Modeling the relationship between concurrent epicardial action potentials and bipolar electrograms

IEEE Trans Biomed Eng. 1999 Apr;46(4):365-76. doi: 10.1109/10.752933.

Abstract

A signal analysis approach to building the relationship between concurrent epicardial cell action potentials (AP's) and bipolar electrograms is presented. Wavelet network, one nonlinear black-box modeling method, is used to identify the relationship between cell AP's and bipolar electrocardiograms. The electrical signals were simultaneously measured from the epicardium of isolated Langendorff-perfused rabbit hearts during three different rhythm conditions: normal sinus rhythm (NSR), normal sinus rhythm after ischemia (NSRI), and ventricular fibrillation (VF). For NSR and NSRI, the proposed modeling method successfully captures the nonlinear input-output relationship and provides an accurate output, but the method fails in case of VF. This result suggests that a time-invariant nonlinear modeling method such as wavelet network is not appropriate for VF rhythm, which is thought to be time-varying as well as chaotic, but still useful in detection of VF. A new arrhythmia detection algorithm, with potential application in implantable devices, is proposed for identifying the time of rhythmic bifurcation.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / physiology*
  • Algorithms
  • Animals
  • Electrocardiography / methods*
  • In Vitro Techniques
  • Linear Models
  • Models, Cardiovascular*
  • Neural Networks, Computer
  • Nonlinear Dynamics
  • Pericardium / physiology*
  • Rabbits
  • Reference Values
  • Signal Processing, Computer-Assisted
  • Ventricular Fibrillation / diagnosis*
  • Ventricular Fibrillation / physiopathology