Decreased Noise and Identification of Very Low Voltage Signals Using a Novel Electrophysiology Recording System

Autor: Josef Kautzner, Petr Peichl, Rune Paamand, Mark D Carlson
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Cardiology Review, Vol 18, Iss , Pp - (2023)
Druh dokumentu: article
ISSN: 1758-3764
1758-3756
DOI: 10.15420/ecr.2022.37
Popis: Aims: The interpretation of intracardiac electrograms recorded from conventional electrophysiology recording systems is frequently impacted by powerline (50/60 Hz) noise and distortion due to notch filtering. This study compares unipolar electrograms recorded simultaneously from a conventional electrophysiology recording system and one of two 3D mapping systems (control system) with those from a novel system (ECGenius, CathVision ApS) designed to reduce noise without the need for conventional filtering. Methods: Unipolar electrograms were recorded simultaneously from nine consecutive patients undergoing catheter ablation for AF (five patients), atrioventricular nodal re-entrant tachycardia (three patients), or ventricular tachycardia (one patient) over the course of 1 week in 2020. Results: The noise spectral power of the novel system (49–51 Hz) was 6.1 ± 6.2 times lower than that of the control system. Saturation artefact following pacing (duration 97 ± 85 ms) occurred in eight control recordings and no novel system recordings (p
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