The Signal Averaged P-Wave Is Able to Indicate the Clinical State of Atrial Fibrillation Disease

M.D. Zink*, S. Zeemering, M. Gilbers, L. Pison, U. Schotten

*Corresponding author for this work

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

Abstract

Atrial remodeling in patients suffering of atrial fibrillation is related to the stage of disease. During sinus rhythm, the P-wave is a surrogate for atrial electrical activation, but routine 12-lead electrocardiogram (ECG), may not be ideally suited to reflect the atrial electrical activity. In previous work we identified lead position with higher sensitivity for changes in P-wave morphology. In this study we added three novel lead positions to the 12-lead ECG to determine different stages of atrial fibrillation. By means of our novel lead positions and calculations of a signal averaged ECG we were able to describe differences of P-wave morphology for patients with atrial fibrillation compared to a reference cohort and correlated these to the stages of disease for paroxysmal and persistent atrial fibrillation.
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

  • STROKE
  • RISK

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