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Licensed Unlicensed Requires Authentication Published by De Gruyter October 25, 2006

Assessment of spatial organization in the atria during paroxysmal atrial fibrillation and adrenergic stimulation

Valentina D.A. Corino, Massimo Mantica, Federico Lombardi and Luca T. Mainardi
From the journal

Abstract

Non-linear parameters were computed to assess the extent of spatial organization in the atria in terms of coupling/synchronization between electrograms recorded in different atrial sites. Recordings of 9 patients suffering from paroxysmal atrial fibrillation were tested during four clinical experimental conditions: sinus rhythm and atrial fibrillation, both before and after isoproterenol infusion, a drug mimicking adrenergic activation. Two non-linear metrics were investigated: an index of non-linear association (NLA) and a synchronization (S) index based on the cross-conditional entropy. Results evidence the presence of reduced coupling after drug infusion in both sinus rhythm and atrial fibrillation. Moreover, passing from the NLA to the S index, the capability of the parameter to capture the subtle changes due to isoproterenol administration increased.


Corresponding author: Ing. Valentina D.A. Corino, Dipartimento di Bioingegneria, Politecnico di Milano, Via Golgi 39, 20133 Milano, Italy Phone: +39-02-2399-3374 Fax: +39-02-2399-3360

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Published Online: 2006-10-25
Published in Print: 2006-10-01

©2006 by Walter de Gruyter Berlin New York