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Vliv chemického složení oceli na strukturu a vlastnosti korozivzdorných ocelí / Influence of chemical composition of steel on structure and properties of stainless steelsValenta, Pavel January 2013 (has links)
The thesis is focused on high-alloy austenitic and austenitic-ferritic (duplex) steel. The theoretical part includes research about high-alloy steels and basic introduction to this issue. In the practical part of the test there were casted refractory austenitic steel 30CH3N17G2L, duplex stainless steel 1.4462, low carbon steel and high carbon steel. On the castings of austenitic steel were made mechanical and technological tests. There were evaluated the effects of different casting temperature and casting wall thickness to the microstructures and macrostructures of steel, tensile strength and charpy impact tests. The technological tests compared technological properties of these steels.
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Theoretical Study of Voltage-driven Capture and Translocation Through a Nanopore : From Particles to Long Flexible PolymersQiao, Le 03 June 2021 (has links)
Voltage-driven translocation, the core concept of nanopore sensing for biomolecules, has been extensively studied in silico and in vitro over the past two decades. However, the theories of analyte capture are still not complete due to the complex dynamics resulting from the coupling of multiple physical processes such as di usion, electrophoresis, and electroosmotic flow.
In this thesis, I build and design translocation simulations for analytes ranging from point-like particles to rod-like molecules and long flexible polymers. The primary goal is to test, clarify and complete the existing capture theories. For example, we revisit and revise the existing definitions of the capture radius, clarify the concept of depletion zones, and investigate the impacts of the flat field near the pore.
Earlier theories of translocation underestimate the importance of the electric field out- side the nanopore. In our work, we analyze the non-equilibrium dynamics during the cap- ture process originating from the converging field lines, i.e., rod orientation and polymer deformation. We characterize the rod orientation and quantify its impact on capture time both with and without Electrohydrodynamic interactions. We investigate the polymer chain deformation and calculate the translocation time by taking the electric field outside the nanopore into account as opposed to the conventional simulation approaches.
Besides nanopore sensing, there are many undiscovered possibilities for nanopore trans- location technologies. We test two proof-of-concept ideas in which we suggest to use capture and translocation to separate molecules of di erent physical properties. For example, we show how one could selectively capture particles sharing the same mobility but di erent di usion coe cients using a pulsed field. Moreover, we demonstrate that it is possible to build a ratchet using pulsed fields and a nanopore to change the concentration ratios of a polymer mixture of different sized polyelectrolytes.
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Cellular trade-offs and resource allocation during photoautotrophic growthFaizi, Marjan 24 February 2020 (has links)
Cyanobakterien sind die einzig bekannten Prokaryoten, die in der Lage sind oxygene Photosynthese zu betreiben. Sie besitzen ein großes Potenzial als nachhaltige Ressourcen für die Herstellung zahlreicher industriell und medizinisch relevanter Wirkstoffe. Trotz ihrer essentiellen Bedeutung ist jedoch das Wachstum von Cyanobakterien bis jetzt nur unzureichend verstanden.
Im Rahmen dieser Arbeit habe ich daher ein mathematisches Modell entwickelt, das das Wachstum von Cyanobakterien auf der Grundlage von intrazellulärer Proteinverteilung beschreibt. Dabei wurde das Proteom in wenige relevante Protein-Klassen unterteilt, die an fundamentalen zellulären Prozessen beteiligt sind, darunter Kohlenstoffaufnahme, -fixierung und -stoffwechsel, sowie Photosynthese und Proteintranslation. Besonders interessant sind die aus dem Modell resultierenden sogenannten mikrobiellen Wachstumsgesetze, sprich die Korrelationen zwischen der Wachstumsrate und der Proteinverteilung, die im stationären Zustand des Wachstums beobachtet werden. Das Modell prognostiziert eine charakteristische Krümmung für die Wachstumsgesetze jener Proteine, welche mit Lichtabsorption und Proteintranslation assoziiert werden. Verursacht wird diese Krümmung durch hohe Lichtintensitäten, die eine Abnahme der Wachstumsrate zur Folge haben. Die prognostizierten Wachstumsgesetze werden durch Proteindaten, die mittels Massenspektrometrie erhoben wurden, vom Cyanobakterium Synechocystis sp. PCC 6803 gestützt.
