Atrial fibrillation organization: quantification of propofol effects.

The effect of conventional i.v. anaesthetic agents on atrial fibrillation (AF) dynamics has not been fully addressed. We aim to evaluate whether the most frequently used intravenous anaesthetic agent, propofol, modifies AF organization parameters. Multiple and simultaneous intraatrial bipolar record...

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Publicado en:Medical & Biological Engineering & Computing Vol. 47; no. 3; pp. 333 - 342
Autores principales: Cervigón R, Moreno J, Sánchez C, Reilly RB, Villacastín J, Millet J, Castells F, Cervigón, Raquel, Moreno, Javier, Sánchez, César, Reilly, Richard B, Villacastín, Julián, Millet, José, Castells, Francisco
Formato: research Journal Article
Publicado: Springer Nature Mar2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Atrial fibrillation organization: quantification of propofol effects.
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          Cervigón R
          Moreno J
          Sánchez C
          Reilly RB
          Villacastín J
          Millet J
          Castells F
          Cervigón, Raquel
          Moreno, Javier
          Sánchez, César
          Reilly, Richard B
          Villacastín, Julián
          Millet, José
          Castells, Francisco
        affil: Escuela Universitaria Politécnica, Campus Universitario, Innovation in Bioengineering Research Group (IBIG), DIEEAC, UCLM, Camino del Pozuelo sn, 16071 Cuenca, Spain
      sug:
        subj:
          Anesthetics, Intravenous Pharmacodynamics
          Atrial Fibrillation Physiopathology
          Propofol Pharmacodynamics
          Adult
          Aged
          Electrocardiography Methods
          Physics
          Female
          Heart Atrium Drug Effects
          Heart Atrium Physiopathology
          Male
          Middle Age
          Models, Biological
          Signal Processing, Computer Assisted
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The effect of conventional i.v. anaesthetic agents on atrial fibrillation (AF) dynamics has not been fully addressed. We aim to evaluate whether the most frequently used intravenous anaesthetic agent, propofol, modifies AF organization parameters. Multiple and simultaneous intraatrial bipolar recordings from 27 patients in AF were analyzed before and after infusing a propofol bolus. Signal organization parameters were determined using time and frequency domain analysis. Non-linear analysis was also performed to determine signal entropy. Linear analysis showed that AF becomes more organized in right atrial recordings after infusing propofol, increasing interelectrode correlation (difference of 0.017 +/- 0.005), with the contrary effect on the left atrial dipoles (difference of -0.015 +/- 0.009, p = 0.008). Entropy analysis showed similar findings, achieving a statistical significance of p = 0.001 with Shannon Entropy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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