Non-invasive assessment of the atrial cycle length during atrial fibrillation in man: Introducing, validating and illustrating a new ECG method

Cardiovascular Research

Volumn 38, Issue 1, 1998, Pages 69-81

  Holm, Magnus ^a   Pehrson, Steen ^a   Ingemansson, Max ^a   Sörnmo, Leif ^b   Johansson, Rolf ^a   Sandhall, Lennart ^a   Sunemark, Max ^a   Smideberg, Birgit ^a   Olsson, Christian ^a   Olsson, S Bertil ^a  

^a LUND UNIVERSITY HOSPITAL   (Sweden)

^b LUND UNIVERSITY   (Sweden)

Author keywords

Atrium; Cycle length; ECG; Fibrillation; Frequency analysis; Human; Non invasive technique

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; DIAGNOSTIC TEST; ELECTROCARDIOGRAPHY; ELECTROPHYSIOLOGY; FEMALE; FREQUENCY ANALYSIS; HEART ARRHYTHMIA; HEART ATRIUM CONDUCTION; HEART ATRIUM FIBRILLATION; HUMAN; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; QRS COMPLEX; REPRODUCIBILITY; RISK ASSESSMENT;

ADULT; AGED; ATRIAL FIBRILLATION; ELECTROCARDIOGRAPHY; FEMALE; HEART ATRIA; HUMANS; MALE; MIDDLE AGED; REPRODUCIBILITY OF RESULTS; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 0032051662     PISSN: 00086363     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0008-6363(97)00289-7     Document Type: Article

References (30)

