Beat-to-beat analysis of P waves in patient with atrial fibrillation history
Autor: | Giuseppe Boriani, Ivan Corazza, Marianna Tesoro, Valentina D. A. Corino, Elisa Reggiani, Federica Censi, Luca Mainardi |
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Přispěvatelé: | Corino, Valentina D.A, Censi, Federica, Tesoro, Marianna, Corazza, Ivan, Reggiani, Elisa, Boriani, Giuseppe, Mainardi, Luca T. |
Předmět: |
medicine.medical_specialty
Paroxysmal atrial fibrillation P wave Computer Science (all) Healthy subjects Beat (acoustics) Atrial fibrillation 030204 cardiovascular system & hematology medicine.disease Signal-averaged electrocardiogram Electrical cardioversion 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Cardiology Cardiology and Cardiovascular Medicine In patient 030212 general & internal medicine Mathematics |
Zdroj: | Scopus-Elsevier CinC |
Popis: | P wave morphology has been shown to be modified in patients with paroxysmal atrial fibrillation (AF) and in healthy subjects of different age. These changes are commonly evaluated in the signal averaged ECG, thus in average P waves. Aim of this study is to assess beat-to-beat variations in P wave characteristics. Five-minute 12-lead ECG were recorded from 10 healthy subjects (C group), 10/10 patients with/without an AF recurrence (R/NR groups), after electrical cardioversion. Principal component analysis was performed on a beat-to-beat basis. The dynamic of the first three eigenvalues series and the beat-to-beat variability of the first three principal components (PCs) morphology were analyzed by calculating the distance between the average morphology over all the beats acquired and the morphology identified on each beat for the first three PCs. Most of the indexes were statistically different between C group and the patients with history of AF, highlighting higher regularity of the eigenvalues series as well as more similar PCs in healthy subjects. In addition, the series of the first eigenvalues was significantly less regular in R group compared NR group (Reg: 0.029 ± 0.020, 0.062 ± 0.033, p |
Databáze: | OpenAIRE |
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