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Respiratory Modulation in Permanent Atrial Fibrillation

Abdollahpur, Mostafa LU ; Holmqvist, Fredrik LU ; Platonov, Pyotr G. LU and Sandberg, Frida LU (2020) 2020 Computing in Cardiology, CinC 2020 In Computing in Cardiology 2020-September.
Abstract

Several studies have shown that the autonomic nervous system (ANS) can induce changes during atrial fibrillation (AF). There is currently a lack of methods for quantifying ANS induced variations during AF. The purpose of this study is to quantify respiratory induced modulation in the f-wave frequency trend. Following qrst-cancellation, the local f-wave frequency is estimated by fitting a harmonic f-wave model signal and a quality index (SQI) is computed based on the model fit. The resulting frequency trend is filtered using a narrow bandpass filter with a center frequency corresponding to the local respiration rate. The magnitude of the respiratory induced f-wave frequency modulation is estimated by the envelope of the filtered... (More)

Several studies have shown that the autonomic nervous system (ANS) can induce changes during atrial fibrillation (AF). There is currently a lack of methods for quantifying ANS induced variations during AF. The purpose of this study is to quantify respiratory induced modulation in the f-wave frequency trend. Following qrst-cancellation, the local f-wave frequency is estimated by fitting a harmonic f-wave model signal and a quality index (SQI) is computed based on the model fit. The resulting frequency trend is filtered using a narrow bandpass filter with a center frequency corresponding to the local respiration rate. The magnitude of the respiratory induced f-wave frequency modulation is estimated by the envelope of the filtered frequency trend. The performance of the method is validated using simulations and the method is applied to analyze ECG data from eight patients with permanent AF recorded during 0.125 Hz frequency controlled respiration before and after the full vagal blockade, respectively. Results from simulated data show the magnitude of the respiratory induced f-wave frequency modulation can be estimated with an error of less than = 0.005Hz if the SQI is above 0.45. The signal quality was sufficient for analysis in 7 out of 8 patients. In 4 patients the magnitude decreased and in 3 patients there was no change.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
host publication
2020 Computing in Cardiology, CinC 2020
series title
Computing in Cardiology
volume
2020-September
article number
9344442
publisher
IEEE Computer Society
conference name
2020 Computing in Cardiology, CinC 2020
conference location
Rimini, Italy
conference dates
2020-09-13 - 2020-09-16
external identifiers
  • scopus:85100915995
ISSN
2325-8861
2325-887X
ISBN
9781728173825
DOI
10.22489/CinC.2020.182
project
Ph.D. project: Risk stratification and prediction of intervention outcome in AF using novel ECG-based markers of atrial remodelling
Diagnostic Biomarkers in Atrial Fibrillation - Autonomic Nervous System Response as a Sign of Disease Progression
language
English
LU publication?
yes
id
b9840500-4a21-4c0f-b3cf-5732d397728f
date added to LUP
2021-03-05 10:52:40
date last changed
2024-05-02 04:16:54
@inproceedings{b9840500-4a21-4c0f-b3cf-5732d397728f,
  abstract     = {{<p>Several studies have shown that the autonomic nervous system (ANS) can induce changes during atrial fibrillation (AF). There is currently a lack of methods for quantifying ANS induced variations during AF. The purpose of this study is to quantify respiratory induced modulation in the f-wave frequency trend. Following qrst-cancellation, the local f-wave frequency is estimated by fitting a harmonic f-wave model signal and a quality index (SQI) is computed based on the model fit. The resulting frequency trend is filtered using a narrow bandpass filter with a center frequency corresponding to the local respiration rate. The magnitude of the respiratory induced f-wave frequency modulation is estimated by the envelope of the filtered frequency trend. The performance of the method is validated using simulations and the method is applied to analyze ECG data from eight patients with permanent AF recorded during 0.125 Hz frequency controlled respiration before and after the full vagal blockade, respectively. Results from simulated data show the magnitude of the respiratory induced f-wave frequency modulation can be estimated with an error of less than = 0.005Hz if the SQI is above 0.45. The signal quality was sufficient for analysis in 7 out of 8 patients. In 4 patients the magnitude decreased and in 3 patients there was no change.</p>}},
  author       = {{Abdollahpur, Mostafa and Holmqvist, Fredrik and Platonov, Pyotr G. and Sandberg, Frida}},
  booktitle    = {{2020 Computing in Cardiology, CinC 2020}},
  isbn         = {{9781728173825}},
  issn         = {{2325-8861}},
  language     = {{eng}},
  publisher    = {{IEEE Computer Society}},
  series       = {{Computing in Cardiology}},
  title        = {{Respiratory Modulation in Permanent Atrial Fibrillation}},
  url          = {{https://lup.lub.lu.se/search/files/95172838/Respiratory_Modulation_in_Permanent_Atrial_Fibrillation.pdf}},
  doi          = {{10.22489/CinC.2020.182}},
  volume       = {{2020-September}},
  year         = {{2020}},
}