P-wave Variability and Atrial Fibrillation

Sci Rep. 2016 May 26:6:26799. doi: 10.1038/srep26799.

Abstract

The analysis of P-wave template has been widely used to extract indices of Atrial Fibrillation (AF) risk stratification. The aim of this paper was to assess the potential of the analysis of the P-wave variability over time in patients suffering from atrial fibrillation. P-wave features extracted from P-wave template together with novel indices of P-wave variability have been estimated in a population of patients suffering from persistent AF and compared to those extracted from control subjects. We quantify the P-wave variability over time using three algorithms and we extracted three novel indices: one based on the cross-correlation coefficients among the P-waves (Cross-Correlation Index, CCI), one associated to variation in amplitude of the P-waves (Amplitude Dispersion Index, ADI), one sensible to the phase shift among P-waves (Warping Index, WI). The control group resulted to be characterized by shorter P-wave duration and by a less amount of fragmentation and variability, respect to AF patients. The parameter CCI shows the highest sensitivity (97.3%) and a good specificity (95%).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Algorithms*
  • Area Under Curve
  • Atrial Fibrillation / drug therapy
  • Atrial Fibrillation / physiopathology*
  • Cardiovascular Agents / therapeutic use
  • Electrocardiography*
  • Female
  • Follow-Up Studies
  • Heart Atria / physiopathology*
  • Heart Conduction System / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Models, Cardiovascular*
  • Recurrence
  • Sensitivity and Specificity

Substances

  • Cardiovascular Agents