High-intensity Shock Research Articles

Suppressive and facilitative effects of shock intensity and interresponse times followed by shock.

Although response-dependent shock often suppresses responding, response facilitation can occur. In two experiments, we examined the suppressive and facilitative effects of shock by manipulating shock intensity and the interresponse times that produced shock. Rats' lever presses were reinforced on a variable-interval 40-s schedule of food presentation. Shock followed either long or short interresponse times. Shock intensity was raised from 0.05 mA to 0.4 mA or 0.8 mA. Overall, shock contingent on long interresponse times punished long interresponse times and increased response rates. Shock contingent on short interresponse times punished short interresponse times and decreased response rates. In Experiment 1, raising the range of interresponse times that produced shock enhanced these effects. In Experiment 2, the effects of shock intensity depended on the interresponse times that produced shock. When long interresponse times produced shock, low intensities increased response rates. High intensities decreased response rates. When short interresponse times produced shock, high shock intensities punished short interresponse times and decreased response rates more than low intensities. The results may explain why punishment procedures occasionally facilitate responding and establish parameters for future studies of punishment.

Shock-induced focal arrhythmias: Not driven by calcium?

i Shock-induced focal arrhythmias have been documented experimentally and are plausible mechanisms for clinically bserved postshock transient ectopic beats and reinduction of trial and ventricular fibrillations. This important clinical problem usually occurs after cardioversion and needs more focused research studies. Postshock focal arrhythmias and dysfunctions are likely associated with shock-induced electroporation, which is characterized by the transient formation of aqueous pores in the cardiomyocyte membrane. The tranient electroporation-induced pores allow free movement of ons and lead to loss of intracellular potassium and intracellular ccumulation of sodium and calcium. A previous study using icroelectrode recordings showed that high-intensity shocks in a clinically relevant range) could induce repetitive spontaeous activities in papillary muscles. In the same study, sponaneous firing of myocytes was found to be closely associated ith shock-induced diastolic depolarization and increased conraction, both of which could be explained by shock-induced lectroporation. The intriguing but unresolved question reains: How does electroporation lead to focal arrhythmias? A omprehensive study by Sowell and Fast in this issue of Hearthythm takes a significant step toward resolving this question.

Re-emergence of extinguished auditory-cued conditioned fear following a sub-conditioning procedure: Effects of hippocampal and prefrontal tetanic stimulations

Post-extinction exposure of rats to a sub-conditioning procedure can evoke conditioned fear, which may correspond to fear return and/or fear learning potentiation. The aim of the present study was to clarify this issue and examine the effects of tetanic stimulation of the hippocampus (HPC) and medial prefrontal cortex (mPFC), two brain regions implicated in post-extinction modulation of conditioned fear. Rats were initially submitted to five tone-shock pairings with either a 0.7-mA or 0.1-mA shock. Tone-evoked freezing was observed only with the higher shock intensity, indicating that the 0.1-mA shock corresponded to a sub-conditioning procedure. All conditioned rats underwent fear extinction with 20 tone-alone trials. When retrained with the sub-conditioning procedure, they displayed again tone-evoked freezing, except when the initial tone was unpaired or a new tone was paired with the 0.1-mA shock, demonstrating fear return rather than fear learning potentiation. We also found that HPC and mPFC tetanic stimulations, applied 24h after the sub-conditioning procedure, similarly reduced this fear return. However, mPFC inactivation abolished temporary HPC tetanus effect, whereas HPC inactivation did not interfere with mPFC tetanus effect. These data confirm our previous findings and reveal the nature of HPC-mPFC interactions in post-extinction modulation of conditioned fear.

Positive and negative emotional arousal increases duration of memory traces: common and independent mechanisms

We compared the ability of positive and negative emotional arousal to increase the duration of consolidated memory traces. Positive arousal was modulated by manipulating the motivational salience of the testing cage of an object recognition test. Negative emotional arousal was modulated by manipulating shock levels in a step-through inhibitory avoidance (IA). Mice trained in either a high (chocolate-associated) or a low (inedible object-associated) emotionally arousing cage showed discrimination of a novel object 24 h after training, but only mice trained in the more arousing cage showed retention 96 h after training. Mice trained with either low (0.35 mA) or high (0.7 mA) shock intensities showed increased step-through latencies when tested 24 h after training, but only mice trained with the higher shock intensity showed retention of the IA learning 1 week after training. Administration of the phosphodiesterase type IV inhibitor Rolipram immediately after training in the two low arousing conditions increases duration of both responses.

