Key result
Spatio-temporal organization of epicardial electrical activation steadily declined during ventricular fibrillation, with the mean Frobenius norm decreasing from 0.667 during control to 0.477 during reflow.
Observational (n=10)
Complex network analysis and correlation methods can quantify the spatio-temporal organization of human ventricular fibrillation, revealing a steady decline in organization during ischemia and reflow with transient increases during global ischemia.
Network metrics may quantify human VF dynamics in ischemia; hypothesis-generating for clinical translation pending validation.
In this paper, we present a novel approach to quantify the spatio-temporal organization of electrical activation during human ventricular fibrillation (VF). We propose three different methods based on correlation analysis, graph theoretical measures and hierarchical clustering. Using the proposed approach, we quantified the level of spatio-temporal organization during three episodes of VF in ten patients, recorded using multi-electrode epicardial recordings with 30 s coronary perfusion, 150 s global myocardial ischaemia and 30 s reflow. Our findings show a steady decline in spatio-temporal organization from the onset of VF with coronary perfusion. We observed transient increases in spatio-temporal organization during global myocardial ischaemia. However, the decline in spatio-temporal organization continued during reflow. Our results were consistent across all patients, and were consistent with the numbers of phase singularities. Our findings show that the complex spatio-temporal patterns can be studied using complex network analysis.
No takes yet. Share an insight, caveat, or question.
Robson et al. (2018) conducted an observational in Ventricular fibrillation (n=10). Global myocardial ischaemia vs. Coronary perfusion (control) and reflow was evaluated on Spatio-temporal organization of electrical activation (quantified by Frobenius norm). Spatio-temporal organization of epicardial electrical activation steadily declined during ventricular fibrillation, with the mean Frobenius norm decreasing from 0.667 during control to 0.477 during reflow.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: