Displaying publications 1 - 20 of 29 in total

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  1. Sterilisation effect study on granular hydroxyapatite (HA)
    Saidu MF, Mashita M, Khadijah K, Fazan F, Khalid KA
    Med J Malaysia, 2004 May;59 Suppl B:85-6.
    PMID: 15468831
    Hydroxyapatite is a calcium phosphate bioceramic that has been shown by many authors to be biocompatible with bioactive properties. It is widely accepted as the best synthetic material available for surgical use as a bone graft substitute. HA granules produced by AMREC-SIRIM from local materials underwent 5 types of sterilisation techniques with different ageing periods. Samples were tested for chemical and phase composition and microbial contamination before and after being sterilised. From the microbiological tests done, none of the unsterilised positive control yielded a positive culture. Results from X-Ray diffraction studies found that all the sterilisation techniques did not chemically degrade or structurally change the HA granules significantly.
    Matched MeSH terms: Materials Testing/methods*
  2. Some flexural properties of a nylon denture base polymer
    Yunus N, Rashid AA, Azmi LL, Abu-Hassan MI
    J Oral Rehabil, 2005 Jan;32(1):65-71.
    PMID: 15634304
    Nylon denture base material could be a useful alternative to poly (methyl methacrylate) (PMMA) in special circumstances such as patient allergy to the monomer. The aim of this study was to evaluate the flexural properties of a nylon denture base material (Lucitone FRS), a conventional compression-moulded heat-polymerized (Meliodent), a compression-moulded microwave-polymerized (Acron MC) and an injection-moulded microwave-polymerized (Lucitone 199) PMMA polymers. The effect of aldehyde-free, oxygen releasing disinfectant solution (Perform) on these properties was also investigated. The flexural modulus and the flexural strength were assessed with a three-point bending test. Specimens were stored in water at a temperature of 37 degrees C for 30 days. For each material, half of the prepared specimens were randomly selected and immersed in the disinfectant 24 h prior to testing. Results were compared statistically at a confidence level of 95%. The result showed that in both the control and disinfected groups, the flexural modulus of nylon was significantly lower than the three PMMA polymers. The flexural strength of nylon was significantly lower than those of Meliodent and Acron MC but was comparable with Lucitone 199. A 24-h immersion in the disinfecting solution increased the rigidity of nylon denture base material.
    Matched MeSH terms: Materials Testing/methods
  3. Characterization of hydroxypropylmethylcellulose films using microwave non-destructive testing technique
    Anuar NK, Wui WT, Ghodgaonkar DK, Taib MN
    J Pharm Biomed Anal, 2007 Jan 17;43(2):549-57.
    PMID: 16978823
    The applicability of microwave non-destructive testing (NDT) technique in characterization of matrix property of pharmaceutical films was investigated. Hydroxypropylmethylcellulose and loratadine were selected as model matrix polymer and drug, respectively. Both blank and drug loaded hydroxypropylmethylcellulose films were prepared using the solvent-evaporation method and were conditioned at the relative humidity of 25, 50 and 75% prior to physicochemical characterization using microwave NDT technique as well as ultraviolet spectrophotometry, differential scanning calorimetry (DSC) and Fourier transform infrared spectroscopy (FT-IR) techniques. The results indicated that blank hydroxypropylmethylcellulose film exhibited a greater propensity of polymer-polymer interaction at the O-H and C-H domains of the polymer chains upon conditioned at a lower level of relative humidity. In the case of loratadine loaded films, a greater propensity of polymer-polymer and/or drug-polymer interaction via the O-H moiety was mediated in samples conditioned at the lower level of relative humidity, and via the C-H moiety when 50% relative humidity was selected as the condition for sample storage. Apparently, the absorption and transmission characteristics of both blank and drug loaded films for microwave varied with the state of polymer-polymer and/or drug-polymer interaction involving the O-H and C-H moieties. The measurement of microwave NDT test at 8GHz was sensitive to the chemical environment involving O-H moiety while it was greatly governed by the C-H moiety in test conducted at a higher frequency band of microwave. Similar observation was obtained with respect to the profiles of microwave NDT measurements against the state of polymer-polymer and/or drug-polymer interaction of hydroxypropylmethylcellulose films containing chlorpheniramine maleate. The microwave NDT measurement is potentially suitable for use as an apparent indicator of the state of polymer-polymer and drug-polymer interaction of the matrix.
