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  4. Systematic comparison of non-invasive measures for the assessment of atrial fibrillation complexity: a step forward towards standardization of atrial fibrillation electrogram analysis
 
research article

Systematic comparison of non-invasive measures for the assessment of atrial fibrillation complexity: a step forward towards standardization of atrial fibrillation electrogram analysis

Bonizzi, Pietro
•
Zeemering, Stef
•
Karel, Joel M. H.
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2015
Europace

Aims To present a comparison of electrocardiogram-based non-invasive measures of atrial fibrillation (AF) substrate complexity computed on invasive animal recordings to discriminate between short-term and long-term AF. The final objective is the selection of an optimal sub-set of measures for AF complexity assessment. Methods and results High-density epicardial direct contact mapping recordings (234 leads) were acquired from the right and the left atria of 17 goats in which AF was induced for 3 weeks (short-term AF group, N = 10) and 6 months (long-term AF group, N = 7). Several non-invasive measures of AF organization proposed in the literature in the last decade were investigated to assess their power in discriminating between the short-term and long-term group. The best performing measures were identified, which when combined attained a correct classification rate of 100%. Their ability to predict standard invasive AF complexity measures was also tested, showing an average R-2 of 0.73 +/- 0.04. Conclusion An optimal set of measures of the AF substrate complexity was identified out of the set of non-invasive measures analysed in this study. These measures may contribute to improve patient-tailored diagnosis and therapy of sustained AF.

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Type
research article
DOI
10.1093/europace/euu202
Web of Science ID

WOS:000351601600027

Author(s)
Bonizzi, Pietro
Zeemering, Stef
Karel, Joel M. H.
Di Marco, Luigiy.
Uldry, Laurent  
Van Zaen, Jerome  
Vesin, Jean-Marc  
Schotten, Ulrich
Date Issued

2015

Publisher

Oxford Univ Press

Published in
Europace
Volume

17

Issue

2

Start page

318

End page

325

Subjects

Atrial fibrillation

•

Complexity measures

•

Substrate complexity

•

High-density epicardial electrode mapping

•

Induced AF in goat

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SCI-STI-JMV  
Available on Infoscience
May 29, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/114636
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