Comparison of His-purkinje bundle pacing and right ventricular inflow tract septal pacing in the elderly

Objective To compare the short-term clinical effect and electrical parameters of His-purkinje bundle pacing(HPBP) and right ventricular inflow tract septal pacing(RVIP) in the elderly. Methods Between April 2017 and September 2019, sixty patients with indications for permanent cardiac pacing and resynchronization therapy in Beijing Anzhen Hospital were divided into the HPBP and RVIP groups, and were analyzed. A ventricular pacing lead was implanted in left ventricular septal sites with left bundle potentials or His potentials in the HPBP group. The lead was placed in right ventricular inflow tract septal sites close to distal His-bundle regions without potentials from the His-purkinje conduction system in the RVIP group. Lead impedance, R wave amplitude, pacing thresholds, QRS duration, left ventricular ejection fraction(LVEF), and left ventricular end-diastolic diameter(LVEDD), mitral regurgitation area reflux, QTc, T wave directivity, Tp-e and Tp-e/QT ratio were compared between the HPBP and RVIP groups during the procedure and the short-month follow-up. Results No significant differences were found in lead impedance, R wave amplitude, QRS duration, LVEF, LVEDD, mitral regurgitation area reflux, QTc, T wave directivity, Tp-e and Tp-e/QT ratio between the HPBP and RVIP groups. However, the pacing threshold was significantly lower in the HPBP group than in the RVIP group(0.7 ± 0.2 vs. 0.9 ± 0.3 V, P = 0.02). Conclusions The efficacy and electrical parameters of HPBP is comparable with RVIP during the procedure and the short-term follow-up.

Behavior of adsorbed diphenyl-sulfide on the Pd/C catalyst for o-chloronitrobenzene hydrogenation

A series of diphenyl-sulfide （Ph2S）-immobilized Pd/C catalysts （Pd-Ph2Scx）/C） were prepared using the wetness-impregnation and immobilization method. Pd-Ph2S（x）/C catalysts employed for the hydro- genation of o-chloronitrobenzene showed very high selectivity. The structure of Pd-Ph2Scx）/C with different molar ratio of ligand （x-values） was characterized by XPS and TG-DSC-MS. The results suggest a ＂saturated＂ surface ratio of Ph2S/Pd （about 0.3） was formed on the Pd-Ph2S（x）[C catalysts surface. The Ph2S immobilized on the Pd particle is quite stable, and the desorption of Ph2S or dissociative loss of phenyl group was only found at temperatures above 500 K. The possible catalytic mechanism of the Pd-Ph2S（x）/C catalyst was also discussed.

Improvement of the stability of Hg/AC catalysts by CsCl for the high-temperature hydrochlorination of acetylene

Activated carbon-supported mercuric chloride（HgCl2） is used as an industrial catalyst for acetylene hydrochlorination. However, the characteristic of easy sublimation of HgCl2 leads to the deactivation o the catalyst. Here, we showed that the thermal stability of the Hg/AC catalyst can be evidently improved when Cs Cl is added into the Hg/AC catalyst. Compared with the pure Hg/AC catalyst, the sublimation rate of HgCl2 from the Hg–Cs/AC catalyst decreased significantly and the Hg–Cs/AC catalyst showed bette catalytic activity and stability in the reaction. This promoting effect is related to the existence of cesium mercuric chlorides（CsxHgyCl（x＋2y）） highlighted by XRD, HR-TEM and EDX analyses. Thus, reacting HgCl2 with alkali chlorides to form alkali-mercuric chlorides may be a key to design highly efficient and thermally stable mercuric chloride catalyst for hydrochlorination reactions.

The promoting role of minor amount of water in solvent-free hydrogenation of halogenated nitrobenzenes

This study shows that minor amount of water plays a very important role in solvent-free hydrogenation of halogenated nitrobenzenes. For dried sponge Pd, the reaction cannot occur in the absence of water. For Pd/C catalyst, minor amount of water reduces the induction time, increases the reaction rate and reaction TOFs. Water might enhance the diffusion, adsorption and dissociation of H2 on Pd catalysts.

