Non-invasive assessment of magnitude and dispersion of atrial cycle length during chronic atrial fibrillation in man

European Heart Journal

Volumn 19, Issue 12, 1998, Pages 1836-1844

  Pehrson, Steen ^a,c   Holm, M ^a   Meurling, C ^a   Ingemansson, M ^a   Smideberg, B ^a   Sornmo L ^b   Olsson, S B ^a  

^a LUND UNIVERSITY HOSPITAL   (Sweden)

^b LUND UNIVERSITY   (Sweden)

^c Department of Cardiology ^*  (Denmark)

Author keywords

Atrial cycle length; Atrial fibrillation; Non invasive; Oesophageal ECG; Precordial leads; Spectral analysis

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; ELECTROCARDIOGRAPHY; ESOPHAGUS; FEMALE; FOURIER TRANSFORMATION; FREQUENCY ANALYSIS; HEART ATRIUM; HEART ATRIUM FIBRILLATION; HEART CYCLE; HUMAN; MALE; PRIORITY JOURNAL; QT INTERVAL;

AGED; ATRIAL FIBRILLATION; ATRIAL FUNCTION; CHRONIC DISEASE; ELECTROCARDIOGRAPHY; ESOPHAGUS; FEMALE; HUMANS; MALE; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 0032403625     PISSN: 0195668X     EISSN: None     Source Type: Journal    
DOI: 10.1053/euhj.1998.1200     Document Type: Article

References (28)

1. [1] Hewlett AW, Wilson DW. Coarse auricular fibrillation in man. Arch Int Med 1915; 15: 786-92.
2. [2] Thurmann M, Janney JG. The diagnostic importance of fibrillatory wave size. Circulation 1962; 25: 991-4.
3. [3] Peter RH, Morris JJ, McIntosh HD. Relationship of fibrillatory waves and P waves in the electrocardiogram. Circulation 1966; 33: 599-606.
4. [4] Leier CV, Schaal SF. Biatrial electrograms during coarse atrial fibrillation and flutter-fibrillation. Am Heart J 1980; 99: 331-41.
5. [5] Slocum J, Sahakian A, Swiryn S. Diagnosis of atrial fibrillation from surface electro-cardiograms based on computer-detected atrial activity. J Electrocardiol 1992; 25: 1-8.
6. [6] Slocum J, Ropella KM. Correspondence between the frequency domain characteristics of simultaneous surface and intra-atrial recordings of atrial fibrillation. Comp Cardiol 1994: 781-4.
7. [7] 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: 359-63.
8. [8] Lammers WJEP, Allessie MA, Rensma PL, Schalij MJ. The use of fibrillation cycle length to determine spatial dispersion in eectrophysiological properties and to characterize the underlying mechanism of fibrillation. New Trends Arrhyth 1986; 2: 109-12.
9. [9] Asano Y, Saito J, Matsumoto K, Kaneko K, Yamamoto T, Uchida M. On the mechanism of termination and perpetuation of atrial fibrillation. Am J Cardiol 1992; 69: 1033-8.
10. [10] Misier ARR, Opthof T, van Hemel NM et al. Increased dispersion of "refractoriness" in patients with idiopathic paroxysmal atrial fibrillation. J Am Coll Cardiol 1992; 19: 1531-5.
11. [11] Konings KTS, Kirchhof CJHJ, Smeets JRLM, Wellens HJJ, Penn OC, Allessie MA. High-density mapping of electrically induced atrial fibrillation in humans. Circulation 1994; 89: 1665-80.
12. [12] Capucci A, Biffi M, Boriani G et al. Dynamic electrophysiological behavior of human atria during paroxysmal atrial fibrillation. Circulation 1995; 92: 1193-202.
13. [13] 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: 104-12.
14. [14] Daoud EG, Bogun F, Goyal R et al Effect of atrial fibrillation on atrial refractoriness in humans. Circulation 1996; 94: 1600-6.
15. [15] Kim K-B, Rodefeld MD, Schuessler RB, Cox JL, Boineau JP. Relationship between local atrial fibrillation and refractory period in the isolated canine atrium. Circulation 1996; 94: 2961-7.
16. [16] Holm M, Johansson R, Olsson SB, Brandt J, Lührs C. A new method for analysis of atrial activation during chronic atrial fibrillation in man. IEEE Trans Biomed Eng 1996; 43: 198-210.
17. [17] Holm M, Johansson R, Brandt J, Lührs C, Olsson SB. Epicardial right 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.
18. [18] Konings KTS, Smeets JRLM, Penn OC, Wellens HJJ, Allessie MA. Configuration of unipolar atrial electrograms during electrically induced atrial fibrillation in humans. Circulation 1997; 95: 1231-41.
19. [19] Holm M, Pehrson S, Ingemansson M et al. Non-invasive assessment of the atrial cycle length during atrial fibrillation in man. Introducing, validating and illustrating a new method. Cardiovasc Res 1998; 38: 69-81.
20. [20] Boahene KA, Klein GJ, Yee R, Sharma AD, Fujimura O. Termination of acute atrial fibrillation in the Wolff-Parkinson-White syndrome by procainamide and propafenone: importance of atrial fibrillatory cycle length. J Am Coll Cardiol 1990; 16: 1408-14.
21. [21] Wijffels MCEF, Kirchhof JHJ, Dorland R, Allessie MA. Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats. Circulation 1995; 92: 1954-68.
22. [22] Kumagai K, Khrestian C, Waldo AL. Simultaneous multisite mapping studies during induced atrial fibrillation in the sterile pericarditis model. Insights into the mechanism of its maintenance. Circulation 1997; 95: 511-21.
23. [23] Allessie MA, Konings K, Kirchhof CJHJ, Wijffels M. Electrophysiologic mechanisms of perpetuation of atrial fibrillation. Am J Cardiol 1996; 77: 10A-23A.
24. [24] Sato S, Yamauchi S, Schuessler RB, Boineau JP, Matsunaga Y, Cox JL. The effect of augmented atrial hypothermia on atrial refractory period, conduction, and atrial flutter/ fibrillation in the canine heart. J Thorac Cardiovasc Surg 1992; 104: 297-306.
25. [25] Satoh T, Zipes DP. Unequal atrial stretch in dogs increases dispersion of refractoriness conducive to developing atrial fibrillation. J Cardiovasc Electrophysiol 1996; 7: 833-42.
26. [26] Morganroth J, Horowitz LN, Josephson ME, Kastor JA. Relationship of atrial fibrillatory wave amplitude to left atrial size and etiology of heart disease. Am Heart J 1979; 97: 184-6.
27. [27] Tieleman RG, De Langen CDJ, Van Gelder IC. Verapamil reduces tachycardia-induced electrical remodeling of the atria. Circulation 1997; 95: 1945-53.
28. [28] Hayward RP, Hamer J, Taggert P, Emanuel R. Observations of the biphasic nature of digitalis electrophysiologic actions in the human right atrium. Cardiovasc Res 1983; 17: 533-46.