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Journal Articles Journal of Electrocardiology Year : 2016

P-wave complexity in normal subjects and computer models


Background: P waves reported in electrocardiology literature uniformly appear smooth. Computer simulation and signal analysis studies have shown much more complex shapes. Objective: We systematically investigated P-wave complexity in normal volunteers using high-fidelity electrocardiographic techniques without filtering. Methods: We recorded 5-min multichannel ECGs in 16 healthy volunteers. Noise and interference were reduced by averaging over 300 beats per recording. In addition, normal P waves were simulated with a realistic model of the human atria. Results: Measured P waves had an average of 4.1 peaks (range 1–10) that were reproducible between recordings. Simulated P waves demonstrated similar complexity, which was related to structural discontinuities in the computer model of the atria. Conclusion: The true shape of the P wave is very irregular and is best seen in ECGs averaged over many beats.
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Dates and versions

hal-01386877 , version 1 (24-10-2016)



Mark Potse, Theo A.R. Lankveld, Stef Zeemering, Pieter C Dagnelie, Coen D.A. Stehouwer, et al.. P-wave complexity in normal subjects and computer models. Journal of Electrocardiology, 2016, 49 (4), pp.545 - 553. ⟨10.1016/j.jelectrocard.2016.05.005⟩. ⟨hal-01386877⟩
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