Equivalent moving dipole localization of cardiac ectopic activity in a swine model during pacing

Dakun Lai, Chenguang Liu, Michael D. Eggen, Paul A. Iaizzo, Bin He

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Localization of the initial site of cardiac ectopic activity has direct clinical benefits for treating focal cardiac arrhythmias. The aim of the present study is to experimentally evaluate the performance of the equivalent moving dipole technique on noninvasively localizing the origin of the cardiac ectopic activity from the recorded body surface potential mapping (BSPM) data in a well-controlled experimental setting. The cardiac ectopic activities were induced in four well-controlled intact pigs by either single-site pacing or dual-site pacing within the ventricles. In each pacing study, the initiation sites of cardiac ectopic activity were localized by estimating the locations of a single moving dipole (SMD) or two moving dipoles (TMDs) from the measured BSPM data and compared with the precise pacing sites (PSs). For the single-site pacing, the averaged SMD localization error was 18.6 ± 3.8 mm over 16 sites, while the averaged distance between the TMD locations and the two corresponding PSs was slightly larger (24.9 ± 6.2 mm over five pairs of sites), both occurring at the onset of the QRS complex (1025 ms following the pacing spike). The obtained SMD trajectories originated near the stimulus site and then traversed across the heart during the ventricular depolarization. The present experimental results show that the initial location of the moving dipole can provide the approximate site of origin of a cardiac ectopic activity in vivo, and that the migration of the dipole can portray the passage of an ectopic beat across the heart.

Original languageEnglish (US)
Article number5473106
Pages (from-to)1318-1326
Number of pages9
JournalIEEE Transactions on Information Technology in Biomedicine
Volume14
Issue number6
DOIs
StatePublished - Nov 1 2010

Keywords

  • Body surface potentialmapping (BSPM)
  • cardiac pacing
  • electrocardiographic (ECG) inverse problem
  • equivalent moving dipole
  • noninvasive localization

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