Spatiotemporal characterization of atrial activation in persistent human atrial fibrillation: Multisite electrogram analysis and surface electrocardiographic correlations-A pilot study

Heart Rhythm

Volumn 5, Issue 5, 2008, Pages 686-693

  Dibs, Samer R ^a   Ng, Jason ^a   Arora, Rishi ^a   Passman, Rod S ^a   Kadish, Alan H ^a   Goldberger, Jeffrey J ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

Author keywords

Atrial fibrillation; Dominant frequency; Regularity index; Spatiotemporal organization; Spectral analysis; Vector stability index

Indexed keywords

AMIODARONE; SOTALOL;

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; DRUG WITHDRAWAL; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY; ELECTROGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HEART LEFT ATRIUM; HEART RIGHT ATRIUM; HUMAN; MALE; PILOT STUDY; PRIORITY JOURNAL; RADIOFREQUENCY ABLATION; VECTORCARDIOGRAPHY; WAVEFORM;

AGED; ATRIAL FIBRILLATION; BODY SURFACE POTENTIAL MAPPING; FEMALE; HEART ATRIA; HUMANS; MALE; MIDDLE AGED;

EID: 42649142913     PISSN: 15475271     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.hrthm.2008.01.027     Document Type: Article

References (41)

1. Haissaguerre M., Jais P., Shah D.C., et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Eng J Med 339 (1998) 659-666
2. Marine J.E., Dong J., and Calkins H. Catheter ablation therapy for atrial fibrillation. Prog Cardiovasc Dis 48 (2005) 178-192
3. Morillo C.A., Klein G.J., Jones D.L., et al. Chronic rapid atrial pacing: structural, functional, and electrophysiological characteristics of a new model of sustained atrial fibrillation. Circulation 91 (1995) 1588-1595
4. Berenfeld O., Mandapati R., Dixit S., et al. Spatially distributed dominant excitation frequencies reveal hidden organization in atrial fibrillation in the Langendorff-perfused sheep heart. J Cardiovasc Electrophysiol 11 (2000) 869-879
5. Mandapati R., Skanes A., Chen J., et al. Stable microreentrant sources as a mechanism of atrial fibrillation in the isolated sheep heart. Circulation 101 (2000) 194-199
6. Mansour M., Mandapati R., Berenfeld O., et al. Left-to-right gradient of atrial frequencies during acute atrial fibrillation in the isolated sheep heart. Circulation 103 (2001) 2631-2636
7. Wu T.-J., Ong J.J.C., Chang C.-M., et al. Pulmonary veins and ligament of Marshall as sources of rapid activations in a canine model of sustained atrial fibrillation. Circulation 103 (2001) 1157-1163
8. Harada A., Sasaki K., Fukushima T., et al. Atrial activation during chronic atrial fibrillation in patients with isolated mitral valve disease. Ann Thorac Surg 61 (1996) 104-111
9. Sueda T., Nagata H., Shikata H., et al. Simple left atrial procedure for chronic atrial fibrillation associated with mitral valve disease. Ann Thorac Surg 62 (1996) 1796-1800
10. Nitta T., Ishii Y., Miyagi Y., et al. Concurrent multiple left atrial focal activations with fibrillatory conduction and right atrial focal or reentrant activation as the mechanism in atrial fibrillation. J Thorac Cardiovasc Surg 127 (2004) 770-778
11. Wu T.J., Doshi R.N., Huang H.L., et al. Simultaneous biatrial computerized mapping during permanent atrial fibrillation in patients with organic heart disease. J Cardiovasc Electrophysiol 13 (2002) 571-577
12. Sahadevan J., Ryu K., Peltz L., et al. Epicardial mapping of chronic atrial fibrillation in patients: preliminary observations. Circulation 110 (2004) 3293-3299
13. Lazar S., Dixit S., Marchlinski F.E., et al. Presence of left-to-right atrial frequency gradient in paroxysmal but not persistent atrial fibrillation in humans. Circulation 110 (2004) 3181-3186
14. Sanders P., Berenfeld O., Hocini M., et al. Spectral analysis identifies sites of high-frequency activity maintaining atrial fibrillation in humans. Circulation 112 (2005) 789-797
15. Atienza F., Almendral J., Moreno J., et al. Activation of inward rectifier potassium channels accelerates atrial fibrillation in humans: evidence for a reentrant mechanism. Circulation 114 (2006) 2434-2442
16. Ng J., Kadish A.H., and Goldberger J.J. Technical considerations for dominant frequency analysis. J Cardiovasc Electrophysiol 18 (2007) 757-764
17. Ng J., Kadish A.H., and Goldberger J.J. Effect of electrogram characteristics on the relationship of dominant frequency to atrial activation rate in atrial fibrillation. Heart Rhythm 3 (2006) 1295-1305