Numerical Analysis of the Behavior of Shock Wave in Spheroid Vessel

Food processing utilizing underwater shock wave softens the food by breaking cells, and prevents loss of nutrients since there is little influence of heat. Moreover, it is also possible to extract a nutrient easily and reduce processing time. A device to generate a high intensity shock wave is required in order to process various kinds of food. The purposes of this research are to investigate the best condition to generate high intensity shock waves and to understand the behavior of converged shock wave.The capacitor electric discharge circuit was used as an underwater shock wave generating device. The waveform of discharge voltage and current were measured in order to search for the best condition of underwater discharge. It was confirmed that the larger charge voltage of capacitors become, the larger optimum electrodes interval become. Propagation and convergence of underwater shock wave was observed by numerical analysis.

An equation of state of a carbon-fibre epoxy composite under shock loading

An anisotropic equation of state (EOS) is proposed for the accurate extrapolation of high-pressure shock Hugoniot (anisotropic and isotropic) states to other thermodynamic (anisotropic and isotropic) states for a shocked carbon-fibre epoxy composite (CFC) of any symmetry. The proposed EOS, using a generalised decomposition of a stress tensor [A.A. Lukyanov, Int. J. Plasticity 24, 140 (2008)], represents a mathematical and physical generalisation of the Mie-Grüneisen EOS for isotropic material and reduces to this equation in the limit of isotropy. Although a linear relation between the generalised anisotropic bulk shock velocity Us A and particle velocity up was adequate in the through-thickness orientation, damage softening process produces discontinuities both in value and slope in the Us A-up relation. Therefore, the two-wave structure (non-linear anisotropic and isotropic elastic waves) that accompanies damage softening process was proposed for describing CFC behaviour under shock loading. The linear relationship Us A-up over the range of measurements corresponding to non-linear anisotropic elastic wave shows a value of c0 A (the intercept of the Us A-up curve) that is in the range between first and second generalised anisotropic bulk speed of sound [A.A. Lukyanov, Eur. Phys. J. B 64, 159 (2008)]. An analytical calculation showed that Hugoniot Stress Levels (HSLs) in different directions for a CFC composite subject to the two-wave structure (non-linear anisotropic elastic and isotropic elastic waves) agree with experimental measurements at low and at high shock intensities. The results are presented, discussed and future studies are outlined.

Rietveld analysis of X‐ray powder diffraction patterns as a potential tool for the identification of impact‐deformed carbonate rocks

Abstract— Previous X‐ray powder diffraction (XRD) studies revealed that shock deformed carbonates and quartz have broader XRD patterns than those of unshocked samples. Entire XRD patterns, single peak profiles and Rietveld refined parameters of carbonate samples from the Sierra Madera impact crater, west Texas, unshocked equivalent samples from 95 miles north of the crater and the Mission Canyon Formation of southwest Montana and western Wyoming were used to evaluate the use of X‐ray powder diffraction as a potential tool for distinguishing impact deformed rocks from unshocked and tectonically deformed rocks. At Sierra Madera dolostone and limestone samples were collected from the crater rim (lower shock intensity) and the central uplift (higher shock intensity). Unshocked equivalent dolostone samples were collected from well cores drilled outside of the impact crater. Carbonate rocks of the Mission Canyon Formation were sampled along a transect across the tectonic front of the Sevier and Laramide orogenic belts.Whereas calcite subjected to significant shock intensities at the Sierra Madera impact crater can be differentiated from tectonically deformed calcite from the Mission Canyon Formation using Rietveld refined peak profiles, weakly shocked calcite from the crater rim appears to be indistinguishable from the tectonically deformed calcite. In contrast, Rietveld analysis readily distinguishes shocked Sierra Madera dolomite from unshocked equivalent dolostone samples from outside the crater and tectonically deformed Mission Canyon Formation dolomite.

