Novel assessment of temporal variation in fractionated electrograms using histogram analysis of local fractionation interval in patients with persistent atrial fibrillation

Circulation: Arrhythmia and Electrophysiology

Volumn 5, Issue 5, 2012, Pages 949-956

  Lin, Yenn Jiang ^a,b   Suenari, Kazuyoshi ^c   Lo, Men Tzung ^d   Lin, Chen ^d   Hsieh, Wan Hsin ^d   Chang, Shih Lin ^a,b   Lo, Li Wei ^a,b   Hu, Yu Feng ^a,b   Cheng, Chen Chuan ^e   Kihara, Yasuki ^c   Chao, Tze Fan ^a,b   Hartono, Beny ^a   Wu, Tsu Juey ^b,f   Lin, Wei Shiang ^g   Hsu, Ke Hsin ^d   Kibos, Ambrose S ^a   Huang, Norden E ^d   Chen, Shih Ann ^a,b  

^a TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

^c HIROSHIMA UNIVERSITY   (Japan)

^d NATIONAL CENTRAL UNIVERSITY   (Taiwan)

^e CHI MEI MEDICAL CENTER   (Taiwan)

^f TAICHUNG VETERANS GENERAL HOSPITAL   (Taiwan)

^g TRI SERVICE GENERAL HOSPITAL   (Taiwan)

Author keywords

Atrial fibrillation; Catheter ablation; Electrophysiology mapping; Histogram; Left atrium

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVERSION; CATHETER ABLATION; CLINICAL ASSESSMENT; ELECTROGRAPHY; FEMALE; FOLLOW UP; FRACTIONATION; HEART ATRIUM ARRHYTHMIA; HEART ATRIUM FIBRILLATION; HEART ATRIUM FLUTTER; HEART ELECTROPHYSIOLOGY; HISTOGRAM; HOLTER MONITORING; HUMAN; MAJOR CLINICAL STUDY; MALE; PREDICTION; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECEIVER OPERATING CHARACTERISTIC; SINUS RHYTHM; SUPERIOR CAVA VEIN; ELECTROCARDIOGRAPHY; HEART FUNCTION TEST; MIDDLE AGED; PATHOPHYSIOLOGY; RETROSPECTIVE STUDY; STATISTICAL ANALYSIS; SURVIVAL RATE; TIME; TREATMENT OUTCOME;

ATRIAL FIBRILLATION; CATHETER ABLATION; DATA INTERPRETATION, STATISTICAL; ELECTROCARDIOGRAPHY; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SURVIVAL RATE; TIME FACTORS; TREATMENT OUTCOME;

EID: 84872049930     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.111.967612     Document Type: Article

References (26)

