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March 12, 2021Frontiers in PhysiologyOpen Access

Automatic Extraction of Recurrent Patterns of High Dominant Frequency Mapping During Human Persistent Atrial Fibrillation

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Key result

High dominant frequency patterns exhibit ~38% lower temporal standard deviation and higher organization than non-dominant patterns.

  • P<0.05
  • n=10

Why the study?

Identifying catheter ablation targets in persistent AF remains challenging, and the spatiotemporal behavior and recurrence of dominant frequency patterns are not fully understood.

Population

10 patients undergoing persAF HDF ablation

Comparison

Automated pattern recognition algorithm on non-contact mapping before and after ablation

Follow-up

Up to 5 min before and after ablation

Authors

XLXin LiGCGavin S. ChuTATiago P. Almeida

Discussion

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Overview

May guide ablation to stable high-DF sites in persistent AF; hypothesis-generating pending randomized trials.

Study Design

Type

Observational (n=10)

Multicenter

No

Structured PICO

P
Population
10 patients undergoing persistent atrial fibrillation (persAF) highest dominant frequency (HDF) ablation.
I
Intervention
Non-contact mapping of the left atrium using an automated pattern recognition algorithm to detect recurrent highest dominant frequency (HDF) spatial patterns.
O
Outcome
Identification of recurring highest dominant frequency (HDF) spatial patterns (Dominant Patterns, DPs) and their temporal standard deviation and organization index.surrogate

Main Result

Absolute Event Rate: 0.18% vs 0.29%

p-value: p=<0.05

An automated pattern recognition algorithm successfully identified recurrent spatiotemporal highest dominant frequency patterns in persistent AF, which exhibit higher organization and may represent potential ablation targets.

Limitations

  • Relatively small number of patients
  • Method is reliant on predefined parameters
  • Findings need validation in a clinical trial

Cite This Study

Li et al. (2021) conducted an observational in Persistent Atrial Fibrillation (n=10). High Dominant Frequency (HDF) mapping vs. Non-dominant patterns (non-DPs) was evaluated on Temporal standard deviation of mean dominant frequency (p=<0.05). Dominant patterns of high dominant frequency presented a lower temporal standard deviation (0.18 vs 0.29 Hz) and higher organization index compared with non-dominant patterns.

synapsesocial.com/papers/6a0eb4f106ecbe833447b86ahttps://doi.org/10.3389/fphys.2021.649486
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Left-to-Right Gradient of Atrial Frequencies During Acute Atrial Fibrillation in the Isolated Sheep Heart2001 · 382 citations
  2. 2The Role of Fibroblasts in Complex Fractionated Electrograms During Persistent/Permanent Atrial Fibrillation2011 · 141 citations
  3. 3Technical Considerations on Phase Mapping for Identification of Atrial Reentrant Activity in Direct- and Inverse-Computed Electrograms2017 · 74 citations
  4. 4Electrophysiologic Characteristics of Complex Fractionated Atrial Electrograms in Patients with Atrial Fibrillation2008 · 72 citations
  5. 5Radiofrequency Ablation of Complex Fractionated Atrial Electrograms (CFAE): Preferential Sites of Acute Termination and Regularization in Paroxysmal and Persistent Atrial Fibrillation2007 · 85 citations