Des Weiteren bietet das Modell einen geeigneten Ausgangspunkt für die Erweiterung von der Charakterisierung von Einzelzellen zu einer Population von Zellen in einem lichtlimitierten Chemostat. Das erweiterte Modell stellt einen Zusammenhang her zwischen intrazellulärer Proteinverteilung, Wachstum der Population und Kultivierungseigenschaften, und bietet somit einen neuartigen Ansatz zur Untersuchung und Verbesserung der Kultivierung von phototrophen Organismen und die Optimierung der photosynthetischen Produktivität. / Cyanobacteria are the only known prokaryotes that perform oxygenic photosynthesis, and therefore, hold significant potential as sustainable resources for the production of numerous industrially and medically relevant compounds. Despite their importance, however, the (molecular) limits and cellular economy of photoautotrophic growth are still insufficiently understood.
In this thesis, I present a mathematical model based on a coarse-grained description of cellular protein allocation to describe cyanobacterial growth. The model describes cellular trade-offs considering only proteins that are involved in key cellular processes (carbon uptake, fixation, and metabolism, as well as photosynthesis and protein translation). Of particular interest are the resulting microbial growth laws, i.e., correlations between the growth rate and the protein distribution observed during balanced growth. The model predicts a characteristic kink for the growth laws of the light harvesting components and the translational machinery induced by photoinhibition, a decrease in growth rate due to high light intensities. The resulting growth laws are supported by quantitative mass spectrometry-based proteomics data of the cyanobacterium Synechocystis sp. PCC 6803.
The proteomics data shows that the mathematical model has intrinsic predictive power, and thus, provides a suitable starting point for extending it from describing single cells to describe a growing population in a light-limited chemostat. The extended modeling framework goes beyond current models using phenomenological growth equations and establishes a mechanistic link between intracellular protein allocation, population growth and cultivation properties. The extended model provides a novel approach to study and guide phototrophic cultivation improvements that maximize photosynthetic productivity.
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Adsorption and Surface Structure Characteristics Toward Polymeric Bottle-Brush Surfaces via Multiscale SimulationLeuty, Gary M. 15 May 2014 (has links)
No description available.
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Études par dynamique moléculaire de l’interaction de Récepteurs Couplés aux Protéines-G avec leurs partenaires extra et intra-cellulaires / Molecular dynamics studies of the interaction between G-Protein-Coupled Receptors and their extra and intra-cellular partnersDelort, Bartholomé 19 November 2018 (has links)
Les Récepteurs Couplés aux Protéines-G forment la plus importante famille de protéines membranaires chez l’homme et sont impliqués dans de nombreux processus de signalisation cellulaire. Aussi, ils forment un vivier très important de cibles thérapeutiques, déjà identifiées ou potentielles. L’activation d’un RCPG est amorcée par la liaison d’un ligand dans sa partie extra-cellulaire, modifiant ainsi ses propriétés dynamiques intrinsèques. Ces changements structuraux vont alors se répercuter le long des domaines trans-membranaires et promouvoir la dissociation de la Protéine-G hétéro-trimérique, de l’autre côté de la membrane, propageant ainsi le signal au compartiment intra-cellulaire. Ce processus peut être modulé par la liaison de nombreux autres partenaires des RCPGs. Malgré de nombreuses données structurales existantes, ces mécanismes restent encore mal connus à l’échelle moléculaire. Ainsi, la dynamique moléculaire s’est révélée être un outil formidable pour mieux comprendre ces mécanismes. Toutefois, les échelles de taille et de temps requises pour discuter de la dynamique de ces systèmes membranaires limitent ces études aux laboratoires ayant accès à une très grande puissance de calcul. L’objectif des travaux présentés dans ce manuscrit a été de prédire et de mieux comprendre la dynamique d’interaction de différents récepteurs de cette famille avec leurs partenaires, en développant un protocole de dynamique moléculaire, peu coûteux en ressources de calcul, combinant le champ de forces gros-grains MARTINI à un protocole de dynamique moléculaire « Replica-Exchange ».Dans un premier temps, nous présentons la validation de notre protocole pour la prédiction de la liaison de peptides à leur récepteur avec l’étude des peptides Neurotensine, agoniste du Récepteur de la Neurotensine-1, et CVX15, antagoniste du Récepteur Chemokine C-X-C de type-4. Nous montrons également que notre protocole est capable de prédire la sélectivité de plusieurs peptides dérivés de la Neurotensine envers plusieurs récepteurs sauvages et mutés, ne présentant qu’un résidu de