Noninvasive evidence of shortened atrial refractoriness during sinus rhythm in patients with paroxysmal atrial fibrillation

PACE - Pacing and Clinical Electrophysiology

Volumn 32, Issue 3, 2009, Pages 302-307

  Holmqvist, Fredrik ^a,c   Carlson, Jonas ^a   Waktare, Johan E P ^b   Platonov, Pyotr G ^a  

^a LUND UNIVERSITY   (Sweden)

^b LIVERPOOL HEART AND CHEST HOSPITAL   (United Kingdom)

^c LUND UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Atrial electrophysiology; Atrial fibrillation; ECG; Repolarization; Signal averaging

Indexed keywords

AMIODARONE; SOTALOL;

ADULT; AGED; ARTICLE; ATRIOVENTRICULAR BLOCK; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HEART MUSCLE REFRACTORY PERIOD; HEART REPOLARIZATION; HUMAN; MALE; P WAVE; SINUS RHYTHM; TA WAVE;

AGED; ATRIAL FIBRILLATION; ELECTROCARDIOGRAPHY; EVIDENCE-BASED MEDICINE; FEMALE; HUMANS; MALE; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY;

EID: 61449202995     PISSN: 01478389     EISSN: 15408159     Source Type: Journal    
DOI: 10.1111/j.1540-8159.2008.02236.x     Document Type: Article

References (36)

