A new approach for automated location of active segments in intracardiac electrograms

نویسندگان

  • M. P. Nguyen
  • C. Schilling
  • O. Dössel
چکیده

Areas in atrium tissue with complex fractionated atrial electrograms (CFAEs) are among others responsible for the maintenance of atrial fibrillation (AFib). Those areas are ideal target sites for ablation to eliminate AFib and restore normal rhythm. An automated identification of CFAEs with signal processing algorithms is essential to develop an objective strategy for AFib ablation. This paper introduces a new approach to locate signal complexes corresponding to electrophysiological activity. The idea behind this algorithm is based on the idea of Pan-Tompkins’ QRS-detection algorithm. However in this approach, the extracted signal feature is the signal energy and therefore the algorithm takes into account not only information of the frequency but also of the amplitude.With adaptive thresholding the algorithm is capable to manage changes in the signal dynamics. The results were validated by experts and the algorithm shows a robust performance. Keywords— Atrial Fibrillation, Catheter Ablation, CFAEs, Signal Processing, Segmentation

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تاریخ انتشار 2009