    Matched MeSH terms: Materials Testing/methods*
  4. New bioactive glass-ceramic: synthesis and application in PMMA bone cement composites
    Abd Samad H, Jaafar M, Othman R, Kawashita M, Abdul Razak NH
    Biomed Mater Eng, 2011;21(4):247-58.
    PMID: 22182792 DOI: 10.3233/BME-2011-0673
    In present study, a new composition of glass-ceramic was synthesized based on the Na2O-CaO-SiO2-P2O5 glass system. Heat treatment of glass powder was carried out in 2 stages: 600 °C as the nucleation temperature and different temperature on crystallization at 850, 950 and 1000 °C. The glass-ceramic heat-treated at 950 °C was selected as bioactive filler in commercial PMMA bone cement; (PALACOS® LV) due to its ability to form 2 high crystallization phases in comparison with 850 and 1000 °C. The results of this newly glass-ceramic filled PMMA bone cement at 0-16 wt% of filler loading were compared with those of hydroxyapatite (HA). The effect of different filler loading on the setting properties was evaluated. The peak temperature during the polymerization of bone cement decreased when the liquid to powder (L/P) ratio was reduced. The setting time, however, did not show any trend when filler loading was increased. In contrast, dough time was observed to decrease with increased filler loading. Apatite morphology was observed on the surface of the glass-ceramic and selected cement after bioactivity test.
    Matched MeSH terms: Materials Testing/methods
  5. Process of prototyping coronary stents from biodegradable Fe-Mn alloys
    Hermawan H, Mantovani D
    Acta Biomater, 2013 Nov;9(10):8585-92.
    PMID: 23665503 DOI: 10.1016/j.actbio.2013.04.027
    Biodegradable stents are considered to be a recent innovation, and their feasibility and applicability have been proven in recent years. Research in this area has focused on materials development and biological studies, rather than on how to transform the developed biodegradable materials into the stent itself. Currently available stent technology, the laser cutting-based process, might be adapted to fabricate biodegradable stents. In this work, the fabrication, characterization and testing of biodegradable Fe-Mn stents are described. A standard process for fabricating and testing stainless steel 316L stents was referred to. The influence of process parameters on the physical, metallurgical and mechanical properties of the stents, and the quality of the produced stents, were investigated. It was found that some steps of the standard process such as laser cutting can be directly applied, but changes to parameters are needed for annealing, and alternatives are needed to replace electropolishing.
    Matched MeSH terms: Materials Testing/methods*
  6. A technique for evaluating the oil/heavy-oil viscosity changes under ultrasound in a simulated porous medium
    Hamidi H, Mohammadian E, Junin R, Rafati R, Manan M, Azdarpour A, et al.
    Ultrasonics, 2014 Feb;54(2):655-62.
    PMID: 24075416 DOI: 10.1016/j.ultras.2013.09.006
    Theoretically, Ultrasound method is an economical and environmentally friendly or "green" technology, which has been of interest for more than six decades for the purpose of enhancement of oil/heavy-oil production. However, in spite of many studies, questions about the effective mechanisms causing increase in oil recovery still existed. In addition, the majority of the mechanisms mentioned in the previous studies are theoretical or speculative. One of the changes that could be recognized in the fluid properties is viscosity reduction due to radiation of ultrasound waves. In this study, a technique was developed to investigate directly the effect of ultrasonic waves (different frequencies of 25, 40, 68 kHz and powers of 100, 250, 500 W) on viscosity changes of three types of oil (Paraffin oil, Synthetic oil, and Kerosene) and a Brine sample. The viscosity calculations in the smooth capillary tube were based on the mathematical models developed from the Poiseuille's equation. The experiments were carried out for uncontrolled and controlled temperature conditions. It was observed that the viscosity of all the liquids was decreased under ultrasound in all the experiments. This reduction was more significant for uncontrolled temperature condition cases. However, the reduction in viscosity under ultrasound was higher for lighter liquids compare to heavier ones. Pressure difference was diminished by decreasing in the fluid viscosity in all the cases which increases fluid flow ability, which in turn aids to higher oil recovery in enhanced oil recovery (EOR) operations. Higher ultrasound power showed higher liquid viscosity reduction in all the cases. Higher ultrasound frequency revealed higher and lower viscosity reduction for uncontrolled and controlled temperature condition experiments, respectively. In other words, the reduction in viscosity was inversely proportional to increasing the frequency in temperature controlled experiments. It was concluded that cavitation, heat generation, and viscosity reduction are three of the promising mechanisms causing increase in oil recovery under ultrasound.
