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Entropy at the right atrium as a predictor of atrial fibrillation recurrence outcome after pulmonary vein ablation

Entropy at the right atrium as a predictor of atrial fibrillation recurrence outcome after... AbstractAtrial fibrillation (AF) recurrence rates after successful ablation procedures are still high and difficult to predict. This work studies the capability of entropy measured from intracardiac recordings as an indicator for recurrence outcome. Intra-atrial recordings from 31 AF patients were registered previously to an ablation procedure. Four electrodes were located at the right atrium (RA) and four more at the left atrium (LA). Sample entropy measurements were applied to these signals, in order to characterize different non-linear AF dynamics at the RA and LA independently. In a 3 months follow-up, 19 of them remained in sinus rhythm, whereas the other 12 turned back to AF. Entropy values can be associated to a proarrhythmic indicator as they were higher in patients with AF recurrence (1.11±0.15 vs. 0.91±0.13), in persistent patients (1.03±0.19 vs. 0.96±0.15), and at the LA with respect to the RA (1.03±0.23 vs. 0.89±0.15 for paroxysmal AF patients). Furthermore, entropy values at the RA arose as a more reliable predictor for recurrence outcome than at the LA. Results suggest that high entropy values, especially at the RA, are associated with high risk of AF recurrence. These findings show the potential of the proposed method to predict recurrences post-ablation, providing additional insights to the understanding of arrhythmia. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Biomedical Engineering / Biomedizinische Technik de Gruyter

Entropy at the right atrium as a predictor of atrial fibrillation recurrence outcome after pulmonary vein ablation

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Publisher
de Gruyter
Copyright
©2016 by De Gruyter
ISSN
1862-278X
eISSN
1862-278X
DOI
10.1515/bmt-2014-0172
pmid
26107849
Publisher site
See Article on Publisher Site

Abstract

AbstractAtrial fibrillation (AF) recurrence rates after successful ablation procedures are still high and difficult to predict. This work studies the capability of entropy measured from intracardiac recordings as an indicator for recurrence outcome. Intra-atrial recordings from 31 AF patients were registered previously to an ablation procedure. Four electrodes were located at the right atrium (RA) and four more at the left atrium (LA). Sample entropy measurements were applied to these signals, in order to characterize different non-linear AF dynamics at the RA and LA independently. In a 3 months follow-up, 19 of them remained in sinus rhythm, whereas the other 12 turned back to AF. Entropy values can be associated to a proarrhythmic indicator as they were higher in patients with AF recurrence (1.11±0.15 vs. 0.91±0.13), in persistent patients (1.03±0.19 vs. 0.96±0.15), and at the LA with respect to the RA (1.03±0.23 vs. 0.89±0.15 for paroxysmal AF patients). Furthermore, entropy values at the RA arose as a more reliable predictor for recurrence outcome than at the LA. Results suggest that high entropy values, especially at the RA, are associated with high risk of AF recurrence. These findings show the potential of the proposed method to predict recurrences post-ablation, providing additional insights to the understanding of arrhythmia.

Journal

Biomedical Engineering / Biomedizinische Technik – de Gruyter

Published: Feb 1, 2016

References

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    Calkins
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    Dokl Russ
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    Sanders
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    Haïssaguerre
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    Maesen
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    Okumura
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    Botteron
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    Hsieh

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