Atria are more susceptible to electroporation than ventricles: Implications for atrial stunning, shock-induced arrhythmia and defibrillation failure

Defibrillation shock is known to induce atrial stunning, which is electrical and mechanical dysfunction. We hypothesized that atrial stunning is caused by higher atrial susceptibility to electroporation vs ventricles. We also hypothesize that electroporation may be responsible for early recurrence of atrial fibrillation. We investigated electroporation induced by 10-ms epicardial high-intensity shocks applied locally in atria and ventricles of Langendorff-perfused rabbit hearts (n = 12) using optical mapping. Electroporation was centered at the electrode and was evident from transient diastolic depolarization and reduction of action potential amplitude and maximum upstroke derivative. Electroporation was voltage-dependent and polarity-dependent and was significantly more pronounced in the atria vs ventricles (P <.01), with a summary 50% of Effective Dose (ED50) for main measured parameters of 9.2 +/- 3.6 V/cm and 13.6 +/- 3.2 V/cm in the atria vs 37.4 +/- 1.5 V/cm and 48.4 +/- 2.8 V/cm in the ventricles, for anodal and cathodal stimuli, respectively. In atria (n = 5), shocks of both polarities (27.2 +/- 1.1 V/cm) transiently induced conduction block and reentry around the inexcitable area. Electroporation-induced ectopic activity was a possible trigger for reentry. However, in the thicker ventricles, electroporation and resulting conduction slowing and block were restricted to the surface only, preventing complete block and arrhythmia. The upstroke morphology revealed that the wave front dived below the electroporated region and resurfaced into unaffected epicardial tissue. We showed that the atria are more vulnerable to electroporation and resulting block and arrhythmia than the ventricles.

Mechanism Influence on Fatigue Characters of Aerial Engine Blade by Laser Shock Processing

In Laser Shock Processing when a material is irradiated with short laser pulses (ns)of very high densities(&gt;GW/cm2), a high intensity shock wave is generated. This treatment can reduce the rate of fatigue cracking and stress corrosion cracking in structural metals or alloys needed for aerospace, nuclear power plants, and military applications. And laser shock processing has been shown to be a viable method of strengthen metallic components. Transformation on the characters of aerial engine blade by laser shock processing and influence on the fatigue life with these transformations were studied. And the relatively fatigue life experiment of aerial engine blade was done to validate the influence on the fatigue life of aerial engine by laser shock processing. It was found that laser shock processing could bring residual compressive stress and high-density dislocation on the surface of the blade. All these transformation greatly increase the fatigue life of aerial engine blade.

Administration of corticosterone after memory reactivation disrupts subsequent retrieval of a contextual conditioned fear memory: Dependence upon training intensity

Reactivation of stabilized memories returns them to a labile state and causes them to undergo extinction or reconsolidation processes. Although it is well established that administration of glucocorticoids after training enhance consolidation of contextual fear memories, but their effects on post-retrieval processes are not known. In this study, we first asked whether administration of corticosterone after memory reactivation would modulate subsequent expression of memory in rats. Additionally, we examined whether this modulatory action would depend upon the strength of the memory. We also tested the effect of propranolol after memory reactivation. Adult male Wistar rats were trained in a fear conditioning system using moderate (0.4 mA) or high shock (1.5 mA) intensities. For reactivation, rats were returned to the chamber for 90 s 24 h later. Immediately after reactivation, rats were injected with corticosterone (1, 3 or 10 mg/kg) or vehicle. One, 7 and 14 days after memory reactivation, rats were returned to the context for 5 min, and freezing behavior was scored. The findings indicated that corticosterone when injected after memory reactivation had no significant effect on recall of a moderate memory, but it impaired recall of a strong memory at a dose of 3 mg/kg. Propranolol (5 mg/kg) given after the reactivation treatment produced a modest impairment that persisted over three test sessions. Further, the results showed that corticosterone, but not propranolol deficit was reversed by a reminder shock. These findings provide evidence that administration of glucocorticoids following memory reactivation reduces subsequent retrieval of strong, but not moderate, contextual conditioned fear memory likely via acceleration of memory extinction. On the other hand, propranolol-induced amnesia may result from blockade of reconsolidation process. Further studies are needed to determine the underlying mechanisms.

Modelling of dynamic ductile fracture and application to the simulation of plate impact tests on tantalum

A model of dynamic damage by void nucleation and growth is proposed for elastic–viscoplastic materials sustaining intense loading. The model is dedicated to ductile materials for which fracture is caused by microvoiding. The material contains potential nucleation sites where microvoids are generated when the local pressure overcomes the nucleation pressure. A probability density function is adopted to describe the fluctuation of the nucleation pressure within the material. The void growth is described by using a hollow sphere model where micro-inertia effects are accounted for. The matrix weakening due to void growth is also included. The model has been first tested under uniaxial deformation. When the strain rate is assumed constant, the pressure inside the material has nearly a linear response up to a maximum. An analytical expression for the maximum pressure is proposed. Finite element simulations of plate impact tests have been carried out and compared to experiments on tantalum. From simulations based on the proposed model, an increase of the spall strength is observed with higher shock intensities. Therefore, the relationship between the velocity pullback and spall strength usually assumed in the literature (based on the acoustic approach) seems to be inadequate. Velocity profiles are simulated for different flyer thicknesses and different impact velocities with close agreement with experiments.

