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Author: Prasanth Ganesan
Publisher:
ISBN:
Category : Atrial fibrillation
Languages : en
Pages : 170
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Book Description
"Atrial fibrillation (AF) is the most common cardiac arrhythmia in United States. The most popular treatment for AF is a percutaneous procedure called catheter ablation. Current AF ablation procedures unfortunately have a poor success rate, primarily because the mechanisms involved in AF are incompletely understood even today. Intra-atrial electrograms have previously been shown to provide information on the mechanisms of AF. This thesis focuses on two such mechanisms -- AF-sustaining sites known as sustained rotational activities (RotAs), and atrial tissue with unique electrical properties known as myocardial scars. Catheter ablation procedures today construct the 3D electroanatomic map of the left atrium (LA) by maneuvering a conventional Multipolar Diagnostic Catheter (MPDC) along the LA endocardial surface. These procedures are limited to pulmonary vein isolation and other linear ablation performed on various regions of the left atrium (such as roof and mitral isthmus) where the regions are decided based on the atrial anatomy. However, it remains unclear how to utilize the information provided by the MPDC to analyze and characterize the RotAs and scars. Previous electrogram characterization studies mainly use a single bipole rather than MPDCs to characterize the electrograms based on features such as cycle length or dominant frequency from the time or frequency domain. In this thesis we developed novel techniques for investigating the above mentioned mechanisms using signal analysis, mathematical modeling, numerical simulation and clinical experiments, all utilizing MPDC recordings. First, the variations in the total conduction delay (TCD) from MPDC electrograms as the MPDC moves towards a RotA source was investigated. Second, the maximum peak-to-peak amplitudes of MPDC electrograms recorded during AF and NSR were analyzed. This thesis provides insights into methods of characterization of cardiac electrograms and the findings of this thesis could address the current challenges in AF ablation."--Abstract.
Author: Prasanth Ganesan
Publisher:
ISBN:
Category : Atrial fibrillation
Languages : en
Pages : 170
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Book Description
"Atrial fibrillation (AF) is the most common cardiac arrhythmia in United States. The most popular treatment for AF is a percutaneous procedure called catheter ablation. Current AF ablation procedures unfortunately have a poor success rate, primarily because the mechanisms involved in AF are incompletely understood even today. Intra-atrial electrograms have previously been shown to provide information on the mechanisms of AF. This thesis focuses on two such mechanisms -- AF-sustaining sites known as sustained rotational activities (RotAs), and atrial tissue with unique electrical properties known as myocardial scars. Catheter ablation procedures today construct the 3D electroanatomic map of the left atrium (LA) by maneuvering a conventional Multipolar Diagnostic Catheter (MPDC) along the LA endocardial surface. These procedures are limited to pulmonary vein isolation and other linear ablation performed on various regions of the left atrium (such as roof and mitral isthmus) where the regions are decided based on the atrial anatomy. However, it remains unclear how to utilize the information provided by the MPDC to analyze and characterize the RotAs and scars. Previous electrogram characterization studies mainly use a single bipole rather than MPDCs to characterize the electrograms based on features such as cycle length or dominant frequency from the time or frequency domain. In this thesis we developed novel techniques for investigating the above mentioned mechanisms using signal analysis, mathematical modeling, numerical simulation and clinical experiments, all utilizing MPDC recordings. First, the variations in the total conduction delay (TCD) from MPDC electrograms as the MPDC moves towards a RotA source was investigated. Second, the maximum peak-to-peak amplitudes of MPDC electrograms recorded during AF and NSR were analyzed. This thesis provides insights into methods of characterization of cardiac electrograms and the findings of this thesis could address the current challenges in AF ablation."--Abstract.
Author: Kevin Michael
Publisher: BoD – Books on Demand
ISBN: 9535135716
Category : Medical
Languages : en
Pages : 196
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Book Description
This is a reference book aimed at cardiologists, electrophysiologists and fellows in training. It presents an expansive review of cardiac electrogram interpretation in a collation of manuscripts that represent clinical studies, relevant anecdotal cases and basic science chapters evaluating cardiac signal processing pertaining to persistent atrial fibrillation. A diagnostic approach to arrhythmias using a standard ECG, the signal average ECG and fetal ECG is highlighted. Intracardiac ICD electrograms are also explored in terms of trouble shooting and device programming.
