Is there a relationship between complex fractionated atrial electrograms recorded during atrial fibrillation and sinus rhythm fractionation?

Heart Rhythm

Volumn 9, Issue 2, 2012, Pages 181-188

  Saghy, Laszlo ^a   Callans, David J ^b   Garcia, Fermin ^b   Lin, David ^b   Marchlinski, Francis E ^b   Riley, Michael ^b   Dixit, Sanjay ^b   Tzou, Wendy S ^b   Haqqani, Harris M ^b   Pap, Robert ^a   Kim, Steven ^c   Gerstenfeld, Edward P ^b  

^a UNIVERSITY OF SZEGED   (Hungary)

^b HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^c St Jude Medical Inc USA   (United States)

Author keywords

Atrial fibrillation; Complex fractionated atrial electrograms; Signal processing

Indexed keywords

ADULT; ANATOMY; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROGRAPHY; FEMALE; FRACTIONATION; HEART ATRIUM FIBRILLATION; HEART LEFT ATRIUM; HUMAN; MALE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; SINUS RHYTHM; WAVEFORM;

AGED; ARRHYTHMIAS, CARDIAC; ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HEART ATRIA; HUMANS; MALE; MIDDLE AGED; SIGNAL PROCESSING, COMPUTER-ASSISTED;

EID: 84862973442     PISSN: 15475271     EISSN: 15563871     Source Type: Journal    
DOI: 10.1016/j.hrthm.2011.09.062     Document Type: Article

References (25)

1. M. Bhargava, L. Di Biase, P. Mohanty Impact of type of atrial fibrillation and repeat catheter ablation on long-term freedom from atrial fibrillation: results from a multicenter study Heart Rhythm 6 2009 1403 1412
2. H. Oral, B.P. Knight, H. Tada Pulmonary vein isolation for paroxysmal and persistent atrial fibrillation Circulation 105 2002 1077 1081
3. K. Nademanee, J. McKenzie, E. Kosar A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate J Am Coll Cardiol 43 2004 2044 2053
4. H. Oral, A. Chugh, K. Yoshida A randomized assessment of the incremental role of ablation of complex fractionated atrial electrograms after antral pulmonary vein isolation for long-lasting persistent atrial fibrillation J Am Coll Cardiol 53 2009 782 789
5. H.L. Estner, G. Hessling, G. Ndrepepa Electrogram-guided substrate ablation with or without pulmonary vein isolation in patients with persistent atrial fibrillation Europace 10 2008 1281 1287
6. K.T. Konings, C.J. Kirchhof, J.R. Smeets, H.J. Wellens, O.C. Penn, M.A. Allessie High-density mapping of electrically induced atrial fibrillation in humans Circulation 89 1994 1665 1680
7. S. Zlochiver, M. Yamazaki, J. Kalifa, O. Berenfeld Rotor meandering contributes to irregularity in electrograms during atrial fibrillation Heart Rhythm 5 2008 846 854
8. V. Jacquemet, C.S. Henriquez Genesis of complex fractionated atrial electrograms in zones of slow conduction: a computer model of microfibrosis Heart Rhythm 6 2009 803 810
9. J.H. Park, H.N. Pak, S.K. Kim Electrophysiologic characteristics of complex fractionated atrial electrograms in patients with atrial fibrillation J Cardiovasc Electrophysiol 20 2009 266 272
10. M.K. Stiles, A.G. Brooks, P. Kuklik High-density mapping of atrial fibrillation in humans: relationship between high-frequency activation and electrogram fractionation J Cardiovasc Electrophysiol 19 2008 1245 1253
11. T. Rostock, M. Rotter, P. Sanders High-density activation mapping of fractionated electrograms in the atria of patients with paroxysmal atrial fibrillation Heart Rhythm 3 2006 27 34
12. M.K. Stiles, B. John, C.X. Wong Paroxysmal lone atrial fibrillation is associated with an abnormal atrial substrate: characterizing the "second factor" J Am Coll Cardiol 53 2009 1182 1191
13. M.J.C. Pachon, M.E.I. Pachon, M.J.C. Pachon A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation Europace 6 2004 590 601
14. J.M. de Bakker, F.H. Wittkampf The pathophysiologic basis of fractionated and complex electrograms and the impact of recording techniques on their detection and interpretation Circ Arrhythm Electrophysiol 3 2010 204 213
15. M. Arruda, A. Natale Ablation of permanent AF: adjunctive strategies to pulmonary veins isolation: targeting AF NEST in sinus rhythm and CFAE in AF J Interv Card Electrophysiol 23 2008 51 57
16. S. Lazar, S. Dixit, F.E. Marchlinski, D.J. Callans, E.P. Gerstenfeld Presence of left-to-right atrial frequency gradient in paroxysmal but not persistent atrial fibrillation in humans Circulation 110 2004 3181 3186
17. M. Hassaguerre, P. Sanders, M. Hocini Catheter ablation of long-lasting persistent atrial fibrillation: critical structures for termination J Cardiovasc Electrophysiol 16 2005 1125 1137
18. F.G. Cosio, J. Palacios, J.M. Vidal, E.G. Cocina, M.A. Gmez-Snchez, L. Tamargo Electrophysiologic studies in atrial fibrillation Slow conduction of premature impulses: a possible manifestation of the background for reentry Am J Cardiol 51 1983 122 130
19. M.S. Spach, P.C. Dolber Relating extracellular potentials and their derivatives to anisotropic propagation at a microscopic level in human cardiac muscle: evidence for electrical uncoupling of side-to-side fiber connections with increasing age Circ Res 58 1986 356 371
20. I. Deisenhofer, H. Estner, T. Reents Does electrogram-guided substrate ablation add to the success of pulmonary vein isolation in patients with paroxysmal atrial fibrillation? A prospective, randomized study J Cardiovasc Electrophysiol 20 2009 514 521
21. C.S. Elayi, A. Verma, L. Di Biase Ablation for longstanding permanent atrial fibrillation: results from a randomized study comparing three different strategies Heart Rhythm 5 2008 1658 1664
22. Y.J. Lin, C.T. Tai, S.L. Chang Efficacy of additional ablation of complex fractionated atrial electrograms for catheter ablation of nonparoxysmal atrial fibrillation J Cardiovasc Electrophysiol 20 2009 607 615
23. K.C. Roberts-Thomson, P.M. Kistler, P. Sanders Fractionated atrial electrograms during sinus rhythm: relationship to age, voltage, and conduction velocity Heart Rhythm 6 2009 587 591
24. O.A. Centurin, A. Shimizu, S. Isomoto Influence of advancing age on fractionated right atrial endocardial electrograms Am J Cardiol 96 2005 239 242
25. J.F. Roux, S. Gojraty, R. Bala Complex fractionated electrogram distribution and temporal stability in patients undergoing atrial fibrillation ablation J Cardiovasc Electrophysiol 19 2008 815 820