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03.02.2020 | Original Article

The impact of the dominant frequency of body surface electrocardiography in patients with persistent atrial fibrillation

verfasst von: Yosuke Murase, Yasuya Inden, Rei Shibata, Satoshi Yanagisawa, Aya Fujii, Monami Ando, Noriaki Otake, Masaki Takenaka, Junya Funabiki, Yusuke Sakamoto, Toyoaki Murohara

Erschienen in: Heart and Vessels | Ausgabe 7/2020

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Abstract

The dominant frequency (DF) of atrial fibrillation (AF) reflects atrial electrical activity. However, the relationship between DF measured using surface electrocardiography (ECG) and AF ablation success remains unclear. This study aimed to clarify whether the DF of surface ECG in patients with persistent AF could predict arrhythmia recurrence after catheter ablation. We investigated 125 patients with persistent AF who underwent catheter ablation between January 2009 and December 2016. Thirty-four patients (27%) had arrhythmia recurrence after catheter ablation. These patients showed a significantly high DF value in leads aVL (7.2 ± 0.7 Hz vs 6.6 ± 0.9 Hz, p < 0.001) and V1 (7.4 ± 0.8 Hz vs 6.7 ± 0.7 Hz, p < 0.001). We set the cutoff value of DF as 6.9 Hz in lead aVL (sensitivity, 80%; specificity, 63%) and as 7.1 Hz in lead V1 (sensitivity, 72%; specificity, 67%). Patients with DF < 6.9 Hz in lead aVL showed a significantly higher recurrence-free rate than those with DF ≥ 6.9 Hz (88% vs 45%; p < 0.001). Patients with DF of < 7.1 Hz in lead V1 showed a significantly higher recurrence-free rate than those with DF of ≥ 7.1 (87% vs 47%; p < 0.001). Patients with a high DF in leads aVL and V1 showed a lower success rate of persistent AF ablation. The DF measured from surface ECG can be a useful marker to predict ablation success.

Terasawa T, Balk EM, Chung M, Garlitski AC, Alsheikh-Ali AA, Lau J, Ip S (2009) Systematic review: comparative effectiveness of radiofrequency catheter ablation for atrial fibrillation. Ann Intern Med 151:191–202CrossRef

Yagishita A, Yamauchi Y, Sato H, Yamashita S, Hirao T, Miyamoto T, Hirao K, Isobe M (2017) Improvement in the quality of life and exercise performance in relation to the plasma B-type natriuretic peptide level after catheter ablation in patients with asymptomatic persistent atrial fibrillation. Circ J 81:444–449CrossRef

Verma A, Jiang C, Betts TR, Chen J, Deisenhofer I, Mantovan R, Macle L, Morillo CA, Haverkamp W, Weerasooriya R, Albenque JP, Nardi S, Menardi E, Novak P, Sanders P (2015) Approaches to catheter ablation for persistent atrial fibrillation. N Engl J Med 372:1812–1822CrossRef

Takahashi Y, Takahashi A, Kuwahara T, Fujino T, Okubo K, Kusa S, Fujii A, Yagishita A, Miyazaki S, Nozato T, Hikita H, Hirao K, Isobe M (2010) Clinical characteristics of patients with persistent atrial fibrillation successfully treated by left atrial ablation. Circ Arrhythm Electrophysiol 3:465–471CrossRef

Zhuang J, Wang Y, Tang K, Li X, Peng W, Liang C, Xu Y (2012) Association between left atrial size and atrial fibrillation recurrence after single circumferential pulmonary vein isolation: a systematic review and meta-analysis of observational studies. Europace 14:638–645CrossRef

Kumagai K, Sakamoto T, Nakamura K, Hayano M, Yamashita E, Oshima S (2013) Pre-procedural prediction of termination of persistent atrial fibrillation by catheter ablation as an indicator of reverse remodeling of the left atrium. Circ J 77:1416–1423CrossRef

Haissaguerre M, Lim K-T, Jacquemet V, Rotter M, Dang L, Hocini M, Matsuo S, Knecht S, Jais P, Virag N (2007) Atrial fibrillatory cycle length: computer simulation and potential clinical importance. Europace 9(Suppl 6):vi64–vi70PubMed