    Matched MeSH terms: Materials Testing/methods*
  7. Fulltext A review on strengthening steel beams using FRP under fatigue
    Kamruzzaman M, Jumaat MZ, Sulong NH, Islam AB
    ScientificWorldJournal, 2014;2014:702537.
    PMID: 25243221 DOI: 10.1155/2014/702537
    In recent decades, the application of fibre-reinforced polymer (FRP) composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE) simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP) is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems.
    Matched MeSH terms: Materials Testing/methods
  8. Fulltext Measurements of the stiffness and thickness of the pavement asphalt layer using the enhanced resonance search method
    Zakaria NM, Yusoff NI, Hardwiyono S, Nayan KA, El-Shafie A
    ScientificWorldJournal, 2014;2014:594797.
    PMID: 25276854 DOI: 10.1155/2014/594797
    Enhanced resonance search (ERS) is a nondestructive testing method that has been created to evaluate the quality of a pavement by means of a special instrument called the pavement integrity scanner (PiScanner). This technique can be used to assess the thickness of the road pavement structure and the profile of shear wave velocity by using the principle of surface wave and body wave propagation. In this study, the ERS technique was used to determine the actual thickness of the asphaltic pavement surface layer, while the shear wave velocities obtained were used to determine its dynamic elastic modulus. A total of fifteen locations were identified and the results were then compared with the specifications of the Malaysian PWD, MDD UKM, and IKRAM. It was found that the value of the elastic modulus of materials is between 3929 MPa and 17726 MPa. A comparison of the average thickness of the samples with the design thickness of MDD UKM showed a difference of 20 to 60%. Thickness of the asphalt surface layer followed the specifications of Malaysian PWD and MDD UKM, while some of the values of stiffness obtained are higher than the standard.
    Matched MeSH terms: Materials Testing/methods
  9. Fulltext Reducing local scouring at bridge piles using collars and geobags
    Akib S, Liana Mamat N, Basser H, Jahangirzadeh A
    ScientificWorldJournal, 2014;2014:128635.
    PMID: 25247201 DOI: 10.1155/2014/128635
    The present study examines the use of collars and geobags for reducing local scour around bridge piles. The efficiency of collars and geobags was studied experimentally. The data from the experiments were compared with data from earlier studies on the use of single piles with a collar and with a geobag. The results showed that using a combination of a steel collar and a geobag yields the most significant scour reduction for the front and rear piles, respectively. Moreover, the independent steel collar showed better efficiency than the independent geobag below the sediment level around the bridge piles.
    Matched MeSH terms: Materials Testing/methods
  10. Fulltext Strength development of high-strength ductile concrete incorporating Metakaolin and PVA fibers
    Nuruddin MF, Khan SU, Shafiq N, Ayub T
    ScientificWorldJournal, 2014;2014:387259.
    PMID: 24707202 DOI: 10.1155/2014/387259
    The mechanical properties of high-strength ductile concrete (HSDC) have been investigated using Metakaolin (MK) as the cement replacing material and PVA fibers. Total twenty-seven (27) mixes of concrete have been examined with varying content of MK and PVA fibers. It has been found that the coarser type PVA fibers provide strengths competitive to control or higher than control. Concrete with coarser type PVA fibers has also refined microstructure, but the microstructure has been undergone with the increase in aspect ratio of fibers. The microstructure of concrete with MK has also more refined and packing of material is much better with MK. PVA fibers not only give higher stiffness but also showed the deflection hardening response. Toughness Index of HSDC reflects the improvement in flexural toughness over the plain concrete and the maximum toughness indices have been observed with 10% MK and 2% volume fraction of PVA fibers.
    Matched MeSH terms: Materials Testing/methods*
  11. Fulltext Condition assessment of PC tendon duct filling by elastic wave velocity mapping
    Liu KF, Chai HK, Mehrabi N, Yoshikazu K, Shiotani T
    ScientificWorldJournal, 2014;2014:194295.
