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

Escalona, OJ, McEneaney, D and Anderson, J (1996) Minimally invasive recording of His bundle potentials using a gastro-thoracic electrode system configuration. In: 23rd Annual Scientific Meeting on Computers in Cardiology 1996, INDIANAPOLIS, INDIANAPOLIS, IN, USA. Institute of Electrical and Electronics Engineers (IEEE). Vol 23 (1) 4 pp. [Conference contribution]

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URL: http://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=542574

DOI: 10.1109/CIC.1996.542574


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.

Item Type:Conference contribution (Paper)
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; Bioelectric potentials; 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.
Faculties and Schools:Faculty of Computing & Engineering
Faculty of Computing & Engineering > School of Engineering
Research Institutes and Groups:Engineering Research Institute
Engineering Research Institute > Nanotechnology & Integrated BioEngineering Centre (NIBEC)
ID Code:6089
Deposited By: Professor Omar Escalona
Deposited On:08 Feb 2016 14:19
Last Modified:08 Feb 2016 14:19

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