Poincaré surface profiles of RR intervals: A novel noninvasive method for the evaluation of preferential AV nodal conduction during atrial fibrillation

IEEE Transactions on Biomedical Engineering

Volumn 56, Issue 2, 2009, Pages 433-442

  Climent, Andreu M ^a   Guillem, María De La Salud ^a   Husser, Daniela ^b   Castells, Francisco ^a   Millet, Jose ^a   Bollmann, Andreas ^b  

^a UNIVERSITAT POLITÈCNICA DE VALÈNCIA   (Spain)

^b UNIVERSITY OF LEIPZIG   (Germany)

Author keywords

Atrial fibrillation (AF); Atrioventricular (AV) node; Lorenz plot; Poincar plot (PP); RR interval; Ventricular response (VR)

Indexed keywords

ATRIAL FIBRILLATION (AF); ATRIOVENTRICULAR (AV) NODE; LORENZ PLOT; RR INTERVAL; VENTRICULAR RESPONSE (VR);

LUMINOUS PAINT; PUMPING PLANTS; VISUAL COMMUNICATION;

SIGNAL PROCESSING;

ARTICLE; ELECTROCARDIOGRAM; EVALUATION RESEARCH; HEART ATRIOVENTRICULAR NODE; HEART ATRIUM FIBRILLATION; HISTOGRAM; HUMAN; MAJOR CLINICAL STUDY; NON INVASIVE MEASUREMENT; PATIENT SELECTION; POINCARE PLOT BASED ANALYSIS; QUANTITATIVE ANALYSIS; RR INTERVAL; SIGNAL PROCESSING;

AGED; ATRIAL FIBRILLATION; ATRIOVENTRICULAR NODE; CHI-SQUARE DISTRIBUTION; DATA INTERPRETATION, STATISTICAL; ELECTROCARDIOGRAPHY, AMBULATORY; FEMALE; HEART VENTRICLES; HUMANS; MALE; MIDDLE AGED; SENSITIVITY AND SPECIFICITY; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 64249084081     PISSN: 00189294     EISSN: None     Source Type: Journal    
DOI: 10.1109/TBME.2008.2003273     Document Type: Article

References (29)