différence.Dans un second temps, nous nous sommes intéressés à la dynamique de formation d’un hétéro-dimère de RCPGs impliquant le Récepteur de la Ghréline et le récepteur de la Dopamine D2, couplés aux protéines Gq et Gi respectivement. Ce modèle validé au laboratoire par des mesures LRET montre une interface impliquant une forte complémentarité entre les protéines-G. En se basant sur notre modèle, nous avons conçu et synthétisé des peptides inhibiteurs de la formation de cet hétéro-dimère de protéines-G.Enfin, nous présentons d’autres exemples d’applications de notre protocole et comment il peut être utilisé de concert avec l’expérience avec : la prédiction de la liaison de toxines de serpents aux Récepteurs de la Vasopressine-1a et V2 ; la prédiction de la liaison des peptides Ghréline et Leap2 au Récepteur GHSR-1a et la prédiction de la sélectivité de couplage de différents récepteurs aux peptides C-terminaux de la sous-unité α des protéines-G. / G-Protein Coupled Receptors form the largest family of human membrane proteins and are involved in many cellular signaling processes. Thus, they constitute a pool of already identified or potential pharmacological targets. The activation of a GPCR starts with the binding of a ligand in its extra-cellular part, further modifying its intrinsic dynamical properties. These structural rearrangements are then transmitted along the transmembrane domains and promote the dissociation of the G-protein on the other side of the bilayer, thus propagating the signal into the intra-cellular compartment. This activation process can be modulated by the binding of many other partners of GPCRs. Despite many structural data now available, these mechanisms are still badly known at the molecular scale. In agreement, molecular dynamics simulations appear to be a method of choice to get a better description of these mechanisms. Nevertheless, the size and the time scales required for the simulation of these membrane systems limit such studies to laboratories having access to large computational facilities.The objective of this work was to predict and get a dynamical view of the interactions of several GPCRs with their partners, by developing an affordable molecular dynamics protocol that combines the coarse-grained MARTINI force field to Replica-Exchange MD simulations.In a first step, we validated our protocol by showing its ability to predict the dynamical binding of peptides to their receptors, through the study of Neurotensin, an agonist of the Neurotensin-1 receptor and CVX15, an antagonist of the CXCR4 chemokine receptor. We also show that the same protocol is able to predict the selectivity of several Neurotensin derived peptides against several wild-type/mutated receptors differing by a single residue.In a second step, we were concerned by the dynamical assembly of a GPCR heterodimer involving the Ghrelin and the Dopamine D2 receptors, respectively coupled to Gq and Gi proteins. Our model was validated by LRET measurements confirming a large protein:protein interface and a high complementarity between G-proteins. Based on this model, we designed and synthesized some peptides able to inhibit the assembly of this G-proteins heterodimer.Finally, we describe other applications of our protocol and how it can be employed and confronted to experiments to : predict the dynamical binding of toxins from snake’s venom to the Vasopressin-1a and Vasopressin-2 receptors ; predict the binding of the Ghrelin and Leap2 peptides to their GHSR-1a receptor and predict the coupling selectivity of several receptors to peptides mimicking the C-terminus of the α subunit of G-proteins.
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Statics and dynamics of solvent-free models for liquid bilayer membranes / Statische und dynamische Eigenschaften von lösungsmittelfreien Modellen für flüssige DoppelschichtmembranenHömberg, Martin 19 May 2011 (has links)
No description available.
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Algorithm-Architecture Co-Design for Dense Linear Algebra ComputationsMerchant, Farhad January 2015 (has links) (PDF)
Achieving high computation efficiency, in terms of Cycles per Instruction (CPI), for high-performance computing kernels is an interesting and challenging research area. Dense Linear Algebra (DLA) computation is a representative high-performance computing ap-
plication, which is used, for example, in LU and QR factorizations. Unfortunately, mod-
ern off-the-shelf microprocessors fall significantly short of achieving theoretical lower bound in CPI for high performance computing applications. In this thesis, we perform an in-depth analysis of the available parallelisms and propose suitable algorithmic
and architectural variation to significantly improve the computation efficiency. There
are two standard approaches for improving the computation effficiency, first, to perform
application-specific architecture customization and second, to do algorithmic tuning.
In the same manner, we first perform a graph-based analysis of selected DLA kernels.
