Evaluation of noncontact mapping by comparison with simultaneous multisite contact recordings in acute ischemic ventricular fibrillation.
OBJECTIVE
The study aim was to determine the utility of noncontact mapping in acute ischemic ventricular fibrillation, by direct comparison with simultaneously acquired multisite contact needle recordings.


METHODS
Noncontact mapping has emerged as a promising tool to make percutaneous high-density intracardiac electrical recordings in clinical and research settings. Previous large-animal mapping studies of ischemic VF have used electrodes in contact with the fibrillating myocardium. A previous report of noncontact mapping in VF used a single intracardiac catheter to validate noncontact recordings.


RESULTS
We studied the spontaneous onset of VF in 8 sheep, after acute occlusion of the left anterior descending coronary artery. Simultaneous unipolar recordings of endocardial electrical activation were made with the most endocardial electrode of 32 transmural plunge needles (contact electrograms; CE), and an Ensite noncontact catheter in the left ventricle (noncontact virtual electrograms; NCVE). The lag-shifted morphology cross-correlation between individual NCVE and CE pairs during VF was calculated.


CONCLUSIONS
The mean lag-shifted cross-correlation coefficient during manually selected sinus rhythm beats was 0.89 ± 0.006, and 0.80 ± 0.009 in VF (P < 0.05). The mean absolute time shift was 7.3 ± 0.5 ms in sinus rhythm, and 23.8 ± 0.9 ms in VF (P < 0.001). Fast Fourier transform demonstrated well-correlated dominant frequencies between CE and NCVE. VF myocardial activation maps of NCVE showed organized wavefronts, but dyssynchronous activation in CE.


CONCLUSIONS
These data demonstrate errors in activation timing and sequence with noncontact mapping more prominent during VF than sinus rhythm.
Ganesan
Anand N
AN
Department of Cardiology, Westmead Hospital, Sydney, Australia Faculty of Medicine, University of Sydney, Australia.
Wu
Gary
G
Liou
Kevin
K
Pouliopoulos
Jim
J
Barry
Michael A
MA
Thomas
Stuart P
SP
D000818:Animals; D054059:Coronary Occlusion / Q000150:complications* / Q000503:physiopathology; D004195:Disease Models, Animal; D056149:Epicardial Mapping / Q000379:methods*; D005583:Fourier Analysis; D021621:Imaging, Three-Dimensional; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012756:Sheep; D012815:Signal Processing, Computer-Assisted; D013997:Time Factors; D014693:Ventricular Fibrillation / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology