To determine the sensitivity, specificity, predictive value and diagnostic efficiency of electrocardiographic alterations in the diagnosis of acute right ventricular infarction, 43 autopsy patients with acute myocardial infarction and an electrocardiogram including 12 leads plus leads V3R and V4R were studied. Group A included 21 patients with right ventricular infarction, of whom 14 (group AI) had posterior and 7 (group AII) had anterior right ventricular infarction. Group B included 22 patients without right ventricular infarction. Excluding group AII patients, the sensitivity of the presence of a Q wave reached 78.6% in lead V4R and decreased in leads V1 to V3; its specificity was low in all the leads. The sensitivity of ST segment elevation reached 100% in lead V4R and decreased in leads V1 to V3; its specificity was highest (68.2%) in leads V4R and V3R, its negative predictive value was 100% and its diagnostic efficiency was 80.6%. The criterion of ST segment elevation in lead V4R being higher than that in leads V1 to V3 was less sensitive (78.6%) than ST segment elevation in lead V4R alone, but its specificity reached 100%, its positive predictive value 100% and its diagnostic efficiency 91.7%. In conclusion, there are no electrocardiographic criteria to identify anterior right ventricular necrosis, but posterior right ventricular necrosis may be identified by the presence of a Q wave or ST segment elevation in the right precordial leads, reaching the highest sensitivity and specificity in lead V4R. The criterion of ST segment elevation in lead V4R being higher than that in leads V1 to V3 offers the highest specificity and efficiency in the diagnosis.
Abstract:We comprehensively analyze multiple WDM channels RZ-to-NRZ format conversion using a single microring resonator. The scheme relies on simultaneous suppression of the first order harmonic components in the spectra of all the RZ channels. An optimized silicon microring resonator with free spectral range of 100 GHz and Q value of 7900 is designed and fabricated for this purpose. Multi-channel RZ-to-NRZ format conversion is demonstrated experimentally at 50 Gbit/s for WDM channels with 200 GHz channel spacing using the fabricated device. Bit error rate (BER) measurements show very good conversion performances for the scheme.
Abstract-The input power tolerance of a single-pump fiber-optic parametric amplifier (FOPA) is experimentally shown to be enhanced for return-to-zero differential phase-shift keying (RZ-DPSK) modulation compared to RZ ON-OFF keying modulation at 40 Gb/s. The improved nonlinear tolerance is exploited to demonstrate amplitude regeneration of a distorted RZ-DPSK signal in a gain-saturated FOPA. An optical signal-to-noise ratio penalty of 3.5 dB after amplitude distortion is shown to be reduced to 0.2 dB after the FOPA, thus clearly demonstrating the regenerative nature of saturated FOPAs for RZ-DPSK modulation.Index Terms-Differential phase-shift keying (DPSK), fiber-optic parametric amplifier (FOPA), optical regeneration.
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