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Waveform Integrity in Atrial Fibrillation: The Forgotten Issue of Cardiac Electrophysiology

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Waveform Integrity in Atrial Fibrillation: The Forgotten Issue of Cardiac Electrophysiology

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dc.contributor.author Martinez-Iniesta, Miguel es_ES
dc.contributor.author Rodenas, Juan es_ES
dc.contributor.author Alcaraz, Raúl es_ES
dc.contributor.author Rieta, J J es_ES
dc.date.accessioned 2018-07-07T04:24:35Z
dc.date.available 2018-07-07T04:24:35Z
dc.date.issued 2017 es_ES
dc.identifier.issn 0090-6964 es_ES
dc.identifier.uri http://hdl.handle.net/10251/105466
dc.description.abstract [EN] Atrial fibrillation (AF) is the most common arrhythmia in clinical practice with an increasing prevalence of about 15% in the elderly. Despite other alternatives, catheter ablation is currently considered as the first-line therapy for the treatment of AF. This strategy relies on cardiac electrophysiology systems, which use intracardiac electrograms (EGM) as the basis to determine the cardiac structures contributing to sustain the arrhythmia. However, the noise-free acquisition of these recordings is impossible and they are often contaminated by different perturbations. Although suppression of nuisance signals without affecting the original EGM pattern is essential for any other later analysis, not much attention has been paid to this issue, being frequently considered as trivial. The present work introduces the first thorough study on the significant fallout that regular filtering, aimed at reducing acquisition noise, provokes on EGM pattern morphology. This approach has been compared with more refined denoising strategies. Performance has been assessed both in time and frequency by well established parameters for EGM characterization. The study comprised synthesized and real EGMs with unipolar and bipolar recordings. Results reported that regular filtering altered substantially atrial waveform morphology and was unable to remove moderate amounts of noise, thus turning time and spectral characterization of the EGM notably inaccurate. Methods based on Wavelet transform provided the highest ability to preserve EGM morphology with improvements between 20 and beyond 40%, to minimize dominant atrial frequency estimation error with up to 25% reduction, as well as to reduce huge levels of noise with up to 10 dB better reduction. Consequently, these algorithms are recommended as a replacement of regular filtering to avoid significant alterations in the EGMs. This could lead to more accurate and truthful analyses of atrial activity dynamics aimed at understanding and locating the sources of AF. es_ES
dc.description.sponsorship This work was supported by the projects TEC201452250-R from the Spanish Ministry of Economy and Competitiveness and PPII-2014-026-P from Junta de Comunidades de Castilla-La Mancha. en_EN
dc.language Inglés es_ES
dc.publisher Springer-Verlag es_ES
dc.relation MINISTERIO DE ECONOMIA INDUSTRIA Y COMPETITIVIDAD /TEC2010-20633 es_ES
dc.relation.ispartof Annals of Biomedical Engineering es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Atrial fibrillation es_ES
dc.subject Electrogram es_ES
dc.subject Filtering es_ES
dc.subject Wavelet transform es_ES
dc.subject Empirical mode decomposition es_ES
dc.subject.classification TECNOLOGIA ELECTRONICA es_ES
dc.title Waveform Integrity in Atrial Fibrillation: The Forgotten Issue of Cardiac Electrophysiology es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1007/s10439-017-1832-6 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/JCCM//PPII11-0194-8121/ES/Análisis No Lineal Aplicado a la Estimación Avanzada de Organización Como Herramienta de Mejora Diagnóstica y Terapéutica en Fibrilación Auricular/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/JCCM//PPII11-0194-8121/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//TEC2014-52250-R/ES/CUANTIFICACION DEL REMODELADO ELECTROANATOMICO EN ARRITMIAS CARDIACAS. DE LA INVESTIGACION A LA TERAPIA PERSONALIZADA./ es_ES
dc.rights.accessRights Cerrado es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Electrónica - Departament d'Enginyeria Electrònica es_ES
dc.description.bibliographicCitation Martinez-Iniesta, M.; Rodenas, J.; Alcaraz, R.; Rieta, JJ. (2017). Waveform Integrity in Atrial Fibrillation: The Forgotten Issue of Cardiac Electrophysiology. Annals of Biomedical Engineering. 45(8):1890-1907. https://doi.org/10.1007/s10439-017-1832-6 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1007/s10439-017-1832-6 es_ES
dc.description.upvformatpinicio 1890 es_ES
dc.description.upvformatpfin 1907 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 45 es_ES
dc.description.issue 8 es_ES
dc.relation.pasarela S\337532 es_ES
dc.contributor.funder Ministerio de Economía, Industria y Competitividad es_ES
dc.contributor.funder Junta de Comunidades de Castilla-La Mancha es_ES
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