Frick M, Frykman V, Jensen-Urstad M, Ostergren J, Rosenqvist M (2001) Factors predicting success rate and recurrence of atrial fibrillation after first electrical cardioversion in patients with persistent atrial fibrillation. Clin Cardiol 24:238–244CrossRef

Okumura Y, Watanabe I, Kofune M, Nagashima K, Sonoda K, Mano H, Ohkubo K, Nakai T, Hirayama A (2012) Characteristics and distribution of complex fractionated atrial electrograms and the dominant frequency during atrial fibrillation: relationship to the response and outcome of circumferential pulmonary vein isolation. J Interv Card Electrophysiol 34:267–275CrossRef

10.

Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, Crijns HJ, Damiano RJ Jr, Davies DW, DiMarco J, Edgerton J, Ellenbogen K, Ezekowitz MD, Haines DE, Haissaguerre M, Hindricks G, Iesaka Y, Jackman W, Jalife J, Jais P, Kalman J, Keane D, Kim YH, Kirchhof P, Klein G, Kottkamp H, Kumagai K, Lindsay BD, Mansour M, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Nakagawa H, Natale A, Nattel S, Packer DL, Pappone C, Prystowsky E, Raviele A, Reddy V, Ruskin JN, Shemin RJ, Tsao HM, Wilber D (2012) 2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. Europace 14:528–606CrossRef

11.

Fuster V, Rydén LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Hunt SA, Nishimura R, Ornato JP, Page RL, Riegel B, Priori SG, Blanc JJ, Budaj A, Camm AJ, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Zamorano JL (2006) ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation. J Am Coll Cardiol 48:e149–e246CrossRef

12.

January CT, Wann LS, Alpert JS, Calkins H, Cigarroa JE, Cleveland JC Jr, Conti JB, Ellinor PT, Ezekowitz MD, Field ME, Murray KT, Sacco RL, Stevenson WG, Tchou PJ, Tracy CM, Yancy CW, American College of Cardiology/American Heart Association Task Force on Practice Guidelines (2014) 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 64:e1–76CrossRef

13.

Bollmann A, Husser D, Mainardi L, Lombardi F, Langley P, Murray A, Rieta JJ, Millet J, Olsson SB, Stridh M, Sörnmo L (2006) Analysis of surface electrocardiograms in atrial fibrillation: techniques, research, and clinical applications. Europace 8:911–926CrossRef

14.

Husser D, Stridh M, Sornmo L, Olsson SB, Bollmann A (2004) Frequency analysis of atrial fibrillation from the surface electrocardiogram. Indian Pacing Electrophysiol J 4:122–136PubMedPubMedCentral

15.

Matsuo S, Lellouche N, Wright M, Bevilacqua M, Knecht S, Nault I, Lim KT, Arantes L, O’Neill MD, Platonov PG, Carlson J, Sacher F, Hocini M, Jais P, Haissaguerre M (2009) Clinical predictors of termination and clinical outcome of catheter ablation for persistent atrial fibrillation. J Am Coll Cardiol 54:788–795CrossRef

16.

Wijffels MC, Kirchhof CJ, Dorland R, Allessie MA (1995) Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats. Circulation 92:1954–1968CrossRef

17.

Li D, Fareh S, Leung TK, Nattel S (1999) Promotion of atrial fibrillation by heart failure in dogs: atrial remodeling of a different sort. Circulation 100:87–95CrossRef

18.

Kim KB, Rodefeld MD, Schuessler RB, Cox JL, Boineau JP (1996) Relationship between local atrial fibrillation interval and refractory period in the isolated canine atrium. Circulation 94:2961–2967CrossRef

19.

Yoshida K, Rabbani AB, Oral H, Bach D, Morady F, Chugh A (2011) Left atrial volume and dominant frequency of atrial fibrillation in patients undergoing catheter ablation of persistent atrial fibrillation. J Interv Card Electrophysiol 32:155–161CrossRef

20.

Lo L-W, Tai C-T, Lin Y-J, Chang SL, Udyavar AR, Hu YF, Ueng KC, Tsai WC, Tuan TC, Chang CJ, Kao T, Tsao HM, Wongcharoen W, Higa S, Chen SA (2009) Predicting factors for atrial fibrillation acute termination during catheter ablation procedures: implications for catheter ablation strategy and long-term outcome. Hear Rhythm 6:311–318CrossRef

21.