1. [1] Wells JL, Karp RB, Kouchoukos NT, et al. Characterization of atrial fibrillation in man: studies following open heart surgery. PACE 1978;1:426-438.
2. [2] Allessie, M, Lammers, W, Smeets, J, Bonke, F, Hollen, J. Total mapping of atrial excitation during acetylcholine-induced atrial flutter and fibrillation in the isolated canine heart. In: Kulbertus, HE, Olsson, SB, Schlepper, M, editors. Atrial fibrillation. Mölndal, Sweden: Lindgren and Söner AB, 1982:44-61.
3. [3] Cox JL, Canavan TE, Schuessler RB, et al. The surgical treatment of atrial fibrillation. II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and atrial fibrillation. J Thorac Cardiovasc Surg 1991;101:406-426.
4. [4] Konings K, Kirchhof C, Smeets J, et al. High-density mapping of electrically induced atrial fibrillation in humans. Circulation 1994;89(4):1665-1680.
5. [5] Harada A, Sasaki K, Fukushima T, et al. Atrial activation during chronic atrial fibrillation in patients with isolated mitral valve disease. Ann Thorac Surg 1996;61:104-112.
6. [6] Jais P, Haissaguerre M, Shah DC, et al. A focal source of atrial fibrillation treated by discrete radiofrequency ablation. Circulation 1997;95:572-576.
7. [7] Konings KTS, Smeets JLRM, Penn OC, Wellens HJJ, Allessie MA. Configuration of unipolar atrial electrograms during electrically induced atrial fibrillation in humans. Circulation 1997;95:1231-1241.
8. [8] Holm M, Johansson R, Brandt J, Lührs C, Olsson SB. Epicardial right atrial free wall mapping in chronic atrial fibrillation. Documentation of repetitive activation with a focal spread - a hitherto unrecognised phenomenon in man. Eur Heart J 1997;18:290-310.
9. [9] Kumagai K, Khrestian C, Waldo AL. Simultaneous multisite mapping studies during induced atrial fibrillation in the sterile pericarditis model. Insight into the mechanism of its maintenance. Circulation 1997;95:511-521.
10. [10] Holm M, Olsson SB, Johansson R, et al. Non-invasive assessment of the atrial cycle length during chronic atrial fibrillation in man. Circulation (suppl) 1996;94(8):I-69.
11. [11] Lammers WJEP, Allessie MA, Rensma PL, Schalij MJ. The use of fibrillation cycle length to determine spatial dispersion in electrophysiological properties and to characterize the underlying mechanism of fibrillation. New Trends Arrhythmias 1986;II(1):109-112.
12. [12] Capucci A, Biffi M, Boriani G, et al. Dynamic electrophysiological behavior of human atria during paroxysmal atrial fibrillation. Circulation 1995;92:1193-1202.
13. [13] Kim K-B, Rodefeld MD, Schuessler RB, Cox JL, Boineau JP. Relationship between local atrial fibrillation interval and refractory period in the isolated canine atrium. Circulation 1996;94:2961-2967.
14. [14] Hewlett AW, Wilson FN. Coarse auricular fibrillation in man. Arch Intern Med 1915;15:786-792.
15. [15] Thurmann M, Janney JG. The diagnostic importance of fibrillatory wave size. Circulation 1962;25:991-994.
16. [16] Peter RH, Morris JJ, McIntosch HD. Relationship of fibrillatory waves and p waves in the electrocardiogram. Circulation 1966;33:599-606.
17. [17] Morganroth J, Horowitz LN, Josephson ME, Kastor JA. Relationship of fibrillatory wave amplitude to left atrial size and etiology of heart disease. Am Heart J 1979;97(2):184-186.
18. [18] Leier CV, Schaal SF. Biatrial electrograms during coarse atrial fibrillation and flutter-fibrillation. Am Heart J 1980;99(3):331-341.
19. [19] Li Y-H, Hwang J-J, Tseng Y-Z, Kuan P, Lien W-P. Clinical significance of fibrillatory wave amplitude. A clue to left atrial appendage function in nonrheumatic atrial fibrillation. Chest 1995;108:359-363.
20. [20] Slocum J, Sahakian A, Swiryn S. Diagnosis of atrial fibrillation from surface electrograms based on computer-detected atrial activity. J Electrocardiol 1992;25(1):1-8.
21. [21] Slocum, JE, Ropella, KM. Correspondence between the frequency domain characteristics of simultaneous surface and intra-atrial recordings of atrial fibrillation. Comput Cardiol 1994;781-784.
22. [22] Steinhaus BM. Estimating cardiac transmembrane activation and recovery times from unipolar and bipolar extracellular electrograms: a simulation study. Biophys J 1988;53:424a.
23. [23] Blanchard SM, Damiano RJ, Asano T, et al. The effects of distant cardiac electrical events on local activation in unipolar epicardial electrograms. IEEE Trans Biomed Eng 1987;34(7):539-546.
24. [24] Prystowsky EN, Pritchett ELC, Gallagher JJ. Origin of the atrial electrogram recorded from the esophagus. Circulation 1980;61(5):1017-1023.
25. [25] Gomoll AW, Bartek MJ. Comparative β-blocking activities and electrophysiologic actions of racemic sotalol and its optical isomers in anesthetized dogs. Eur J Pharmacol 1986;132:123-135.
26. [26] Rensma PL, Allessie MA, Lammers WJEP, Bonke FIM, Schalij MJ. Length of excitation wave and susceptibility to reentrant atrial arrhythmias in normal conscious dogs. Circ Res 1988;62:395-410.
27. [27] Singh BN. Is class III antiarrhythmic activity important. Cardiovasc Drugs Ther 1990;4:597-602.
28. [28] Karagueuzian, HS, Mandel, WJ. Antiarrhythmiac drugs: mode of action, pharmacokinetic properties, and therapeutic uses. In: Mandel, WJ, editor. Cardiac Arrhythmias. 3rd ed. Philadelphia: J.B. Lippincott, 1995:111.
29. [29] Ehlert FA, Goldberger JJ, Rosenthal JE, Kadish AH. Relation between QT and RR intervals during exercise testing in atrial fibrillation. Am J Cardiol 1992;70(3):332-338.
30. [30] Cosio FG, Arribas F, López-Gil M, Placios J. Atrial flutter mapping and ablation. I. Studying atrial flutter mechanisms by mapping and entrainment. PACE 1996;19:841-853.