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Linear System for Quantitating Hydrogen at a Platinum Electrode By EDWARD S. HYMAN, M.D. ECENTLY, Clark and Bargeron 1 ' 2 introduced the use of hydrogen as a simple tracer substance in the circulation, detecting it by means of an intravascular platinizedplatinum electrode. With the electrode at the tip of a cardiac catheter in the right heart, the appearance time of hydrogen introduced into the left side by inhalation can readily be recorded. A left-to-right shunt can be detected by a short circulation time. The shunt can be further localized by positioning the electrode in the right heart. The short circuit is not detected upstream to the shunt. These observations have been amply confirmed and have been extended to the injection of hydrogen-saturated saline or blood to detect rightto-left shunts in a similar fashion.3"6 The hydrogen has been without toxieity and, in left-to-right shunts, it offers sensitivity exceeding that of other methods. 3 " 5 It can be repeated many times with ease and without drawing blood for analysis. Should it be possible to quantitate the hydrogen as well as detect it, it would then be possible to use the method to estimate the magnitude of the shunts and perhaps to estimate flow rates and other parameters by established indicator (dye)-dilution techniques. 7 The " e " of the reaction H ? ^ 2 H + + 2e is commonly estimated by a high impedance circuit, for example, pH or oxidation potential. Clark and Bargeron introduced the signal from the platinum electrode directly into a standard recorder of one megohm impedance. A higher impedance system gives more nearly the full logarithmic response, H A E = 61 mv. X log. — ' R Downloaded from http://circres.ahajournals.org/ by guest on June 18, 2017 but its use does not allow quantitation. 3 " 5 The Dr. Hyman is affiliated with the Bio-chemistry Research Laboratory at the Touro Infirmary, New Orleans, Louisiana. Beceived for publication April 27, 1961. Circulation Retearch, Volume IX, September 1SB1 major difficulty is the minimal detectability. There is no zero in a logarithmic system. Each 10-fold rise in the concentration of HS will give a 61-mv. signal. Thus, an error of 0.0001 per cent for 0.001 per cent in minimum detection will reflect as an error of 3 per cent for 30 per cent in an estimate. A linear registration would allow quantitation. Should the reaction H2 ^ 2H+ + 2e be estimated by a very low impedance circuit, each H2 gives 2e, and the relationship is linear. Methods The method should be differentiated from the polarograph commonly used to estimate oxygen. Although the oxidizing potential of oxygen is several hundred millivolts higher than that of blood, the reduction of oxygen even at a platinum catalyst is very slow, and potential of oxygen is not expressed.8 Thus, in the polarograph this reduction is induced by imposing approximately —0.6 volts on the platinum electrode. By contrast, hydrogen, potential of which is several hundred millivolts below that of blood, is rapidly oxidized at a platinum catalyst. The reaction is spontaneous and need not be induced by an imposed voltage. Hence, a simple, low impedance current measuring device is all that is necessary to measure hydrogen. It is noted that a platinum electrode without the imposed voltage does not "poison" in blood as does that in the polargraph. The circuit in figure 1 has been found satisfactory.9 A single PNP transistor is used in a "common emitter" circuit. The electrons from the platinum electrode (Pt°) flow to the base of the transistor, across the base-emitter junction to B + . This results in an amplified replica of the current flowing through the transistor's emittercollector circuit. The amplification depends on the "h PE " of beta of the transistor. This amplified current goes through the collector-load resistor. The voltage across this resistor is linear with the weak current originating in the platinum electrode. The potentiometer slide (S) is set so that its voltage equals the base voltage plus the reference electrode (Ref.) voltage. This is easily done by choosing the setting at which the output of the circuit is equal to the output with the electrodes disconnected. At this setting, the electromotive 1093 HYMAX 1094 0 U T P U T Downloaded from http://circres.ahajournals.org/ by guest on June 18, 2017 Figure 1 Transistor circuit. The six-volt battery consists of four penlight cells. These can be reversed for an NPN transistor. The connections for the platinum (Pt°) and reference (Ref.) electrodes are marked. The potentiometer slide (S) is set at about 0.3 volts depending upon the electrodes used. See text. % Saturated with Hjdrog»i force (EMF) of the electrodes is equal, and there is no appreciable current through them. Above or below this setting, the EMF of the electrodes is unequal, and a current flows in one direction or the other. The circuit becomes an amplifying polarograph. Although the response to hydrogen is the same above or below null setting, the zero drift is minimal at this setting. For short observations, it has been found unnecessary to compensate the transistor for temperature. Results In vitro curves in figures 2, 3, and 4 were obtained using a vibrating platinum electrode and a calomel half-cell