Mode of onset of spontaneous ventricular tachyarrhythmias from implantable cardioverter defibrillator electrograms

Aldo Casaleggio, P. Rossi, A. Faini, T. Guidotto, A. Dall'Acqua, G. Sartori, G. Musso, R. Mureddu, E. Casali, V. Malavasi, S. Chierchia

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Aim: This work investigates the correlation between the cardiac electrical activity underlying spontaneous ventricular tachyarrhythmias and their modes of onset. Signals: We analyzed 81 episodes of spontaneous ventricular tachycardia (VT) and ventricular fibrillation (VF) lasting at least 5 seconds from 17 patients. The cardiologist classified VT/VF malignancy by considering fast VT as more malignant. We study 3 modes of onset: (i) premature ventricular contraction (PVC group); (ii) PVC preceded by a short-long-short cycle (SLS group); (iii) PVC preceded by a paced beat after a previous PVC compensatory pause (PM group). In 4 patients more than one mode of VT/VF onset is present, in the other 13 patients VT/VF always started with the same mode. Mathematical methods: Cardiac electrical activity is characterized by power spectral density and correlation dimension analyses; statistical analysis is carried on using one way ANOVA in order to test significant differences among the mean values of PVC, SLS and PM populations. Results: Preliminary results shows significant differences at 5% level in two of the considered quantitative parameters. Conclusion: Although initial significant differences have been obtained, the limited number of ICDs and the small variability of the intra-subject characterization suggest that further research is needed to conclude that dynamics underlying VT/VF and the VT/VF mode of onset are strictly related.

Original languageEnglish
Title of host publicationComputers in Cardiology
EditorsA. Murray
Pages229-232
Number of pages4
Volume30
Publication statusPublished - 2003
EventComputers in Cardiology 2003 - Thessaloniki Chalkidiki, Greece
Duration: Sep 21 2003Sep 24 2003

Other

OtherComputers in Cardiology 2003
CountryGreece
CityThessaloniki Chalkidiki
Period9/21/039/24/03

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Software

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