Acute Changes in P-Wave Morphology by Pulmonary Vein Isolation in Atrial Fibrillation Patients

A. Gharaviri*, M. Zink, M. Potse, S. Pezzuto, S. Zeemering, R. Krause, A. Auricchio, U. Schotten

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingAcademicpeer-review

Abstract

Pulmonary vein (PV) plays an important role in atrial fibrillation (AF) initiation, progression, and stability. Successful PV isolation (PVI), either by radiofrequency catheter or Cryoballoon ablation, may terminate AF and prevent its recurrence. Whereas, incomplete PV isolation or reconnection of isolated PVs underlies mechanisms of AF recurrence. Hence, defining parameters able to predict a successful PVI and detect reconnections can assist clinicians in treatment of AF patients. Here, we developed a highly detailed human atrial model to simulate PVI and its acute effect on the P-wave morphology. Afterwards, the simulation results were compared and validated by recorded ECGs from patients before and after PVI procedure. In both simulation data and clinical recordings, we observed morphological changes in P-wave after PVI. More importantly our simulation helped us to find electrode positions, in which the differences in P-wave morphology before and after PVI were more pronounced.
Original languageEnglish
Title of host publicationComputing in Cardiology Conference, CinC 2018
PublisherIEEE
Number of pages4
Volume45
ISBN (Electronic)9781728109589
ISBN (Print)9781728109589
DOIs
Publication statusPublished - Sept 2018
Event45th Computing in Cardiology Conference (CinC) - NETHERLANDS
Duration: 23 Sept 201826 Sept 2018

Publication series

SeriesComputing in Cardiology Conference
Volume45
ISSN2325-8861

Conference

Conference45th Computing in Cardiology Conference (CinC)
Period23/09/1826/09/18

Keywords

  • BIOPHYSICAL MODEL
  • ABLATION
  • INSIGHTS
  • CATHETER

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