From the various forms of parallelism, thus identified, we design a custom processing
element for improving the CPI. The processing elements are used as building blocks for
a commercially available Coarse-Grained Reconfigurable Architecture (CGRA). By per-
forming detailed experiments on a synthesized CGRA implementation, we demonstrate
that our proposed algorithmic and architectural variations are able to achieve lower CPI compared to off-the-shelf microprocessors. We also benchmark against state-of-the-art custom implementations to report higher energy-performance-area product.
DLA computations are encountered in many engineering and scientific computing ap-
plications ranging from Computational Fluid Dynamics (CFD) to Eigenvalue problem.
Traditionally, these applications are written in highly tuned High Performance Comput-
ing (HPC) software packages like Linear Algebra Package (LAPACK), and/or Scalable
Linear Algebra Package (ScaLAPACK). The basic building block for these packages is Ba-
sic Linear Algebra Subprograms (BLAS). Algorithms pertaining LAPACK/ScaLAPACK
are written in-terms of BLAS to achieve high throughput. Despite extensive intellectual
efforts in development and tuning of these packages, there still exists a scope for fur-
ther tuning in this packages. In this thesis, we revisit most prominent and widely used
compute bound algorithms like GMM for further exploitation of Instruction Level Parallelism (ILP). We further look into LU and QR factorizations for generalizations and
exhibit higher ILP in these algorithms. We first accelerate sequential performance of the algorithms in BLAS and LAPACK and then focus on the parallel realization of these
algorithms. Major contributions in the algorithmic tuning in this thesis are as follows:
Algorithms:
We present graph based analysis of General Matrix Multiplication (GMM) and
discuss different types of parallelisms available in GMM
We present analysis of Givens Rotation based QR factorization where we improve
GR and derive Column-wise GR (CGR) that can annihilate multiple elements of a
column of a matrix simultaneously. We show that the multiplications in CGR are
lower than GR
We generalize CGR further and derive Generalized GR (GGR) that can annihilate
multiple elements of the columns of a matrix simultaneously. We show that the
parallelism exhibited by GGR is much higher than GR and Householder Transform
(HT)
We extend generalizations to Square root Free GR (also knows as Fast Givens
Rotation) and Square root and Division Free GR (SDFG) and derive Column-wise
Fast Givens, and Column-wise SDFG . We also extend generalization for complex
matrices and derive Complex Column-wise Givens Rotation
Coarse-grained Recon gurable Architectures (CGRAs) have gained popularity in the
last decade due to their power and area efficiency. Furthermore, CGRAs like REDEFINE also exhibit support for domain customizations. REDEFINE is an array of Tiles where each Tile consists of a Compute Element and a Router. The Routers are responsible
for on-chip communication, while Compute Elements in the REDEFINE can be domain
customized to accelerate the applications pertaining to the domain of interest. In this
thesis, we consider REDEFINE base architecture as a starting point and we design Processing Element (PE) that can execute algorithms in BLAS and LAPACK efficiently.
We perform several architectural enhancements in the PE to approach lower bound of the
CPI. For parallel realization of BLAS and LAPACK, we attach this PE to the Router of
REDEFINE. We achieve better area and power performance compared to the yesteryear
customized architecture for DLA. Major contributions in architecture in this thesis are as follows:
Architecture:
We present design of a PE for acceleration of GMM which is a Level-3 BLAS
operation
We methodically enhance the PE with different features for improvement in the
performance of GMM
For efficient realization of Linear Algebra Package (LAPACK), we use PE that can
efficiently execute GMM and show better performance
For further acceleration of LU and QR factorizations in LAPACK, we identify
macro operations encountered in LU and QR factorizations, and realize them on a
reconfigurable data-path resulting in 25-30% lower run-time
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In-silico Modeling of Lipid-Water Complexes and Lipid BilayersJadidi, Tayebeh 21 October 2013 (has links)
