Name
Title | ||
|---|---|---|
Beat-to-beat P-wave Variability Increases From Paroxysmal to Persistent Atrial Fibrillation |
Abstract | ||
|---|---|---|
Atrial fibrillation (AF) is known to worsen over time. Beat-to-beat P-wave variability is used to evaluate the risk of developing AF, but it has not been used to monitor arrhythmia progression in a comprehensive model. The aim of this study is to create a method to measure beat-to-beat P-wave variability to evaluate AF types. ECG recordings of 5 minutes were measured on 159 AF patients. The first three principal components (PCs) of the ECG signal were added to the analysis. The temporal beat-to-beat P-wave variability was assessed through the normalized Euclidean Distance and the Similarity Index. The spatial P-wave similarity was measured as the percentage of variance explained by the first 2 PCs. A binomial logistic regression model was built for each lead and parameter, with AF type as dependent variable. To assess variability due exclusively to the P-waves, we considered, as confounding factors, other sources of ECG-variability, such as the noise level, the variability of the RR series and of the heart axis. Both temporal (e.g. 0.94±0.12 for paroxysmal AF and 0.85±0.28 for persistent AF in lead I, p=0.001) and spatial P-wave similarities (95.35±3.29% for paroxysmal AF vs 94.44±4.14% for persistent AF, p=0.001) were significantly higher in paroxysmal than in persistent AF, suggesting them as promising tools to evaluate AF types. |
Year | DOI | Venue |
|---|---|---|
2020 | 10.22489/CinC.2020.205 | 2020 Computing in Cardiology |
Keywords | DocType | ISSN |
atrial fibrillation type,ECG recordings,ECG signal,temporal beat-to-beat P-wave variability,binomial logistic regression model,ECG-variability,paroxysmal atrial fibrillation,persistent atrial fibrillation,principal components,time 5.0 min | Conference | 2325-8861 |
ISBN | Citations | PageRank |
978-1-7281-1105-6 | 0 | 0.34 |
References | Authors | |
0 | 7 | |
Name | Order | Citations | PageRank |
|---|---|---|---|
| Rita Laureanti | 1 | 0 | 0.34 |
| Stef Zeemering | 2 | 0 | 0.34 |
| Matthias D. H. Zink | 3 | 0 | 0.34 |
| Valentina D. A. Corino | 4 | 30 | 12.91 |
| Angelo Auricchio | 5 | 10 | 4.00 |
| Luca Mainardi | 6 | 55 | 7.51 |
| Ulrich Schotten | 7 | 0 | 0.34 |