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International Journal of Bioelectromagnetism Vol. 5, No. 1, p. 86, 2003. |
www.ijbem.org |
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Atrial Signal Abnormalities in Paroxysmal Lone Atrial Fibrillation Detected by Magnetocardiography Raija
Koskinena, Mika Lehtoa, Heikki Väänänenb,
Juha Rantonena, Juha Montonenc, Markku Mäkijärvia,
Liisa-Maria Voipio-Pulkkid, Lasse Lehtonene,
Lauri Toivonena
aDivision of Cardiology, Helsinki University Central Hospital, Helsinki, Finland Correspondence: Raija Koskinen, Division of
Cardiology, Helsinki University Hospital, P.O. Box 340 00290 Helsinki,
Finland. Abstract. Aim was to
look for atrial depolarisation abnormalities in paroxysmal lone
atrial fibrillation (AF) patients. 18 AF patients without structural
heart disease and 18 healthy controls were included. A 33-channel
MCG over the anterior chest and orthogonal 3-lead ECG as a comparative
method were recorded simultaneously in magnetically shielded room.
Data of 5 minutes was digitised and averaged using atrial wave template.
Averaged data was filtered with 40 Hz high-pass filter and the duration
of the filtered signal (Pd) was measured automatically. Root mean
square amplitudes of the last 60 ms of atrial signal were determined
(RMS60). Variation in Pd between channels was described as dispersion
index, calculated as Pdi=SD/Pd*100. By MCG Pdi was large (p=0.003)
and RMS60 was lower in patients (p=0.02). Group means of Pd were
comparable (104 and 106 ms), but the longest as well as shortest
Pd were measured in patients, paralleled with a greater SD value.
In paroxysmal lone AF, the high frequency components of the last
portion of atrial signal are reduced and the variance in duration
of atrial depolarisation is substantial, suggesting pathology in
the left atrium. MCG appears to be sensitive non-invasive method
to study atrial electrofysiology in AF.
Keywords: Atrial Fibrillation; Magnetogardiography; Signal Prosessing
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