Downloads provided by UsageCounts
handle: 10115/97357
[EN] Electrical cardioversion (ECV) is a well-established strategy for atrial fibrillation (AF) management. Despite its high initial effectiveness, a high relapsing rate is also found. Hence, identification of patients at high risk of early AF recurrence is crucial for a rationale therapeutic strategy. For that purpose, a set of indices characterizing fibrillatory (f-) waves have been proposed, but they have not considered nonlinear dynamics present at different timescales within the cardiovascular system. This work thus explores whether a multiscale entropy (MSE) analysis of the f-waves can improve preoperative predictions of ECV outcome. Thus, two MSE approaches were considered, i.e., traditional MSE and a refined version (RMSE). Both algorithms were applied to the main f-waves component extracted from lead V1 and entropy values were computed for the first 20 time-scales. As a reference, dominant frequency (DF) and f-wave amplitude (FWA) were also computed. A total of 70 patients were analyzed, and all parameters but FWA showed statistically significant differences between those relapsing to AF and maintaining sinus rhythm during a follow-up of 4 weeks. RMSE reported the best results for the scale 19, improving predictive ability up to an 8% with respect to DAF and FWA. Consequently, investigation of nonlinear dynamics at large time-scales can provide useful insights able to improve predictions of ECV failure This research was funded by the projects DPI2017-83952-C3 from MINECO/AEI/FEDER EU, SBPLY/17/180501/000411 from "Junta de Castilla La Mancha" and AICO/2019/036 from "Generalitat Valenciana".
ARQUITECTURA Y TECNOLOGIA DE COMPUTADORES, TECNOLOGIA ELECTRONICA, Atrial Activity, Atrial fribrillation, nonlinear analysis, multiscale entropy, electrical cardioversion, refined multiscale entropy
ARQUITECTURA Y TECNOLOGIA DE COMPUTADORES, TECNOLOGIA ELECTRONICA, Atrial Activity, Atrial fribrillation, nonlinear analysis, multiscale entropy, electrical cardioversion, refined multiscale entropy
| selected citations These citations are derived from selected sources. 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). | 0 | |
| 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. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
| views | 36 | |
| downloads | 64 |

Views provided by UsageCounts
Downloads provided by UsageCounts