Blockchain technology is becoming increasingly popular because of its applications in various fields. It gives an edge over the traditional centralized methods as it provides decentralization, immutability, integrity, and anonymity. The most popular application of this technology is cryptocurrencies, which showed a massive rise in their popularity and market capitalization in recent years. Individual investors, big institutions, and corporate firms are investing heavily in it. However, the crypto market is less stable than traditional commodity markets. It can be affected by many technical, sentimental, and legal factors, so it is highly volatile, uncertain, and unpredictable. Plenty of research has been done on various cryptocurrencies to forecast accurate prices, but the majority of these approaches can not be applied in real-time. Motivated from the aforementioned discussion, in this paper, we propose a deep-learning-based hybrid model (includes Gated Recurrent Units (GRU) and Long Short Term Memory (LSTM)) to predict the price of Litecoin and Zcash with inter-dependency of the parent coin. The proposed model can be used in real-time scenarios and it is well trained and evaluated using standard data sets. Results illustrate that the proposed model forecasts the prices with high accuracy compared to existing models.
Introduction
Fluoroscopy is traditionally used in atrial transseptal puncture (TSP); however fluoroscopy exposes patient and physician to excess radiation. Here, we describe a feasibility study of a zero-fluoroscopy transseptal puncture (ZFTSP) technique utilising electroanatomical mapping (EAM) and intracardiac echo (ICE) in a small case series of patients undergoing ablation for atrial fibrillation (AF). We then compare this technique to other established ZFTSP techniques for paroxysmal AF ablation.
Methods
Seven patients received ZFTSP. An Acunav™ ICE catheter (Biosense Webster Inc., California, US) was placed in the right atrium, then an Agilis™ sheath (St. Jude Medical, Saint Paul, Minnesota, US) was established into the inferior vena cava. A ThermoCool® SmartTouch™ catheter (Biosense Webster Inc., California, US) was inserted through the Agilis to map the fossa ovalis. Mapping catheter exchange for dilator and needle allowed for facile ZFTSP. AF outcome, fluoroscopy times, and procedure times were compared with eight age-matched control patients.
Results
There were no significant differences in age, body mass index (BMI) or AF duration between the two groups and no immediate complications. ZFTSP procedure time was 183.9±33.7 minutes versus 293.13±129.9 minutes for TSP-only controls (p=0.05). Fluoroscopy time was 17.5±14.1 minutes in ZFTSP patients versus 73.4±50.3 minutes in controls (p=0.01). AF recurrence in ZFTSP patients was 14% versus 25% in controls.
Conclusion
ZFTSP utilising ICE and EAM is safe, effective, and time-efficient. There is a small but significant reduction in radiation exposure to patient and physician by the use of this technique.
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