Central representation of the RIII flexion reflex associated with overt motor reaction: An fMRI study

Recent neuroimaging studies precised the functions of the brain regions included in the so-called "pain-matrix". They isolated brain structures mediating attentional, emotional, anticipatory, cognitive, and discriminative aspects of pain perception. Surprisingly, little attention was devoted to isolate the cerebral network associated with the motor response to pain. In this study, we used fMRI to measure BOLD signal changes in nine volunteers while they received low- (L-) and high- (H-) intensity painful electrical shocks on the (left) lower limb. High-intensity stimulation was associated with a significantly stronger pain sensation and with a pronounced motor (withdrawal) reflex. BOLD responses common to L- and H-stimulation intensities were found in the right prefrontal and right posterior parietal cortices. These did not correlate with subjective pain ratings and probably mediate attentional processes unrelated to pain intensity and withdrawal. In contrast, signal changes in insula, left SII cortices and right amygdala did correlate with pain ratings and are therefore likely to encode for pain intensity. High-intensity shocks selectively recruited a motor network, including vermis, MI, SI, and paracentral cortices bilaterally, right premotor, right SII and posterior cingulate cortices. These responses, assessed for the first time in a functional imaging study, emphazised on the presence of a motor component in what has been described as the pain-matrix. They should be considered as a motor component of pain-related processes activated in case of intense pain.

Cloning and expression study of a putative carotene biosynthesis related (cbr) gene from the halotolerant green alga Dunaliella salina

Dunaliella salina, a unicelluar green alga that can tolerate an extreme variation of salt concentration is being studied as a model system to analyze the tolerance of abiotic stresses at the molecular level. Upon abnormal NaCl levels, new transcripts were abundantly expressed in cells of the alga. EST gene discovery efforts utilizing salt-shock cells had identified one cDNA designated Dscbr (GenBank accession no. DQ867041) with significant similarity to a carotene biosynthesis related gene (cbr) from Dunaliella bardawil and to early light inducible genes (elip) of higher plants. Dscbr was 976 bp in length, encoding a 190 amino acid deduced polypeptide (DsCBR) with a predicted molecular mass of 19.9 kDa and pI of 9.0. The three dimensional structure of DsCBR modeled by computer homology modeling techniques showed that the protein possessed three predicted transmembrane helices and six conserved pigment-binding residues. Real-Time Quantitative PCR clearly demonstrated that Dscbr mRNA can be rapidly induced by high light intensity and salt shocks. The results presented in this work are consistent with the earlier proposal (Jin et al. 2001 Biochim Biophys Acta 1506:244-259, 2003 Plant Physiol 132:352-364) that the DsCBR protein is an adaptive response to stress-induced photodamage within the alga chloroplast, and plays a key role in the protection and/or repair of the photosynthetic apparatus.

On the Forming of Metallic Parts through Electromagnetic and Electrohydraulic Processing

Forming of metallic parts by the application of high intensity transitory magnetic pulses or shock waves is a challenge task from industrial perspectives as this offers extended scope of forming highly precise parts that result from material behavior at high deformation rates. Electromagnetic forming requires that the part must be intrinsically very conducting. The electrohydraulic forming is exempt from this material constraint as the deformation is generated by a shock wave in a fluid through electric discharge in between the electrodes. The application of a static pressure during forming is used to reduce the discharge energy for a given deformation. Work has been conducted to form different parts through these two techniques involving aluminum, copper and steels. The paper presents the technical obstacles still facing the electromagnetic techniques and gives examples of formed parts and joints in relation with microstructures.

Effects of electroporation on optically recorded transmembrane potential responses to high-intensity electrical shocks.

