A neural network system for detection of atrial fibrillation in ambulatory electrocardiograms.

Abstract:

INTRODUCTION:A neural network classifier has been designed, which is able to distinguish atrial fibrillation (AF) from other supraventricular arrhythmias in ambulatory (Holter) ECGs. METHOD AND RESULTS:The classification algorithm uses a rhythm analysis that considers the ECG to be a time series of RR interval durations. This is combined with an analysis of baseline morphology that considers the morphological characteristics of the non-QRS portions of the waveform. A backpropagation-based neural network has been used as part of the classifier implementation. When applied to a library consisting exclusively of 42,970 examples of AF and other supraventricular rhythm disturbances validated by an experienced cardiologist, the algorithm demonstrated a sensitivity of 82.4% for 10-beat runs of paroxysmal atrial fibrillation (PAF) and a specificity of 96.6%. Since this system has been implemented as a postprocessor to a conventional automated Holter system, operating only on segments of ECG that are known to contain supraventricular arrhythmias rather than ventricular arrhythmias or sinus rhythm, it can be added to most existing Holter processing systems without significantly increasing the average time to process a tape. CONCLUSION:A neural network system has been designed, which can potentially provide, for the first time, an accurate, quantitative technique to determine the natural history of PAF and to evaluate potential treatments for PAF.

authors

Cubanski D,Cyganski D,Antman EM,Feldman CL

doi

10.1111/j.1540-8167.1994.tb01301.x

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

602-8

issue

7

eissn

1045-3873

issn

1540-8167

journal_volume

5

pub_type

杂志文章
  • Effects of temporal application parameters on lesion dimensions during transvenous catheter cryoablation.

    abstract:UNLABELLED:Lesion dimension of cryoablation. BACKGROUND:Transvenous catheter cryoablation is a novel technique for treating cardiac arrhythmias. However, the relative importance of temporal application parameters on lesion dimension and clinical efficacy has not been studied. METHODS AND RESULTS:We investigated the e...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2005.40559.x

    authors: Tse HF,Ripley KL,Lee KL,Siu CW,Van Vleet JF,Pelkey WL,Lau CP

    更新日期:2005-02-01 00:00:00

  • Sentinel symptoms in patients with unexplained cardiac arrest: from the cardiac arrest survivors with preserved ejection fraction registry (CASPER).

    abstract:BACKGROUND:Warning symptoms may provide an opportunity to diagnose genetic disorders leading to preventative therapy. We explored the symptom history of patients with apparently unexplained cardiac arrest to determine the frequency of sentinel symptoms. METHODS:Patients with apparently unexplained cardiac arrest and n...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1540-8167.2011.02185.x

    authors: Krahn AD,Healey JS,Simpson CS,Chauhan VS,Birnie DH,Champagne J,Gardner M,Sanatani S,Chakrabarti S,Yee R,Skanes AC,Leong-Sit P,Ahmad K,Gollob MH,Klein GJ,Gula LJ,Sheldon RS

    更新日期:2012-01-01 00:00:00

  • Premature ventricular contraction diurnal profiles predict distinct clinical characteristics and beta-blocker responses.

    abstract:INTRODUCTION:Frequent premature ventricular complexes (PVCs) can lead to symptoms, such as cardiomyopathy and increased mortality. Beta-blockers are recommended as first-line therapy to reduce PVC burden; however, the response is unpredictable. The objective of this study is to determine whether PVC diurnal-variability...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13944

    authors: Hamon D,Swid MA,Rajendran PS,Liu A,Boyle NG,Shivkumar K,Bradfield JS

    更新日期:2019-06-01 00:00:00

  • What is the mechanism of the atrial arrhythmia in a patient after orthotopic heart transplantation?

    abstract::Atrial arrhythmias are quite common in patients after heart transplantation; they can occur via focal or reentrant mechanisms and are amenable to curative therapy with catheter ablation. Integration of the individual patient's surgical anatomy with the arrhythmia pattern on 12-lead electrocardiogram can help both to n...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02106.x

    authors: Dahu MI,Hutchinson MD

    更新日期:2012-02-01 00:00:00

  • Combined amiodarone and silymarin treatment, but not amiodarone alone, prevents sustained atrial flutter in dogs.

