Left and Right Atrial Contribution to the P-wave in Realistic Computational Models

Axel Loewe, Martin W. Krueger, Pyotr Platonov, Fredrik Holmqvist, Olaf Doessel, Gunnar Seemann

Forskningsoutput: Kapitel i bok/rapport/Conference proceedingKonferenspaper i proceedingPeer review

Sammanfattning

ECG markers derived from the P-wave are used frequently to assess atrial function and anatomy, e.g. left atrial enlargement. While having the advantage of being routinely acquired, the processes underlying the genesis of the P-wave are not understood in their entirety. Particularly the distinct contributions of the two atria have not been analyzed mechanistically. We used an in silico approach to simulate P-waves originating from the left atrium (LA) and the right atrium (RA) separately in two realistic models. LA contribution to the P-wave integral was limited to 30% or less. Around 20% could be attributed to the first third of the P-wave which reflected almost only RA depolarization. Both atria contributed to the second and last third with RA contribution being about twice as large as LA contribution. Our results foster the comprehension of the difficulties related to ECG-based LA assessment.
Originalspråkengelska
Titel på värdpublikationLecture Notes in Computer Science
FörlagSpringer
Sidor439-447
Volym9126
DOI
StatusPublished - 2015
Evenemang8th International Conference on Functional Imaging and Modeling of the Heart(FIMH) - Maastricht, Nederländerna
Varaktighet: 2015 juni 252015 juni 27

Publikationsserier

Namn
Volym9126
ISSN (tryckt)0302-9743
ISSN (elektroniskt)1611-3349

Konferens

Konferens8th International Conference on Functional Imaging and Modeling of the Heart(FIMH)
Land/TerritoriumNederländerna
OrtMaastricht
Period2015/06/252015/06/27

Ämnesklassifikation (UKÄ)

  • Kardiologi
  • Radiologi och bildbehandling

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