Improving the Estimation of Epicardial Activation Times Using Spatial Information

Atrial fibrillation is a common cardiovascular disease, affecting the regular beating of the heart through chaotic contraction of the heart's upper chambers. On its own, the condition—increasingly prevalent among the elderly—is not life threatening, but it leads to an increased risk of stroke and heart failure. As of yet, there is no consensus...

Evaluating morphological patterns in atrial epicardial potentials: Clustering of time series potentials during atrial fibrillation

Introduction: Potentials measured at the epicardial surface contain information regarding the conductive properties of the atrial tissue. The current lack of morphological categorization during atrial fibrillation (AF) provokes the usage of unsupervised learning methods to evaluate time series electrograms across the atrial surface. Analysis of...

The area of a unipolar electrogram to identify the arrhythmogenic substrate

Background: Unipolar electrograms (U-EGMs) contain additional information about interatrial activation and conduction in their morphology, which may aid towards improved diagnosis and staging of atrial fibrillation (AF).Objective: The primary objective is to investigate regional differences in electrogram area (EA) during SR and AF and to design...

Atrial activation time estimation using cross-correlation between higher order neighboring electrodes: In epicardial electrograms

A common cardiac arrhythmia is atrial fibrillation, which is becoming more widespread worldwide. Currently there is some understanding about the mechanisms behind atrial fibrillation, however more insight into the conduction of the atrial tissue is desired. Therefore, invasive mapping studies have been performed where an array of electrodes is...