus on five life-threatening arrhythmias: Asystole, Extreme Bradycardia, Extreme Tachycardia, Ventricular Tachycardia, and Ventricular Fibrillation. The algorithm is based on novel features using only 12 seconds of one ECG channel to predict the arrhythmias. Our new feature sets include different SQI and physiological features and the features used in obstructive sleep apnoea detection. We also proposed a new morphological... 

Protein fibrillation process (e.g., from amyloid beta (Aβ) and α-synuclein) is the main cause of several catastrophic neurodegenerative diseases such as Alzheimer's and Parkinson diseases. During the past few decades, nanoparticles (NPs) were recognized as one of the most promising tools for inhibiting the progress of the disease by controlling the fibrillation kinetic process; for instance, gold NPs have a strong capability to inhibit Aβ fibrillations. It is now well understood that a layer of biomolecules would cover the surface of NPs (so called "protein corona") upon the interaction of NPs with protein sources. Due to the fact that the biological species (e.g., cells and amyloidal... 

Aggregation of the natively unfolded protein α-synuclein (α-syn) is key to the development of Parkinson's disease (PD). Some nanoparticles (NPs) can inhibit this process and in turn be used for treatment of PD. Using simulation strategies, we show here that α-syn self-assembly is electrostatically driven. Dimerization by head-to-head monomer contact is triggered by dipole-dipole interactions and subsequently stabilized by van der Waals interactions and hydrogen bonds. Therefore, we hypothesized that charged nano-objects could interfere with this process and thus prevent α-syn fibrillation. In our simulations, positively and negatively charged graphene sheets or superparamagnetic iron oxide... 

Protein aggregation, such as amyloid fibril formation, is molecular hallmark of many neurodegenerative disorders including Alzheimer's, Parkinson's, and Prion disease. Indole alkaloids are well-known as the compounds having the ability to inhibit protein fibrillation. In this study, we experimentally and computationally have investigated the anti-amyloid property of a derivative of a synthesized tetracyclic indole alkaloid (TCIA), possessing capable functional groups. The fibrillation reaction of Hen White Egg Lysozyme (HEWL) was performed in absence and presence of the indole alkaloid. For quantitative analysis, we used Thioflovin T binding assay which showed ~50% reduction in fibril... 

Background: Remote cardiac monitoring and screening have already become an integral telemedicine component. The wide usage of several different wireless electrocardiography (ECG) devices warrants a validation study on their accuracy and reliability. Methods: Totally, 300 inpatients with the Nabz Hooshmand-1 handheld ECG device and the GE MAC 1200 ECG system (as the reference) were studied to check the accuracy of the devices in 1 and 6-limb lead performance. Simultaneous 10-second resting ECGs were assessed for the most common ECG parameters in lead I. Afterward, 6-lead ECGs (limb leads), were performed immediately and studied for their morphologies. Results: Of the 300 patients, 297 had... 

Alzheimer’s disease (AD) is an irreversible neurological disorder that progresses gradually and can cause severe cognitive and behavioral impairments. This disease is currently considered a social and economic incurable issue due to its complicated and multifactorial characteristics. Despite decades of extensive research, we still lack definitive AD diagnostic and effective therapeutic tools. Consequently, one of the most challenging subjects in modern medicine is the need for the development of new strategies for the treatment of AD. A large body of evidence indicates that amyloid-β (Aβ) peptide fibrillation plays a key role in the onset and progression of AD. Recent studies have reported...