AJP - Heart Fuel your research with LabChart
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol (August 5, 2005). doi:10.1152/ajpheart.00639.2005
This Article
Right arrow Full Text (PDF)
Right arrow Supplemental Material
Right arrow All Versions of this Article:
289/6/H2724    most recent
00639.2005v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zhang, X.
Right arrow Articles by He, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zhang, X.
Right arrow Articles by He, B.
Submitted on June 14, 2005
Accepted on August 1, 2005

Noninvasive Three-Dimensional Electrocardiographic Imaging of Ventricular Activation Sequence

Xin Zhang1, Indiresha Ramachandra2, Zhongming Liu1, Basharat Muneer2, Steven M Pogwizd1, and Bin He1*

1 Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN, USA
2 Section of Cardiology, University of Illinois at Chicago, Chicago, IL, USA

* To whom correspondence should be addressed. E-mail: binhe{at}umn.edu.

Imaging the myocardial activation sequence is critical for improved diagnosis and treatment of life-threatening cardiac arrhythmias. It is desirable to reveal the underlying cardiac electrical activity throughout the 3-dimensional myocardium (rather than just the endocardial or epicardial surface) from non-invasive body surface potential measurements. A new 3-dimensional Electrocardiographic Imaging Technique (3DEIT) based on the boundary element method (BEM) and multi-objective nonlinear optimization has been applied to reconstruct the cardiac activation sequences from body surface potential maps. Ultrafast CT scanning was performed for subsequent construction of the torso and heart models. Experimental studies were then conducted, during left and right ventricular pacing, in which noninvasive assessment of ventricular activation sequence by means of 3DEIT was performed simultaneously with 3-dimensional intracardiac mapping (up to 200 intramural sites) using specially-designed plunge needle electrodes in closed-chested rabbits. Estimated activation sequences from 3DEIT were in good agreement with those constructed from simultaneously recorded intracardiac electrograms in the same animals. Averaged over 100 paced beats (from a total of 10 pacing sites), total activation times were comparable (53.3±8.1 vs 49.8±5.2 ms), and the relative error between the estimated and measured activation sequences was 0.32±0.06. The present experimental results demonstrate that the 3-dimensional paced ventricular activation sequence can be reconstructed using noninvasive multi-site body surface electrocardiographic measurements and imaging of heart-torso geometry. This new 3-dimensional electrocardiographic imaging modality has the potential to guide catheter-based ablative interventions for the treatment of life threatening cardiac arrhythmias.




This article has been cited by other articles:


Home page
J Am Coll CardiolHome page
T. Berger, G. Fischer, B. Pfeifer, R. Modre, F. Hanser, T. Trieb, F. X. Roithinger, M. Stuehlinger, O. Pachinger, B. Tilg, et al.
Single-Beat Noninvasive Imaging of Cardiac Electrophysiology of Ventricular Pre-Excitation
J. Am. Coll. Cardiol., November 21, 2006; 48(10): 2045 - 2052.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1977 by the American Physiological Society.