Definition, estimation and limitations of the dominant frequency in intracardiac electrograms

Intracardiac electrogram recordings during atrial fibrillation (AFib) are characterized by irregular rhythms and complex morphologies. Hence, analysis in the time domain is a difficult task. The so called dominant frequency DF is a spectrum based approach that aims at finding the most relevant frequ...

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Main Authors: Schwaderlapp Gerald, Oesterlein Tobias, Dössel Olaf, Armin Luik, Schmitt Claus, Lenis Gustavo
Format: Article
Language:English
Published: De Gruyter 2017-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2017-0175
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author Schwaderlapp Gerald
Oesterlein Tobias
Dössel Olaf
Armin Luik
Schmitt Claus
Lenis Gustavo
author_facet Schwaderlapp Gerald
Oesterlein Tobias
Dössel Olaf
Armin Luik
Schmitt Claus
Lenis Gustavo
author_sort Schwaderlapp Gerald
collection DOAJ
description Intracardiac electrogram recordings during atrial fibrillation (AFib) are characterized by irregular rhythms and complex morphologies. Hence, analysis in the time domain is a difficult task. The so called dominant frequency DF is a spectrum based approach that aims at finding the most relevant frequency in a signal providing information about the rate and dynamics of AFib. However, in recent years various studies reported controversial results regarding the clinical relevance of the DF. In this work, a definition of the DF at a fundamental scale is proposed as the rate at which action potentials are triggered in atrial cells. The most common method to estimate the DF in literature, labeled as DFSpec, is examined in comparison to the proposed definition. A signal processing study using synthetic signals verified that the DFSpec is stable for all changes in morphology of atrial activations. However, it is also demonstrated that the DFSpec becomes unstable for variations above 20% in the cycle length of a signal. Spectrum based DF estimation should be interpreted in a critical manner and is not advisable for study endpoints or clinical markers.
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spelling doaj.art-cb734fb9c5f049bd899aa451008ef6c82023-04-11T17:07:15ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042017-09-0132959810.1515/cdbme-2017-0175cdbme-2017-0175Definition, estimation and limitations of the dominant frequency in intracardiac electrogramsSchwaderlapp Gerald0Oesterlein Tobias1Dössel Olaf2Armin Luik3Schmitt Claus4Lenis Gustavo5Institute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), Fritz-Haber-Weg 1, 76131 Karlsruhe, GermanyInstitute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanyInstitute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanyStädtisches Klinikum Karlsruhe, Karlsruhe, GermanyStädtisches Klinikum Karlsruhe, Karlsruhe, GermanyInstitute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanyIntracardiac electrogram recordings during atrial fibrillation (AFib) are characterized by irregular rhythms and complex morphologies. Hence, analysis in the time domain is a difficult task. The so called dominant frequency DF is a spectrum based approach that aims at finding the most relevant frequency in a signal providing information about the rate and dynamics of AFib. However, in recent years various studies reported controversial results regarding the clinical relevance of the DF. In this work, a definition of the DF at a fundamental scale is proposed as the rate at which action potentials are triggered in atrial cells. The most common method to estimate the DF in literature, labeled as DFSpec, is examined in comparison to the proposed definition. A signal processing study using synthetic signals verified that the DFSpec is stable for all changes in morphology of atrial activations. However, it is also demonstrated that the DFSpec becomes unstable for variations above 20% in the cycle length of a signal. Spectrum based DF estimation should be interpreted in a critical manner and is not advisable for study endpoints or clinical markers.https://doi.org/10.1515/cdbme-2017-0175dominant frequencyatrial fibrillationsignal processingintracardiac electrogramcatheter ablation
spellingShingle Schwaderlapp Gerald
Oesterlein Tobias
Dössel Olaf
Armin Luik
Schmitt Claus
Lenis Gustavo
Definition, estimation and limitations of the dominant frequency in intracardiac electrograms
Current Directions in Biomedical Engineering
dominant frequency
atrial fibrillation
signal processing
intracardiac electrogram
catheter ablation
title Definition, estimation and limitations of the dominant frequency in intracardiac electrograms
title_full Definition, estimation and limitations of the dominant frequency in intracardiac electrograms
title_fullStr Definition, estimation and limitations of the dominant frequency in intracardiac electrograms
title_full_unstemmed Definition, estimation and limitations of the dominant frequency in intracardiac electrograms
title_short Definition, estimation and limitations of the dominant frequency in intracardiac electrograms
title_sort definition estimation and limitations of the dominant frequency in intracardiac electrograms
topic dominant frequency
atrial fibrillation
signal processing
intracardiac electrogram
catheter ablation
url https://doi.org/10.1515/cdbme-2017-0175
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