Arrhythmias & electrophysiologyDiagnostic or prognostic study

Characterization of unipolar electrogram morphology: a novel tool for quantifying conduction inhomogeneity

EuropacePublished

  • Diagnostic accuracy study
  • epicardial mapping

Authors' conclusion

The Electrical Fingerprint Score is a novel tool to quantify the severity of CI using only unipolar EGM characteristics recorded.

Study context

Population
Patients undergoing CABG with epicardial mapping of the right atrium (RA) and left atrium, including Bachmann's bundle
Participants
235 patients
Outcome
Quantification of conduction inhomogeneity severity (amount of conduction block) from unipolar electrograms (EGMs)

Performance

As reported in the abstract

Correlation of the Electrical Fingerprint Score with conduction inhomogeneity

RA Electrical Fingerprint Score correlation with amount of conduction inhomogeneity in both atria

r = 0.70, P < 0.001

Further findings

EGM features vs conduction inhomogeneity

Increased conduction inhomogeneity associated with decreased potential voltages and increased low-voltage areas (LVAs), LDPs and fractionated potentials (FPs)

Original publication

Characterization of unipolar electrogram morphology: a novel tool for quantifying conduction inhomogeneity. Europace. Published 1 November 2023. doi:10.1093/europace/euad324

Summarised from the published abstract; every number is checked against it