In the first part of the thesis, the molecular structure and electronic properties of phospholipids at the single molecule level and also for a monolayer structure are investigated via ab initio calculations under different degrees of hydration. The focus of the study is on phosphatidylcholines, in particular dipalmitoylphosphatidylcholine (DPPC), which are the most abundant phospholipids in biological membranes. Upon hydration, the phospholipid shape into a sickle-like structure. The hydration dramatically alters the surface potential, dipole and quadrupole moments of the lipids, and probably guides the interactions of the lipids with other molecules and the communication between cells. The vibrational spectrum of DPPC and DPPC-water complexes are completely assigned and it is shown that water hydrating the lipid head groups enables efficient energy transfer across membrane leaflets on sub-picosecond time scales. Moreover, the vibrational modes and lifetimes of pure and hydrated DPPC lipids, at human body temperature, are estimated by performing ab initio molecular dynamics simulations. The vibrational modes of the water molecules close to the head group of DPPC are active in the frequency range between 0.5 - 55 THz, with a peak at 2.80 THz in the energy spectrum. The computed lifetimes for the high-frequency modes agree well with recent data measured at room temperature, where high-order phonon scattering is not negligible. The structure and auto-ionization of water at the water-phospholipid interface are investigated by ab initio molecular dynamics and ab initio Monte Carlo simulations using local density approximation and generalized gradient approximation for the exchange-correlation energy functional. Depending on the lipid head group, strongly enhanced ionization is observed, leading to dissociation of several water molecules into H+ and OH- per lipid. The results can shed light on the phenomena of the high proton conductivity along membranes that has been reported experimentally. In the second part of the thesis, Monte Carlo simulations of the lipid bilayer, on the basis of a coarse grained model, are performed to gain insight into the mechanical properties of planar lipid bilayers. By using a rescaling method, the Poisson's ratio is calculated for different phases. Additional information on the bending rigidity, determined from height fluctuations on the basis of the Helfrich Hamiltonian, allows for calculation of the Young's modulus for each phase. In addition, the free energy barrier for lipid flip-flop process in the fluid and gel phases are estimated. The main rate-limiting step to complete a flip-flop process is related to a free energy barrier that has to be crossed in order to reach the center of the bilayer. The free energy cost for performing a lipid flip-flop in the gel phase is found to be five times greater than in the fluid phase, demonstrating the rarity of such events in the gel phase. Moreover, an energy barrier is estimated for formation of transient water pores that often precedes lipid translocation events and accounts for the rate-limiting step of these pore-associated lipid translocation processes.
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Characterization of the Substrate Modification in Patients Undergoing Catheter Ablation of Atrial FibrillationVraka, Aikaterini 20 January 2023 (has links)
Tesis por compendio / [ES] La fibrilación auricular (FA) es la arritmia cardíaca más común. A pesar de la gran popularidad de la ablación con catéter (AC) como tratamiento principal, todavía hay margen de mejora. Aunque las venas pulmonares (VPs) son los principales focos de FA, muchos sitios pueden contribuir a su propagación, formando el sustrato de la FA (SFA). El mapeo preciso del SFA y el registro de la modificación del SFA, como marcador positivo después de AC, son fundamentales. Los electrocardiogramas (ECG) y los electrogramas (EGM) se reclutan para este propósito.
Los EGM se utilizan para detectar candidatos de AC como áreas que provocan o perpetúan la FA. Por lo tanto, el análisis de EGM es una parte indispensable de AC. Con la capacidad de observar las aurículas globalmente, la principal aplicación de los ECG es evaluar la modificación del SFA analizando las ondas f o P. A pesar del extenso análisis de cualquiera de los tipos de registro, existen algunas brechas. La AC no-VP aumenta el tiempo en quirófano, provocando mayores riesgos y costos. En cuanto al análisis de la modificación del SFA, se utilizan varios umbrales para definir una onda P prolongada. El principal objetivo de la presente Tesis es contribuir al esfuerzo de análisis de SFA y de modificación de SFA. Para ello, la presente Tesis se desarrolló bajo dos hipótesis principales. Que la calidad de la información extraída durante el SFA y el análisis de modificación del SFA se puede mejorar mediante la introducción de pasos innovadores. Además, la combinación de análisis de ECG y EGM puede aumentar la resolución del mapeo y revelar nueva información sobre los mecanismos de FA.
Para cumplir con el objetivo principal, el análisis se divide en 4 partes, conformando los 4 capítulos del Compendio de articulos. En primer lugar, se reclutó la dimensión de correlación de grano grueso (DCGG). DCGG localizó de manera confiable EGM complejos y la clasificación por tipos de FA arrojó una precisión del 84 %. Luego, se adoptó un análisis alternativo de la onda P, estudiando por separado su primera y su segunda parte, correspondientes a la aurícula derecha (AD) e izquierda (AI). Los resultados indicaron LA como la principal fuente de modificación del SFA y subrayaron la importancia de estudiar partes integrales de ECG. Los hallazgos de este estudio también sugieren la implementación de partes integrales de ondas P como un posible alivio de las discrepancias en los umbrales de ondas P para definir el tejido fibrótico.
