AIMS: When analyzing P-wave morphology, the vectorcardiogram (VCG) has been shown useful to identify indicators of propensity to atrial fibrillation (AF). Since VCG is rarely used in the clinical routine, we wanted to investigate if these indicators could be accurately determined in VCG derived from standard 12-lead ECG (dVCG). METHODS: ECG and VCG recordings from 21 healthy subjects and 20 patients with a history of AF were studied. dVCG was calculated from ECG using the inverse Dower transform. Following signal averaging of P-waves, comparisons were made between VCG and dVCG, where three parameters characterizing signal shape and 15 parameters describing the P-wave morphology were used to assess the compatibility of the two recording techniques. The latter parameters were also used to compare the healthy and the AF groups. RESULTS: After transformation, P-wave shape was convincingly preserved. P-wave morphology parameters were consistent within the respective groups when comparing VCG and dVCG, with better preservation observed in the healthy group. CONCLUSION: VCG derived from routine 12-lead ECG may be a useful alternate method for studying orthogonal P-wave morphology.
AIMS: When analyzing P-wave morphology, the vectorcardiogram (VCG) has been shown useful to identify indicators of propensity to atrial fibrillation (AF). Since VCG is rarely used in the clinical routine, we wanted to investigate if these indicators could be accurately determined in VCG derived from standard 12-lead ECG (dVCG). METHODS: ECG and VCG recordings from 21 healthy subjects and 20 patients with a history of AF were studied. dVCG was calculated from ECG using the inverse Dower transform. Following signal averaging of P-waves, comparisons were made between VCG and dVCG, where three parameters characterizing signal shape and 15 parameters describing the P-wave morphology were used to assess the compatibility of the two recording techniques. The latter parameters were also used to compare the healthy and the AF groups. RESULTS: After transformation, P-wave shape was convincingly preserved. P-wave morphology parameters were consistent within the respective groups when comparing VCG and dVCG, with better preservation observed in the healthy group. CONCLUSION:VCG derived from routine 12-lead ECG may be a useful alternate method for studying orthogonal P-wave morphology.
Authors: Mariam B Seifert; Morten S Olesen; Ingrid E Christophersen; Jonas B Nielsen; Jonas Carlson; Fredrik Holmqvist; Arnljot Tveit; Stig Haunsø; Jesper H Svendsen; Pyotr G Platonov Journal: Ann Noninvasive Electrocardiol Date: 2019-06-01 Impact factor: 1.468
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Authors: Thomas Schau; Walter Koglek; Josef Brandl; Martin Seifert; Jürgen Meyhöfer; Michael Neuss; Georg Grimm; Robert Bitschnau; Christian Butter Journal: Clin Res Cardiol Date: 2012-09-23 Impact factor: 5.460
Authors: Martin W Krueger; Andreas Dorn; David U J Keller; Fredrik Holmqvist; Jonas Carlson; Pyotr G Platonov; Kawal S Rhode; Reza Razavi; Gunnar Seemann; Olaf Dössel Journal: Med Biol Eng Comput Date: 2013-07-18 Impact factor: 2.602
Authors: Richard Petersson; Hilde M Berge; Gard F Gjerdalen; Jonas Carlson; Fredrik Holmqvist; Kjetil Steine; Pyotr G Platonov Journal: Ann Noninvasive Electrocardiol Date: 2014-02-12 Impact factor: 1.468