A novel diagnostic tool to identify atrial endo-epicardial asynchrony using signal fingerprinting

Lu Zhang1, Mathijs S. van Schie1, Paul Knops1, Yannick J.H.J. Taverne2, Natasja M.S. de Groot1,3
1Department of Cardiology, Erasmus Medical Center, Rotterdam, the Netherlands
2Translational Cardiothoracic Surgery Research Lab, Department of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
3Department of Microelectronics, Signal Processing Systems, Faculty of Electrical Engineering, Mathematics and Computer Sciences, Delft University of Technology, Delft, the Netherlands

Tài liệu tham khảo

de Groot, 2010, Electropathological substrate of longstanding persistent atrial fibrillation in patients with structural heart disease: epicardial breakthrough, Circulation, 122, 1674, 10.1161/CIRCULATIONAHA.109.910901 Hansen, 2015, Atrial fibrillation driven by micro-anatomic intramural re-entry revealed by simultaneous sub-epicardial and sub-endocardial optical mapping in explanted human hearts, Eur Heart J, 36, 2390, 10.1093/eurheartj/ehv233 Schuessler, 1993, Simultaneous epicardial and endocardial activation sequence mapping in the isolated canine right atrium, Circulation, 88, 250, 10.1161/01.CIR.88.1.250 Everett, 2010, Transmural characteristics of atrial fibrillation in canine models of structural and electrical atrial remodeling assessed by simultaneous epicardial and endocardial mapping, Heart Rhythm, 7, 506, 10.1016/j.hrthm.2009.12.030 Eckstein, 2011, Time course and mechanisms of endo-epicardial electrical dissociation during atrial fibrillation in the goat, Cardiovasc Res, 89, 816, 10.1093/cvr/cvq336 Eckstein, 2013, Transmural conduction is the predominant mechanism of breakthrough during atrial fibrillation: evidence from simultaneous endo-epicardial high-density activation mapping, Circ Arrhythm Electrophysiol, 6, 334, 10.1161/CIRCEP.113.000342 de Groot, 2016, Direct Proof of Endo-Epicardial Asynchrony of the Atrial Wall During Atrial Fibrillation in Humans, Circ Arrhythm Electrophysiol, 9, 10.1161/CIRCEP.115.003648 Kharbanda, 2020, Simultaneous Endo-Epicardial Mapping of the Human Right Atrium: Unraveling Atrial Excitation, J Am Heart Assoc, 9 van der Does, 2018, Unipolar atrial electrogram morphology from an epicardial and endocardial perspective, Heart Rhythm, 15, 879, 10.1016/j.hrthm.2018.02.020 van der Does, 2021, Detection of Endo-epicardial Asynchrony in the Atrial Wall Using One-Sided Unipolar and Bipolar Electrograms, J Cardiovasc Transl Res, 14, 902, 10.1007/s12265-021-10111-1 de Groot, 2021, Europace van Schie, 2021, Sinus rhythm voltage fingerprinting in patients with mitral valve disease using a high-density epicardial mapping approach, Europace, 23, 469, 10.1093/europace/euaa336 Kharbanda, 2020, First Evidence of Endo-Epicardial Asynchrony of the Left Atrial Wall in Humans, JACC Case Rep, 2, 745, 10.1016/j.jaccas.2020.02.027 Maesen, 2013, Rearrangement of atrial bundle architecture and consequent changes in anisotropy of conduction constitute the 3-dimensional substrate for atrial fibrillation, Circ Arrhythm Electrophysiol, 6, 967, 10.1161/CIRCEP.113.000050 Saba, 2005, Atrial contractile dysfunction, fibrosis, and arrhythmias in a mouse model of cardiomyopathy secondary to cardiac-specific overexpression of tumor necrosis factor-alpha, Am J Physiol Heart Circ Physiol, 289, H1456, 10.1152/ajpheart.00733.2004 Liew, 2013, Role of tumor necrosis factor-alpha in the pathogenesis of atrial fibrosis and development of an arrhythmogenic substrate, Circ J, 77, 1171, 10.1253/circj.CJ-12-1155 Baum, 2012, Myofibroblasts cause heterogeneous Cx43 reduction and are unlikely to be coupled to myocytes in the healing canine infarct, Am J Physiol Heart Circ Physiol, 302, H790, 10.1152/ajpheart.00498.2011 Nattel, 2008, Atrial remodeling and atrial fibrillation: mechanisms and implications, Circ Arrhythm Electrophysiol, 1, 62, 10.1161/CIRCEP.107.754564 Ryu, 2007, Effects of sterile pericarditis on connexins 40 and 43 in the atria: correlation with abnormal conduction and atrial arrhythmias, Am J Physiol Heart Circ Physiol, 293, H1231, 10.1152/ajpheart.00607.2006 Van Schie, 2022, Detection of endo-epicardial atrial low-voltage areas using unipolar and omnipolar voltage mapping, Front Physiol, 13, 10.3389/fphys.2022.1030025 Huo, 2018, Prevalence and predictors of low voltage zones in the left atrium in patients with atrial fibrillation, Europace, 20, 956, 10.1093/europace/eux082 Blandino, 2017, Left Atrial Substrate Modification Targeting Low-Voltage Areas for Catheter Ablation of Atrial Fibrillation: A Systematic Review and Meta-Analysis, Pacing Clin Electrophysiol, 40, 199, 10.1111/pace.13015 Rolf, 2014, Tailored atrial substrate modification based on low-voltage areas in catheter ablation of atrial fibrillation, Circ Arrhythm Electrophysiol, 7, 825, 10.1161/CIRCEP.113.001251 Yang, 2016, Catheter Ablation of Nonparoxysmal Atrial Fibrillation Using Electrophysiologically Guided Substrate Modification During Sinus Rhythm After Pulmonary Vein Isolation, Circ Arrhythm Electrophysiol, 9, 10.1161/CIRCEP.115.003382 Narayan, 2011, Classifying fractionated electrograms in human atrial fibrillation using monophasic action potentials and activation mapping: evidence for localized drivers, rate acceleration, and nonlocal signal etiologies, Heart Rhythm, 8, 244, 10.1016/j.hrthm.2010.10.020 Providencia, 2015, Is There Still a Role for Complex Fractionated Atrial Electrogram Ablation in Addition to Pulmonary Vein Isolation in Patients With Paroxysmal and Persistent Atrial Fibrillation? Meta-Analysis of 1415 Patients, Circ Arrhythm Electrophysiol, 8, 1017, 10.1161/CIRCEP.115.003019 Verma, 2015, Approaches to catheter ablation for persistent atrial fibrillation, N Engl J Med, 372, 1812, 10.1056/NEJMoa1408288 Calvert, 2022, Radiofrequency catheter ablation of atrial fibrillation: A review of techniques, Trends Cardiovasc Med, 10.1016/j.tcm.2022.04.002 Kostin, 2002, Structural correlate of atrial fibrillation in human patients, Cardiovasc Res, 54, 361, 10.1016/S0008-6363(02)00273-0 Gaudesius, 2003, Coupling of cardiac electrical activity over extended distances by fibroblasts of cardiac origin, Circ Res, 93, 421, 10.1161/01.RES.0000089258.40661.0C de Bakker, 2010, The pathophysiologic basis of fractionated and complex electrograms and the impact of recording techniques on their detection and interpretation, Circ Arrhythm Electrophysiol, 3, 204, 10.1161/CIRCEP.109.904763 Gardner, 1985, Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts, Circulation, 72, 596, 10.1161/01.CIR.72.3.596