Minimally invasive recording of His bundle potentials using a gastro-thoracic electrode system configuration

OJ Escalona, D McEneaney, J Anderson

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

An important research initiative has allowed for the first time the basis of the Wellens protocol to be performed with a specially developed hexapolar gastro-oesophageal electrode (COE) device. However to maximize this new clinical procedure the addition of non-invasive His bundle potentials (HBP) detection will allow complete electrophysiological studies to be performed without the use of transvenous catheterisation and X-ray screening procedures. Thus, we have investigated a new method of HBP detection by using our GOE device. The novel lead configuration used here was between a high impedance chest electrode pad and the end tip electrode of the GOE device. This lead system configuration was combined with an optimized front-end ECG amplification and filtering, a high-resolution digitization at 16-bit, 4 kHz, and a particular SAECG processing technique. In a clinical trial, in four out of eight patients, successful detection of the HBP was observed Detected HBP amplitude ranged between I and 3 mu V over a background noise (rms) ranging between 0.1 and 0.5 mu V as measured in the PR interval.
Original languageEnglish
Title of host publicationUnknown Host Publication
Place of Publication345 E 47TH ST, NEW YORK, NY 10017
PublisherIEEE
Pages465-468
Number of pages4
Volume23
ISBN (Print)0-7803-3710-7
DOIs
Publication statusPublished - 15 Dec 1996
Event23rd Annual Scientific Meeting on Computers in Cardiology 1996, INDIANAPOLIS - INDIANAPOLIS, IN, USA
Duration: 15 Dec 1996 → …

Publication series

NameCOMPUTERS IN CARDIOLOGY
PublisherInstitute of Electrical and Electronics Engineers (IEEE)
ISSN (Electronic)0276-6574

Conference

Conference23rd Annual Scientific Meeting on Computers in Cardiology 1996, INDIANAPOLIS
Period15/12/96 → …

Keywords

  • Bioelectric potentials
  • biomedical equipment
  • gastro-thoracic electrode system configuration
  • hexapolar gastro-oesophageal electrode
  • high impedance chest electrode pad
  • high-resolution digitization
  • lead configuration
  • minimally invasive recording
  • noninvasive His bundle potentials
  • GOE device
  • PR interval
  • SAECG processing technique
  • Wellens protocol
  • background noise
  • clinical procedure
  • electrophysiological studies
  • end tip electrode
  • amplification
  • Analog to digital conversion
  • Cardiology
  • Electrocardiography
  • Electronic medical equipment
  • Electrophysiology
  • Non-invasive medical procedures
  • Signal detection
  • Signal filtering and prediction
  • Gastro oesophageal electrode
  • Gastro thoracic electrode
  • His bundle potentials
  • Minimally invasive method.

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  • Cite this

    Escalona, OJ., McEneaney, D., & Anderson, J. (1996). Minimally invasive recording of His bundle potentials using a gastro-thoracic electrode system configuration. In Unknown Host Publication (Vol. 23, pp. 465-468). (COMPUTERS IN CARDIOLOGY). IEEE. https://doi.org/10.1109/CIC.1996.542574