The outcome of defibrillation shocks is determined by the nonlinear transmembrane potential (DeltaVm) response induced by a strong external electrical field in cardiac cells. We investigated the contribution of electroporation to DeltaVm transients during high-intensity shocks using optical mapping. Rectangular and ramp stimuli (10-20 ms) of different polarities and intensities were applied to the rabbit heart epicardium during the plateau phase of the action potential (AP). DeltaVm were optically recorded under a custom 6-mm-diameter electrode using a voltage-sensitive dye. A gradual increase of cathodal and well as anodal stimulus strength was associated with 1) saturation and subsequent reduction of DeltaVm; 2) postshock diastolic resting potential (RP) elevation; and 3) postshock AP amplitude (APA) reduction. Weak stimuli induced a monotonic DeltaVm response and did not affect the RP level. Strong shocks produced a nonmonotonic DeltaVm response and caused RP elevation and a reduction of postshock APA. The maximum positive and maximum negative DeltaVm were recorded at 170 +/- 20 mA/cm2 for cathodal stimuli and at 240 +/- 30 mA/cm2 for anodal stimuli, respectively (means +/- SE, n = 8, P = 0.003). RP elevation reached 10% of APA at a stimulus strength of 320 +/- 40 mA/cm2 for both polarities. Strong ramp stimuli (20 ms, 600 mA/cm2) induced a nonmonotonic DeltaVm response, reaching the same largest positive and negative values as for rectangular shocks. The transition from monotonic to nonmonotonic morphology correlates with RP elevation and APA reduction, which is consistent with cell membrane electroporation. Strong shocks resulted in propidium iodide uptake, suggesting sarcolemma electroporation. In conclusion, electroporation is a likely explanation of the saturation and nonmonotonic nature of cellular responses reported for strong electric stimuli.

Induce triploidy by heat shock in Eurasian perch, Perca fluviatilis

In Eurasian perch ( Perca fluviatilis), females grow significantly faster than males. Moreover, gonadal development has a significant negative impact on somatic growth and fillet yield. In order to induce sterility, triploidy induction was attempted by subjecting fertilised eggs to heat shocks. Different combinations of temperature (28, 30, 34, 35 and 36 °C), duration (2, 5, 10 and 25 min) and time of shock initiation (TI = 3, 5 and 7 min post-fertilisation) were tested. Flow cytometry analysis was used to assess ploidy level of control and heat-shocked larvae. Low intensity (28–30 °C) and long duration (10 and 25 min) shocks lead to significantly higher survival (44 ± 26%) and triploidisation (71 ± 26%) rates than high intensity (34–36 °C) and short duration (2 and 5 min) shocks (17 ± 19% and 21 ± 26%, respectively). The most effective conditions for efficient triploidy induction were low intensity shock of 30 °C, applied 5 min post-fertilisation for 25 min. This treatment led to the production of all-triploid populations (100%) with up to 43% survival rate.

Glucocorticoid Involvement in Memory Formation in a Rat Model for Traumatic Memory

Contextual fear conditioning under training conditions involving high stressor intensities has been proposed as an animal model for traumatic memories. The strength of memory for this task has been related to the intensity of the conditioning stressor and post-training corticosterone values. However, administration of a glucocorticoid receptor (GR) antagonist only attenuated memory for this task in rats conditioned at a moderate shock intensity (0.4 u mA), but failed to influence conditioning in rats trained at a high shock intensity (1 u mA). Here, we further questioned whether interfering with glucocorticoid action at the time of training might be effective in influencing contextual fear conditioning in rats trained under different shock intensities. Rats were subcutaneously injected with the glucocorticoid synthesis inhibitor metyrapone (50, 100 u mg/kg) 90 u min before being trained in the contextual fear conditioning task, at either 0.4 or 1 u mA shock intensities. The results showed that metyrapone, in a dose-dependent manner: (i) attenuated long-term expression of contextual fear conditioning, both in 0.4- and 1 u mA-trained rats; and (ii) efficiently prevented increased plasma corticosterone concentration. In addition to further supporting a facilitating role of glucocorticoids in memory consolidation, these findings suggest a critical involvement of these hormones in the formation of traumatic memories.

Wavelength dependent of laser shock-wave generation in the water-confinement regime

The generation of high-intensity shock waves by laser plasma in the water-confinement regime has been investigated at 1.064, 0.532, and 0.355 μm laser wavelengths. Experimental characterizations of pressures induced by laser plasma have been performed with a velocimetry interferometer for any reflector. For each incident laser wavelength, above a laser power density threshold, maximum pressure levels saturate and the pressure durations are reduced due to parasitic plasma occurring in water. However, it is shown that this threshold is lower at the 0.532 and 0.355 μm wavelengths than at the 1.064 μm wavelength. The generation of the parasitic plasma in water is easier with a short wavelength because it would be dominated by multiphotoionization mechanisms. Below the saturation pressure threshold, the pressure levels are significantly higher at the 0.532 and 0.355 μm wavelengths than at the 1.064 μm wavelength. Unlike the detrimental effect of short laser wavelengths on water breakdown plasma, the confined laser interaction is shown to be more efficient in ultraviolet than in infrared laser irradiation.

