多参数电图特征分析用于心室高心率功能外刺激基质映射
Joseph Mayer1, Jaffar Al-Sheikhli2, Xuezhe Wang3
1Heart Rhythm Research Group, Division of Biomedical Sciences, Warwick Medical School, University of Warwick, Coventry, United Kingdom; Institute for Cardio-Metabolic Medicine, University Hospital Coventry and Warwickshire NHS Trust, Coventry, United Kingdom; Department of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom.
使用电图 (EGM) 延长持续时间的功能性额外刺激 (ES) 映射DeEP地图准确地识别了心室动脉动脉基质. 这种方法优于其他ES映射方法用于VT废除计划.
科学领域:
- 电力生理学 电力生理学
- 心律不整的研究研究心律不整.
- 医疗器械技术 医疗器械技术
背景情况:
- 与内在节律映射相比,功能性额外刺激 (ES) 基质映射可以降低心室低心率 (VT) 复发率.
- 目前还没有用于功能ES映射的标准化方法.
研究的目的:
- 评估各种功能ES映射技术的准确性.
- 评估多个电图 (EGM) 组件,以改进VT基质识别.
主要方法:
- 分析了一组多中心的国际静脉瘤切除队列.
- 使用EGM组件的离线注释创建了六个功能ES地图 (刺激器件,第一次/最后的偏移,近场EGM).
- 准确性测试用于识别关键的节律失常基质.
主要成果:
- 基于EGM持续时间的递减唤起潜力 (DeEP) 地图显示了最高的准确性 (AUC 0.804 ± 0.107).
- 最佳的缩小值是20或30毫秒.
- 包括延迟或自动近场EGM注释并没有提高诊断性能.
结论:
- 使用EGM持续时间延长DeEP图的功能ES映射是定义心律失常基质的最准确方法.
- 延迟或近场EGM注释不会提高功能基板映射的准确性.
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