    PMID: 24737961 DOI: 10.1155/2014/194295
    Imaging techniques are high in demand for modern nondestructive evaluation of large-scale concrete structures. The travel-time tomography (TTT) technique, which is based on the principle of mapping the change of propagation velocity of transient elastic waves in a measured object, has found increasing application for assessing in situ concrete structures. The primary aim of this technique is to detect defects that exist in a structure. The TTT technique can offer an effective means for assessing tendon duct filling of prestressed concrete (PC) elements. This study is aimed at clarifying some of the issues pertaining to the reliability of the technique for this purpose, such as sensor arrangement, model, meshing, type of tendon sheath, thickness of sheath, and material type as well as the scale of inhomogeneity. The work involved 2D simulations of wave motions, signal processing to extract travel time of waves, and tomography reconstruction computation for velocity mapping of defect in tendon duct.
    Matched MeSH terms: Materials Testing/methods*
  12. Fulltext Partial discharge characteristics of polymer nanocomposite materials in electrical insulation: a review of sample preparation techniques, analysis methods, potential applications, and future trends
    Izzati WA, Arief YZ, Adzis Z, Shafanizam M
    ScientificWorldJournal, 2014;2014:735070.
    PMID: 24558326 DOI: 10.1155/2014/735070
    Polymer nanocomposites have recently been attracting attention among researchers in electrical insulating applications from energy storage to power delivery. However, partial discharge has always been a predecessor to major faults and problems in this field. In addition, there is a lot more to explore, as neither the partial discharge characteristic in nanocomposites nor their electrical properties are clearly understood. By adding a small amount of weight percentage (wt%) of nanofillers, the physical, mechanical, and electrical properties of polymers can be greatly enhanced. For instance, nanofillers in nanocomposites such as silica (SiO2), alumina (Al2O3) and titania (TiO2) play a big role in providing a good approach to increasing the dielectric breakdown strength and partial discharge resistance of nanocomposites. Such polymer nanocomposites will be reviewed thoroughly in this paper, with the different experimental and analytical techniques used in previous studies. This paper also provides an academic review about partial discharge in polymer nanocomposites used as electrical insulating material from previous research, covering aspects of preparation, characteristics of the nanocomposite based on experimental works, application in power systems, methods and techniques of experiment and analysis, and future trends.
    Matched MeSH terms: Materials Testing/methods*
  13. Fulltext Evaluation of new suspension system for limb prosthetics
    Gholizadeh H, Abu Osman NA, Eshraghi A, Ali S, Arifin N, Wan Abas WA
    Biomed Eng Online, 2014;13:1.
    PMID: 24410918 DOI: 10.1186/1475-925X-13-1
    Good prosthetic suspension system secures the residual limb inside the prosthetic socket and enables easy donning and doffing. This study aimed to introduce, evaluate and compare a newly designed prosthetic suspension system (HOLO) with the current suspension systems (suction, pin/lock and magnetic systems).
    Matched MeSH terms: Materials Testing/methods*
  14. Fulltext Improving rutting resistance of pavement structures using geosynthetics: an overview
    Mirzapour Mounes S, Karim MR, Khodaii A, Almasi MH
    ScientificWorldJournal, 2014;2014:764218.
    PMID: 24526919 DOI: 10.1155/2014/764218
    A pavement structure consists of several layers for the primary purpose of transmitting and distributing traffic loads to the subgrade. Rutting is one form of pavement distresses that may influence the performance of road pavements. Geosynthetics is one type of synthetic materials utilized for improving the performance of pavements against rutting. Various studies have been conducted on using different geosynthetic materials in pavement structures by different researchers. One of the practices is a reinforcing material in asphalt pavements. This paper intends to present and discuss the discoveries from some of the studies on utilizing geosynthetics in flexible pavements as reinforcement against permanent deformation (rutting).
    Matched MeSH terms: Materials Testing/methods*
  15. Fulltext Thermal behavior of cylindrical buckling restrained braces at elevated temperatures
    Talebi E, Tahir MM, Zahmatkesh F, Yasreen A, Mirza J
    ScientificWorldJournal, 2014;2014:672629.