supported in a beaker of solution. Starting with a measured quantity of plasma in a beaker as zero hydrogen, the data were obtained by adding increments of hydrogen-saturated saline or plasma via syringe and needle. The estimate of concentration was corrected for the increase in volume. The output voltage of the transistor circuit was observed on a Heathkit vacuumtube voltmeter (model V 7A) set at zero voltage for the hydrogen-free plasma. Figure 2 represents a sensitive range. The 2X508 transistor has a current amplification of about 125 times. A 6,800-ohm collector resistor was used. Concentration of hydrogen Figure 2 The output of the transistor circuit in millivolts plotted against the concentration of hydrogen in terms of per cent saturated. Range: 0 to 3.3 per cent saturated. in terms of per cent saturated is plotted against the output of the circuit in millivolts. Eight points from 0 to 3.3 per cent lie in a straight line. Figure 3 shows two straight lines. The first is the continuation of figure 1 using the same transistor and collector load. This same curve remains linear to the limit of the circuit at a little over 9 per cent saturation with hydrogen. The second line in figure 3 shows the effect of changing to a transistor with lower amplification. The 2N190 transistor has an amplification of about 35. Zero and eight other points up to 25 per cent saturation fall close to a straight line. Figure 4 demonstrates the range from 0 to 100 per cent saturation. The reduced slope of the line was achieved by using a smaller collector resistor (2,200 ohms). This straight line does not intercept the point 00, probably due to the difficulty in rapidly preparing dilutions over this wide a range with the technique used. Circulation Research. Volume IX, September 1961 LINEAR SYSTEM FOR QUANTITATING HYDROGEN 2KI9O 6.SI 6.SZ HI 111volta 1095 2S19O J.2I 40C0 • / / 3OO0 • / aooo • / / Downloaded from http://circres.ahajournals.org/ by guest on June 18, 2017 1OOO • 0 / '• 1 . . . . . . . .1.. . . 1 • • • • 1 * Saturation with Hydrogen Figure 3 Millivolts versus per cent saturated icith hydrogen. The steeper slope is with the higher gain transistor (2N508) used in figure 2 in the range from 0 to 9 per cent saturated. The curve with the lesser slope ivas obtained by substituting the lower gain 2N190 transistor in the same circuit. Itange: 0 to 25 per cent. In vivo observations were made using the same platinum-tipped intraeardiac catheters as were used in previous studies.3"5 The reference calomel half-cell was wrapped in gauze, attached to the skin with adhesive tape, and wet with saline. The output of the transistor circuit was introduced into a 1-megohm recorder. The tip of! the catheter was lodged in the pulmonary artery of a dog under pentobarbital sodium (Nembutal) anesthesia. Successive quantities of hydrogen-saturated saline were rapidly injected intravenously in a random sequence- Figure 5 is a plot of the area in arbitrary units of the response curve against the volume of the hydrogen-saturated saline injected. This empirical response curve has an area essentially linear with quantity of hydrogen injected. A platinum-tipped catheter was inserted Circulation Retearch. Volume IX. September 1961 Jt Saturated «lth Hjdrogen Figure 4 Range is 0 to 100 per cent, using the lower gain 2N190 transistor and a lower collector load (2,200 ohms). into the aorta of a dog under pentobarbital sodium anesthesia. The dog was given successive inhalations of hydrogen in a manner and depth similar to that in previous studies.3"5 The response of the platinum by way of the transistor circuit was recorded. The catheter was removed and calibrated with zero- and 100-per-cent-saturated blood. Assuming the linear relationship demonstrated in figure 4, the concentration of hydrogen in the aortic blood was estimated to vary from 20 to 50 per cent saturated, varying with the depth of the inhalation. Discussion A simple method has been described to quantitate hydrogen at a platinized platinum electrode. I t is neither the polarographic method nor the potentiometrie method. Because the oxidation of hydrogen at a platinum black electrode is spontaneous, the forced reaction of the polarograph is unnecessary, and the resultant drift in blood is avoided. The method employs a simple, low impedance cur- HYMAX 1096 AREA 30 20 15 Downloaded from http://circres.ahajournals.org/ by guest on June 18, 2017 10 lml 2ml 3ml 4ml 5 ml 4 ml 7ml (ml Area under curve of response versus volume of hydrogen-saturated, saline given intravenously to a dog. The signal originated from a platinum electrode at the tip of an in tru cardiac catheter in the pulmonary artery. rent measuring device which tests the battery consisting of a platinum-hydrogen half-cell versus a calomel reference half-cell much like an ammeter is used to test a flashlight battery. The system described gives a linear response to the concentration of hydrogen at the platinum electrode. This offers quantisation. It is simple and stable. The response of the system is dependent upon the area and the quality of the colloidal platinum black deposited. Platinum black deposited from approximately 3 per cent chloroplatinic acid has been used because of its sensitivity. Recently, it has been found that a platinum '' grey, : ' formed