Ng J, Kadish AH, Goldberger JJ (2006) Effect of electrogram characteristics on the relationship of dominant frequency to atrial activation rate in atrial fibrillation. Hear Rhythm 3:1295–1305CrossRef

22.

Sanders P, Berenfeld O, Hocini M, Jaïs P, Vaidyanathan R, Hsu LF, Garrigue S, Takahashi Y, Rotter M, Sacher F, Scavée C, Ploutz-Snyder R, Jalife J, Haïssaguerre M (2005) Spectral analysis identifies sites of high-frequency activity maintaining atrial fibrillation in humans. Circulation 112:789–797CrossRef

23.

Lazar S, Dixit S, Marchlinski FE, Callans DJ, Gerstenfeld EP (2004) Presence of left-to-right atrial frequency gradient in paroxysmal but not persistent atrial fibrillation in humans. Circulation 110:3181–3186CrossRef

24.

Guillem MS, Climent AM, Millet J, Arenal Á, Fernández-Avilés F, Jalife J, Atienza F, Berenfeld O (2013) Noninvasive localization of maximal frequency sites of atrial fibrillation by body surface potential mapping. Circ Arrhythm Electrophysiol 6:294–301CrossRef

25.

Rodrigo M, Climent AM, Liberos A, Fernández-Aviles F, Atienza F, Guillem MS, Berenfeld O (2017) Minimal configuration of body surface potential mapping for discrimination of left versus right dominant frequencies during atrial fibrillation. Pacing Clin Electrophysiol 40:940–946CrossRef

26.

Meo M, Pambrun T, Derval N, Dumas-Pomier C, Puyo S, Duchâteau J, Jaïs P, Hocini M, Haïssaguerre M, Dubois R (2018) Noninvasive assessment of atrial fibrillation complexity in relation to ablation characteristics and outcome. Front Physiol 9:929CrossRef

27.

Romero I, Fleck E, Kriatselis C (2011) Frequency analysis of atrial fibrillation surface and intracardiac electrograms during pulmonary vein isolation. Europace 13:1340–1345CrossRef

28.

Uetake S, Miyauchi Y, Osaka M, Hayashi M, Iwasaki Y, Yodogawa K, Horie T, Tsuboi I, Hayashi H, Takahashi K, Shimizu W (2014) Frequency analysis of surface electrocardiograms (ECGs) in patients with persistent atrial fibrillation: correlation with the intracardiac ECGs and implications for radiofrequency catheter ablation. J Arrhythm 30:453–459CrossRef

29.

Holm M, Pehrson S, Ingemansson M, Sörnmo L, Johansson R, Sandhall L, Sunemark M, Smideberg B, Olsson C, Olsson SB (1998) Non-invasive assessment of the atrial cycle length during atrial fibrillation in man: introducing, validating and illustrating a new ECG method. Cardiovasc Res 38:69–81CrossRef

30.

Bollmann A, Kanuru NK, McTeague KK, Walter PF, DeLurgio DB, Langberg JJ (1998) Frequency analysis of human atrial fibrillation using the surface electrocardiogram and its response to ibutilide. Am J Cardiol 81:1439–1445CrossRef

31.

Petrutiu S, Sahakian AV, Fisher W, Swiryn S (2009) Manifestation of left atrial events and interatrial frequency gradients in the surface electrocardiogram during atrial fibrillation: contributions from posterior leads. J Cardiovasc Electrophysiol 20:1231–1236CrossRef

Titel: The impact of the dominant frequency of body surface electrocardiography in patients with persistent atrial fibrillation
verfasst von: Yosuke Murase
Yasuya Inden
Rei Shibata
Satoshi Yanagisawa
Aya Fujii
Monami Ando
Noriaki Otake
Masaki Takenaka
Junya Funabiki
Yusuke Sakamoto
Toyoaki Murohara
Publikationsdatum: 03.02.2020
Verlag: Springer Japan
Erschienen in: Heart and Vessels / Ausgabe 7/2020
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-020-01563-7

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