Automatically optimized vectorcardiographic features are associated with recurrence of atrial fibrillation after electrical cardioversion

Electrical cardioversion presents one of the treatment options for atrial fibrillation (AF). However, the early recurrence rate is high, reaching ~40% three months after the procedure. Features based on vectorcardiographic signals were explored to find association with early recurrence of AF. Eighty...

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Published in:Scientific reports 2025-01, Vol.15 (1), p.1257, Article 1257
Main Authors: Plesinger, F., Hassouna, S., Carna, Z., Vesela, J., Smisek, R., Vargova, E., Sobota, V., Koscova, Z., Nejedly, P., Viscor, I., Prinzen, F. W., Jurak, P., Halamek, J., Osmancik, P.
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631/443/592/75/29/1309
639/705/1041
639/705/1042
Aged
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
Cardiac arrhythmia
Cardioversion
EKG
Electric Countershock
Electrocardiography, Ambulatory
Female
Fibrillation
Humanities and Social Sciences
Humans
Male
Middle Aged
multidisciplinary
Patients
Prospective Studies
Recurrence
Science
Science (multidisciplinary)
Treatment Outcome
Vectorcardiography - methods
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creator Plesinger, F.
Hassouna, S.
Carna, Z.
Vesela, J.
Smisek, R.
Vargova, E.
Sobota, V.
Koscova, Z.
Nejedly, P.
Viscor, I.
Prinzen, F. W.
Jurak, P.
Halamek, J.
Osmancik, P.
description Electrical cardioversion presents one of the treatment options for atrial fibrillation (AF). However, the early recurrence rate is high, reaching ~40% three months after the procedure. Features based on vectorcardiographic signals were explored to find association with early recurrence of AF. Eighty-four patients with non-paroxysmal AF referred to electrical cardioversion were prospectively studied; early AF recurrence was present in 40 (47.6%). Patients underwent 24-h Holter ECG monitoring three months after the procedure to assess AF recurrence. Pre-procedural 12-lead ECGs (10 s, 1 kHz) were recorded and automatically analyzed. We explored associations of VCG-based features with early AF recurrence. Two features were strongly associated with AF recurrence: (1) a mean VCG (y-axis) signal slope in a window starting 145 ms before QRS center, lasting for 190 ms (AUC 0.778, p  
doi_str_mv 10.1038/s41598-025-85340-4
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subjects 631/443/592/75/29/1309
639/705/1041
639/705/1042
Aged
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
Cardiac arrhythmia
Cardioversion
EKG
Electric Countershock
Electrocardiography, Ambulatory
Female
Fibrillation
Humanities and Social Sciences
Humans
Male
Middle Aged
multidisciplinary
Patients
Prospective Studies
Recurrence
Science
Science (multidisciplinary)
Treatment Outcome
Vectorcardiography - methods
title Automatically optimized vectorcardiographic features are associated with recurrence of atrial fibrillation after electrical cardioversion
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