Lower f waves power (P<0.001) and higher Sample Entropy (P<0.01) predicted early atrial fibrillation recurrence after electrical cardioversion, with 90.5% accuracy when combined.
Cohort (n=63)
Do noninvasive time and frequency predictors (f waves power and Sample Entropy) predict early recurrence of atrial fibrillation after electrical cardioversion in patients with persistent AF?
Noninvasive analysis of f waves power and Sample Entropy from electrical atrial activity can accurately predict early recurrence of persistent atrial fibrillation after electrical cardioversion.
valor p: p=<0.001
BACKGROUND: Several clinical factors have been studied to predict atrial fibrillation (AF) recurrence after electrical cardioversion (ECV) with limited predictive value. METHODS: A method able to predict robustly long-standing AF early recurrence by characterizing noninvasively the electrical atrial activity (AA) with parameters related to its time course and spectral features is presented. To this respect, 63 patients (20 men and 43 women; mean age 73.4 ± 9.0 years; under antiarrhythmic drug treatment with amiodarone) who were referred for ECV of persistent AF were studied. During a 4-week follow-up, AF recurrence was observed in 41 patients (65.1%). RESULTS: RR variability and the studied AA spectral features, including dominant atrial frequency (DAF), its first harmonic and their amplitude, provided poor statistical differences between groups. On the contrary, f waves power (fWP) and Sample Entropy (SampEn) of the AA behaved as very good predictors. Patients who relapsed to AF presented lower fWP (0.036 ± 0.019 vs 0.081 ± 0.029 n.u.(2) , P < 0.001) and higher SampEn (0.107 ± 0.022 vs 0.086 ± 0.033, P < 0.01). Furthermore, fWP presented the highest predictive accuracy of 82.5%, whereas SampEn provided a 79.4%. The remaining features revealed accuracies lower than 70%. A stepwise discriminant analysis (SDA) provided a model based on fWP and SampEn with 90.5% of accuracy. CONCLUSIONS: The fWP has proved to predict long-standing AF early recurrence after ECV and can be combined with SampEn to improve its diagnostic ability. Furthermore, a thorough analysis of the results allowed outlining possible associations between these two features and the concomitant status of atrial remodeling.
Alcaraz et al. (Mon,) conducted a cohort in persistent atrial fibrillation (n=63). f waves power (fWP) and Sample Entropy (SampEn) was evaluated on Atrial fibrillation recurrence (p=<0.001). Lower f waves power (P<0.001) and higher Sample Entropy (P<0.01) predicted early atrial fibrillation recurrence after electrical cardioversion, with 90.5% accuracy when combined.
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