    PMID: 24526915 DOI: 10.1155/2014/672629
    The primary focus of this investigation was to analyze sequentially coupled nonlinear thermal stress, using a three-dimensional model. It was meant to shed light on the behavior of Buckling Restraint Brace (BRB) elements with circular cross section, at elevated temperature. Such bracing systems were comprised of a cylindrical steel core encased in a strong concrete-filled steel hollow casing. A debonding agent was rubbed on the core's surface to avoid shear stress transition to the restraining system. The numerical model was verified by the analytical solutions developed by the other researchers. Performance of BRB system under seismic loading at ambient temperature has been well documented. However, its performance in case of fire has yet to be explored. This study showed that the failure of brace may be attributed to material strength reduction and high compressive forces, both due to temperature rise. Furthermore, limiting temperatures in the linear behavior of steel casing and concrete in BRB element for both numerical and analytical simulations were about 196°C and 225°C, respectively. Finally it is concluded that the performance of BRB at elevated temperatures was the same as that seen at room temperature; that is, the steel core yields prior to the restraining system.
    Matched MeSH terms: Materials Testing/methods*
  16. Cytotoxicity evaluation of biodegradable Zn-3Mg alloy toward normal human osteoblast cells
    Murni NS, Dambatta MS, Yeap SK, Froemming GRA, Hermawan H
    Mater Sci Eng C Mater Biol Appl, 2015 Apr;49:560-566.
    PMID: 25686984 DOI: 10.1016/j.msec.2015.01.056
    The recent proposal of using Zn-based alloys for biodegradable implants was not supported with sufficient toxicity data. This work, for the first time, presents a thorough cytotoxicity evaluation of Zn-3Mg alloy for biodegradable bone implants. Normal human osteoblast cells were exposed to the alloy's extract and three main cell-material interaction parameters: cell health, functionality and inflammatory response, were evaluated. Results showed that at the concentration of 0.75mg/ml alloy extract, cell viability was reduced by ~50% through an induction of apoptosis at day 1; however, cells were able to recover at days 3 and 7. Cytoskeletal changes were observed but without any significant DNA damage. The downregulation of alkaline phosphatase protein levels did not significantly affect the mineralization process of the cells. Significant differences of cyclooxygenase-2 and prostaglandin E2 inflammatory biomarkers were noticed, but not interleukin 1-beta, indicating that the cells underwent a healing process after exposure to the alloy. Detailed analysis on the cell-material interaction is further discussed in this paper.
    Matched MeSH terms: Materials Testing/methods
  17. Characterization of nickel-doped biphasic calcium phosphate/graphene nanoplatelet composites for biomedical application
    Baradaran S, Moghaddam E, Nasiri-Tabrizi B, Basirun WJ, Mehrali M, Sookhakian M, et al.
    Mater Sci Eng C Mater Biol Appl, 2015 Apr;49:656-668.
    PMID: 25686995 DOI: 10.1016/j.msec.2015.01.050
    The effect of the addition of an ionic dopant to calcium phosphates for biomedical applications requires specific research due to the essential roles played in such processes. In the present study, the mechanical and biological properties of Ni-doped hydroxyapatite (HA) and Ni-doped HA mixed with graphene nanoplatelets (GNPs) were evaluated. Ni (3wt.% and 6wt.%)-doped HA was synthesized using a continuous precipitation method and calcined at 900°C for 1h. The GNP (0.5-2wt.%)-reinforced 6% Ni-doped HA (Ni6) composite was prepared using rotary ball milling for 15h. The sintering process was performed using hot isostatic pressing at processing conditions of 1150°C and 160MPa with a 1-h holding time. The results indicated that the phase compositions and structural features of the products were noticeably affected by the Ni and GNPs. The mechanical properties of Ni6 and 1.5Ni6 were increased by 55% and 75% in hardness, 59% and 163% in fracture toughness and 120% and 85% in elastic modulus compared with monolithic HA, respectively. The in-vitro biological behavior was investigated using h-FOB osteoblast cells in 1, 3 and 5days of culture. Based on the osteoblast results, the cytotoxicity of the products was indeed affected by the Ni doping. In addition, the effect of GNPs on the growth and proliferation of osteoblast cells was investigated in Ni6 composites containing different ratios of GNPs, where 1.5wt.% was the optimum value.
    Matched MeSH terms: Materials Testing/methods
  18. Medicinal and cosmetics soap production from Jatropha oil
    Shahinuzzaman M, Yaakob Z, Moniruzzaman M
    J Cosmet Dermatol, 2016 Jun;15(2):185-93.
