Zugriffsnummer 22698
Dokumenttyp Zeitschriftenartikel
Peer Review unbekannt
Sprache Englisch
Titel Study of surface electrocardiogram spectrum before and after pulmonary vein ablation in patients with persistent atrial fibrillation
Autor(in); Institution
Romero, Inaki; 8.4, Mathematische Modellierung und Datenanalyse, PTB-Berlin
Koch, Hans; 8, Medizinphysik und metrologische Informationstechnik, PTB-Berlin
Fleck, Eckhart; German Heart Center, Berlin, GERMANY
Kriatselis, Charalampos; German Heart Center, Berlin, GERMANY
Quelle/Jahr Journal of Electrocardiology: 41 (2008), 6, 553 - 556
ISSN 0022-0736 (PRINT) ; 0022-0736 (ONLINE)
DOI
Verlag New York, NY: Elsevier
Freie Schlagworte ECG analysis ; Atrial fibrillation ; Pulmonary vein ablation
Zusammenfassung Atrial fibrillation (AF) is the most common clinical cardiac arrhythmia and is usually treated with the electrical isolation of the pulmonary veins from the atria. However, it is estimated that about 30% of the patients undergoing this therapy will develop AF again. The purpose of this study was to test the dynamic changes of the spectra calculated in surface  electrocardiograms (ECGs) before and after the ablation of the pulmonary veins. Surface ECGs of 14 patients with persistent AF undergoing this intervention were considered for this study. The QRS-T waves were subtracted from the ECGs using common spatial pattern, isolating the electrical activity of the atrium. The spectrum was then calculated and the main frequency peaks were identified. The smaller peaks with amplitude below 50% of the maximum were discarded. Eleven of the patients were followed up after the intervention for 1 to 6 months. Two of the patients developed AF again; the other 9 remained in sinus rhythm. For most of the patients, the spectrum showed more order after the intervention. However, the main frequency did not experience a significant decrease in average (5.1 Hz [±1.3] to 4.9 Hz [±1.0]). Interestingly, the increment or decrease of the main frequency did not correlate with the recurrence of AF or not.

Zitierung

Romero, I., Koch, H., Fleck, E., & Kriatselis, C. (2008). Study of surface electrocardiogram spectrum before and after pulmonary vein ablation in patients with persistent atrial fibrillation. Journal of Electrocardiology, 41(6), 553–556. https://doi.org/10.1016/j.jelectrocard.2008.06.018

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