by cathodizing 5 per cent PtCl 2 + 5 per cent ZnS0 4 and dissolving the deposited zinc in dilute HC1. responds equally but much faster. The slope of the response curve may be tailored by the choice of component values iu the circuit. The equilibrium time of this electrochemical reaction is rapid, but not instantaneous. The response curve looks less sharp with the linear system than with the logarithmic. This may be an artifact of the logarithmic response iu which small changes are amplified at lower concentrations and are unnoticed at higher concentrations. Figure 5 shows that there is an empirical relationship of area to quantity injected. The slope is probable less than theoretical, and quantitation of a rapid injection of hydrogen could not be based on the full or absolute response of the electrode. There are three possible ways of circumventing the lack of an instantaneous response. First is an empirical calibration such as in figure 5. Second is the correlation of the slope of onset of response with the concentration. The latter could be recorded electrically. The third method is the use of a continuous infusion technique, taking advantage of two fortuitous circumstances. One is the obserCirculalion Rrnrarch. Volumr IX. Srptrmber 1961 LINEAR SYSTEM FOR QUANTITATING HYDROGEN 1097 Downloaded from http://circres.ahajournals.org/ by guest on June 18, 2017 vatiou that inhalation of hydrogen causes a prolonged, virtual plateau of hydrogen concentration in the aorta and probably a somewhat continuous infusion through a left-toright shunt. The other is the observation that dissolved hydrogen injected in a peripheral vein is not detected beyond the normal lung capillaries. If detected, it is via a shunt. This lends itself to a continuous infusion technique using hydrogen in saline. Summary With a low impedance, transistor measuring circuit, the response of a platinum-platinum black electrode to hydrogen in solution is found to be linear with concentration. Hydrogen in solution can be quantitated by this circuit. This offers the possibility of quantitation of hydrogen by an intravascular platinum electrode. It may now be possible to quantitate, as well as detect, intracardiac shunts and repeat the observation without the withdrawal of blood. Addendum that this chlorine-treated surface is very sensitive to gaseous oxygen and could serve as a transducer to register changes in pOj in a similar circuit. Since submitting this paper, it has been found that a smooth platinum surface can be made at least as active as platinum covered with platinum black. This is done by anodizing the platinum in acidified 10 per cent KC1 for several minutes and then removing the deposited chlorine either by cathodizing the platinum in the same solution, or by several exposures to gaseous hydrogen. The procedure probably removes some impurities from the surface of the platinum. The smooth platinum surface has the advantage of no loss of sensitivity by mechanical removal of colloidal platinum. It gives a very rapid response with a return to base lino even quicker than the " z i n c " preparation upon removal of the signal. It is noted further Detection of right to left shunts with an arterial potentiometric electrode. Circulation 22: 949, 1960. Circulation Research. Volume IX. September 1SS1 References 1. Ci/AEK, L. C, JR., AND BARGERON, L. M.: Left to right shunt detection by an intravascular electrode with hydrogen as an indicator. Science 130: 709, 1959. 2. CLARK, L. C, JR., AND BARGERON, L. M.: Detec- tion and direct recording of right to left shunts with a hydrogen electrode catheter. Surgery 46: 797, 1959. 3. HYMAN, A. L., HYMAN, E. S., QUIROZ, A., AND GANTT, J.: Comparison of the platinum- rhodium-hydrogen electrode, dye dilution, and oxygen methods in detecting shunts. Surg. Forum 11: 150, 1960. 4. HYMAN, A. L., HYMAN, E. S., QUIROZ, A., AND GANTT, J . : Hydrogen-platinum electrode system in detection of intravascular shunts. Am. Heart J. 61 (no. 1): 53, 1961. 5. HYMAN, A. L., HYMAN, E. S., QUIROZ, A., AND GANTT, J.: Hydrogen-platinum electrode sys- tem (abstr.). Circulation 22: 766, 1960. 6. CLARK, L. C, JR., BABGERON, L. M., LYONS, C, BRADLEY, M. N., AND MCARTHUR, K. T.: 7. MAYO ASSOCIATION : Symposium on diagnostic ap- plications of indicator-dilution curves recorded from right and left sides of the heart. Proceedings of the Staff Meetings of the Mayo Clinic 33 (no. 22): 535, ,1958. 8. HYMAN, E. S.: Cause of failure of the artificial heart-lung. Tr. Am. Soc. Artificial Internal Organs 5: 257, 1959. 9 HYMAN, E. S.: Simple linear system to quantitate hydrogen at a platinum surface (abstr.). Clin. Res. 9 (no. 1): 15, 1961. Linear System for Quantitating Hydrogen at a Platinum Electrode EDWARD S. HYMAN Downloaded from http://circres.ahajournals.org/ by guest on June 18, 2017 Circ Res. 1961;9:1093-1097 doi: 10.1161/01.RES.9.5.1093 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1961 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7330. Online ISSN: 1524-4571 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://circres.ahajournals.org/content/9/5/1093 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Circulation Research can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. 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