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  4. Adaptive Multiple Frequency Tracking Algorithm: Detection of Stable Atrial Fibrillation Sources from Standard 12-Lead ECG
 
conference paper

Adaptive Multiple Frequency Tracking Algorithm: Detection of Stable Atrial Fibrillation Sources from Standard 12-Lead ECG

Duchêne, Cédric  
•
Lemay, Mathieu
•
Jacquemet, Vincent
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2009
2009 36th Annual Computers in Cardiology Conference (CinC)
Computers in Cardiology 2009

The detection of stable atrial fibrillation (AF) sources remains one of the major challenges in the AF management. In this study, we investigated the feasibility of detecting stable AF sources from (non invasive) data simulated by means of numerical procedures. By using a 3D biophysical model of the atria (Courtemanche membrane kinetics) and a compartmental torso model, 21 different episodes of AF were generated (transmembrane potentials through out the tissue and 12-lead ECGs). The stability of the episodes was established by visual inspection of the electrical propagation over the epicardial surface (group A: without a stable source, group B: with stable sources). This evaluation constitutes our gold standard. We hypothesized that during AF sustained by stable sources ECG signals include significant components at the frequencies related to the cycle length of these respective AF sources. These frequency components were jointly estimated on the 12-lead ECGs with an adaptive multiple frequency tracking algorithm. The ratio between the sum of the estimated frequency component powers and the sum of the 12-lead ECG signal powers was used as the discrimination feature r to estimate the number of sources. Nine simulated AF episodes were characterized by complex dynamics (group A). Group B comprised 11 simulated AF episodes having a single stable source and one having two stable sources. The r values observed were: group A, r = 0.05 ± 0.04 (mean ± SD) and group B, r = 0.28 ± 0.17. With a discrimination feature threshold set at 0.14, no stable AF source was detected in group A. Eight single AF sources were detected among the 11 ones of group B. The case with two AF sources in group B was also correctly classified. This corresponds to 85.7% correct classification, 100% sensitivity and 75% specificity. The proposed approach provides information about the presence stable AF sources. This information may lead to a more accurate identification of patients suitable for specific AF ablation procedures.

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Type
conference paper
Web of Science ID

WOS:000279344300127

Author(s)
Duchêne, Cédric  
Lemay, Mathieu
Jacquemet, Vincent
Vesin, Jean-Marc  
van Oosterom, Adriaan
Date Issued

2009

Published in
2009 36th Annual Computers in Cardiology Conference (CinC)
Start page

505

End page

508

Subjects

Catheter Ablation

URL

URL

http://cinc2009.org/
Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SCI-STI-JMV  
Event nameEvent placeEvent date
Computers in Cardiology 2009

Park City, Utah

September 13-16, 2009

Available on Infoscience
June 15, 2009
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/40608
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