1. Nattel S. New ideas about atrial fibrillation 50 years on. Nature. 2002;415:219-226.
2. Chen SA, Hsieh MH, Tai CT, Tsai CF, Prakash VS, Yu WC, Hsu TL, Ding YA, Chang MS. Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins: electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation. Circulation. 1999;100:1879-1886.
3. Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Le Mouroux A, Le Métayer P, Clémenty J. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659-666.
4. Verma A, Novak P, Macle L, Whaley B, Beardsall M, Wulffhart Z, Khaykin Y. A prospective, multicenter evaluation of ablating complex fractionated electrograms (CFEs) during atrial fibrillation (AF) identified by an automated mapping algorithm: acute effects on AF and efficacy as an adjuvant strategy. Heart Rhythm. 2008;5:198-205.
5. Lin YJ, Tai CT, Kao T, Chang SL, Wongcharoen W, Lo LW, Tuan TC, Udyavar AR, Chen YJ, Higa S, Ueng KC, Chen SA. Consistency of complex fractionated atrial electrograms during atrial fibrillation. Heart Rhythm. 2008;5:406-412.
6. Scherr D, Dalal D, Cheema A, Cheng A, Henrikson CA, Spragg D, Marine JE, Berger RD, Calkins H, Dong J. Automated detection and characterization of complex fractionated atrial electrograms in human left atrium during atrial fibrillation. Heart Rhythm. 2007;4:1013-1020.
7. Throne RD, Jenkins JM, DiCarlo LA. Intraventricular electrogram analysis for ventricular tachycardia detection: statistical validation. Pacing Clin Electrophysiol. 1990;13:1596-1601.
8. Calkins H, Brugada J, Packer DL, Cappato R, Chen SA, Crijns HJ, Damiano RJ Jr, Davies DW, Haines DE, Haissaguerre M, Iesaka Y, Jackman W, Jais P, Kottkamp H, Kuck KH, Lindsay BD, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Natale A, Pappone C, Prystowsky E, Raviele A, Ruskin JN, Shemin RJ; European Heart Rhythm Association (EHRA); European Cardiac Arrhythmia Scoiety (ECAS); American College of Cardiology (ACC); American Heart Association (AHA); Society of Thoracic Surgeons (STS). HRS/EHRA/ECAS expert Consensus Statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation. Heart Rhythm. 2007;4:816-861.
9. Lin YJ, Tai CT, Kao T, Chang SL, Lo LW, Tuan TC, Udyavar AR, Wongcharoen W, Hu YF, Tso HW, Tsai WC, Chang CJ, Ueng KC, Higa S, Chen SA. Spatiotemporal organization of the left atrial substrate after circumferential pulmonary vein isolation of atrial fibrillation. Circ Arrhythm Electrophysiol. 2009;2:233-241.
10. Oral H, Chugh A, Good E, Crawford T, Sarrazin JF, Kuhne M, Chalfoun N, Wells D, Boonyapisit W, Gadeela N, Sankaran S, Kfahagi A, Jongnarangsin K, Pelosi F Jr, Bogun F, Morady F. Randomized evaluation of right atrial ablation after left atrial ablation of complex fractionated atrial electrograms for long-lasting persistent atrial fibrillation. Circ Arrhythm Electrophysiol. 2008;1:6-13.
11. Ndrepepa G, Schneider MA, Karch MR, Weber S, Schreieck J, Schömig A, Schmitt C. Pulmonary vein internal electrical activity does not contribute to the maintenance of atrial fibrillation. Pacing Clin Electrophysiol. 2003;26:1356-1362.
12. Ndrepepa G, Schneider MA, Karch MR, Weber S, Schreieck J, Zrenner B, Schmitt C. Impact of atrial fibrillation on the voltage of bipolar signals acquired from the left and right atria. Pacing Clin Electrophysiol. 2003;26(4 Pt 1):862-869.
13. Lin WS, Tai CT, Hsieh MH, Tsai CF, Lin YK, Tsao HM, Huang JL, Yu WC, Yang SP, Ding YA, Chang MS, Chen SA. Catheter ablation of paroxysmal atrial fibrillation initiated by non-pulmonary vein ectopy. Circulation. 2003;107:3176-3183.
14. Chang SL, Tai CT, Lin YJ, Wongcharoen W, Lo LW, Tuan TC, Udyavar AR, Chang SH, Tsao HM, Hsieh MH, Hu YF, Chen YJ, Chen SA. Biatrial substrate properties in patients with atrial fibrillation. J Cardiovasc Electrophysiol. 2007;18:1134-1139.
