Accuracy and limitations of published algorithms using the twelve-lead electrocardiogram to localize overt atrioventricular accessory pathways.
Identifieur interne : 001306 ( PubMed/Checkpoint ); précédent : 001305; suivant : 001307Accuracy and limitations of published algorithms using the twelve-lead electrocardiogram to localize overt atrioventricular accessory pathways.
Auteurs : T. Basiouny [France] ; C. De Chillou ; S. Fareh ; G. Kirkorian ; M. Messier ; N. Sadoul ; P. Chevalier ; I. Magnin-Poull ; I. Blankoff ; J. Chen ; P. Touboul ; E. AliotSource :
- Journal of cardiovascular electrophysiology [ 1045-3873 ] ; 1999.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Wolff-Parkinson-White Syndrome.
- therapy : Wolff-Parkinson-White Syndrome.
- Adolescent, Adult, Algorithms, Catheter Ablation, Electrocardiography, Humans, MEDLINE, Middle Aged.
Abstract
The purpose of this study was to evaluate the accuracy and limitations of published algorithms using the 12-lead ECG to localize AV accessory pathways (APs).
PubMed: 10515558
Affiliations:
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Fareh</name></author><author><name sortKey="Kirkorian, G" sort="Kirkorian, G" uniqKey="Kirkorian G" first="G" last="Kirkorian">G. Kirkorian</name></author><author><name sortKey="Messier, M" sort="Messier, M" uniqKey="Messier M" first="M" last="Messier">M. Messier</name></author><author><name sortKey="Sadoul, N" sort="Sadoul, N" uniqKey="Sadoul N" first="N" last="Sadoul">N. Sadoul</name></author><author><name sortKey="Chevalier, P" sort="Chevalier, P" uniqKey="Chevalier P" first="P" last="Chevalier">P. Chevalier</name></author><author><name sortKey="Magnin Poull, I" sort="Magnin Poull, I" uniqKey="Magnin Poull I" first="I" last="Magnin-Poull">I. Magnin-Poull</name></author><author><name sortKey="Blankoff, I" sort="Blankoff, I" uniqKey="Blankoff I" first="I" last="Blankoff">I. Blankoff</name></author><author><name sortKey="Chen, J" sort="Chen, J" uniqKey="Chen J" first="J" last="Chen">J. Chen</name></author><author><name sortKey="Touboul, P" sort="Touboul, P" uniqKey="Touboul P" first="P" last="Touboul">P. Touboul</name></author><author><name sortKey="Aliot, E" sort="Aliot, E" uniqKey="Aliot E" first="E" last="Aliot">E. Aliot</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1999">1999</date><idno type="RBID">pubmed:10515558</idno><idno type="pmid">10515558</idno><idno type="wicri:Area/PubMed/Corpus">001372</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001372</idno><idno type="wicri:Area/PubMed/Curation">001331</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001331</idno><idno type="wicri:Area/PubMed/Checkpoint">001331</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001331</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Accuracy and limitations of published algorithms using the twelve-lead electrocardiogram to localize overt atrioventricular accessory pathways.</title><author><name sortKey="Basiouny, T" sort="Basiouny, T" uniqKey="Basiouny T" first="T" last="Basiouny">T. Basiouny</name><affiliation wicri:level="3"><nlm:affiliation>Service de Cardiologie, Hôpital Central, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Cardiologie, Hôpital Central, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="De Chillou, C" sort="De Chillou, C" uniqKey="De Chillou C" first="C" last="De Chillou">C. De Chillou</name></author><author><name sortKey="Fareh, S" sort="Fareh, S" uniqKey="Fareh S" first="S" last="Fareh">S. Fareh</name></author><author><name sortKey="Kirkorian, G" sort="Kirkorian, G" uniqKey="Kirkorian G" first="G" last="Kirkorian">G. Kirkorian</name></author><author><name sortKey="Messier, M" sort="Messier, M" uniqKey="Messier M" first="M" last="Messier">M. Messier</name></author><author><name sortKey="Sadoul, N" sort="Sadoul, N" uniqKey="Sadoul N" first="N" last="Sadoul">N. Sadoul</name></author><author><name sortKey="Chevalier, P" sort="Chevalier, P" uniqKey="Chevalier P" first="P" last="Chevalier">P. Chevalier</name></author><author><name sortKey="Magnin Poull, I" sort="Magnin Poull, I" uniqKey="Magnin Poull I" first="I" last="Magnin-Poull">I. Magnin-Poull</name></author><author><name sortKey="Blankoff, I" sort="Blankoff, I" uniqKey="Blankoff I" first="I" last="Blankoff">I. Blankoff</name></author><author><name sortKey="Chen, J" sort="Chen, J" uniqKey="Chen J" first="J" last="Chen">J. Chen</name></author><author><name sortKey="Touboul, P" sort="Touboul, P" uniqKey="Touboul P" first="P" last="Touboul">P. Touboul</name></author><author><name sortKey="Aliot, E" sort="Aliot, E" uniqKey="Aliot E" first="E" last="Aliot">E. Aliot</name></author></analytic><series><title level="j">Journal of cardiovascular electrophysiology</title><idno type="ISSN">1045-3873</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Algorithms</term><term>Catheter Ablation</term><term>Electrocardiography</term><term>Humans</term><term>MEDLINE</term><term>Middle Aged</term><term>Wolff-Parkinson-White Syndrome (physiopathology)</term><term>Wolff-Parkinson-White Syndrome (therapy)</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Algorithms</term><term>Catheter Ablation</term><term>Electrocardiography</term><term>Humans</term><term>MEDLINE</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to evaluate the accuracy and limitations of published algorithms using the 12-lead ECG to localize AV accessory pathways (APs).