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P-wave complexity in normal subjects and computer models

Abstract : Background: P waves reported in electrocardiology literature uniformly appear smooth. Computer simulation and signal analysis studies have shown much more complex shapes. Objective: We systematically investigated P-wave complexity in normal volunteers using high-fidelity electrocardiographic techniques without filtering. Methods: We recorded 5-min multichannel ECGs in 16 healthy volunteers. Noise and interference were reduced by averaging over 300 beats per recording. In addition, normal P waves were simulated with a realistic model of the human atria. Results: Measured P waves had an average of 4.1 peaks (range 1–10) that were reproducible between recordings. Simulated P waves demonstrated similar complexity, which was related to structural discontinuities in the computer model of the atria. Conclusion: The true shape of the P wave is very irregular and is best seen in ECGs averaged over many beats.
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Submitted on : Monday, October 24, 2016 - 5:42:29 PM
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Mark Potse, Theo Lankveld, Stef Zeemering, Pieter Dagnelie, Coen Stehouwer, et al.. P-wave complexity in normal subjects and computer models. Journal of Electrocardiology, Elsevier, 2016, 49 (4), pp.545 - 553. ⟨10.1016/j.jelectrocard.2016.05.005⟩. ⟨hal-01386877⟩

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