Kazuho Hosoda

Muscle fiber conduction velocity estimation by using normalized peak-averaging technique

In order to compute the muscle fiber conduction velocity (MFCV) and to clarify how action potentials are conducted, the normalized peak-averaging technique (NPAT) was newly employed together with computer softwares. Twelve pairs of surface electromyograms were selected from biceps brachii muscles during contraction at a level of 50% of the maximum voluntary isometric contraction in seven healthy volunteers. The techniques to compute MFCV from the time delay of the peaks (P-NPAT) and from the cross correlation (CC-NPAT) of averaged pulses were compared to the cross-correlation technique (CCT). The spread rate of averaged pulses was computed to estimate the spread of MFCVs in different motor units. Tri-phasic averaged pulses were obtained clearly by averaging more than 500 detected pulses. The P-NPAT and CC-NPAT highly correlated with the CCT in the computed MFCVs. The MFCVs obtained by P-NPAT were generally larger than those obtained by CCT, and the spread rates had in the definite values. These results suggest that the MFCV could be computed and the spread of MFCVs would be estimated from averaged pulses. The MFCV of a patient with myotonic dystrophy was also studied, and it was suggested that the NPAT would be clinically useful.

Relationship Between the Oxygen Uptake During Cardiopulmonary Exercise Testing and Left Ventricular Function in Patients with Acute Myocardial Infarction

The relationship between exercise capacity and left ventricular function has been evaluated in 35 patients with acute myocardial infarction (34 males and 1 female; mean age 55.5 ± 7.1 years). Single photon emission computed tomography (SPECT) was used to measure left ventricular function in the acute phase (4.9 ± 2.2 days after onset) and the chronic phase (188.5 ± 22.9 days after onset). More than 10% left ventricular dilatation from the acute phase to the chronic phase was defined as remodeling (RM) and the subjects were divided into 2 groups: RM and non-RM. Cardiopulmonary exercise testing was performed at 1 month (1M), 3 months (3M) and 6 months (6M) after onset. In the RM group, anaerobic threshold (AT) and peak oxygen uptake (Peak ) did not change significantly. In the non-RM group, AT was 15 ± 1 (ml/min/Kg) at 1M, 16 ± 2 at 3M and 18 ± 4 at 6M. Peak was 26 ± 3 (ml/min/Kg) at 1M, 30 ± 2 at 3M and 32 ± 3 at 6M. Both parameters in the chronic phase increased significantly compared with those at 1M (p<0.002 and p<0.0001). Thus, change in exercise capacity would correlate with change in left ventricular function.