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Erschienen in: Medical & Biological Engineering & Computing 7/2012

01.07.2012 | Letter

High-resolution esophageal long-term ECG allows detailed atrial wave morphology analysis in case of atrial ectopic beats

verfasst von: Thomas Niederhauser, Thanks Marisa, Andreas Haeberlin, Josef Goette, Marcel Jacoment, Rolf Vogel

Erschienen in: Medical & Biological Engineering & Computing | Ausgabe 7/2012

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Abstract

Detection of arrhythmic atrial beats in surface ECGs can be challenging when they are masked by the R or T wave, or do not affect the RR-interval. Here, we present a solution using a high-resolution esophageal long-term ECG that offers a detailed view on the atrial electrical activity. The recorded ECG shows atrial ectopic beats with long coupling intervals, which can only be successfully classified using additional morphology criteria. Esophageal high-resolution ECGs provide this information, whereas surface long-term ECGs show poor atrial signal quality. This new method is a promising tool for the long-term rhythm monitoring with software-based automatic classification of atrial beats.

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Literatur
1.
Zurück zum Zitat ADuC7060 Data Sheet (2011) Analog Devices, Norwood, USA (Rev. C) ADuC7060 Data Sheet (2011) Analog Devices, Norwood, USA (Rev. C)
2.
Zurück zum Zitat Benzadón MN, Ortega DF, Thierer JM, Torcivia RAS, Aldunate L, Alves de Lima AE, Navia D, Dorsa A, Rossi A, Trivi M (2006) Comparison of the amplitude of the P-wave from intracardiac electrocardiogram obtained by means of a central venous catheter filled with saline solution to that obtained via esophageal electrocardiogram. Am J Cardiol 98:978–981PubMedCrossRef Benzadón MN, Ortega DF, Thierer JM, Torcivia RAS, Aldunate L, Alves de Lima AE, Navia D, Dorsa A, Rossi A, Trivi M (2006) Comparison of the amplitude of the P-wave from intracardiac electrocardiogram obtained by means of a central venous catheter filled with saline solution to that obtained via esophageal electrocardiogram. Am J Cardiol 98:978–981PubMedCrossRef
3.
Zurück zum Zitat DiCarlo LA, Lin D, Jenkins JM (1993) Automated interpretation of cardiac arrhythmias: design and evaluation of a computerized model. J Electrocardiol 26:53–67PubMedCrossRef DiCarlo LA, Lin D, Jenkins JM (1993) Automated interpretation of cardiac arrhythmias: design and evaluation of a computerized model. J Electrocardiol 26:53–67PubMedCrossRef
4.
Zurück zum Zitat Farshchi S, Pesterev A, Nuyujukian PH, Mody I, Judy JW (2007) Bi-Fi: an embedded sensor/system architecture for remote biological monitoring. IEEE T Inf Technol B 11:611–618CrossRef Farshchi S, Pesterev A, Nuyujukian PH, Mody I, Judy JW (2007) Bi-Fi: an embedded sensor/system architecture for remote biological monitoring. IEEE T Inf Technol B 11:611–618CrossRef
5.
Zurück zum Zitat Goldwasser D, Bayés de Luna A, Serra G, Elosúa R, Rodriguez E, Guerra JM, Alonso C, Viñolas Prat X (2011) A new method of filtering T waves to detect hidden P waves in electrocardiogram signals. Europace 13:1028–1033 Goldwasser D, Bayés de Luna A, Serra G, Elosúa R, Rodriguez E, Guerra JM, Alonso C, Viñolas Prat X (2011) A new method of filtering T waves to detect hidden P waves in electrocardiogram signals. Europace 13:1028–1033
6.
Zurück zum Zitat Hickey B, Heneghan C (2002) Screening for paroxysmal atrial fibrillation using atrial premature contractions and spectral measures. In: Computers in cardiology. IEEE, pp 217–220 Hickey B, Heneghan C (2002) Screening for paroxysmal atrial fibrillation using atrial premature contractions and spectral measures. In: Computers in cardiology. IEEE, pp 217–220
7.
Zurück zum Zitat Jenkins J, Wu D, Arzbaecher R (1979) Computer diagnosis of supraventricular and ventricular arrhythmias. A new esophageal technique. Circulation 60:977–987PubMedCrossRef Jenkins J, Wu D, Arzbaecher R (1979) Computer diagnosis of supraventricular and ventricular arrhythmias. A new esophageal technique. Circulation 60:977–987PubMedCrossRef
8.
Zurück zum Zitat Kligfield P, Gettes LS, Bailey JJ, Childers R, Deal BJ, Hancock EW, van Herpen G, Kors JA, Macfarlane P, Mirvis DM, Pahlm O, Rautaharju P, Wagner GS (2007) Recommendations for the standardization and interpretation of the electrocardiogram: part I: the electrocardiogram and its technology a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society Endorsed by the International Society for Computerized Electrocardiology. J Am Coll Cardiol 49:1109–1127PubMedCrossRef Kligfield P, Gettes LS, Bailey JJ, Childers R, Deal BJ, Hancock EW, van Herpen G, Kors JA, Macfarlane P, Mirvis DM, Pahlm O, Rautaharju P, Wagner GS (2007) Recommendations for the standardization and interpretation of the electrocardiogram: part I: the electrocardiogram and its technology a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society Endorsed by the International Society for Computerized Electrocardiology. J Am Coll Cardiol 49:1109–1127PubMedCrossRef
9.
Zurück zum Zitat Márquez MF, Colín L, Guevara M, Iturralde P, Hermosillo AG (2002) Common electrocardiographic artifacts mimicking arrhythmias in ambulatory monitoring. Am Heart J 144:187–197PubMed Márquez MF, Colín L, Guevara M, Iturralde P, Hermosillo AG (2002) Common electrocardiographic artifacts mimicking arrhythmias in ambulatory monitoring. Am Heart J 144:187–197PubMed
10.
Zurück zum Zitat Seet RCS, Friedman PA, Rabinstein AA (2011) Prolonged rhythm monitoring for the detection of occult paroxysmal atrial fibrillation in ischemic stroke of unknown cause. Circulation 124:477–486PubMedCrossRef Seet RCS, Friedman PA, Rabinstein AA (2011) Prolonged rhythm monitoring for the detection of occult paroxysmal atrial fibrillation in ischemic stroke of unknown cause. Circulation 124:477–486PubMedCrossRef
11.
Zurück zum Zitat Wallmann D, Tüller D, Wustmann K, Meier P, Isenegger J, Arnold M, Mattle HP, Delacrétaz E (2007) Frequent atrial premature beats predict paroxysmal atrial fibrillation in stroke patients. Stroke 38:2292–2294PubMedCrossRef Wallmann D, Tüller D, Wustmann K, Meier P, Isenegger J, Arnold M, Mattle HP, Delacrétaz E (2007) Frequent atrial premature beats predict paroxysmal atrial fibrillation in stroke patients. Stroke 38:2292–2294PubMedCrossRef
Metadaten
Titel
High-resolution esophageal long-term ECG allows detailed atrial wave morphology analysis in case of atrial ectopic beats
verfasst von
Thomas Niederhauser
Thanks Marisa
Andreas Haeberlin
Josef Goette
Marcel Jacoment
Rolf Vogel
Publikationsdatum
01.07.2012
Verlag
Springer-Verlag
Erschienen in
Medical & Biological Engineering & Computing / Ausgabe 7/2012
Print ISSN: 0140-0118
Elektronische ISSN: 1741-0444
DOI
https://doi.org/10.1007/s11517-012-0915-7

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