Abstract
In this chapter, an overview will be presented of the equipment required for invasive electrophysiological investigations in patients suffering from cardiac arrhythmias or conduction disturbances. In this context, the term electrophy-siologic investigation represents those methods and techniques used to make the differential diagnosis, to determine the etiology, and to evaluate the selected therapy in patients suffering from conduction disturbances and/or tachyarrhythmias. After a brief overview of these investigational techniques, a description of the hardware will be given, followed by a discussion of the influence the application of additional computer techniques could have.
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References
Wellens HJJ. Electrical stimulation of the heart in the study and treatment of tachycardias. Baltimore: University Park Press, 1971.
Wellens HJJ. Cardiac pacing in the study and treatment of arrhythmias (tachycardias), in: Thalen, editor, Cardiac Pacing. Assen: Van Gorcum, 1973; 372–375.
Van Der Steld B, Dassen W, Den Dull K, Gorgels A, Smeets J, Wellens H. An electrophysiological measurement system especially designed to support ablation procedures. PACE 1993; 16: 1109.
Feld GK, Fleck RP, Chen PS et al. Radiofrequency catheter ablation for the treatment of human type 1 atrial flutter: Identification of a critical zone in the reentrant circuit by endocardial mapping techniques. CIRC 1992; 86/4: 1233–1240.
Levy S, Bru P, Cointe R et al. Cardioversion par choc electrique interne de la fibrillation auriculaire permanente. Arch Mal Coeur Vaiss 1989; 82/9: 1529–1532.
Ward DE, Rowland E, Wainwright RJ, Camm AJ. Electrical ablation of junctional tachycardias showing a long RP interval. Eur Heart J 1989; 10/8: 718–724.
Lemery R, Talajic M, Roy D et al. Success, safety, and late electrophysiological outcome of low-energy direct-current ablation in patients with the Wolff-Parkinson-White syndrome. CIRC 1992; 85/3: 957–962.
Niwano S, Aizawa Y, Satoh M, Chinushi M, Shibata A. Low-energy catheter electrical ablation for sustained ventricular tachycardia. Am Heart J 1991; 122/1: 81–88.
Aizawa Y, Tamura M, Chinushi M et al. An attempt at electrical catheter ablation of the arrhythmogenic area in idiopathic ventricular fibrillation. Am Heart J 1992; 123/1: 257–260.
Sippens Groenewegen A, Spekhorst H, Van Hemel NM. Localization of the site of origin of postinfarction ventricular tachycardia by endocardial pace mapping. Body surface mapping compared with the 12-lead electrocardiogram. CIRC 1993; 88: 2290–2306.
Durrer D, Schoo L, Schuilenburg RM, Wellens HJJ. The role of premature beats in the initiation and the termination of supraventricular tachycardia in the Wolff-Parkinson-White syndrome. CIRC 1967; 36: 644–62.
Scherlag BJ, Lau SH, Helfant RH, Berkowitz WD, Stein E, Damato AN. Catheter technique for recording His bundle activity in man. CIRC 1969; 34: 13–8.
Damato AN, Lau SH, Helfant RH, Stein E, Berkowitz WD. Study of atrioventricular conduction in man using electrode catheter recordings of His bundle activity. CIRC 1969; 24: 287–296.
Stammer CF, Whalen RE, McIntosh HD. Hazards of electric shock in cardiology. Am J Cardiol 1964; 14: 537–546.
Burchell HB, Sturm RE. Electroshock hazards. CIRC 1967; 35: 227–228.
Canavan TE, Schuessler RB, Cain ME et al. Computerized global electrophysiological mapping of the atrium in a patient with multiple supraventricular tachyarrhythmias. Ann Thorac Surg 1988; 46: 232–235.
Witkowski FX, Corr PB. An automated simultaneous transmural cardiac mapping system. Am J Physiol 1984; 16: H661–H668.
Masse S, Sevaptsidis E, Parson ID, Downar E. A three-dimensional display for cardiac activation mapping. PACE 1991; 14: 538–545.
Laxer C, Alferness CA, Smith WM, Ideker R. The use of computer animation of mapped cardiac potentials in studying electrical conduction properties of arrhythmias. In: Ripley K, editor. Comp in Cardiol. Los Alamitos: IEEE Computer Society Press, 1990: 23–26.
Elharrar V. A computer-controlled stimulator with applications to cardiac electrophysiology. Am J Physiol 1980; 8: H278–H282.
Ross DL, Farré J, Bär FW et al. Comprehensive clinical electrophysiological studies in the investigation of documented or suspected tachycardias: Time, staff, problems and costs. CIRC 1980; 61: 1010–1016.
Chen PS, Dembitsky WP, Fleck RP, Calisi CM, Feld GK. Demonstration of accessory pathway interaction by computerized mapping in preexcitation syndrome. PACE 1990; 13: 839–844.
Pieper CF, Parsons D, Lawrie GM, Lacy J, Roberts R, Pacifico A. Design and implementation of a new computerized system for intraoperative cardiac mapping. J Appl Physiol 1991; 71: 1529–1539.
Buckles DS, Harold ME, Gillette PC, Case CL, Crawford FA. Computer-enhanced mapping of activation sequences in the surgical treatment of supraventricular arrhythmias. PACE 1990; 13: 1401–1407.
Canavan TE, Schuessler RB, Boineau JP, Corr PB, Cain ME, Cox JL. Computerized global electrophysiological mapping of the atrium in patients with Wolff-Parkinson-White syndrome. Ann Thorac Surg 1988; 46: 223–231.
