Atrial Fibrillatory Rate Characterization Extracted from Implanted Cardiac Monitor Data

Saiz-Vivo, Javier; Abdollahpur, Mostafa; Mainardi, Luca T.; Corino, Valentina D.A., et al. (2021). Atrial Fibrillatory Rate Characterization Extracted from Implanted Cardiac Monitor Data 2021 Computing in Cardiology, CinC 2021, 48,. 2021 Computing in Cardiology, CinC 2021. Brno, Czech Republic: IEEE Computer Society
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DOI:
Conference Proceeding/Paper | Published | English
Authors:
Saiz-Vivo, Javier ; Abdollahpur, Mostafa ; Mainardi, Luca T. ; Corino, Valentina D.A. , et al.
Department:
Department of Biomedical Engineering
Abstract:

The aim of this study is to characterize atrial fibrillatory rate (AFR) extracted from a cohort of continuously monitored atrial fibrillation (AF) patients as function of episode duration and onset time. The f-wave signal used to compute the AFR was extracted from a single lead ECG strip of the AF episodes stored in an Implantable Cardiac Monitor (ICM) in a cohort of 99 patients. The f-wave signals were obtained from 1400 AF episodes using a spatiotemporal QRST cancellation process and the AFR was estimated as the fundamental frequency of a model fitted to the extracted f-waves. We studied the relationship between AFR and episode duration and episode onset time, respectively. AFR (median (interquartile range)) was significantly lower (p-value<0.05) in short episodes (<20 min) (5.15 (0.66) Hz) than in longer episodes (5.30 (0.74) Hz). AFR was significantly higher for episodes with onset time at night (00-06) (5.34 (0.82) Hz) than for episodes with onset during the day (10-20) (5.21 (0.70) Hz). Significant differences were also found between the relative AFR (ratio between the AFR and the average AFR of the patient) and episode duration (Short: 99.2 (9.3) %; Long: 100.0 (8.9) %). Data extracted from ICMs shows that that nighttime AF onset and longer duration AF episodes are more common in patients with higher AFR.

ISBN:
9781665479165
ISSN:
2325-887X
LUP-ID:
d92df909-ce9f-46bc-95f4-cbc344f968db | Link: https://lup.lub.lu.se/record/d92df909-ce9f-46bc-95f4-cbc344f968db | Statistics

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