Author: Luca Mainardi
Publisher: Morgan & Claypool Publishers
ISBN: 1598292978
Category : Technology & Engineering
Languages : en
Pages : 129
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Book Description
The book presents recent advances in signal processing techniques for modeling, analysis, and understanding of the heart's electrical activity during atrial fibrillation. This arrhythmia is the most commonly encountered in clinical practice and its complex and metamorphic nature represents a challenging problem for clinicians, engineers, and scientists. Research on atrial fibrillation has stimulated the development of a wide range of signal processing tools to better understand the mechanisms ruling its initiation, maintenance, and termination. This book provides undergraduate and graduate students, as well as researchers and practicing engineers, with an overview of techniques, including time domain techniques for atrial wave extraction, time-frequency analysis for exploring wave dynamics, and nonlinear techniques to characterize the ventricular response and the organization of atrial activity. The book includes an introductory chapter about atrial fibrillation and its mechanisms, treatment, and management. The successive chapters are dedicated to the analysis of atrial signals recorded on the body surface and to the quantification of ventricular response. The rest of the book explores techniques to characterize endo- and epicardial recordings and to model atrial conduction. Under the appearance of being a monothematic book on atrial fibrillation, the reader will not only recognize common problems of biomedical signal processing but also discover that analysis of atrial fibrillation is a unique challenge for developing and testing novel signal processing tools. Table of Contents: Analysis of Ventricular Response During Atrial Fibrillation / Organization Measures of Atrial Activity During Fibrillation / Modeling Atrial Fibrillation: From Myocardial Cells to ECG / Algorithms for Atrial Tachyarrythmia Detection for Long-Term Monitoring with Implantable Devices
Author: Leif Sörnmo
Publisher: Springer
ISBN: 3319685155
Category : Technology & Engineering
Languages : en
Pages : 325
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Book Description
Atrial Fibrillation from an Engineering Perspective provides an up-to-date overview of techniques developed for acquisition, modeling, and analysis of noninvasive, bioelectrical signals reflecting this common arrhythmia. Special emphasis is put on emerging technologies for monitoring of atrial fibrillation in connection with ischemic stroke, interventional ablation procedures, and pharmacological treatment, applications which all depend on the availability of techniques for detecting and characterizing episodes of paroxysmal atrial fibrillation. Detectors exploring both rhythm and morphology are described, as well as detectors confined to rhythm and better suited for low power implementation. A wide variety of approaches to modeling and characterization of atrial activity are described, emanating from a statistical and deterministic starting points. This book is suitable for graduate students, researchers, and engineers who want a comprehensive treatise of atrial fibrillation from an engineering perspective. It may be used for self-study, as a supplement to courses in signal processing, or as a modern monograph by researchers in the field of atrial fibrillation.
Author: Luca Mainardi
Publisher: Springer Nature
ISBN: 3031016327
Category : Technology & Engineering
Languages : en
Pages : 122
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Book Description
The book presents recent advances in signal processing techniques for modeling, analysis, and understanding of the heart's electrical activity during atrial fibrillation. This arrhythmia is the most commonly encountered in clinical practice and its complex and metamorphic nature represents a challenging problem for clinicians, engineers, and scientists. Research on atrial fibrillation has stimulated the development of a wide range of signal processing tools to better understand the mechanisms ruling its initiation, maintenance, and termination. This book provides undergraduate and graduate students, as well as researchers and practicing engineers, with an overview of techniques, including time domain techniques for atrial wave extraction, time-frequency analysis for exploring wave dynamics, and nonlinear techniques to characterize the ventricular response and the organization of atrial activity. The book includes an introductory chapter about atrial fibrillation and its mechanisms, treatment, and management. The successive chapters are dedicated to the analysis of atrial signals recorded on the body surface and to the quantification of ventricular response. The rest of the book explores techniques to characterize endo- and epicardial recordings and to model atrial conduction. Under the appearance of being a monothematic book on atrial fibrillation, the reader will not only recognize common problems of biomedical signal processing but also discover that analysis of atrial fibrillation is a unique challenge for developing and testing novel signal processing tools. Table of Contents: Analysis of Ventricular Response During Atrial Fibrillation / Organization Measures of Atrial Activity During Fibrillation / Modeling Atrial Fibrillation: From Myocardial Cells to ECG / Algorithms for Atrial Tachyarrythmia Detection for Long-Term Monitoring with Implantable Devices
Author: Christopher Schilling
Publisher: KIT Scientific Publishing
ISBN: 3866448945
Category : Atrial fibrillation
Languages : en
Pages : 240
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Book Description
This work provides methods to measure and analyze features of atrial electrograms - especially complex fractionated atrial electrograms (CFAEs) - mathematically. Automated classification of CFAEs into clinical meaningful classes is applied and the newly gained electrogram information is visualized on patient specific 3D models of the atria. Clinical applications of the presented methods showed that quantitative measures of CFAEs reveal beneficial information about the underlying arrhythmia.