18. Everett T.H., Moorman J.R., Kok L.C., et al. Assessment of global atrial fibrillation organization to optimize timing of atrial defibrillation. Circulation 103 (2001) 2857-2861
19. Fischer G., Stuhlinger M., Nowak C.N., et al. On computing dominant frequency from bipolar intracardiac electrograms. IEEE Trans Biomed Eng 54 (2007) 165-169
20. Slocum J., Byrom E., McCarthy L., et al. Computer detection of atrioventricular dissociation from surface electrocardiograms during wide QRS complex tachycardias. Circulation 72 (1985) 1028-1036
21. Ng J., Sahakian A.V., Fisher W.G., et al. Surface ECG vector characteristics of organized and disorganized atrial activity during atrial fibrillation. J Electrocardiol 37 Suppl (2004) 91-97
22. Narayan S.M., Krummen D.E., Kahn A.M., et al. Evaluating fluctuations in human atrial fibrillatory cycle length using monophasic action potentials. Pacing Clin Electrophysiol 29 (2006) 1209-1218
23. Neter J., Wasserman W., and Kutner M.H. Applied Linear Statistical Models: Regression, Analysis of Variance, and Experimental Design (1990), Irwin, Boston
24. 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 ECG method. Cardiovasc Res 38 (1998) 69-81
25. Bollmann A., Kanuru N.K., McTeague K.K., et al. Frequency analysis of human atrial fibrillation using the surface electrocardiogram and its response to ibutilide. Am J Cardiol 81 (1998) 1439-1445
26. Roithinger F.X., SippensGroenewegen A., Karch M.R., et al. Organized activation during atrial fibrillation in man: endocardial and electrocardiographic manifestations. J Cardiovasc Electrophysiol 9 (1998) 451-461
27. Husser D., Stridh M., Cannom D.S., et al. Validation and clinical application of time-frequency analysis of atrial fibrillation electrocardiograms. J Cardiovasc Electrophysiol 18 (2007) 41-46
28. Chauvin M., Shah D.C., Haissaguerre M., et al. The anatomic basis of connections between the coronary sinus musculature and the left atrium in humans. Circulation 101 (2000) 647-652
29. Oral H., Ozaydin M., Tada H., et al. Mechanistic significance of intermittent pulmonary vein tachycardia in patients with atrial fibrillation. J Cardiovasc Electrophysiol 13 (2002) 645-650
30. Gerstenfeld E.P., Sahakian A.V., and Swiryn S. Evidence for transient linking of atrial excitation during atrial fibrillation in humans. Circulation 86 (1992) 375-382
31. Botteron G.W., and Smith J.M. Quantitative assessment of the spatial organization of atrial fibrillation in the intact human heart. Circulation 93 (1996) 513-518
32. Carlson J., Santos S., Platonov P.G., et al. Left atrial conduction along the coronary sinus during ectopic atrial tachycardia and atrial fibrillation: a study using correlation function analysis. J Cardiovasc Electrophysiol 14 (2003) S148-S153
33. Ng J., Sahakian A.V., Fisher W.G., et al. Atrial flutter vector loops derived from the surface ECG: does the plane of the loop correspond anatomically to the macroreentrant circuit?. J Electrocardiol 36 Suppl (2003) 181-186
34. Haissaguerre M., Jais P., Shah D.C., et al. Catheter ablation of chronic atrial fibrillation targeting the reinitiating triggers. J Cardiovasc Electrophysiol 11 (2000) 2-10
35. Pappone C., Oreto G., Rosanio S., et al. Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation. Circulation 104 (2001) 2539-2544
36. Nademanee K., McKenzie J., Kosar E., et al. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate. J Am Coll Cardiol 43 (2004) 2044-2053
37. Pachon M.J.C., Pachon M.E.I., Pachon M.J.C., et al. A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation. Europace 6 (2004) 590-601
38. Oral H., Chugh A., Good E., et al. Randomized comparison of encircling and nonencircling left atrial ablation for chronic atrial fibrillation. Heart Rhythm 2 (2005) 1165-1172
39. Chen S.-A., and Tai C.-T. Is Analysis of fibrillatory waves useful for treatment of atrial fibrillation?. J Cardiovasc Electrophysiol 15 (2004) 918-919
40. Oral H., Chugh A., Good E., et al. A tailored approach to catheter ablation of paroxysmal atrial fibrillation. Circulation 113 (2006) 1824-1831
41. Xi Q., Sahakian A.V., Ng J., et al. Atrial fibrillatory wave characteristics on surface electrogram: ECG to ECG repeatability over twenty-four hours in clinically stable patients. J Cardiovasc Electrophysiol 15 (2004) 911-917