    abstract:UNLABELLED:Amiodarone/Silymarin Treatment for Sustained Atrial Flutter. INTRODUCTION:Because amiodarone generates free radicals that may mediate amiodarone's toxicity, simultaneous therapy with an antioxidant might be beneficial if the antioxidant did not impair amiodarone's antiarrhythmic action. We tested whether si...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.02446.x

    authors: Vereckei A,Zipes DP,Besch H Jr

    更新日期:2003-08-01 00:00:00

  • Model for the onset of fibrillation following coronary artery occlusion.

    abstract:INTRODUCTION:It is the hypothesis of this article that the onset of fibrillation following a coronary artery occlusion is a direct consequence of the spatial inhomogeneity of chemical processes that occur following the occlusion. In particular, the localized increase of extracellular potassium and decrease of ATP avail...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.03045.x

    authors: Keener JP

    更新日期:2003-11-01 00:00:00

  • Adenosine can also improve the conduction between the superior vena cava and right atrium after isolation.

    abstract::A 64-year-old man with atrial tachycardia (AT) 3 years after a superior vena cava (SVC) isolation for atrial fibrillation underwent electrophysiologic testing. SVC mapping with a basket catheter revealed a more frequent activation in the SVC than in either of the atria during the AT and consequently the recovered cond...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2006.00570.x

    authors: Yamada T,Murakami Y,Plumb VJ,Kay GN

    更新日期:2006-11-01 00:00:00

  • Incidence of asymptomatic cerebral microthromboembolism after atrial fibrillation ablation guided by complex fractionated atrial electrogram.

    abstract:BACKGROUND:The incidence of cerebral thromboembolism after pulmonary vein isolation (PVI) ranges from 2% to 14%. This study investigated the incidence of cerebral thromboembolism after complex fractionated atrial electrogram (CFAE) ablation with or without PVI. METHODS:One hundred consecutive atrial fibrillation (AF) ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02259.x

    authors: Ichiki H,Oketani N,Ishida S,Iriki Y,Okui H,Maenosono R,Ninomiya Y,Matsushita T,Miyata M,Hamasaki S,Tei C

    更新日期:2012-06-01 00:00:00

  • Prevalence and significance of exit block during arrhythmias arising in pulmonary veins.

    abstract:INTRODUCTION:Recent studies described the occurrence of conduction block within pulmonary veins. The purpose of this study was to evaluate the prevalence of exit block during arrhythmias that arise in pulmonary veins. METHODS AND RESULTS:Twenty-five patients with atrial tachycardia/fibrillation underwent successful ab...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2000.tb00332.x

    authors: Tse HF,Lau CP,Kou W,Pelosi F,Oral H,Kim M,Michaud GF,Knight BP,Moscucci M,Strickberger SA,Morady F

    更新日期:2000-04-01 00:00:00

  • Catheter ablation for hemodynamically unstable monomorphic ventricular tachycardia.

    abstract:INTRODUCTION:Hemodynamic collapse precludes extensive catheter mapping to identify focal target regions in many patients with ventricular tachycardia (VT) associated with heart disease. This study tested the feasibility of catheter ablation of poorly tolerated VTs by targeting a region identified during sinus rhythm. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2000.tb00734.x

    authors: Ellison KE,Stevenson WG,Sweeney MO,Lefroy DC,Delacretaz E,Friedman PL

    更新日期:2000-01-01 00:00:00

  • Issues in subgroup analyses and meta-analyses of clinical trials.

    abstract::This commentary discusses two techniques commonly used to analyze clinical trials: subgroup analysis and meta-analysis. Subgroup analysis is used to evaluate the consistency of a treatment across multiple groups, usually within a clinical trial. Subgroup analysis often is used to generate or test an hypothesis about r...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.14.s9.1.x

    authors: Bigger JT

    更新日期:2003-09-01 00:00:00

  • On the use of CartoSound for left atrial navigation.

