Ability of magnetocardiography to detect regional dominant frequencies of atrial fibrillation

Autor: Kentaro Yoshida, MD, Kuniomi Ogata, M.Eng, Takeshi Inaba, RDCS, Yoko Nakazawa, MD, Yoko Ito, MD, Iwao Yamaguchi, MD, Akihiko Kandori, PhD, Kazutaka Aonuma, MD
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Arrhythmia, Vol 31, Iss 6, Pp 345-351 (2015)
Druh dokumentu: article
ISSN: 1880-4276
DOI: 10.1016/j.joa.2015.05.003
Popis: Background: Lead V1 on electrocardiography (ECG) can detect the dominant frequency (DF) of atrial fibrillation (AF) in the right atrium (RA). Paroxysmal AF is characterized by a frequency gradient from the left atrium (LA) to the right atrium (RA). We examined the ability of magnetocardiography (MCG) to detect regional DFs in both the atria. Methods: Study subjects comprised 18 consecutive patients referred for catheter ablation of persistent AF. An MCG system with 64 magnetic sensors was used to perform MCG in the frontal, lateral, and back planes prior to the ablation procedure in each patient. DFMCG and organization index (OIMCG) were calculated using fast Fourier transformation. Intracardiac electrograms (ICEs) in both the atria and the coronary sinus (CS) were mapped at 17 sites. Regional DFsICE were also determined. Results: Mean LA DFICE was higher than mean RA DFICE (6.40±0.66 versus 6.16±0.80 Hz, P=0.03). DFMCG in the channel having the highest OIMCG was 6.61±0.88 Hz in the frontal plane, 6.52±0.64 Hz in the lateral plane, and 6.42±0.62 Hz in the back plane (P=0.3). In each plane, DFMCG correlated with DFICE at the RA appendage (R=0.95, P
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