1. Y. H. Zhang and T. N. Mazgalev, "Ventricular rate control during atrial fibrillation and AV node modifications: Past, present, and future," Pace-Pacing Clin. Electrophysiol., vol. 27, no. 3, pp. 382-393, Mar. 2004.
2. A. Bollmann, D. Husser, L. Mainardi, F. Lombardi, P. Langley,A.Murray, J. J. Rieta, J. Millet, S. B. Olsson, M. Stridh, and L. Sornmo, "Analysis of surface electrocardiograms in atrial fibrillation: Techniques, research, and clinical applications," Europace, vol. 8, no. 11, pp. 911-926, Nov. 2006.
3. A. Bollmann and F. Lombardi, "Electrocardiology of atrial fibrillation-Current knowledge and future challenges," IEEE Eng. Med. Biol. Mag., vol. 25, no. 6, pp. 15-23, Nov. 2006.
4. N. Cai, M. Dohnal, and S. B. Olsson, "Methodological aspects of the use of heart-rate stratified RR interval histograms in the analysis of atrioventricular-conduction during atrial fibrillation," Cardiovasc. Res., vol. 21, no. 6, pp. 455-462, Jun. 1987.
5. S. B. Olsson, N. Cai, M. Dohnal, and K. K. Talwar, "Noninvasive support for and characterization of multiple intranodal pathways in patients with mitral-valve disease and atrial-fibrillation," Eur. Heart J., vol. 7, no. 4, pp. 320-333, Apr. 1986.
6. S. Rokas, S. Gaitanidou, S. Chatzidou, N. Agrios, and S. Stamatelopoulos, "A noninvasive method for the detection of dual atrioventricular node physiology in chronic atrial fibrillation," Amer. J. Cardiol., vol. 84, no. 12, pp. 1442-1445, Dec. 1999.
7. T. Oka, T. Nakatsu, S. Kusachi, Y. Tominaga, S. Toyonaga, H. Ohnishi, M. Nakahama, I. Komatsubara, M. Murakami, and T. Tsuji, "Doublesector Lorenz plot scattering in an R-R interval analysis of patients with chronic atrial fibrillation-Incidence and characteristics of vertices of the double-sector scattering," J. Electrocardiol., vol. 31, no. 3, pp. 227-235, Jul. 1998.
8. M. P. Van Den Berg, T. Van Noord, J. Brouwer, J. Haaksma, D. J. Van Veldhuisen, H. J. G. M. Crijns, and I. C. Van Gelder, "Clustering of RR intervals predicts effective electrical cardioversion for atrial fibrillation," J. Cardiovasc. Electrophysiol., vol. 15, no. 9, pp. 1027-1033, Sep. 2004.
9. S. Gaitanidou, S. Rokas, C. Pamboucas, D. Actipis, S. Chatzidou, J. Darsinos, S. Stamatelopoulos, and S. Moulopoulos, "The RR interval distribution pattern as a predictive factor of the outcome of atrioventricular conduction modification in patients with atrial fibrillation," J. Amer. Coll. Cardiol., vol. 31, no. 2, pp. 333A-334A, Feb. 1998.
10. M. P. Ingemansson, J. Carlson, and S. B.Olsson, "Modification of intrinsic AV-nodal properties by magnesium in combination with glucose, insulin, and potassium (GIK) during chronic atrial fibrillation," J. Electrocardiol., vol. 31, no. 4, pp. 281-292, Oct. 1998.
11. S. Rokas, S. Gaitanidou, S. Chatzidou, C. Pamboucas, D. Achtipis, and S. Stamatelopoulos, "Atrioventricular node modification in patients with chronic atrial fibrillation-Role of morphology of RR interval variation," Circulation, vol. 103, no. 24, pp. 2942-2948, Jun. 2001.
12. J. Tebbenjohanns, B. Schumacher, D. Pfeiffer, and M.Manz, "Influence of slow pathway ablation on ventricular response during atrial-fibrillation- Acute and follow-up results," Circulation, vol. 90, no. 4, pp. 1-336, Oct. 1994.
13. J. Tebbenjohanns, D. Pfeiffer, B. Schumacher, W. Jung, M. Manz, and B. Luderitz, "Slowing of the ventricular rate during atrial-fibrillation by ablation of the slow pathway of AV nodal reentrant tachycardia," J. Cardiovasc. Electrophysiol., vol. 6, no. 9, pp. 711-715, Sep. 1995.
14. J. Tebbenjohanns, B. Schumacher, T. Korte, M. Niehaus, and D. Pfeiffer, "Bimodal RR interval distribution in chronic atrial fibrillation: Impact of dual atrioventricular nodal physiology on long-term rate control after catheter ablation of the posterior atrionodal input," J. Cardiovasc. Electrophysiol., vol. 11, no. 7, pp. 497-503, Jul. 2000.
15. P.Weismuller, C. Braunss, C. Ranke, andH. J. Trappe, "Multiple AV nodal pathways with multiple peaks in the RR interval histogram of the Holter monitoring ECG during atrial fibrillation," Pace-Pacing Clin. Electrophysiol., vol. 23, no. 11, pp. 1921-1924, Nov. 2000.
16. V. Fuster, "ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation)," J. Amer. Coll. Cardiol., vol. 48, no. 4, pp. 854-906, Aug. 2006.
17. R. J. Shelton, "The AFFIRM study: Approaches to control rate in atrial fibrillation," J. Amer. Coll. Cardiol., vol. 44, no. 12, pp. 2418-2419, Dec. 2004.
18. J. Carlson, "Exploration of supraventricular conduction with respect to atrial fibrillation" Ph.D. dissertation, Faculty Med., Lund Univ., Lund, Sweden, 2005.
19. P. Weismuller, C. Kratz, B. Brandts, K. Kattenbeck, H. J. Trappe, and C. Ranke, "AV nodal pathways in the R-R interval histogram of the 24-hour monitoringECGin patients with atrial fibrillation," Ann. Noninvasive Electrocardiol., vol. 6, no. 4, pp. 285-289, Oct. 2001.
20. Y. H. Zhang, K. A. Mowrey, and T. Mazgalev, "Does RR interval distribution during atrial fibrillation indicate dual pathway atrioventricular nodal electrophysiology?," Circulation, vol. 106, p. 179, 2002.
21. T. Anan, K. Sunagawa, H. Araki, and M. Nakamura, "Arrhythmia analysis by successive RR Plotting," J. Electrocardiol., vol. 23, no. 3, pp. 243-248, Jul. 1990.
22. M. Brennan, M. Palaniswami, and P. Kamen, "Do existing measures of Poincare plot geometry reflect nonlinear features of heart rate variability?," IEEE Trans. Biomed. Eng., vol. 48, no. 11, pp. 1342-1347, Nov. 2001.
23. J. Hayano, S. Sakata, A. Okada, S. Mukai, and T. Fujinami, "Circadian rhythms of atrioventricular conduction properties in chronic atrial fibrillation with and without heart failure," J. Amer. Coll. Cardiol., vol. 31, no. 1, pp. 158-166, Jan. 1998.
24. A. C. Suyama, K. Sunagawa, M. Sugimachi, T. Anan, K. Egashira, and A. Takeshita, "Differentiation between aberrant ventricular conduction and ventricular ectopy in atrial-fibrillation using RR interval scattergram," Circulation, vol. 88, no. 5, pp. 2307-2314, Nov. 1993.
25. R. J. Cohen and R. D. Berger, "A quantitative model for the ventricular response during atrial-fibrillation," IEEE Trans. Biomed. Eng., vol. 30, no. 12, pp. 769-781, Dec. 1983.
26. A. C. Suyama, "Aberrant ventricular conduction and ventricular ectopy-Reply," Circulation, vol. 89, no. 6, pp. 2944-2945, Jun. 1994.
27. A. Yamada, J. Hayano, S. Sakata, A. Okada, S. Mukai, N. Ohte, and G. Kimura, "Reduced ventricular response irregularity is associated with increased mortality in patients with chronic atrial fibrillation," Circulation, vol. 102, no. 3, pp. 300-306, Jul. 2000.
28. B. K. Bootsma, A. J. Hoelen, J. Strackee, and F. L. Meijler, "Analysis of R-R intervals in patients with atrial fibrillation at rest and during exercise," Circulation, vol. 41, no. 5, pp. 783-794, 1970.
29. L. Toivonen, A. Kadish, W. Kou, and F. Morady, "Determinants of the ventricular rate during atrial-fibrillation," J. Amer. Coll. Cardiol., vol. 16, no. 5, pp. 1194-1200, Nov. 1990.