Publication detail
Automatically optimized vectorcardiographic features are associated with recurrence of atrial fibrillation after electrical cardioversion
PLEŠINGER, F. SMÍŠEK, R. JURÁK, P. KOŠČOVÁ, Z. VARGOVÁ, E.
Original Title
Automatically optimized vectorcardiographic features are associated with recurrence of atrial fibrillation after electrical cardioversion
Type
journal article in Web of Science
Language
English
Original Abstract
Electrical cardioversion presents one of the treatment options for atrial fibrillation (AF). However, the early recurrence rate is high, reaching similar to 40% three months after the procedure. Features based on vectorcardiographic signals were explored to find association with early recurrence of AF. Eighty-four patients with non-paroxysmal AF referred to electrical cardioversion were prospectively studied; early AF recurrence was present in 40 (47.6%). Patients underwent 24-h Holter ECG monitoring three months after the procedure to assess AF recurrence. Pre-procedural 12-lead ECGs (10 s, 1 kHz) were recorded and automatically analyzed. We explored associations of VCG-based features with early AF recurrence. Two features were strongly associated with AF recurrence: (1) a mean VCG (y-axis) signal slope in a window starting 145 ms before QRS center, lasting for 190 ms (AUC 0.778, p < 0.001), and (2) a mean VCG (z-axis) signal slope in a window starting 60 ms after QRS center, lasting for 465 ms (AUC 0.744, p < 0.001). These features showed higher association to the outcome than eighteen baseline clinical features. Our approach revealed features based on a slope of vectorcardiographic signals. This work also suggests that state of ventricles strongly affects the AF recurrence after electrical cardioversion.
Keywords
ECG; VCG; Cardioversion; Signal processing; Atrial fibrillation
Authors
PLEŠINGER, F.; SMÍŠEK, R.; JURÁK, P.; KOŠČOVÁ, Z.; VARGOVÁ, E.
Released
8. 1. 2025
Publisher
NATURE PORTFOLIO
Location
BERLIN
ISBN
2045-2322
Periodical
Scientific Reports
Year of study
15
Number
1257
State
United Kingdom of Great Britain and Northern Ireland
Pages from
1
Pages to
10
Pages count
10
URL
BibTex
@article{BUT197305,
author="PLEŠINGER, F. and SMÍŠEK, R. and JURÁK, P. and KOŠČOVÁ, Z. and VARGOVÁ, E.",
title="Automatically optimized vectorcardiographic features are associated with recurrence of atrial fibrillation after electrical cardioversion",
journal="Scientific Reports",
year="2025",
volume="15",
number="1257",
pages="1--10",
doi="10.1038/s41598-025-85340-4",
issn="2045-2322",
url="https://www.nature.com/articles/s41598-025-85340-4"
}