Columbia University

Andrew L Wit

Edward J Ciaccio

Alexis Christine Tosti

A method and system for identifying and localizing a reentrant circuit isthmus in a heart of a subject during sinus rhythm is provided. The method may include (a) receiving electrogram signals from the heart during sinus rhythm via electrodes, (b) creating a map based on the electrogram signals, (c) determining, based on the map, a location of the reentrant circuit isthmus in the heart, and (d) displaying the location of the reentrant circuit isthmus.

System and method for determining reentrant ventricular tachycardia isthmus location and shape for catheter ablation

A method for identifying and localizing a reentrant circuit isthmus in a heart of a subject during sinus rhythm, including: a) receiving electrogram signals from the heart during sinus rhythm via electrodes; b) storing the electrogram signals; c) creating a map based on the electrogram signals; d) finding a center reference activation location on the map; e) defining measurement vectors originating from the center reference activation location; f) selecting from the measurement vectors a primary axis vector indicating a location of the reentrant circuit isthmus in the heart; g) finding threshold points of electrogram signals on the map; h) connecting the threshold points to form a polygon indicating a shape of the reentrant circuit isthmus in the heart.

This invention provides a method comprising the steps of identifying and localizing reentrant circuits from electrogram features using feature detection and localization (FDL) algorithms. This invention provides the above method further comprising the steps of: a) using a contoured array of electrodes arranged in concentric circular patterns to obtain signals from the hearts surface to determine the direction and velocity of the activating wavefront at the catheter location; b) obtaining and preprocessing analog electrogram signals, digitizing the processed signals, and storing the digitized signals in real-time using a digital storage device; c) creating real-time maps and generating other textual information that are displayed on a computer screen, based on reentrant circuit features algorithms. This invention provides a system comprising a means for localizing reentrant circuits from electrogram features using reentrant circuit features algorithms.

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Massapequa, NY, United States of America

Andrew L Wit