Atrial fibrillation disorganization is reduced by catheter ablation: A standard ECG study.

Pietro Bonizzi (1) , Olivier Meste (1) , Vicente Zarzoso (1) , Decebal Gabriel Latcu , Irina Popescu , Philippe Ricard , Nadir Saoudi

1 Laboratoire d'Informatique, Signaux, et Systèmes de Sophia-Antipolis (I3S) / Equipe SIGNAL

Selection of candidates to catheter ablation (CA) of long-lasting persistent atrial fibrillation (AF) is challenging, since success is not guaranteed. In this study, we put forward an automated method for noninvasively evaluating the reduction of the complexity of the AF organization following CA. Complexity is meant as the amount of disorganization observed on the ECG, supposed to be directly correlated to the number and interactions of atrial wavefronts. By means of PCA, the complexity of the AF organization is evaluated quantitatively from a 12-lead ECG recording. Preliminary results show that CA is able to reduce the complexity of AF organization in the atrial wavefront pattern propagation, despite the persistence of AF in most cases. This can be viewed as a first clinical validation of this parameter. Whether AF complexity and its reduction by CA are predictive of long-term outcome is thus still to be determined.

Domaines: Ingénierie biomédicale; Traitement du signal et de l'image [eess.SP]; Traitement du signal et de l'image [eess.SP]

Pietro Bonizzi, Olivier Meste, Vicente Zarzoso, Decebal Gabriel Latcu, Irina Popescu, et al.. Atrial fibrillation disorganization is reduced by catheter ablation: A standard ECG study.. Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2010, Argentina. pp.5286-9, ⟨10.1109/IEMBS.2010.5626335⟩. ⟨hal-00543715⟩