Arrhythmogenic changes in action potential configuration in the ventricle induced by DC shocks

Failure of defibrillation by direct current (DC) shocks is the result in part of new ventricular tachyarrhythmias induced by the shocks. We investigated the arrhythmogenic substrate produced by the shocks. Fluorescent action potential (AP) signals were recorded from rabbit hearts perfused in vitro with the use of our original optical recording system. Localized application of 10-ms shocks (S2) during the plateau phase of APs by basic stimuli (S1) caused field intensity (FI)-dependent changes in APs: (a) S2 > 7 V/cm caused additional depolarization, giving rise to a prolongation of AP duration (APD); (b) With S2 > 20 V/cm, terminal repolarization was inhibited, and subsequent postshock S1 APs for 1 to 5 min were characterized by decreases in the maximum diastolic potential and amplitude of APs; and (c) S2 > 30 V/cm often resulted in a prolonged refractoriness, oscillation of membrane potential leading to ventricular tachycardia or fibrillation (VT/VF). The right ventricle was more susceptible than other regions for the aftereffects of high-intensity shocks. Using an 8-channel recording system, we compared the effect of 10-ms monophasic (M) and 5 5 -ms biphasic (B) shocks applied to the whole ventricles with F1 of 1 to 20 V/cm at the signal recording sites. B shocks were less potent than M shocks in the FI-dependent action potential duration (APD) prolongation, and in the shock-induced enhancement of APD dispersion. Incidence and duration of VT/VF induced by M shocks were significantly greater than those by B shocks. These findings suggest that DC shocks will cause two types of arrhythmogenic substrate: one induced at sites of high FI, and the other at sites with moderate FI. The former would produce local block or focal repetitive excitation due to prolonged depolarization and oscillation of membrane potential, and the latter circuitous movement of wavefronts through an enhancement of spatial inhomogeneity of repolarization.

Mechanical Dysfunction of the Left Atrium and the Left Atrial Appendage Following Cardioversion of Atrial Fibrillation and Its Relation to Total Electrical Energy Used for Cardioversion

In 39 patients undergoing electrical cardioversion for atrial fibrillation (AF), we examined the effect of total electrical energy used for cardioversion on postcardioversion peak left atrial (LA) rapid filling velocity (A) and the atrial emptying fraction, and recovery of LA effective mechanical atrial function (defined as peak A velocity ≥0.50 m/s), as assessed by transthoracic echocardiography. In a subset of 27 patients who underwent pre- and postcardioversion transesophageal echocardiography, we assessed the relation between total electrical energy and LA appendage filling and emptying velocities and spontaneous echo contrast. Patients were randomized to receive an initial shock of 1.5 J/kg based on body weight, or 2.5, 3.5, 5 J/kg, or 360 J, followed sequentially by higher shock intensities until sinus rhythm was achieved. Patients were classified into 4 groups based on quartiles of total energy delivered for cardioversion. Conversion to sinus rhythm was associated with a significant decrease in the LA appendage filling velocities (0.42 ± 0.20 m/s vs 0.29 ± 0.14 m/s; p = 0.002) and LA appendage emptying velocities (0.40 ± 0.22 m/s vs 0.29 ± 0.18 m/s; p = 0.03), but no change in the incidence of spontaneous echo contrast (61% vs 70%, p = 0.08). The 4 groups of patients did not differ with respect to postcardioversion LA appendage filling velocities, LA appendage emptying velocities, incidence of spontaneous echo contrast, or worsening of spontaneous echo contrast. Similarly, the change in LA appendage filling and emptying velocities associated with cardioversion was not different between the groups. Furthermore, postcardioversion peak A velocity and atrial emptying fraction and recovery of effective mechanical atrial function were similar between the 4 groups. These results suggest that in patients undergoing electrical cardioversion for AF, the total electrical energy used for cardioversion has no effect on the mechanical function of the left atrium or LA appendage following cardioversion.