The P-Wave Time-Domain Significant Features to Evaluate Substrate Modification After Catheter Ablation of Paroxysmal Atrial Fibrillation

Vraka, Aikaterini; Bertomeu-Gonzalcz, Vicente; Sornmo, Leif; Zangroniz, Roberto, et al. (2022). The P-Wave Time-Domain Significant Features to Evaluate Substrate Modification After Catheter Ablation of Paroxysmal Atrial Fibrillation 2022 Computing in Cardiology, CinC 2022, 2022-September,. 2022 Computing in Cardiology, CinC 2022. Tampere, Finland: IEEE Computer Society
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Conference Proceeding/Paper | Published | English
Authors:
Vraka, Aikaterini ; Bertomeu-Gonzalcz, Vicente ; Sornmo, Leif ; Zangroniz, Roberto , et al.
Department:
LTH Profile Area: Engineering Health
Department of Biomedical Engineering
Abstract:

The outcome of catheter ablation (CA) of atrial fibrillation (AF) is vastly analyzed by the entire P-wave duration (PWD). However, the first and second P-wave parts, corresponding to right (RA) and left atrial (LA) wavefront propagation, may be unequally modified. Five-minute lead II recordings before and after the first-ever CA of 40 parox-ysmal AF patients were analyzed and P-wave features were calculated: PWDon-off of the entire P-wave and each P-wave part (RA:PWDon-peak, LA:PWDpeak-off) and the time from P-wave onset or offset to the R-peak (PWDon-R and PWDoff-R, respectively). Heart-rate (HR) adjustment (HRA) mitigated the HR fluctuations. Prelpost-CA comparison was performed with Mann-Whitney U-test and median values were calculated. Pearson's correlation was calculated between PWD and the remaining features. The effect of CA with (Δ: -17.96%) or without HRA (Δ: -9.84%) was significant at the entire PWDon-off and at the PWDpeak-off(HRA:Δ: -27.77%, no HRA: Δ: -22.03%). PWDon-off showed a stronger correlation with RA than LA(ρmax=0.805 vs ρmax=0.541). P-wave features corresponding to RA are more strongly related to the entire P-wave. Nevertheless, only the P-wave part associated with LA is significantly affected by CA. That being so, studies are encouraged to incorporate part-time P-wave analysis.

ISBN:
9798350300970
ISSN:
2325-8861
LUP-ID:
493df823-c447-4147-ae0e-595d15c2c349 | Link: https://lup.lub.lu.se/record/493df823-c447-4147-ae0e-595d15c2c349 | Statistics

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