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Article . 2020 . Peer-reviewed
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Limb Versus Precordial ECG Leads as Improved Predictors of Electrical Cardioversion Outcome in Persistent Atrial Fibrillation

Authors: Eva M. Cirugeda-Roldán; Sofía Calero; Aurelio Quesada; Víctor Manuel Hidalgo; José Joaquín Rieta; Raúl Alcaraz 0001;

Limb Versus Precordial ECG Leads as Improved Predictors of Electrical Cardioversion Outcome in Persistent Atrial Fibrillation

Abstract

Electrical cardioversion (ECV) is an effective and lowcost rhythm control strategy for persistent atrial fibrillation (AF). Because of its limited mid- and long-term success rates, prediction of early failure could avoid patients with reduced chance to maintain sinus rhythm (SR). To this end and due to its proximity to the right atrium, several indices characterizing atrial activity have been proposed based on lead V1. However, information from other leads has been discarded to date. Hence, this work studies how effective some common indices computed over the whole set of 12 standard ECG leads are in predicting ECV outcome. Precisely, amplitude, dominant frequency, and sample entropy were computed from the fibrillatory (f-) waves extracted for each one of 12 standard leads acquired before ECV from 58 patients in persistent AF. The classification between the patients who relapsed to AF and maintained sinus rhythm after a follow-up of 4 weeks achieved by these parameters was better from limb lead II than from V1, thus reporting improvements about 6 and 12%. As a consequence, characterization of f-waves from the more accessible limb lead II has proven to be the best choice to improve AF ECV outcome prediction from the ECG.

Keywords

ARQUITECTURA Y TECNOLOGIA DE COMPUTADORES, TECNOLOGIA ELECTRONICA

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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