The effect of the amount of ammonia on the Cu^0/Cu^+ ratio of Cu/SiO_2 catalyst for the hydrogenation of dimethyl oxalate to ethylene glycol

The effect of the amount of precipitant ammonia on the Cu0/Cu＋ratio of Cu/Si O2 prepared by the deposition–precipitation method is investigated. Species at different preparation stages, resulted from the amount of ammonia used, are identified by the XRD and FTIR techniques. Chrysocolla together with either copper nitrate hydroxide or copper hydroxide coexist in the uncalcined catalysts. Upon calcination, the latter two species are converted to Cu O particles while chrysocolla remains. Following reduction, Cu O is transformed to metallic Cu and chrysocolla is converted to Cu2 O. The value of Cu0/Cu＋ratio can be evaluated using the peak areas in their TPR profiles. Hydrogenation of dimethyl oxalate（DMO） to ethylene glycol（EG） shows that the selectivity of EG depends on the Cu0/Cu＋ratio. Catalyst prepared with the addition of ammonia solution at n（NH3）/n（Cu2＋） = 0.9 for precipitation–deposition gains a more suitable Cu0/Cu＋ratio upon reduction and thus has a higher selectivity for EG.

Initial experience with ablation of the innervation surrounding sinus and atrioventricular nodes to treat paroxysmal bradyarrhythmia

Background:The symptomatic bradyarrhythmia is Class I indication for pacing therapy which is not a radical cure.The present study aimed to assess the feasibility and to present the initial results of the restricted ablation of the parasympathetic innervation surrounding sinus and atrioventricular(AV)nodes for treating patients with bradyarrhythmia.Methods:A total of 13 patients with cardiogenic syncope were included from May 2008 to June 2015.Under the guidance of fluoroscopy and/or three-dimensional geometry by 64-slice spiral computed tomography,atrial activation sequence in sinus rhythm was mapped.Chamber geometry was reconstructed manually or automatically using the Niobe II magnetic navigation system integrated with the CARTO-remote magnetic technology(RMT)system.Cardioneuroablation was targeted at the high-amplitude fractionated electrograms surrounding the regions of His bundle and the site with the earliest activation in sinus rhythm.Areas surrounding the sinus node,AV node,and the phrenic nerve were avoided.Results:Thirteen patients completed the studies.Ablation was successfully performed in 12 patients and failed in one.The highfrequency potential was recorded in atrial electrograms surrounding the sinus or AV nodes in all the patients and disappeared in 15 s after radiofrequency applications.The vagal reaction was observed before the improvement of the sinus and AV node function.No complications occurred during the procedures.Patients were followed up for a mean of 13.0±5.9 months.During the follow up ten patients remained free of symptoms,and two patients had a permanent cardiac pacemaker implanted due to spontaneous recurrence of syncope.The heart rate of post-ablation was higher than pre-ablation(69.0±11.0 vs.49.0±10.0 beats/min,t=4.56,P=0.008).The sinus node recovery time,Wenckebach block point,and atrium-His bundle interval were significantly shorter after ablation(1386.0±165.0 vs.921.0±64.0 ms,t=7.45,P=0.002;590.0±96.0 vs.464.0±39.0 ms,t=2.38,P=0.023;106.0±5.0 vs.90.0±12.0 ms,t=9.80,P=0.013 before and after ablation procedure,respectively).Conclusions:Ablation of sinoatrial and AV nodal peripheral fibrillar myocardium electrical activity might provide a new treatment to ameliorate paroxysmal sinus node dysfunction,high degree AV block,and vagal-mediated syncope.

Selective hydrogenation of dimethyl maleate to tetrahydrofuran over Cu/SiO_2 catalyst:Effect of Cu^+ on the catalytic performance

Cu/SiO2 catalysts prepared by different methods have been investigated focusing on the influence of Cu^＋on the catalytic performance.The composition,structure and copper valence state were characterized by means of BET,XRD,XPS,FTIR,N2O-titration.It was found that the Cu/SiO2 prepared by ammoniaevaporation（AE） method had much higher TOF value than that prepared by wetness-impregnation（WI）with the same THF selectivity.The higher TOF value was attributed to the coexistence of Cu^＋ and Cu^0species in the activated AE-Cu/SiO2.while only Cu° species existing in the activated Wl-Cu/SiO2.Researches suggest that Cu^＋ can adsorb and polarize the C=0 bond of DMM.It is concluded that Cu°could be the main active site and the synergistic effect between Cu^0 and Cu^＋ could contribute to hydrogenation of DMM to THF.