The Impact of Filter Settings on Morphology of Unipolar Fibrillation Potentials

Roeliene Starreveld, Paul Knops, Maarten Roos-Serote, Charles Kik, Ad J.J.C. Bogers, Bianca J.J.M. Brundel, Natasja M.S. de Groot*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Using unipolar atrial electrogram morphology as guidance for ablative therapy is regaining interest. Although standardly used in clinical practice during ablative therapy, the impact of filter settings on morphology of unipolar AF potentials is unknown. Thirty different filters were applied to 2,557,045 high-resolution epicardial AF potentials recorded from ten patients. Deflections with slope ≤ − 0.05 mV/ms and amplitude ≥ 0.3 mV were marked. High-pass filtering decreased the number of detected potentials, deflection amplitude, and percentage of fractionated potentials (≥ 2 deflections) as well as fractionation delay time (FDT) and increased percentage of single potentials. Low-pass filtering decreased the number of potentials, percentage of fractionated potentials, whereas deflection amplitude, percentage of single potentials, and FDT increased. Notch filtering (50 Hz) decreased the number of potentials and deflection amplitude, whereas the percentage of complex fractionated potentials (≥ 3 deflections) increased. Filtering significantly impacted morphology of unipolar fibrillation potentials, becoming a potential source of error in identification of ablative targets. [Figure not available: see fulltext.].

Original languageEnglish
Pages (from-to)953-964
Number of pages12
JournalJournal of Cardiovascular Translational Research
Volume13
Issue number6
DOIs
Publication statusPublished - Dec 2020

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