Evidence map›Paper›PMID 23559023›Full record

ArticleIEEE transactions on bio-medical engineering2013

Electroanatomical characterization of atrial microfibrosis in a histologically detailed computer model.

Fernando O Campos, Thomas Wiener, Anton J Prassl, Rodrigo Weber dos Santos, Damian Sanchez-Quintana, Helmut Ahammer, Gernot Plank, Ernst Hofer

Abstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Ablation of persistent atrial fibrillation based on atrial electrogram duration map: methodology and clinical outcomes from the AEDUM pilot study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  4. Article
  5. Article
  6. Graph-based homogenisation for modelling cardiac fibrosis.Journal of computational physics · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Fernando O CamposInstitute of Biophysics, Medical University of Graz, 8036 Graz, Austria, and with the Institute of Medical Engineering, Graz University of Technology, 8010 Graz, Austria. fernando.campos@medunigraz.at
Thomas Wiener
Anton J Prassl
Rodrigo Weber dos Santos
Damian Sanchez-Quintana
Helmut Ahammer
Gernot Plank
Ernst Hofer

Funding

Multi-scale Modeling of Calcium Mediated Triggered Activity in the HeartR01HL101196 · NHLBI · CALIFORNIA STATE UNIVERSITY NORTHRIDGE · PI SHIFERAW, YOHANNES · 2010 to 2013
$1.2M
Austrian Science Fund FWF F 3210NHLBI NIH HHS 1R01 HL 10119601NHLBI NIH HHS R01 HL101196
6 · The paper itself

Abstract

Fibrosis is thought to play an important role in the formation and maintenance of atrial fibrillation (AF). The propensity of fibrosis to increase AF vulnerability depends not only on its amount, its texture plays a crucial role as well. While the detection of fibrotic tissue patches in the atria with extracellular recordings is feasible based on the analysis of electrogram fractionation, as used in clinical practice to identify ablation targets, the classification of fibrotic texture is a more challenging problem. This study seeks to establish a method for the electroanatomical characterization of the fibrotic textures based on the analysis of electrogram fractionation. The proposed method exploits the dependence of fractionation patterns on the incidence direction of wavefronts which differs significantly as a function of texture. A histologically detailed computer model of the right atrial isthmus was developed for testing the method. A stimulation protocol was conceived which generated various incidence directions for any given recording site where electrograms were computed. A classification method is derived then for discriminating three types of fibrosis, no fibrosis (control), diffuse, and patchy fibrosis. Simulation results showed that electrogram fractionation and amplitudes and their dependence upon incidence direction allow a robust discrimination between different classes of fibrosis. Finally, to minimize the technical effort, sensitivity analysis was performed to identify a minimum number of incidence directions required for robust classification.

Indexed as

Models, AnatomicModels, CardiovascularAlgorithmsAnimalsBody Surface Potential MappingComputer SimulationElectrocardiographyEndomyocardial FibrosisHeart AtriaHeart Conduction SystemRabbitsReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID23559023
PMCPMC3786039

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.