15. Chang SL, Tsao HM, Lin YJ, Lo LW, Hu YF, Tuan TC, Suenari K, Tai CT, Li CH, Chao TF, Lin YK, Tsai CF, Wu TJ, Chen SA. Characteristics and significance of very early recurrence of atrial fibrillation after catheter ablation. J Cardiovasc Electrophysiol. 2011;22:1193-1198.
16. Lo LW, Tsao HM, Lin YJ, Chang SL, Hu YF, Tsai WC, Tuan TC, Suenari K, Huang SY, Tung NH, Higa S, Tai CT, Ueng KC, Li CH, Chao TF, Wu TJ, Chen SA. Different patterns of atrial remodeling after catheter ablation of chronic atrial fibrillation. J Cardiovasc Electrophysiol. 2011;22:385-393.
17. Elayi CS, Verma A, Di Biase L, Ching CK, Patel D, Barrett C, Martin D, Rong B, Fahmy TS, Khaykin Y, Hongo R, Hao S, Pelargonio G, Dello Russo A, Casella M, Santarelli P, Potenza D, Fanelli R, Massaro R, Arruda M, Schweikert RA, Natale A. Ablation for longstanding permanent atrial fibrillation: results from a randomized study comparing three different strategies. Heart Rhythm. 2008;5:1658-1664.
18. Lin YJ, Tai CT, Chang SL, Lo LW, Tuan TC, Wongcharoen W, Udyavar AR, Hu YF, Chang CJ, Tsai WC, Kao T, Higa S, Chen SA. Efficacy of additional ablation of complex fractionated atrial electrograms for catheter ablation of nonparoxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 2009;20:607-615.
19. O'Neill MD, Wright M, Knecht S, Jaïs P, Hocini M, Takahashi Y, Jönsson A, Sacher F, Matsuo S, Lim KT, Arantes L, Derval N, Lellouche N, Nault I, Bordachar P, Clémenty J, Haïssaguerre M. Long-term follow-up of persistent atrial fibrillation ablation using termination as a procedural endpoint. Eur Heart J. 2009;30:1105-1112.
20. Elayi CS, Di Biase L, Barrett C, Ching CK, al Aly M, Lucciola M, Bai R, Horton R, Fahmy TS, Verma A, Khaykin Y, Shah J, Morales G, Hongo R, Hao S, Beheiry S, Arruda M, Schweikert RA, Cummings J, Burkhardt JD, Wang P, Al-Ahmad A, Cauchemez B, Gaita F, Natale A. Atrial fibrillation termination as a procedural endpoint during ablation in long-standing persistent atrial fibrillation. Heart Rhythm. 2010;7:1216-1223.
21. Komatsu Y, Uno K, Otomo K, Nagata Y, Taniguchi H, Ogura K, Egami Y, Takayama K, Kakita K, Iesaka Y. Atrial defibrillation threshold as a novel predictor of clinical outcome of catheter ablation for persistent atrial fibrillation. Europace. 2011;13:213-220.
22. Lo LW, Tai CT, Lin YJ, Chang SL, Udyavar AR, Hu YF, Ueng KC, Tsai WC, Tuan TC, Chang CJ, Kao T, Tsao HM, Wongcharoen W, Higa S, Chen SA. Predicting factors for atrial fibrillation acute termination during catheter ablation procedures: implications for catheter ablation strategy and long-term outcome. Heart Rhythm. 2009;6:311-318.
23. Yoshida K, Chugh A, Good E, Crawford T, Myles J, Veerareddy S, Billakanty S, Wong WS, Ebinger M, Pelosi F, Jongnarangsin K, Bogun F, Morady F, Oral H. A critical decrease in dominant frequency and clinical outcome after catheter ablation of persistent atrial fibrillation. Heart Rhythm. 2010;7:295-302.
24. Hunter RJ, Diab I, Tayebjee M, Richmond L, Sporton S, Earley MJ, Schilling RJ. Characterization of fractionated atrial electrograms critical for maintenance of atrial fibrillation: a randomized, controlled trial of ablation strategies (the CFAE AF trial). Circ Arrhythm Electrophysiol. 2011;4:622-629.
25. Narayan SM, Wright M, Derval N, Jadidi A, Forclaz A, Nault I, Miyazaki S, Sacher F, Bordachar P, Clémenty J, Jaïs P, Haïssaguerre M, Hocini M. Classifying fractionated electrograms in human atrial fibrillation using monophasic action potentials and activation mapping: evidence for localized drivers, rate acceleration, and nonlocal signal etiologies. Heart Rhythm. 2011;8:244-253.
26. Ciaccio EJ, Biviano AB, Whang W, Vest JA, Gambhir A, Einstein AJ, Garan H. Differences in repeating patterns of complex fractionated left atrial electrograms in longstanding persistent atrial fibrillation as compared with paroxysmal atrial fibrillation. Circ Arrhythm Electrophysiol. 2011;4:470-477.