ANALYSIS OF ATRIAL ELECTRICAL ACTIVITY IN PATIENTS WITH ATRIAL FIBRILLATION
Abstract
To study the spectral analysis and to identify areas of complex fractionated electrograms (CFEG), 45patients (35 men and 10 women) aged 53.6±10.4 years were with paroxysmal (89%) and chronic (11%) atrial fibrillation were examined, in whom the radiofrequency ablation of the pulmonary vein ostia was carried out.
About the Authors
A. I. Oferkin
ГОУ ВПО «Сибирский государственный медицинский университет Росздрава», Томск
Russian Federation
Russian Federation
A. I. Petsh
ГОУ ВПО «Сибирский государственный медицинский университет Росздрава», Томск
Russian Federation
Russian Federation
M. P. Shpilevoy
ГОУ ВПО «Сибирский государственный медицинский университет Росздрава», Томск
Russian Federation
Russian Federation
E. A. Pokushalov
ФГУ «Новосибирский НИИ патологии кровообращения имени академика Е.Н. Мешалкина Росмедтехнологий», Новосибирск
Russian Federation
Russian Federation
S. E. Mamchur
УРАМН «НИИ комплексных проблем сердечно-сосудистых заболеваний Сибирского отделения РАМН», Кемерово
Russian Federation
Russian Federation
I. V. Gushchin
ГОУ ВПО «Сибирский государственный медицинский университет Росздрава», Томск
Russian Federation
Russian Federation
A. A. Tereshin
ГОУ ВПО «Сибирский государственный медицинский университет Росздрава», Томск
Russian Federation
Russian Federation
References
1. Moe G.K. On the multiple wavelet hypothesis of atrial fibrillation // Arch. Int. Pharmacodyn. Ther. - 1962. - Vol. 140. - 183-188.
2. Allessie M.A., Lammers W.J.E.P., Bonke F.I.M., Hollen J. Experimental evaluation of Moe’s multiple wavelet hypothesis of atrial fibrillation // Zipes J.P., Jalife J., (eds.). - “Cardiac arrhythmias”. - New York: Grune & Stratton. - 1985. - P. 265-276.
3. Wells J.L., Jr., Karp R.B., Kouchoukos N.T., et al. Characterization of atrial fibrillation in man: studies following open heart surgery // Pacing Clin. Electrophysiol. - 1978. - Vol. 1. - P. 426-438.
4. Cox J.L., Canavan T.E., Schuessler R.B., et al. The surgical treatment of atrial fibrillation. II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and fibrillation // J. Thorac. Cardiovasc. Surg. - 1991. - Vol. 101. - P. 406-426.
5. Gerstenfeld E.P., Sahakian A.V., Swiryn S. Evidence for transient linking of atrial excitation during atrial fibrillation in humans // Circulation. - 1992. - Vol. 86. - P. 375-382.
6. Botteron G.W., Smith J.M. Quantitative assessment of the spatial organization of atrial fibrillation in the intact human heart // Circulation. - 1996. - Vol. 93. - P. 513-518.
7. Harada A., Sasaki K., Fukushima T., et al. Atrial activation during chronic atrial fibrillation in patients with isolated mitral valve disease // Ann. Thorac. Surg. - 1996. - Vol. 61.
8. Konings K.T.S., Kirchhof C.J., Smeets J.R., et al. High-density mapping of electrically induced atrial fibrillation in humans // Circulation. - 1994. - Vol. 89. - P. 1665-1680.
9. Konings K.T.S., Smeets J.L.R.M., Penn O.C., et al. Configuration of unipolar atrial electrograms during electrically induced atrial fibrillation in humans // Circulation. - 1997. - Vol. 95. - P. 1231-1241.
10. Jai's P., Hai'ssaguerre M., Shah D. C., Chouari S., Clementy J. Regional disparities of endocardial atrial activation in paroxysmal atrial fibrillation // Pacing Clin. Electrophysiol. - 1996. - Vol. 19 [Pt. II]. - P. 1998-2003.
11. Nademanee K., McKenzie J., Kosar E., et al. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate //J. Am. Coll. Cardiol. - 2004. - Vol.43. - P. 2044-2053.
12. Slocum J., Sahakian A.V., Swiryn S. Computer discrimination of atrial fibrillation and regular atrial rhythms from intra-atrial electrograms // Pacing Clin. Electrophysiol. - 1988. - Vol. 11. - P.610-621.
13. Karagueuzian H.S., Khan S.S., Peters W., Mandel W.J, Diamond G.A. Nonhomogeneous local atrial activity during acute atrial fibrillation: spectral and dynamic analysis // Pacing Clin. Electrophysiol. 1990. - Vol. 13. - P. 19371942.
14. Skanes A.C., Mandapati R., Berenfeld O., Davidenko J.M., Jalife J. Spatiotemporal periodicity during atrial fibrillation in the isolated sheep heart // Circulation. - 1998. - Vol. 98. - P. 1236-1248.
