Acute Changes in P-Wave Morphology by Pulmonary Vein Isolation in Atrial Fibrillation Patients

被引:0
|
作者
Gharaviri, Ali [1 ]
Zink, Matthias [2 ]
Potse, Mark [3 ]
Pezzuto, Simone [1 ]
Zeemering, Stef [2 ]
Krause, Rolf [1 ]
Auricchio, Angelo [4 ]
Schotten, Ulrich [2 ]
机构
[1] Univ Svizzera Italiana, Inst Computat Sci, Ctr Computat Med Cardiol, Via Buffi 13, CH-6900 Lugano, Switzerland
[2] Maastricht Univ, Dept Physiol, Maastricht, Netherlands
[3] Inria Bordeaux Sud Ouest, Carmen Team, Talence, France
[4] Fdn Cardioctr Ticino, Lugano, Switzerland
关键词
BIOPHYSICAL MODEL; ABLATION; INSIGHTS; CATHETER;
D O I
10.22489/CinC.2018.034
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
Pulmonary vein (PV) plays an important role in atrial fibrillation (AF) initiation, progression, and stability. Successful PV isolation (PVI), either by radiofrequency catheter or Cryoballoon ablation, may terminate AF and prevent its recurrence. Whereas, incomplete PV isolation or reconnection of isolated PVs underlies mechanisms of AF recurrence. Hence, defining parameters able to predict a successful PVI and detect reconnections can assist clinicians in treatment of AF patients. Here, we developed a highly detailed human atrial model to simulate PVI and its acute effect on the P-wave morphology. Afterwards, the simulation results were compared and validated by recorded ECGs from patients before and after PVI procedure. In both simulation data and clinical recordings, we observed morphological changes in P-wave after PVI. More importantly our simulation helped us to find electrode positions, in which the differences in P-wave morphology before and after PVI were more pronounced.
引用
收藏
页数:4
相关论文
共 50 条
  • [1] Variability of P-wave morphology predicts the outcome of circumferential pulmonary vein isolation in patients with recurrent atrial fibrillation
    Huo, Yan
    Holmqvist, Fredrik
    Carlson, Jonas
    Gaspar, Thomas
    Hindricks, Gerhard
    Piorkowski, Christopher
    Bollmann, Andreas
    Platonov, Pyotr G.
    [J]. JOURNAL OF ELECTROCARDIOLOGY, 2015, 48 (02) : 218 - 225
  • [2] Variability of P-wave morphology predicts the outcome of circumferential pulmonary vein isolation in patients with recurrent atrial fibrillation
    Huo, Y.
    Holmqvist, F.
    Carlson, J.
    Gaspar, T.
    Hindricks, G.
    Piorkowski, C.
    Bollmann, A.
    Platonov, P.
    [J]. EUROPEAN HEART JOURNAL, 2012, 33 : 222 - 222
  • [3] Reduction of P-wave duration and successful pulmonary vein isolation in patients with atrial fibrillation
    Ogawa, Masahiro
    Kumagai, Koichiro
    Vakulenko, Marta
    Yasuda, Tomoo
    Siegerman, Carin
    Garfinkel, Alan
    Chen, Peng-Sheng
    Saku, Keijiro
    [J]. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2007, 18 (09) : 931 - 938
  • [4] P-wave Analysis in Paroxysmal Atrial Fibrillation Patients before and after Pulmonary Vein Isolation
    Ortigosa, Nuria
    Cano, Oscar
    [J]. 2017 COMPUTING IN CARDIOLOGY (CINC), 2017, 44
  • [5] Electrocardiogram characteristics of P wave associated with successful pulmonary vein isolation in patients with paroxysmal atrial fibrillation: Significance of changes in P-wave duration and notched P wave
    Yanagisawa, Satoshi
    Inden, Yasuya
    Okamoto, Hiroya
    Fujii, Aya
    Sakamoto, Yusuke
    Mamiya, Keita
    Tomomatsu, Toshiro
    Shibata, Rei
    Murohara, Toyoaki
    [J]. ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2020, 25 (02)
  • [6] Prediction of atrial fibrillation recurrence in patients with pulmonary vein isolation by P-wave signal-averaged electrocardiogram
    Munetsugu, Y.
    Tanno, K.
    Kikuchi, M.
    Kobayashi, Y.
    [J]. EUROPEAN HEART JOURNAL, 2014, 35 : 461 - 461
  • [7] Prolonged P-wave duration is associated with atrial fibrillation recurrence after successful pulmonary vein isolation for paroxysmal atrial fibrillation
    Jane Caldwell
    Sahil Koppikar
    Walid Barake
    Damian Redfearn
    Kevin Michael
    Christopher Simpson
    Wilma Hopman
    Adrian Baranchuk
    [J]. Journal of Interventional Cardiac Electrophysiology, 2014, 39 : 131 - 138
  • [8] Prolonged P-wave duration is associated with atrial fibrillation recurrence after successful pulmonary vein isolation for paroxysmal atrial fibrillation
    Caldwell, Jane
    Koppikar, Sahil
    Barake, Walid
    Redfearn, Damian
    Michael, Kevin
    Simpson, Christopher
    Hopman, Wilma
    Baranchuk, Adrian
    [J]. JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2014, 39 (02) : 131 - 138
  • [9] Electrocardiographic P wave changes after thoracoscopic pulmonary vein isolation for atrial fibrillation
    Martina Nassif
    Sébastien P. J. Krul
    Antoine H. G. Driessen
    Thomas Deneke
    Arthur A. M. Wilde
    Jacques M. T. de Bakker
    Joris R. de Groot
    [J]. Journal of Interventional Cardiac Electrophysiology, 2013, 37 : 275 - 282
  • [10] Electrocardiographic P wave changes after thoracoscopic pulmonary vein isolation for atrial fibrillation
    Nassif, Martina
    Krul, Sebastien P. J.
    Driessen, Antoine H. G.
    Deneke, Thomas
    Wilde, Arthur A. M.
    de Bakker, Jacques M. T.
    de Groot, Joris R.
    [J]. JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2013, 37 (03) : 275 - 282