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* Purpose: Discuss Reference Annotation Key Points: In the Reference Channel area, select a channel for the reference ECG signal. The reference channel is usually a body surface ECG channel, or the bipolar intracardiac channel, but can be any channel except the one currently in use as the intracardiac mapping channel. The default reference channel setting is body surface I. Select the reference channel by clicking on the button next to the Channel label in the Reference Channel area. A drop-down list appears. Click on the desired option. In the Reference Channel area, select the annotation algorithm to be used on the reference channel. You may select minimum slope, maximum slope, minimum value or maximum value. The default setting for the reference channel annotation algorithm is maximum value. * Purpose: Discuss mapping annotation Key Points: The tip of the NAVISTAR catheter and pole 2 or unipolar Signal used for mapping endocardium relative to the timing reference Measuring LAT Activation within the window of interest * A comparison of an activation map to voltage map. Which chamber? Left ventricle. With the activation map, the earliest activation is in the septum, and the colors change gradully to purple on the lateral posterion basal area. With voltage, the colors change between near points, with no order. It is visible that the in the base of chamber the viltage is low. * Isochronal Activation Map The map is displayed as a 3D activation map using color-coded isochronal areas. The isochronal step is defined by the user. In this example each isochrone is 20 ms. The left ventricle inferior wall, the propagation of the activation is smooth and fast, just 40 ms. In the septum and the anterior wall the conduction is very slow. We see 6-7 different bands of color - I.e. more than 100 ms for the activation to propagate. * Smart tags are used to visualize the inlets and outlets of the mapped chamber in virtual reality. The display of the smart tags can
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