Posteriormente, se estudió el efecto diferente del aislamiento de la VP izquierda (AVPI) y derecha (AVPD) sobre la modificación del SFA. AVPI fue la parte crítica, siendo la fuente exclusiva de acortamiento de onda P. El análisis de los registros durante la AC también permitió una observación más cercana de las fluctuaciones de la variabilidad de la frecuencia cardíaca (VFC) a lo largo del procedimiento de CA, lo que reveló información sobre el efecto de la energía de radiofrecuencia (RF) en el tejido auricular. La última parte se centró en el seno coronario (SC), una estructura fundamental en el mapeo de FA para aumentar la resolución de la información. Se definieron los canales más y menos robustos durante el ritmo sinusal (RS) y se investigó la utilidad de SC en la evaluación de la modificación del SFA. Aunque CS no proporcionó una imagen global de la alteración del SFA, pudo registrar con mayor sensibilidad las fluctuaciones en la respuesta auricular durante la AC. Los hallazgos presentados en esta Tesis Doctoral ofrecen una perspectiva alternativa sobre la modificación del SFA y contribuyen al esfuerzo general sobre el mapeo de FA y la evaluación del sustrato posterior a la CAAC, abriendo futuras líneas de investigación hacia una resolución más alta y un mapeo más eficiente de los mecanismos desencadenantes de la FA. / [CA] La fibril·lació auricular (FA) és l'arítmia cardíaca més comú. Tot i la gran popularitat de l'ablació amb catèter (AC) com a tractament principal, encara hi ha marge de millora. Tot i que les venes pulmonars (VPs) són els principals focus de FA, molts llocs poden contribuir a la seva propagació, formant el substrat de la FA (SFA). El mapatge precís de l'SFA i el registre de la modificació de l'SFA, com a marcador positiu després d'AC, són fonamentals. Els electrocardiogrames (ECG) i els electrogrames (EGM) es recluten per a aquest propòsit.
Els EGM es fan servir per detectar candidats d'AC com a àrees que provoquen o perpetuen la FA. Per tant, lanàlisi dEGM és una part indispensable dAC. Amb la capacitat d'observar les aurícules globalment, la principal aplicació dels ECG és avaluar la modificació de l'SFA analitzant les ones f o P. Tot i l'extensa anàlisi de qualsevol dels tipus de registre, hi ha algunes bretxes. L'AC no-VP augmenta el temps a quiròfan, provocant majors riscos i costos. Pel que fa a l'anàlisi de la modificació de l'SFA, s'utilitzen diversos llindars per definir una ona P perllongada. L'objectiu principal d'aquesta Tesi és contribuir a l'esforç d'anàlisi de SFA i de modificació de SFA. Per això, aquesta Tesi es va desenvolupar sota dues hipòtesis principals. Que la qualitat de la informació extreta durant el SFA i lanàlisi de modificació de lSFA es pot millorar mitjançant la introducció de passos innovadors. A més, la combinació d'anàlisi d'ECG i EGM pot augmentar la resolució del mapatge i revelar informació nova sobre els mecanismes de FA.
Per complir amb l'objectiu principal, l'anàlisi es divideix en 4 parts i es conforma els 4 capítols del Compendi d'articles. En primer lloc, es va reclutar la dimensió de correlació de gra gruixut (DCGG). DCGG va localitzar de manera fiable EGM complexos i la classificació per tipus de FA va donar una precisió del 84%. Després, es va adoptar una anàlisi alternativa de l'ona P, estudiant per separat la primera i la segona part corresponents a l'aurícula dreta (AD) i esquerra (AI). Els resultats van indicar LA com la font principal de modificació de l'SFA i van subratllar la importància d'estudiar parts integrals d'ECG. Les troballes d'aquest estudi també suggereixen la implementació de parts integrals d'ones P com a possible alleugeriment de les discrepàncies als llindars d'ones P per definir el teixit fibròtic.