1. Morillo CA, Klein GJ, Jones DL, Guiraudon CM. Chronic rapid atrial pacing. Structural, functional, and electrophysiological characteristics of a new model of sustained atrial fibrillation. Circulation 1995 91 : 1588 1595.
2. Wijffels MC, Kirchhof CJ, Dorland R, Allessie MA. Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats. Circulation 1995 92 : 1954 1968.
3. Bollmann A, Husser D, Steinert R, Stridh M, Sörnmo L, Olsson SB, Polywka D, et al. Echocardiographic and electrocardiographic predictors for atrial fibrillation recurrence following cardioversion. J Cardiovasc Electrophysiol 2003 14 : S162 S165.
4. Holmqvist F, Stridh M, Waktare JE, Sornmo L, Olsson SB, Meurling CJ. Atrial fibrillatory rate and sinus rhythm maintenance in patients undergoing cardioversion of persistent atrial fibrillation. Eur Heart J 2006 27 : 2201 2207.
5. Husser D, Stridh M, Sornmo L, Geller C, Klein HU, Olsson SB, Bollmann A. Time-frequency analysis of the surface electrocardiogram for monitoring antiarrhythmic drug effects in atrial fibrillation. Am J Cardiol 2005 95 : 526 528.
6. Nagahama Y, Sugiura T, Takehana K, Hatada K, Inada M, Iwasaka T. The role of infarction-associated pericarditis on the occurrence of atrial fibrillation. Eur Heart J 1998 19 : 287 292.
7. Nagahama Y, Sugiura T, Takehana K, Tarumi N, Iwasaka T, Inada M. Clinical significance of PQ segment depression in acute Q wave anterior wall myocardial infarction. J Am Coll Cardiol 1994 23 : 885 890.
8. Sprague HB, White PD. Clinical observations on the T wave of the auricle appearing in the human electrocardiogram. J Clin Invest 1925 1 : 389 402.
9. Debbas NM, Jackson SH, de Jonghe D, Robert A, Camm AJ. Human atrial repolarization: Effects of sinus rate, pacing and drugs on the surface electrocardiogram. J Am Coll Cardiol 1999 33 : 358 365.
10. Hayashi H, Okajima M, Yamada K. Atrial T (Ta) loop in patients with A-V block: A trial to differentiate normal and abnormal groups. Am Heart J 1976 91 : 492 500.
11. Holmqvist F, Havmoller R, Platonov P, Carlson J. Signal-averaged P wave analysis for delineation of interatrial conduction- Further validation of the method. BMC Cardiovasc Disord 2007 7 : 29.
12. Carlson J, Havmoller R, Herreros A, Platonov P, Johansson R, Olsson B. Can orthogonal lead indicators of propensity to atrial fibrillation be accurately assessed from the 12-lead ECG? Europace 2005 7 (Suppl. 2 39 48.
13. Edenbrandt L, Pahlm O. Vectorcardiogram synthesized from a 12-lead ECG: Superiority of the inverse Dower matrix. J Electrocardiol 1988 21 : 361 367.
14. Havmoller R, Carlson J, Holmqvist F, Herreros A, Meurling CJ, Olsson B, Platonov P. Age-related changes in P wave morphology in healthy subjects. BMC Cardiovasc Disord 2007 7 : 22.
15. Holmqvist F, Platonov PG, Carlson J, Havmoller R, Waktare JE, McKenna WJ, Olsson SB, et al. Variable interatrial conduction illustrated in a hypertrophic cardiomyopathy population. Ann Noninvasive Electrocardiol 2007 12 : 227 236.
16. Moe GK, Abildskov JA. Atrial fibrillation as a self-sustaining arrhythmia independent of focal discharge. Am Heart J 1959 58 : 59 70.
17. Moe GK, Rheinboldt WC, Abildskov JA. A computer model of atrial fibrillation. Am Heart J 1964 67 : 200 220.
18. Pandozi C, Bianconi L, Villani M, Gentilucci G, Castro A, Altamura G, Jesi AP, et al. Electrophysiological characteristics of the human atria after cardioversion of persistent atrial fibrillation. Circulation 1998 98 : 2860 2865.
19. Franz MR, Karasik PL, Li C, Moubarak J, Chavez M. Electrical remodeling of the human atrium: Similar effects in patients with chronic atrial fibrillation and atrial flutter. J Am Coll Cardiol 1997 30 : 1785 1792.
20. Holm M, Pehrson S, Ingemansson M, Sörnmo L, Jahansson R, Sandhall L, Sunemark 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 1998 38 : 69 81.
21. Bollmann A, Kanuru NK, McTeague KK, Walter PF, DeLurgio DB, Langberg JJ. Frequency analysis of human atrial fibrillation using the surface electrocardiogram and its response to ibutilide. Am J Cardiol 1998 81 : 1439 1445.
22. Tsuji H, Fujiki A, Tani M, Yoshida S, Sasayama S. Quantitative relationship between atrial refractoriness and the dispersion of refractoriness in atrial vulnerability. Pacing Clin Electrophysiol 1992 15 : 403 410.
23. Padeletti L, Michelucci A, Giovannini T, Porciani MC, Bamoshmoosh M, Mezzani A, Chelucci A, et al. Wavelength index at three atrial sites in patients with paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 1995 18 : 1266 1271.
24. Zimmermann M, Adamec R, Metzger J. Atrial vulnerability in patients with paroxysmal "lone" atrial fibrillation. Pacing Clin Electrophysiol 1998 21 : 1949 1958.
25. Li Z, Hertervig E, Kongstad O, Holm M, Grins E, Olsson SB, Yuan S. Global repolarization sequence of the right atrium: Monphasic action potential mapping in health pigs. Pacing Clin Electrophysiol 2003 26 : 1803 1808.
26. Langley P, Murray A. Analysis of the atrial repolarisation phase of the ECG in health and in atrial fibrillation. IEEE Conference Proceedings 2007; Computers in Cardiology, 2007.
27. Holmqvist F, Husser D, Tapanainen JM, Carlson J, Jurkko R, Xia Y, Havmoller R, et al. Interatrial conduction can be accurately determined using standard 12-lead electrocardiography: Validation of P-wave morphology using electroanatomic mapping in man. Heart Rhythm 2008 5 : 413 418.
28. Finerman WB Jr., Hamer A, Peter T, Weiss D, Mandel WJ. Electrophysiologic effects of chronic amiodarone therapy in patients with ventricular arrhythmias. Am Heart J 1982 104 : 987 996.
29. Yue L, Feng J, Gaspo R, Li GR, Wang Z, Nattel S. Ionic remodeling underlying action potential changes in a canine model of atrial fibrillation. Circ Res 1997 81 : 512 525.
30. Li D, Fareh S, Leung TK, Nattel S. Promotion of atrial fibrillation by heart failure in dogs: Atrial remodeling of a different sort. Circulation 1999 100 : 87 95.
31. Yu WC, Lee SH, Tai CT, Tsai CF, Hsieh MH, Chen CC, Ding YA, et al. Reversal of atrial electrical remodeling following cardioversion of long-standing atrial fibrillation in man. Cardiovasc Res 1999 42 : 470 476.
32. Calkins H, el-Atassi R, Kalbfleisch S, Langberg J, Morady F. Effects of an acute increase in atrial pressure on atrial refractoriness in humans. Pacing Clin Electrophysiol 1992 15 : 1674 1680.
33. Klein LS, Miles WM, Zipes DP. Effect of atrioventricular interval during pacing or reciprocating tachycardia on atrial size, pressure, and refractory period. Contraction-excitation feedback in human atrium. Circulation 1990 82 : 60 68.
34. Penefsky Z, Hoffman B. Effects of stretch on mechanical and electrical properties of cardiac muscle. Am J Physiol 1963 204 : 433 438.
35. Platonov PG, Carlson J, Ingemansson MP, Roijer A, Hansson A, Chireikin LV, Olsson SB. Detection of inter-atrial conduction defects with unfiltered signal-averaged P-wave ECG in patients with lone atrial fibrillation. Europace 2000 2 : 32 41.
36. Darbar D, Jahangir A, Hammill SC, Gersh BJ. P wave signal-averaged electrocardiography to identify risk for atrial fibrillation. Pacing Clin Electrophysiol 2002 25 : 1447 1453.