Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2021 Jul;32(7):1918-1920.
doi: 10.1111/jce.15073. Epub 2021 May 20.

Re-interpreting complex atrial tachycardia maps using global atrial vectors

Affiliations
Editorial

Re-interpreting complex atrial tachycardia maps using global atrial vectors

Miguel Rodrigo et al. J Cardiovasc Electrophysiol. 2021 Jul.
No abstract available

Keywords: artificial intelligence; atrial fibrillation; atrial tachycardia; machine learning; mapping.

PubMed Disclaimer

Figures

Figure.
Figure.. Atrial tachycardia by standard activation mapping (left) and algorithmically reinterpreted maps (middle) focused on a site of complex electrograms (right).
Electrograms at this site (right atrium near the coronary sinus) are difficult to interpret in isolation. The novel algorithm found that marking these electrograms to produce highly curved vectors of propagation i.e. localized reentry best resolved the global vector patterns. Ablation here terminated AT. Standard mapping less accurately portrayed this map as a focal mechanism. Reproduced with permission from figure 4 of Anter et al .

Comment on

References

    1. Haddad ME, Houben R, Tavernier R and Duytschaever M. A stable reentrant circuit with spiral wave activation driving atrial tachycardia. Heart Rhyhm. 2014;11:716–8. - PubMed
    1. Sroubek J, Rottmann M, Barkagan M, Leshem E, Shapira-Daniels A, Brem E, Fuentes-Ortega C, Malinaric J, Basu S, Bar-Tal M and Anter E. A novel octaray multielectrode catheter for high-resolution atrial mapping: Electrogram characterization and utility for mapping ablation gaps. J Cardiovasc Electrophysiol. 2019;30:749–757. - PubMed
    1. Schaeffer B, Hoffmann BA, Meyer C, Akbulak RO, Moser J, Jularic M, Eickholt C, Nuhrich JM, Kuklik P and Willems S. Characterization, Mapping, and Ablation of Complex Atrial Tachycardia: Initial Experience With a Novel Method of Ultra High-Density 3D Mapping. J Cardiovasc Electrophysiol. 2016;27:1139–1150. - PubMed
    1. Anter E, Duytschaever M, Shen C, Strisciuglio T, Leshem E, Contreras-Valdes FM, Waks JW, Zimetbaum PJ, Kumar K, Spector PS, Lee A, Gerstenfeld EP, Nakar E, Bar-Tal M and Buxton AE. Activation Mapping With Integration of Vector and Velocity Information Improves the Ability to Identify the Mechanism and Location of Complex Scar-Related Atrial Tachycardias. Circ Arrhythm Electrophysiol. 2018;11:e006536. - PubMed
    1. Krittanawong C, Johnson KW, Rosenson RS, Wang Z, Aydar M, Baber U, Min JK, Tang WHW, Halperin JL and Narayan SM. Deep learning for cardiovascular medicine: a practical primer. Eur Heart J. 2019;40:2058–2073. - PMC - PubMed

MeSH terms

LinkOut - more resources