Posteriorment, es va estudiar l'efecte diferent de l'aïllament de la VP esquerra (AVPI) i la dreta (AVPD) sobre la modificació de l'SFA. AVPI va ser la part crítica, sent la font exclusiva d'escurçament d'ona P. L'anàlisi dels registres durant l'AC també va permetre una observació més propera de les fluctuacions de la variabilitat de la freqüència cardíaca (VFC) al llarg del procediment de CA , cosa que va revelar informació sobre l'efecte de l'energia de radiofreqüència (RF) en el teixit auricular. L'última part es va centrar al si coronari (SC), una estructura fonamental al mapeig de FA per augmentar la resolució de la informació. Es van definir els canals més i menys robustos durant el ritme sinusal (RS) i es va investigar la utilitat de SC a l'avaluació de la modificació de l'SFA. Tot i que CS no va proporcionar una imatge global de l'alteració de l'SFA, va poder registrar amb més sensibilitat les fluctuacions a la resposta auricular durant l'AC. Les troballes presentades en aquesta Tesi Doctoral ofereixen una perspectiva alternativa sobre la modificació de l'SFA i contribueixen a l'esforç general sobre el mapeig de FA i l'avaluació del substrat posterior a la CAAC, obrint futures línies de recerca cap a una resolució més alta i un mapeig més eficient dels mecanismes desencadenants de la FA. / [EN] Atrial fibrillation (AF) is the commonest cardiac arrhythmia. Despite the high popularity of catheter ablation (CA) as the main treatment, there is still room for improvement. Time spent in AF affects the AF confrontation and evolution, with 1,15% of paroxysmal AF patients progressing to persistent annually. Therefore, from diagnosis to follow-up, every aspect that contributes to the AF confrontation is of utmost importance. Although pulmonary veins (PVs) are the main AF foci, many sites may contribute to the AF propagation, by triggering or sustaining the AF, forming the AF substrate. Precise AF substrate mapping and recording of the AF substrate modification, as a positive marker after CA sessions, are critical. Electrocardiograms (ECGs) and electrograms (EGMs) are vastly recruited for this purpose.
EGMs are used to detect candidate CA targets as areas that provoke or perpetuate AF. Hence, EGMs analysis is an indispensable part of the CA procedure. With the ability to observe the atria globally, ECGs' main application is to assess the AF substrate modification by analyzing f- or P-waves from recordings before and after CA. Despite the extensive analysis on either recording types, some gaps exist. Non-PV CA increases the time in operation room, provoking higher risks and costs. Furthermore, whether non-PV CA is beneficial is under dispute. As for the AF substrate modification analysis, various thresholds are used to define a prolonged P-wave, related with poor CA prognostics. The main objective of the present Thesis is to contribute to the effort of AF substrate and AF substrate modification analysis. For this purpose, the present Thesis was developed under two main hypotheses. That the information quality extracted during AF substrate and AF substrate modification analysis can be improved by introducing innovative steps. Also, that combining ECG and EGM analysis can augment the mapping resolution and reveal new information regarding AF mechanisms.
To accomplish the main objective, the analysis is split in 4 parts, forming the 4 chapters of the Compendium of publications. Firstly, coarse-grained correlation dimension (CGCD) was recruited. CGCD reliably localized highly complex EGMs and classification by AF types yielded 84% accuracy. Then, an alternative P-wave analysis was suggested, studying separately the first and second P-wave parts, corresponding to the right (RA) and left (LA) atrium. The findings indicated LA as the main AF substrate modification source and underlined the importance of studying integral ECG parts. The findings of this study additionally suggest the implementation of integral P-wave parts as a possible alleviation for the discrepancies in P-wave thresholds to define fibrotic tissue.
Afterwards, the different effect of left (LPVI) and right pulmonary vein isolation (RPVI) on the AF substrate modification was studied. LPVI was the critical part, being the exclusive source of P-wave shortening. Analysis of recordings during CA also allowed a closer observation of the heart rate variability (HRV) fluctuations throughout the CA procedure, revealing information on the effect of radiofrequency (RF) energy on the atrial tissue. The last part was focused on coronary sinus (CS), a fundamental structure in AF mapping to increase the information resolution. The most and least robust channels during sinus rhythm (SR) were defined and the utility of CS in AF substrate modification evaluation was investigated. Although CS did not provide a global picture of the AF substrate alteration, it was able to record with higher sensitivity the fluctuations in the atrial response during the application of RF energy. The findings presented in this Doctoral Thesis offer an alternative perspective on the AF substrate modification and contribute to the overall effort on AF mapping and post-CA substrate evaluation, opening future lines of research towards a higher resolution and more efficient mapping of the AF drivers. / Vraka, A. (2022). Characterization of the Substrate Modification in Patients Undergoing Catheter Ablation of Atrial Fibrillation [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/191410 / Compendio
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