Wavelet variability of SA node originated P waves in atrial fibrillation and in signals with ectopic beats

D Filos1, I Chouvarda, G Dakos

  • 1Lab of Medical Informatics, Aristotle University of Thessaloniki, Greece. dimitrisfilos@gmail.com

Insights

This study analyzed atrial activity using vectorcardiography to differentiate healthy individuals, those with ectopic beats, and atrial fibrillation (AF) patients. Findings reveal distinct electrical property differences related to the atrial conduction system, aiding in arrhythmia understanding.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Electrophysiology

Background:

  • Atrial fibrillation (AF) is a common cardiac arrhythmia.
  • Ectopic beats, originating outside the SA node, can disturb normal heart rhythm.
  • Understanding atrial electrical properties is crucial for diagnosing arrhythmias.

Purpose of the Study:

  • To differentiate atrial electrical activity in healthy subjects, healthy subjects with ectopic beats, and AF patients.
  • To investigate differences in atrial activity related to the conduction system.
  • To assess the utility of wavelet-based parameters in vectorcardiography for arrhythmia analysis.

Main Methods:

  • Vectorcardiography (X-Y-Z leads) recordings were analyzed.
  • Wavelet-based parameters were extracted from atrial activity windows.
  • Signals from three groups (healthy, healthy with ectopic beats, AF patients) were compared.

Main Results:

  • Significant differences in atrial activity were found between healthy individuals and AF patients.
  • Differences were also observed between healthy individuals and those with ectopic beats.
  • No significant differences in SA node beat analysis were found between AF patients and healthy individuals with ectopic beats.

Conclusions:

  • Atrial electrical properties differ significantly across healthy, ectopic beat, and AF groups.
  • Vectorcardiography and wavelet analysis can reveal distinctions in atrial conduction.
  • Further research may refine diagnostic capabilities for atrial fibrillation.

Related Concept Videos

Dysrhythmias III: Characteristics of Dysrhythmias01:29

Dysrhythmias III: Characteristics of Dysrhythmias

Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per minute.
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias01:25

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
Dysrhythmias IV: Characteristics of Bradyarrhythmias01:18

Dysrhythmias IV: Characteristics of Bradyarrhythmias

Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias01:16

ECG Interpretation of Arrhythmias I: Sinus Arrhythmias

Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism, and...
Correlation between ECG and Cardiac Cycle01:25

Correlation between ECG and Cardiac Cycle

The electrical signals recorded on an electrocardiogram (ECG) occur before the mechanical processes of contraction and relaxation during the cardiac cycle.
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...