The relaxation dynamics of vibrationally excited ground-state azulene molecules have been examined by picosecond transient absorption spectroscopy in a variety of different solvents including hexane, chloromethanes, methanol, CClF3, Xe, and Kr. A high pressure optical cell was used to liquify gases for use as solvents and to change their density and temperature independently over the entire liquid density range. Experimental results indicate that the vibrational cooling rate is strongly solvent dependent, with cooling rates of approximately 20 ps in molecular solvents and approximately 150 ps in atomic solvents. Comparison of the rates in Xe and Kr at constant number density demonstrates the strong effect of solvent mass on energy transfer. The effect of solvent temperature on vibrational cooling is minimal, as is the effect of solvent density. The latter result is quite surprising in light of earlier experiments on simpler molecular systems, such as I2 in Xe, and predictions of isolated binary collision theories. An explanation is offered from large scale molecular dynamics simulations of the system. In effect, azulene forms an ‘‘ordered Xe cluster’’ with xenon atoms; the xenon number density normal to the azulene molecular plane is independent of solvent density.
Background: Arrhythmias are a leading cause of death in adults with congenital heart disease (ACHD). While 24-48-hour monitors are often used to assess arrhythmia burden, extended continuous ambulatory rhythm monitors (ECAM) can record 2 weeks of data. The utility of this device and the arrhythmia burden identified beyond 48-hour monitoring have not been evaluated in the ACHD population. Additionally, the impact of ECAM has not been studied to determine management recommendations.Objective: To address the preliminary question, we hypothesized that clinically significant arrhythmias would be detected on ECAM beyond 48 hours and this would lead to clinical management changes.
Methods:A single center retrospective cohort study of ACHD patients undergoing ECAM from June 2013 to May 2016 was performed. The number and type of arrhythmias detected within and beyond the first 48 hours of monitoring were compared using Kaplan-Meier curves and Cox proportional hazard models.
Results: Three hundred fourteen patients had monitors performed [median age 31(IQR 25-41) years, 61% female). Significant arrhythmias were identified in 156 patients (50%), of which 46% were noted within 48 hours. A management change based on an arrhythmia was made in 49 patients (16%).Conclusions: ECAM detects more clinically significant arrhythmias than standard 48hour monitoring in ACHD patients. Management changes, including medication changes, further testing or imaging, and procedures, were made based on results of ECAM. Recommendations and guidelines have been made based on arrhythmias on 48-hour monitoring; the predictive ability and clinical consequence of arrhythmias found on ECAM are not yet known.
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