Fisher W, Swartz J. Three-Dimensional electrogram mapping improves ablation of left-sided accessory pathways. PACE 1992; 15: 2344–2356.
Tweddell JS, Branham BH, Harada A et al. Potential mapping in septal tachycardia: Evaluation of a new intraoperative mapping technique. CIRC 1989; 80: 197–1108.
Dassen WRM, Van der Steld A, Van Braam W et al. Pactot, a reprogrammable software pacing system. PACE 1985; 8: 574–578.
Kirchner M, Avancini GP, Antolini R. Real-time interval measurement during invasive cardiac electrophysiologic testing. In: Ripley K, editor. Comp in Cardiol New York: IEEE, 1987: 93–96.
Dijk WA, Kingma JH, Van der Velde W, Lie KI, Van Hemel NM. Computer assisted management of malignant ventricular arrhythmias. In: Ripley K, editor. Comp in Cardiol. Los Alamitos: IEEE Computer Society Press, 1990: 93–96.
Dijk WA, Kingma JH, Brugada P. Real time data collection during programmed stimulation of the heart. In: Ripley K, editor. Comp in Cardiol. Washington: IEEE Computer Society Press, 1985; 177–180.
Dijk WA, Kingma JH, Crijns H, Stiekema HR, Van der Velde W. Real time generation of ladder diagrams of arrhythmias during programmed stimulation of the heart. In: Ripley K, editor. Comp in Cardiol. Washington: IEEE Computer Society Press, 1987; 89–92.
Hieb B, Southworth W, Ruffy R. An electrophysiology report generating system with data base capabilities. PACE 1983; 6: 708–15.
Biallas R, Zinner A, Gilette P. Automated electrophysiologic stimulation and on-line processing. In: Ripley K, editor. Comp in Cardiol. Washington: IEEE Computer Society Press, 1985: 181–184.
McGillivray R, Wald RW, Budziakowski ME. Technical note: An interval timer with computer interface. J Clin Eng 1987; 12: 441–5.
Pieper CF, Blue R, Pacifico A. Activation time detection algorithms used in computerized intraoperative cardiac mapping. A comparison with manually determined activation times. J Cardiovasc Electrophysiol 1991; 2: 388–97.
Imperiale C. A computerized system for clinical investigations in cardiac electrophysiology. J Clin Eng 1989; 14: 493–503.
Coumel P, Leclercq JF, Maisonblanche P et al. Computerized analysis of dynamic electrocardiograms: A tool for comprehensive electrophysiology. A description of the ATREC II system. Clin Prog Electrophysiol Pacing 1985; 3: 181–201.
D’Alche P, Khayat A, Charon M et al. Cartographie de l’activité électrique cardiaque. Applications à la chirurgie expérimentale. Arch Mal Coeur Vaiss 1984; 77: 969–977.
Gillette PC, Garson A Jr, Zinner A, Kugler JD, Kuehneman G, McNemara DG. Automated on-line measurement of electrophysiologic intervals during cardiac catheterization. PACE 1980; 3: 456–60.
Cochrane T, Dunlop AW, Nathan AW, Camm AJ. Cardiac electrophysiological studies: Computer analysis using a digitiser and interactive visual display unit. Clin Phys Physiol Meas 1983; 4: 321–331.
Buckles DS, Harold ME, Gillette PC et al. Real time, automated, interactive cardiac electrophysiology testing. PACE 1990; 13: 45–51.
Gillette P, Zmijewski M, Shelton MB. The evolution of computer application during clinical electrophysiologic testing. J Electrocardiol 1989; 22: 218–22.
Kingma JH, Dijk WA, Wierstra T, Van der Velde W. An interpretation system for cardiac arrhythmias during programmed electrical stimulation of the heart. In: Ripley K, editor Comp in Cardiol. Washington: IEEE Computer Society Press, 1986; 667–670.
Bailey JJ, Berson AS, Garson A Jr et al. Recommendations for standardization and specifications in automated electrocardiography: Bandwidth and digital signal processing. A report for health professionals by an ad hoc Writing Group of the Committee on Electrocardio graphy and Cardiac Electropysiology of the Council on Clinical Cardiology. American Heart Association. CIRC 1990; 81: 730–739.
Lin D, Dicarlo LA, Jenkins JM. Identification of ventricular tachycardia using intracavitary ventricular electrograms: Analysis of time and frequency domain patterns. PACE 1988; 11: 1592–1605.
Greenhut SE, Steinhaus BM. Template matching techniques for electrophysiologic signals: A practical, real-time system for detection of ventricular tachycardia. Biomed Sci Instrum 1992; 28: 37–42.
DiCarlo LA, Jenkins JM, Kriegler C. Intraventricular electrogram analysis for discrimination of ventricular tachycardia from ventricular fibrillation. J Electrocardiol 1991; 24: 135.
Noh K, Jenkins J, Bump T, Arzbaecher R. An atrial extrastimulus technique for separating sinus tachycardia from pace-terminable 1: 1 tachycardias for use in an antitachycardia pacemaker. J Electrocardiol 1987: 20: 103.
DiCarlo LA, Lin D, Jenkins JM. Automated interpretation of cardiac arrhythmias: Design and evaluation of a computerized model. J Electrophysiol 1993; 26: 53–63.
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Dassen, W.R.M., Mulleneers, R.G.A., Smeets, J.R.L.M. (1994). Equipment for the electrophysiology laboratory: possibilities and limitations. In: Aubert, A.E., Ector, H., Stroobandt, R. (eds) Cardiac Pacing and Electrophysiology. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0872-0_1
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DOI: https://doi.org/10.1007/978-94-011-0872-0_1
Publisher Name: Springer, Dordrecht
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