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10515558</PMID><DateCreated><Year>1999</Year><Month>11</Month><Day>09</Day></DateCreated><DateCompleted><Year>1999</Year><Month>11</Month><Day>09</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1045-3873</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>10</Issue><PubDate><Year>1999</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Journal of cardiovascular electrophysiology</Title><ISOAbbreviation>J. Cardiovasc. Electrophysiol.</ISOAbbreviation></Journal><ArticleTitle>Accuracy and limitations of published algorithms using the twelve-lead electrocardiogram to localize overt atrioventricular accessory pathways.</ArticleTitle><Pagination><MedlinePgn>1340-9</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The purpose of this study was to evaluate the accuracy and limitations of published algorithms using the 12-lead ECG to localize AV accessory pathways (APs).</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">The 11 relevant algorithms found in the literature (MEDLINE database and major scientific sessions) were tested on a series of 266 consecutive patients who successfully underwent radiofrequency catheter ablation of a single overt AV AP. The positive predictive values (PPV) of the algorithms in applicable patients were significantly lower for algorithms with > 6 accessory location sites (40.6% +/- 10.9% vs 61.2% +/- 8.0%; P < 0.03) and show a tendency for algorithms not relying on delta wave polarity but on QRS polarity only (36.6% +/- 11.2% vs 52.3% +/- 13.1%; P = 0.09). The PPV in applicable patients is related to the AP location (P < 0.001) and ranked from the highest to the lowest as follows: left lateral (mean PPV = 86.3%), posteroseptal (mean PPV = 65.2%), right anteroseptal (mean PPV = 45.2%), and right posterolateral (mean PPV = 23.4%).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our study suggests that the accuracy of algorithms relying on the 12-lead ECG depends on AP locations as defined in the algorithms and on the number of AP sites. The accuracy tends to be lower when delta wave polarity is not included in the algorithm's architecture. This should be considered when using these algorithms or when building new ones.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Basiouny</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Service de Cardiologie, Hôpital Central, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Chillou</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Fareh</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Kirkorian</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Messier</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Sadoul</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Chevalier</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Magnin-Poull</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Blankoff</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Touboul</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Aliot</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cardiovasc Electrophysiol</MedlineTA><NlmUniqueID>9010756</NlmUniqueID><ISSNLinking>1045-3873</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000465" MajorTopicYN="Y">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017115" MajorTopicYN="Y">Catheter Ablation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004562" MajorTopicYN="Y">Electrocardiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016239" MajorTopicYN="N">MEDLINE</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014927" MajorTopicYN="N">Wolff-Parkinson-White Syndrome</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>10</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>10</Month><Day>9</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>10</Month><Day>9</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10515558</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Grand Est</li><li>Lorraine (région)</li></region><settlement><li>Nancy</li></settlement></list><tree><noCountry><name sortKey="Aliot, E" sort="Aliot, E" uniqKey="Aliot E" first="E" last="Aliot">E. Aliot</name><name sortKey="Blankoff, I" sort="Blankoff, I" uniqKey="Blankoff I" first="I" last="Blankoff">I. Blankoff</name><name sortKey="Chen, J" sort="Chen, J" uniqKey="Chen J" first="J" last="Chen">J. Chen</name><name sortKey="Chevalier, P" sort="Chevalier, P" uniqKey="Chevalier P" first="P" last="Chevalier">P. Chevalier</name><name sortKey="De Chillou, C" sort="De Chillou, C" uniqKey="De Chillou C" first="C" last="De Chillou">C. De Chillou</name><name sortKey="Fareh, S" sort="Fareh, S" uniqKey="Fareh S" first="S" last="Fareh">S. Fareh</name><name sortKey="Kirkorian, G" sort="Kirkorian, G" uniqKey="Kirkorian G" first="G" last="Kirkorian">G. Kirkorian</name><name sortKey="Magnin Poull, I" sort="Magnin Poull, I" uniqKey="Magnin Poull I" first="I" last="Magnin-Poull">I. Magnin-Poull</name><name sortKey="Messier, M" sort="Messier, M" uniqKey="Messier M" first="M" last="Messier">M. Messier</name><name sortKey="Sadoul, N" sort="Sadoul, N" uniqKey="Sadoul N" first="N" last="Sadoul">N. Sadoul</name><name sortKey="Touboul, P" sort="Touboul, P" uniqKey="Touboul P" first="P" last="Touboul">P. Touboul</name></noCountry><country name="France"><region name="Grand Est"><name sortKey="Basiouny, T" sort="Basiouny, T" uniqKey="Basiouny T" first="T" last="Basiouny">T. Basiouny</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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