    abstract:INTRODUCTION:The utility of "virtual" imaging systems for left atrial (LA) navigation has been hampered by inadequate spatial detail, as well as inaccurate integration of more detailed preoperative images, such as those generated by computed tomography (CT). CartoSound is an intracardiac echocardiography (ICE)-based te...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01672.x

    authors: Schwartzman D,Zhong H

    更新日期:2010-06-01 00:00:00

  • Unipolar voltage abnormality is associated with greater left ventricular dysfunction in ischemic cardiomyopathy.

    abstract:INTRODUCTION:Following myocardial infarction (MI), left ventricular function is determined by cardiac remodeling occurring in both infarcted and noninfarcted myocardium (NIM). Unipolar voltage mapping may detect remodeling changes in NIM that are associated with the left ventricular ejection fraction (LVEF). We aimed t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12315

    authors: Aldhoon B,Frankel DS,Hutchinson MD,Callans DJ,Epstein AE,Dixit S,Riley MP,Lin D,Garcia FC,Supple GE,Cooper JM,Bala R,Deo R,Zado ES,Marchlinski FE

    更新日期:2014-03-01 00:00:00

  • Atrial fibrillation in Brugada syndrome: Current perspectives.

    abstract::The incidence of atrial fibrillation (AF) in Brugada syndrome (BrS) has been reported at between 9% and 53% by different series, but the true prevalence is unknown. However, AF may be the presenting feature in some patients. The underlying mechanisms for AF may be a combination of multiple factors, genetic or acquired...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.14361

    authors: Vlachos K,Mascia G,Martin CA,Bazoukis G,Frontera A,Cheniti G,Letsas KP,Efremidis M,Georgopoulos S,Gkalapis C,Duchateau J,Parmbrun T,Derval N,Hocini M,Haissaguerre M,Jais P,Sacher F

    更新日期:2020-04-01 00:00:00

  • Long-term follow-up after radiofrequency catheter ablation of ventricular tachycardia: a successful approach?

    abstract:INTRODUCTION:Radiofrequency ablation (RFCA) of ventricular tachycardia (VT) is a potential curative treatment modality. We evaluated the results of RFCA in patients with VT. METHODS AND RESULTS:One hundred fifty-one consecutive patients (122 men and 29 women; age 57 +/- 16 years) with drug-refractory VT were treated. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2002.00417.x

    authors: Borger van der Burg AE,de Groot NM,van Erven L,Bootsma M,van der Wall EE,Schalij MJ

    更新日期:2002-05-01 00:00:00

  • Prospective study of atrial fibrillation termination during ablation guided by automated detection of fractionated electrograms.

    abstract:INTRODUCTION:Complex fractionated atrial electrograms (CFAE) may identify critical sites for perpetuation of atrial fibrillation (AF) and provide useful targets for ablation. Current assessment of CFAE is subjective; automated detection algorithms may improve reproducibility, but their utility in guiding ablation has n...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01189.x

    authors: Porter M,Spear W,Akar JG,Helms R,Brysiewicz N,Santucci P,Wilber DJ

    更新日期:2008-06-01 00:00:00

  • Comparison of epicardial cryoablation and irrigated radiofrequency ablation in a Swine infarct model.

    abstract:UNLABELLED:Epicardial Cryoablation in Swine. INTRODUCTION:Cryoablation is an alternative to radiofrequency (RF) energy used in some ablation procedures. Its role and effectiveness compared to irrigated RF in epicardial tissue and epicardial substrates is not yet fully established. METHODS AND RESULTS:Using a swine ch...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2012.02334.x

    authors: Jauregui-Abularach ME,Campos B,Betensky BP,Michele J,Gerstenfeld EP

    更新日期:2012-09-01 00:00:00

  • Characterization of a novel missense mutation in the pore of HERG in a patient with long QT syndrome.

    abstract:INTRODUCTION:A new strategy to elucidate the molecular mechanisms underlying the long QT syndrome (LQTS) is now available with genetic mutational analyses and characterization of ion channel mutations. METHODS AND RESULTS:In a 26-year-old woman with LQTS, we identified a novel missense mutation in the pore of HERG by ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1999.tb00304.x

    authors: Yoshida H,Horie M,Otani H,Takano M,Tsuji K,Kubota T,Fukunami M,Sasayama S

    更新日期:1999-09-01 00:00:00

  • Not all pacemakers are created equal: MRI conditional pacemaker and lead technology.

    abstract::Due to expanding clinical indications and an aging society there has been an increase in the use of implantable pacemakers. At the same time, due to increased diagnostic yield over other imaging modalities and the absence of ionizing radiation, there has been a surge in demand for magnetic resonance imaging (MRI) asse...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.12238

    authors: Ahmed FZ,Morris GM,Allen S,Khattar R,Mamas M,Zaidi A

    更新日期:2013-09-01 00:00:00

  • Routine transthoracic echocardiography to assess pericardial collections in patients after extensive left atrial catheter ablation: a prospective study.

    abstract:INTRODUCTION:Little is known about the incidence and timing of reactive pericardial collections developing after left atrial catheter ablation (LACA), and when and if transthoracic echocardiography (TTE) should be performed routinely in these patients postprocedure. METHODS AND RESULTS:Two hundred consecutive LACA pat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.02008.x

    authors: Kalla M,Rajappan K,Kalra S,Thomas G,Redpath C,Earley MJ,Sporton SC,Schilling RJ

    更新日期:2011-07-01 00:00:00

  • AV nodal-His-Purkinje reentry: a novel form of tachycardia.

    abstract:INTRODUCTION:Bundle branch reentry (BBR) typically occurs in patients with dilated cardiomyopathy and infra-Hisian conduction system disease. The macroreentrant circuit of BBR is confined to the His-Purkinje system (HPS) and ventricular myocardium. As such, the atrioventricular (AV) node plays no role in the tachycardi...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1995.tb00414.x

    authors: Markowitz SM,Stein KM,Engelstein ED,Lerman BB

    更新日期:1995-05-01 00:00:00

  • Ablation of ventricular tachycardia due to a postinfarct ventricular septal defect: identification and transection of a broad reentry loop.

    abstract:INTRODUCTION:Ventricular tachycardia (VT) after postinfarct ventricular septal defect (VSD) repair has not been well characterized. METHODS AND RESULTS:A 55-year-old man developed refractory VT after inferior wall infarction and VSD repair. Entrainment demonstrated a broad reentry circuit path (outer loop) between the...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1997.tb01003.x

    authors: Ellison KE,Stevenson WG,Couper GS,Friedman PL

    更新日期:1997-10-01 00:00:00

  • Characteristics of premature ventricular complexes as correlates of reduced left ventricular systolic function: study of the burden, duration, coupling interval, morphology and site of origin of PVCs.

    abstract:BACKGROUND:Frequent premature ventricular complexes (PVCs) can cause a decline in left ventricular ejection fraction (LVEF). We investigated whether the site of origin and other PVC characteristics are associated with LVEF. METHODS:We retrospectively studied 70 consecutive patients (mean age 42 ± 17 years, 40 [57%] fe...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02021.x

    authors: Del Carpio Munoz F,Syed FF,Noheria A,Cha YM,Friedman PA,Hammill SC,Munger TM,Venkatachalam KL,Shen WK,Packer DL,Asirvatham SJ

    更新日期:2011-07-01 00:00:00

  • EP radiofrequency generators: Significant offsets between selected and delivered power?

    abstract:INTRODUCTION:For radiofrequency (RF) ablation, the EP Shuttle® (Stockert GmbH, Freiburg, Germany), Ampere® (St. Jude Medical, St. Paul, MN, USA), and SmartAblate® (Biosense Webster, Diamond Bar, CA, USA) generator models are most frequently used in clinical practice. The aim of this study was to assess the correlation ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13386

    authors: Bourier F,Schwarz B,Brkic A,Wolff L,Semmler V,Kottmaier M,Risse E,Telishevska M,Brooks S,Lengauer S,Kornmayer M,Koch-Büttner K,Berger F,Hessling G,Deisenhofer I,Reents T

    更新日期:2018-02-01 00:00:00

  • Additional gene variants reduce effectiveness of beta-blockers in the LQT1 form of long QT syndrome.

    abstract:INTRODUCTION:Beta-blockers are widely used to prevent the lethal cardiac events associated with the long QT syndrome (LQTS), especially in KCNQ1-related LQTS (LQT1) patients. Some LQT1 patients, however, are refractory to this therapy. METHODS AND RESULTS:Eighteen symptomatic LQTS patients (12 families) were genetical...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.03212.x

    authors: Kobori A,Sarai N,Shimizu W,Nakamura Y,Murakami Y,Makiyama T,Ohno S,Takenaka K,Ninomiya T,Fujiwara Y,Matsuoka S,Takano M,Noma A,Kita T,Horie M

    更新日期:2004-02-01 00:00:00

  • Bradycardiomyopathy: the case for a causative relationship between severe sinus bradycardia and heart failure.

    abstract::A 28-year-old man presented with progressive fatigue. Physical examination and ECG revealed severe sinus bradycardia. Echocardiography showed features of noncompaction cardiomyopathy and moderate aortic valve regurgitation. We hypothesized that the chronic volume overload exaggerated by prolonged diastole due to the b...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01704.x

    authors: Caliskan K,Balk AH,Jordaens L,Szili-Torok T

    更新日期:2010-07-01 00:00:00

  • Radiofrequency current application on immature porcine atrial myocardium: no evidence of areas of slow conduction after 12-month follow-up.

    abstract:INTRODUCTION:Radiofrequency current (RFC) application is a widely used procedure for treatment of supraventricular arrhythmias. The purpose of this study was to investigate late electrophysiologic sequelae of RFC lesions at immature atrial myocardium in pigs, as they have not yet been systematically investigated in vit...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00106.x

    authors: Windhagen-Mahnert B,Bokenkamp R,Bertram H,Peuster M,Hausdorf G,Paul T

    更新日期:1998-12-01 00:00:00

  • Differentiating macroreentrant from focal atrial tachycardias occurred after circumferential pulmonary vein isolation.

    abstract:BACKGROUND:Atrial tachycardias (ATs) are commonly observed following catheter ablation of atrial fibrillation (AF). The aim of this study was to identify ECG characteristics that differentiate focal from macroreentrant ATs after circumferential pulmonary vein isolation (CPVI). METHODS AND RESULTS:One hundred and twent...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.02002.x

    authors: Chang SL,Tsao HM,Lin YJ,Lo LW,Hu YF,Tuan TC,Tsai WC,Chang CJ,Suenari K,Huang SY,Tai CT,Li CH,Chao TF,Wu TJ,Chen SA

    更新日期:2011-07-01 00:00:00

  • Atrioventricular node ablation and permanent ventricular pacemaker implantation without fluoroscopy: use of an electroanatomic navigation system.

    abstract::Non-fluoroscopy AV ablation and pacemaker implantation. Fluoroscopic guidance is the standard tool used for transvenous pacemaker implantations and for electrophysiological and ablation procedures. It implies X-ray exposure, occasionally with high dose of radiation for the patient and operator. We describe the case of...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2005.40774.x

    authors: Ruiz-Granell R,Morell-Cabedo S,Ferrero-De-Loma A,García-Civera R

    更新日期:2005-07-01 00:00:00

  • Long term performance and safety of His bundle pacing: A multicenter experience.

    abstract:INTRODUCTION:Several single-center short-term studies have demonstrated the feasibility, safety, and positive clinical outcomes of permanent His bundle pacing (HBP). We performed a retrospective study to evaluate long-term technical and safety performances of HBP in a large population of pacemaker patients from two dif...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.14063

    authors: Zanon F,Abdelrahman M,Marcantoni L,Naperkowski A,Subzposh FA,Pastore G,Baracca E,Boaretto G,Raffagnato P,Tiribello A,Dandamudi G,Vijayaraman P

    更新日期:2019-09-01 00:00:00