Objective To retrospectively identify risk factors and the prognosis for new-onset atrial fibrillation (AF)after implantation of dual-chamber pacemakers in elderly patients.Methods Consecutive patients aged >65year...Objective To retrospectively identify risk factors and the prognosis for new-onset atrial fibrillation (AF)after implantation of dual-chamber pacemakers in elderly patients.Methods Consecutive patients aged >65years who underwent their first implantation of a dual-chamber permanent pacemaker in Beijing Anzhen Hospital from October 2013to May 2016were enrolled.Their complete program- ming and follow-up data were recorded.Follow-up end points included new-onset AF and major adverse cardiovascular and cerebrovascular events.Restdts Altogether,322patients were enrolled,with new-onset AF observed in 79(24.5%)during their follow-up.Multivariable analysis identified four independent predictors of new-onset AF in elderly patients after pacemaker implantation:hypertension (HR =3.040, 95%CI:1.09-3.05,P =0.00),age (HR =1.966,95%CI:1.57-3.68,P =0.01);left atrial enlargement (HR =1.645,95%CI:1.05-1.25,P = 0.03);high ventricular pacing rate (HR =1.137,95%CI:1.01-1.06,P =0.01).Univariable analysis indicated that the CHA2DS2-VASc score was also a risk factor for AF (HR =1.368,95%CI:1.178-1.589,P =0.002),whereas multivariable regression analysis did not. Kaplan-Meier survival analysis showed that the risk for ischemic stroke was significantly higher in the new-onset AF group than in the non-AF group (P <0.05).Conclusion Hypertension,age,left atrial enlargement,and high ventricular pacing rate were independent predictors of new-onset AF in elderly patients after implantation of a permanent pacemaker.New-onset AF increased the risk for ischemic stroke.展开更多
In this paper three types of dual- chamber shock- struts are considered in dynamic analyses of landing-gear behavior during impact and taxi. Their dynamic characteristics are compared with each other according to calc...In this paper three types of dual- chamber shock- struts are considered in dynamic analyses of landing-gear behavior during impact and taxi. Their dynamic characteristics are compared with each other according to calculation results, and some conclusions are presented.It is very helpful for selecting a suitable type of dual-chamber shock-strut in landing-gear design.展开更多
文摘Objective To retrospectively identify risk factors and the prognosis for new-onset atrial fibrillation (AF)after implantation of dual-chamber pacemakers in elderly patients.Methods Consecutive patients aged >65years who underwent their first implantation of a dual-chamber permanent pacemaker in Beijing Anzhen Hospital from October 2013to May 2016were enrolled.Their complete program- ming and follow-up data were recorded.Follow-up end points included new-onset AF and major adverse cardiovascular and cerebrovascular events.Restdts Altogether,322patients were enrolled,with new-onset AF observed in 79(24.5%)during their follow-up.Multivariable analysis identified four independent predictors of new-onset AF in elderly patients after pacemaker implantation:hypertension (HR =3.040, 95%CI:1.09-3.05,P =0.00),age (HR =1.966,95%CI:1.57-3.68,P =0.01);left atrial enlargement (HR =1.645,95%CI:1.05-1.25,P = 0.03);high ventricular pacing rate (HR =1.137,95%CI:1.01-1.06,P =0.01).Univariable analysis indicated that the CHA2DS2-VASc score was also a risk factor for AF (HR =1.368,95%CI:1.178-1.589,P =0.002),whereas multivariable regression analysis did not. Kaplan-Meier survival analysis showed that the risk for ischemic stroke was significantly higher in the new-onset AF group than in the non-AF group (P <0.05).Conclusion Hypertension,age,left atrial enlargement,and high ventricular pacing rate were independent predictors of new-onset AF in elderly patients after implantation of a permanent pacemaker.New-onset AF increased the risk for ischemic stroke.
文摘In this paper three types of dual- chamber shock- struts are considered in dynamic analyses of landing-gear behavior during impact and taxi. Their dynamic characteristics are compared with each other according to calculation results, and some conclusions are presented.It is very helpful for selecting a suitable type of dual-chamber shock-strut in landing-gear design.
文摘为提高压电泵的输出流量和输出压力,增强自吸性能,采用四片压电振子构建两个工作腔体的新型压电泵结构,即双腔四振子压电泵.在对该新型压电泵进行结构设计的基础上,分析了其工作原理和工作特性,给出了输出流量和输出压力的计算方法,并加工制造了四振子压电泵样机.对四振子压电泵在单腔体双振子、双腔双振子和双腔四振子工作方式下进行了试验对比,结果表明,采用腔体串联能够提高压电泵的输出流量和输出压力,双腔四振子压电泵在驱动电压为150 V AC,频率为120 Hz时,最大输出流量为1160 mL/min,而双腔双振子最大输出流量为650 mL/min(138 Hz),单腔双振子最大输出流量为250 mL/min(160 Hz);双腔四振子压电泵自吸高度可达到55 cm.