Author: Luca Mainardi
Publisher: Springer Nature
ISBN: 3031016335
Category : Technology & Engineering
Languages : en
Pages : 109
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Book Description
The book presents recent advances in signal processing techniques for modeling, analysis, and understanding of the heart's electrical activity during atrial fibrillation. This arrhythmia is the most commonly encountered in clinical practice and its complex and metamorphic nature represents a challenging problem for clinicians, engineers, and scientists. Research on atrial fibrillation has stimulated the development of a wide range of signal processing tools to better understand the mechanisms ruling its initiation, maintenance, and termination. This book provides undergraduate and graduate students, as well as researchers and practicing engineers, with an overview of techniques, including time domain techniques for atrial wave extraction, time-frequency analysis for exploring wave dynamics, and nonlinear techniques to characterize the ventricular response and the organization of atrial activity. The book includes an introductory chapter about atrial fibrillation and its mechanisms, treatment, and management. The successive chapters are dedicated to the analysis of atrial signals recorded on the body surface and to the quantification of ventricular response. The rest of the book explores techniques to characterize endo- and epicardial recordings and to model atrial conduction. Under the appearance of being a monothematic book on atrial fibrillation, the reader will not only recognize common problems of biomedical signal processing but also discover that analysis of atrial fibrillation is a unique challenge for developing and testing novel signal processing tools. Table of Contents: Part I / Introduction to Atrial Fibrillation: From Mechanisms to Treatment / Time Domain Analysis of Atrial Fibrillation / Atrial Activity Extraction from the ECG / Time-Frequency Analysis of Atrial Fibrillation
Author: Shruti Sharma
Publisher:
ISBN:
Category :
Languages : en
Pages : 190
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Book Description
VWA has not yet been tested on real fragmented signals due to the inability to detect a ground truth to calculate error. Nevertheless, there is considerable challenge in the analysis of simulated electrogram signals. It improves the correlation coefficient between the ground truth and the frequencies calculated using the current state of the art and the VWA from 0.069 to 0.91 proving to be a more reliable and accurate in capturing the changing frequency of the signal than methods currently used.
Author: Eric F. Buch
Publisher:
ISBN:
Category :
Languages : en
Pages : 106
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Book Description
Author: Leif Sörnmo
Publisher: Academic Press
ISBN: 0124375529
Category : Medical
Languages : en
Pages : 690
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Book Description
The analysis of bioelectrical signals continues to receive wide attention in research as well as commercially because novel signal processing techniques have helped to uncover valuable information for improved diagnosis and therapy. This book takes a unique problem-driven approach to biomedical signal processing by considering a wide range of problems in cardiac and neurological applications-the two "heavyweight" areas of biomedical signal processing. The interdisciplinary nature of the topic is reflected in how the text interweaves physiological issues with related methodological considerations. Bioelectrical Signal Processing is suitable for a final year undergraduate or graduate course as well as for use as an authoritative reference for practicing engineers, physicians, and researchers. A problem-driven, interdisciplinary presentation of biomedical signal processing Focus on methods for processing of bioelectrical signals (ECG, EEG, evoked potentials, EMG) Covers both classical and recent signal processing techniques Emphasis on model-based statistical signal processing Comprehensive exercises and illustrations Extensive bibliography
