Rotor tracking using phase of electrograms recorded during atrial fibrillation
File(s)rotortrackingABE.pdf (3.37 MB)
Published version
Author(s)
Type
Journal Article
Abstract
Extracellular electrograms recorded during atrial fibrillation (AF) are challenging to interpret due to the inherent beat-to-beat variability in amplitude and duration. Phase mapping represents these voltage signals in terms of relative position within the cycle, and has been widely applied to action potential and unipolar electrogram data of myocardial fibrillation. To date, however, it has not been applied to bipolar recordings, which are commonly acquired clinically. The purpose of this study is to present a novel algorithm for calculating phase from both unipolar and bipolar electrograms recorded during AF. A sequence of signal filters and processing steps are used to calculate phase from simulated, experimental, and clinical, unipolar and bipolar electrograms. The algorithm is validated against action potential phase using simulated data (trajectory centre error <0.8 mm); between experimental multi-electrode array unipolar and bipolar phase; and for wavefront identification in clinical atrial tachycardia. For clinical AF, similar rotational content (R (2) = 0.79) and propagation maps (median correlation 0.73) were measured using either unipolar or bipolar recordings. The algorithm is robust, uses standard signal processing techniques, and accurately quantifies AF wavefronts and sources. Identifying critical sources, such as rotors, in AF, may allow for more accurate targeting of ablation therapy and improved patient outcomes.
Date Issued
2016-12-05
Date Acceptance
2016-11-08
Citation
Annals of Biomedical Engineering, 2016, 45 (4), pp.910-923
ISSN
1573-9686
Publisher
Springer Verlag
Start Page
910
End Page
923
Journal / Book Title
Annals of Biomedical Engineering
Volume
45
Issue
4
Copyright Statement
© The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Sponsor
British Heart Foundation
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/27921187
PII: 10.1007/s10439-016-1766-4
Grant Number
FS/11/22/28745
Subjects
Science & Technology
Technology
Engineering, Biomedical
Engineering
Cardiac arrhythmia
Phase singularity mapping
Electrogram analysis
VENTRICULAR-FIBRILLATION
CARDIAC FIBRILLATION
MATHEMATICAL-MODEL
MECHANISMS
ABLATION
FREQUENCY
INSIGHTS
SITES
Biomedical Engineering
11 Medical And Health Sciences
09 Engineering
Publication Status
Published
Coverage Spatial
United States