ArticleJournal of arrhythmia2025
The signal quality of tripolar Laplacian electrogram compared to bipolar electrogram in cardiac electrophysiology.
Article in Journal of arrhythmia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The signal quality of tripolar Laplacian electrogram compared to bipolar electrogram in cardiac electrophysiology.Journal of arrhythmia · 2025Article
- Impact of recording technologies on cardiac electrogram morphology: implications for mapping and interpretation.Indian pacing and electrophysiology journalReview
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The usefulness of tripolar Laplacian electrogram (TLE) in cardiac electrophysiology is unknown. Objective: We investigated the difference in the morphology, voltage amplitude, noise level, and far-field potential (FFP) between TLE and bipolar electrogram (BE). Methods: Twenty-two patients who underwent catheter ablation for atrial fibrillation were analyzed. TLE and BE were simultaneously obtained using 64-electrode basket catheters during atrial tachycardia or pacing. Local electrograms (EGMs) were analyzed at the locations of three activation patterns: normal conduction, wavefront collision, and slow conduction (SC). In addition, each activation pattern was analyzed at two different wavefront angles: horizontal and vertical, respectively. The voltage amplitude, duration, morphology, and deflection number were compared. The noise level and FFP amplitude were also analyzed. Results: With all activation patterns and wavefront angles, the voltage amplitude was significantly lower on TLE than on BE, and the mean amplitude ratio of TLE/BE was 0.75. The duration and deflection number of EGM were comparable. The ventricular FFP amplitude was lower on TLE than on BE (0.04 mV vs. 0.40 mV, Conclusion: TLE has a lower voltage amplitude than BE for all activation patterns and wavefront angles, and it removes more noise and FFPs. TLE is useful for analyzing low-voltage and fractionated EGMs regardless of the wavefront angle.
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