QRS subtraction and the ECG analysis of atrial ectopics

Annals of Noninvasive Electrocardiology

Volumn 9, Issue 4, 2004, Pages 389-398

  Shah, Dipen C ^a   Yamane, Teichi ^b   Choi, Kee Joon ^b   Haissaguerre, Michel ^b  

^a GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^b HAUT LÉVÊQUE HOSPITAL   (France)

Author keywords

Atrial ectopics; Atrial fibrillation; Pulmonary veins; Subtraction; T wave

Indexed keywords

ALGORITHM; CATHETER ABLATION; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAPHY; HUMAN; P WAVE; PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA; PREDICTION; PRIORITY JOURNAL; PULMONARY VEIN; QRS COMPLEX; REVIEW; SIGNAL NOISE RATIO; SKIN ELECTRODE; SUPRAVENTRICULAR PREMATURE BEAT; T WAVE;

ATRIAL FIBRILLATION; ATRIAL PREMATURE COMPLEXES; CATHETER ABLATION; ELECTROCARDIOGRAPHY; HUMANS; PULMONARY VEINS;

EID: 9144257917     PISSN: 1082720X     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1542-474X.2004.94555.x     Document Type: Review

References (26)

1. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998;339:659-666.
2. Chen SA, Hsieh MH, Tai CT, et al. 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. Haissaguerre M, Jais P, Shah DC, et al. Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Circulation. 2000;101(12):1409-1417
4. Haissaguerre M, Shah DC, Jais P, et al. Electrophysiological breakthroughs from the left atrium to the pulmonary veins. Circulation. 2000;102(20):2463-2465.
5. Dufault R, Wilcox A. An algorithm for automatic P-wave detection in single or multiple lead surface ECGs. Proc Annu Int Conf IEEE EMBS, Chicago, IL, 1986.
6. Thakor N, Zhu YS. Applications of adaptive filtering to ECG analysis: noise cancellation and arrhythmia detection. IEEE Trans Biomed Eng 1991;38:785-794.
7. Sippensgroenewegen A, Mlynach MD, Roithinger FX, et al. Electrocardiographic analysis of ectopic atrial activity obscured by ventricular repolarisation: P-wave isolation using an automatic 62 lead QRST subtraction algorithm. J Cardiovasc Electrophysiol 2001;12:780-790.
8. Shah DC, Haissaguerre M, Yamane T, et al. Unmasking the ECG morphology of short coupled atrial ectopics by adjacent QRST subtraction (Abstract). Pacing Clin Electrophysiol 2001;24:II,450.
9. Choi KJ, Shah DC, Jais P, et al. QRST subtraction combined with a pacemap catalogue for the prediction of ectopy source by surface electrocardiogram in patients with paroxysmal atrial fibrillation. J Am Coll Cardiol 2002;40:2013-2021.
10. Jairath UC, Spodick DH. Exceptional prevalence of interatrial block in a general hospital population. Clin Cardiol 2001;24(8):548-550.
11. Babaev AA, Vloka ME, Sadurski R, et al. Influence of age on atrial activation as measured by the P-wave signal averaged electrocardiogram. Am J Cardiol 2000;86:692-695.
12. Hamdan MH, Kalman JM, Barron HV, et al. P-wave morphology during right atrial pacing before and after atrial flutter ablation - A new marker for success. Am J Cardiol 1997;79:1417-1420.
13. Fitzgerald DM, Hawthorne HR, Crossley GH, et al. P-wave morphology during atrial pacing along the atrioventricular ring. ECG localization of the site of origin of retrograde atrial activation. J Electrocardiol 1996;29:1-10.
14. Saksena S, Prakash A, Krol RB, et al. Regional endocardial mapping of spontaneous and induced atrial fibrillation in patients with heart disease and refractory atrial fibrillation. Am J Cardiol 1999;84:880-889.
15. Roithinger FX, Cheng J, SippensGroenewegen A, et al. Use of electroanatomic mapping to delineate transseptal atrial conduction in humans. Circulation 1999;100(17):1791-1797.
16. Mirowski M. Left atrial rhythm, diagnostic criteria and differentiation from nodal arrhythmias. Am J Cardiol 1966;17:203-210.
17. Maclean WAH, Karp RB, Kouchoukos NT, et al. P-waves during ectopic atrial rhythms in man: a study utilizing atrial pacing with fixed electrodes. Circulation 1975;52:426-434.
18. Tang CW, Scheinman MM, Van Hare GF, et al. Use of P-wave configuration during atrial tachycardia to predict site of origin. J Am Coll Cardiol 1995;26:1315-1324.
19. Man KC, Chan KK, Kovack P, et al. Spatial resolution of atrial pace mapping as determined by unipolar atrial pacing at adjacent sites. Circulation 1996;94:1357-1363.
20. Yamane T, Shah DC, Peng JT, et al. Morphological characteristics of P-waves during selective pulmonary vein pacing. J Am Coll Cardiol 2001;38(5):1505-1510.
21. Kolb C, Nurnberger S, Ndrepepa G, et al. Modes of initiation of paroxysmal atrial fibrillation from analysis of spontaneously occurring episodes using a 12-lead Holter monitoring system. Am J Cardiol 2001;88:853-857.
22. O'Donnell D, Bourke JP, Furniss SS. P-wave morphology during spontaneous and paced pulmonary vein activity. J Electrocardiology 2003;36:33-40.
23. Kistler PM, Sanders P, Fynn SP, et al. Electrophysiological and electrocardiographic characteristics of focal atrial tachycardia originating from the pulmonary veins. Acute and long-term outcomes of radiofrequency ablation. Circulation 2003;108:1968-1975.
24. Shah D, Haissaguerre M, Jais P, et al. Nonpulmonary foci: do they exist? Pacing Clin Electrophysiol 2003;26(7 Pt 2):1631-1635.
25. Shah DC, Haissaguerre M, Jais P, et al. High-resolution mapping of tachycardia originating from the superior vena cava: evidence of electrical heterogeneity, slow conduction, and possible circus movement reentry. J Cardiovasc Electrophysiol 2002;13(4):388-392.
26. Kuo JY, Tai CT, Tsao HM, et al. P-wave polarities of an arrhythmogenic focus in patients with paroxysmal atrial fibrillation originating from superior vena cava or right superior pulmonary vein. J Cardiovasc Electrophysiol 2003;14(4):350-357.