    PMID: 26777540 DOI: 10.1111/jocd.12209
    Soap is the most useful things which we use our everyday life in various cleansing and cosmetics purposes. Jatropha oil is nonedible oil which has more benefits to soap making. It has also cosmetics and medicinal properties. But the presence of toxic Phorbol esters in Jatropha oil is the main constrains to use it. So it is necessary to search a more suitable method for detoxifying the Jatropha oil before the use as the main ingredient of soap production. This review implies a more suitable method for removing phorbol esters from Jatropha oil. Several parameters such as the % yield of pure Jatropha oil soap, TFM value of soap, total alkali content, free caustic alkalinity content, pH, the antimicrobial activity, and CMC value of general soap should be taken into consideration for soap from detoxified Jatropha oil.
    Matched MeSH terms: Materials Testing/methods
  19. Drug-eluting coating of ginsenoside Rg1 and Re incorporated poly(lactic-co-glycolic acid) on stainless steel 316L: Physicochemical and drug release analyses
    Miswan Z, Lukman SK, Abd Majid FA, Loke MF, Saidin S, Hermawan H
    Int J Pharm, 2016 Dec 30;515(1-2):460-466.
    PMID: 27793709 DOI: 10.1016/j.ijpharm.2016.10.056
    Active ingredients of ginsenoside, Rg1 and Re, are able to inhibit the proliferation of vascular smooth muscle cells and promote the growth of vascular endothelial cells. These capabilities are of interest for developing a novel drug-eluting stent to potentially solve the current problem of late-stent thrombosis and poor endotheliazation. Therefore, this study was aimed to incorporate ginsenoside into degradable coating of poly(lactic-co-glycolic acid) (PLGA). Drug mixture composed of ginseng extract and 10% to 50% of PLGA (xPLGA/g) was coated on electropolished stainless steel 316L substrate by using a dip coating technique. The coating was characterized principally by using attenuated total reflectance-Fourier transform infrared spectroscopy, scanning electron microscopy and contact angle analysis, while the drug release profile of ginsenosides Rg1 and Re was determined by using mass spectrometry at a one month immersion period. Full and homogenous coating coverage with acceptable wettability was found on the 30PLGA/g specimen. All specimens underwent initial burst release dependent on their composition. The 30PLGA/g and 50PLGA/g specimens demonstrated a controlled drug release profile having a combination of diffusion- and swelling-controlled mechanisms of PLGA. The study suggests that the 30PLGA/g coated specimen expresses an optimum composition which is seen as practicable for developing a controlled release drug-eluting stent.
    Matched MeSH terms: Materials Testing/methods
  20. Rate adaptive pacing in an intracardiac pacemaker
    Lloyd M, Reynolds D, Sheldon T, Stromberg K, Hudnall JH, Demmer WM, et al.
    Heart Rhythm, 2017 02;14(2):200-205.
    PMID: 27871854 DOI: 10.1016/j.hrthm.2016.11.016
    BACKGROUND: The Micra transcatheter pacemaker was designed to have similar functionality to conventional transvenous VVIR pacing systems. It provides rate adaptive pacing using a programmable 3-axis accelerometer designed to detect patient activity in the presence of cardiac motion.

    OBJECTIVE: The purpose of this study was to evaluate the system's performance during treadmill tests to maximum exertion in a subset of patients within the Micra Transcatheter Pacing Study.

    METHODS: Patients underwent treadmill testing at 3 or 6 months postimplant with algorithm programming at physician discretion. Normalized sensor rate (SenR) relative to the programmed upper sensor rate was modeled as a function of normalized workload in metabolic equivalents (METS) relative to maximum METS achieved during the test. A normalized METS and SenR were determined at the end of each 1-minute treadmill stage. The proportionality of SenR to workload was evaluated by comparing the slope from this relationship to the prospectively defined tolerance margin (0.65-1.35).

    RESULTS: A total of 69 treadmill tests were attempted by 42 patients at 3 and 6 months postimplant. Thirty tests from 20 patients who completed ≥4 stages with an average slope of 0.86 (90% confidence interval 0.77-0.96) confirmed proportionality to workload. On an individual test basis, 25 of 30 point estimates (83.3%) had a normalized slope within the defined tolerance range (range 0.46-1.08).

    CONCLUSION: Accelerometer-based rate adaptive pacing was proportional to workload, thus confirming rate adaptive pacing commensurate to workload is achievable with an entirely intracardiac pacing system.

    Matched MeSH terms: Materials Testing/methods
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