15. Mandapati R., Skanes A., Chen J., Berenfeld O., Jalife J. Stable microreentrant sources as a mechanism of atrial fibrillation in the isolated sheep heart // Circulation. - 2000. - Vol. 101. - P. 194-199.
16. Mansour M., Mandapati R., Berenfeld O., et al. // Left-to-right gradient of atrial frequencies during acute atrial fibrillation in the isolated sheep heart // Circulation. - 2001. - Vol. 103. - P. 2631-2636.
17. Sanders P., Berenfeld O., Hocini M., et al. Spectral analysis identifies sites of high-frequency activity maintaining atrial fibrillation in humans // Circulation. - 2005. - Vol. 112. - P. 189-797.
18. Pachon M J.C., Pachon M E.I., Pachon M J.C. et al. A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation // Europace. - 2004. - Vol. 6. - P. 590-601.
19. Ng J., Goldberger J.J. Understanding and interpreting dominant frequency analysis of AF electrograms // J. Cardiovasc. Electrophysiol. - 2007. - Vol. 18. - P. 680-685.
20. Yokoyama E., Osaka T., Takemoto Y., et al. Paroxysmal atrial fibrillation ablation maintained by nonpulmonary vein sources can be predicted by dominant frequency analysis of atriopulmonary electrograms // J. Cardiovasc. Electrophysiol. - 2009. - Vol. 20. - P. 630-636.
21. Yoshida K., Chugh A., Good E., et al. A critical decrease in dominant frequency and clinical outcome after catheter ablation of persistent atrial fibrillation // Heart Rhythm. - 2010. - Vol. 7. - P. 295-302.
22. Lazar S., Dixit S., Marchlinski F.E., et al. Presence of left-to-right atrial frequency gradient in paroxysmal but not persistent atrial fibrillation in humans // Circulation. -2004. - Vol. 110. - P. 3181-3186.
23. Lin Y.J., Tai C.T., Kao T., et al. Frequency analysis in different types of atrial fibrillation // J. Am. Coll. Cardiol. - 2006. - Vol. 47. - P. 1401-1407.
24. Nademanee K., Schwab M.C., Kosar E.M. et al. Clinical outcomes of catheter substrate ablation for high-risk patients with atrial fibrillation // J. Am. Coll. - 2008. - Vol. 51. - P. 43-49.
25. Oral H., Chugh A., Good E., et al. Radiofrequency catheter ablation of chronic atrial fibrillation guided by complex electrograms // Circulation. - 2007. - Vol. 115. - P. 2606-2612.
26. Jais P., O’Neill M.D., Takahashi Y., et al. Stepwise catheter ablation of chronic atrial fibrillation: importance of discrete anatomic sites for termination // J. Cardiovasc. Electrophysiol. - 2006. - Vol. 17. - P. S28-S36.
27. Arruda M., Natale A. The adjunctive role of nonpulmonary venous ablation in cure atrial fibrillation // J. Cardiovasc. Electrophysiol. - 2006. - Vol. 17. - P. S37-S43.
28. Verma A., Novak P., Macle L., et al. A prospective multicenter evaluation of ablating complex fractionated electrograms (CFEs) during atrial fibrillation (AF) identified by automatic mapping algorithm: acute effects on AF and efficacy as an adjuvant strategy // Heart Rhythm. - 2008. - Vol. 5. - P. 198-205.
29. Stiles M.K., Brooks A.G., Kuklik P., et al. High-density mapping of atrial fibrillation: relationship between high-frequency activation and electrogram fractionation // J. Cardiovasc. Electrophysiol. - 2008. - Vol. 19. - P. 12451253.
30. Calo L., De Ruvo E., Sciarra L., et al. Diagnostic accuracy of a new software for complex fractionated electrograms identification in patients with persistent and permanent atrial fibrillation // J. Cardiovasc. Electrophysiol. - 2008. - Vol. 19. - P. 1024-1030.
31. Grzeda K., Noujaim S.F., Berenfeld O., Jalife J. Complex fractionated electrograms: properties of time-domain versus frequency-domain methods // Heart Rhythm. - 2009. - Vol. 6. - P. 1475-1482.
32. Roberts-Thomson K.C., Kistler P.M., Sanders P., et al. Fractionated atrial electrograms during sinus rhythm: relationship to age, voltage, and conduction velocity // Heart Rhythm. - 2009. - Vol. 6. - P. 587-591.
Review
For citations:
Oferkin A.I., Petsh A.I., Shpilevoy M.P., Pokushalov E.A., Mamchur S.E., Gushchin I.V., Tereshin A.A. ANALYSIS OF ATRIAL ELECTRICAL ACTIVITY IN PATIENTS WITH ATRIAL FIBRILLATION. Journal of Arrhythmology. 2010;61(61):37-45. (In Russ.)
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