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December 26, 2008EP EuropaceOpen Access

Dominant frequency spatiotemporal stability was significantly higher in persistent AF with and without LVSD (77% and 70% of sites) compared to paroxysmal AF (48%, P<0.001).

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Why the study?

Does dominant frequency spatiotemporal stability differ among patients with persistent AF with LVSD, persistent AF without LVSD, and paroxysmal AF without LVSD?

Population

40 patients, including 15 with persistent atrial fibrillation and left ventricular systolic dysfunction, 15…

Comparison

Dominant frequency mapping at 536 sites at… vs Comparison between persistent AF with LVSD…

Design

Cross-sectional

Follow-up

26 +/- 12 min

Key result

Dominant frequency spatiotemporal stability was significantly higher in persistent AF with and without LVSD (77% and 70% of sites) compared to paroxysmal AF (48%, P<0.001).

Authors

ÁAÁngel ArenalTDTomás DatinoLALeonardo Atéa

Discussion

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Overview

Supports stable sources in persistent AF; hypothesis-generating for dominant frequency mapping to guide ablation.

Study Design

Type

Observational (n=40)

Structured PICO

Does dominant frequency spatiotemporal stability differ among patients with persistent AF with LVSD, persistent AF without LVSD, and paroxysmal AF without LVSD?

P
Population
40 patients, including 15 with persistent atrial fibrillation (PEAF) and left ventricular systolic dysfunction (LVSD) (Group I), 15 with PEAF without LVSD (Group II), and 10 with paroxysmal AF (PAAF) without LVSD (Group III).
I
Intervention
Dominant frequency (DF) mapping at 536 sites at baseline (DF1) and 26 +/- 12 min later (DF2).
C
Comparator
Comparison between persistent AF with LVSD, persistent AF without LVSD, and paroxysmal AF without LVSD.
O
Outcome
Dominant frequency spatiotemporal stability (DF1-DF2 difference <=0.5 Hz) and regional gradient differences.surrogate

Main Result

Absolute Event Rate: 77% vs 70%

p-value: p=<0.001

Dominant frequency mapping demonstrates that persistent AF, with or without LVSD, is maintained by stable arrhythmia sources, unlike paroxysmal AF.

Cite This Study

Arenal et al. (2008) conducted an observational in Atrial fibrillation (n=40). Dominant frequency mapping vs. Persistent AF without LVSD and Paroxysmal AF without LVSD was evaluated on Dominant frequency spatiotemporal stability (DF1-DF2 difference of ≤0.5 Hz) (p=<0.001). Dominant frequency spatiotemporal stability was significantly higher in persistent AF with and without LVSD (77% and 70% of sites) compared to paroxysmal AF (48%, P<0.001).

synapsesocial.com/papers/6a0ea984218372ada647a4d5https://doi.org/10.1093/europace/eup053
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