Are neutrons involved in the pathogenesis of life-threatening cardiac arrhythmias?
Geomagnetic fields protect the earth from the adverse effects of cosmic rays, whose activity can be indirectly measured by monitoring the level of neutrons in the environment. The number and days of discharges from automatic implantable cardioverter defibrillators (ICD) in patients with cardiac arrhythmias are inversely correlated with the daily level of geomagnetic activity (GMA). The aim of the present was to determine whether neutron levels on days of AICD discharges are higher than average. Days on which discharges occurred were recorded in 31 patients bearing ICDs for managing ischemic cardiomyopathy. Daily neutron levels obtained from the monitoring data of the Russian Academy of Sciences in Moscow were analyzed using Student's t test. The mean (+/-SD) daily neutron level for the 1096-day period was 8299.29 +/- 294.236 imp/min (median 8252), and for days of ACID discharge, 8423.93 +/- 274.187 imp/min (median 8443) (p = 0.0002). The mean neutron activity on days of AICD discharges in response to ventricular disturbances was significantly higher than the mean level over the 1096-day study period. Whether this relation is a direct result of low GMA or due to an independent role of neutrons in the pathogenesis and timing of cardiac arrhythmias is unknown.
Stoupel
E
E
Division of Cardiology, Rabin Medical Center, Beilinson Campus, Petah Tiqwa, Israel. stoupel@inter.net.il
Israelevich
P
P
Kusniec
J
J
Mazur
A
A
Zabarsky
R
R
Golovchiner
G
G
Abramson
E
E
Strasberg
B
B
Battler
A
A
D001145:Arrhythmias, Cardiac / Q000209:etiology*; D017147:Defibrillators, Implantable / Q000706:statistics & numerical data; D006801:Humans; D008280:Magnetics / Q000009:adverse effects; D017202:Myocardial Ischemia / Q000532:radiotherapy; D009502:Neutrons / Q000009:adverse effects* / Q000627:therapeutic use; D010351:Patient Discharge / Q000706:statistics & numerical data; D013997:Time Factors