P-wave morphology assessment by a gaussian functions-based model in atrial fibrillation patients

IEEE Trans Biomed Eng. 2007 Apr;54(4):663-72. doi: 10.1109/TBME.2006.890134.

Abstract

Aim of this study was to present a P-wave model, based on a linear combination of Gaussian functions, to quantify morphological aspects of P-wave in patients prone to atrial fibrillation (AF). Five-minute ECG recordings were performed in 25 patients with permanent dual chamber pacemakers. Patients were divided into high-risk and low-risk groups, including patients with and without AF episodes in the last 6 mo preceding the study, respectively. ECG signals were acquired using a 32-lead mapping system for high-resolution biopotential measurement (ActiveTwo, Biosemi, The Netherlands, sample frequency 2 kHz, 24-bit resolution). Up to 8 Gaussian models have been computed for each averaged P-wave extracted from every lead. The P-wave morphology was evaluated by extracting seven parameters. Classical time-domain parameters, based on P-wave duration estimation, have been also estimated. We found that the P-wave morphology can be effectively modeled by a linear combination of Gaussian functions. In addition, the combination of time-domain and morphological parameters extracted from the Gaussian function-based model of the P-wave improves the identification of patients having different risks of developing AF.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Algorithms*
  • Artificial Intelligence
  • Atrial Fibrillation / diagnosis*
  • Atrial Fibrillation / physiopathology*
  • Computer Simulation
  • Diagnosis, Computer-Assisted / methods*
  • Electrocardiography / methods*
  • Female
  • Humans
  • Male
  • Models, Cardiovascular*
  • Models, Statistical
  • Normal Distribution
  • Pattern Recognition, Automated / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity