Key result
Partial mutual information from mixed embedding (PMIME) identified hierarchical fibrillation and drivers in ventricular fibrillation patients, linking high hierarchy regions to high dominant frequency.
Why the study?
Conventional Granger causality based on linear predictability may fail with nonlinear, sparsely sampled, high-dimensional cardiac fibrillation data, and information theory-based causality measures have not been applied clinically.
The PMIME algorithm offers a robust, information theory-based approach to assess nonlinear coupling in cardiac electrophysiology, potentially improving the identification of fibrillation drivers for targeted ablation.
Understanding the mechanism sustaining cardiac fibrillation can facilitate the personalization of treatment. Granger causality analysis can be used to determine the existence of a hierarchical fibrillation mechanism that is more amenable to ablation treatment in cardiac time-series data. Conventional Granger causality based on linear predictability may fail if the assumption is not met or given sparsely sampled, high-dimensional data. More recently developed information theory-based causality measures could potentially provide a more accurate estimate of the nonlinear coupling. However, despite their successful application to linear and nonlinear physical systems, their use is not known in the clinical field. Partial mutual information from mixed embedding (PMIME) was implemented to identify the direct coupling of cardiac electrophysiology signals. We show that PMIME requires less data and is more robust to extrinsic confounding factors. The algorithms were then extended for efficient characterization of fibrillation organization and hierarchy using clinical high-dimensional data. We show that PMIME network measures correlate well with the spatio-temporal organization of fibrillation and demonstrated that hierarchical type of fibrillation and drivers could be identified in a subset of ventricular fibrillation patients, such that regions of high hierarchy are associated with high dominant frequency.
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Shi et al. (2023) studied Ventricular fibrillation. Partial mutual information from mixed embedding (PMIME) was evaluated. Partial mutual information from mixed embedding (PMIME) identified hierarchical fibrillation and drivers in ventricular fibrillation patients, linking high hierarchy regions to high dominant frequency.
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