Arrhythmias & electrophysiologyResearch article

A new mapping and ablation strategy for premature ventricular complexes originating from the proximal left anterior fascicle under the guidance of electrocardiographic characteristics

Heart RhythmPublished

  • study
  • consecutive patients
  • prospectively mapped and ablated

Authors' conclusion

Under the guidance of electrocardiographic characteristics, this new mapping and ablation strategy (from the RCC alone) is a simple, safe, and effective method for elimination of proximal LAF-PVCs.

Study context

Population
Patients with premature ventricular complexes originating from the proximal left anterior fascicle (proximal LAF-PVCs)study group 24 · control group 8
Participants
24 vs 8
Comparison
study group vs control group
  • study groupn = 24
  • control groupn = 8

Main finding

As reported in the abstract

Mapping time

P < 0.001

Further findings

Procedure time · shorter in study group

P < 0.001

Ablation lesions (study group)
2.5 · ± 0.7 · lesions

Long-term success rates and electrocardiographic characteristics

Similar between groups

Ablation lesions (study group)

proximal LAF-PVCs were eliminated with ablation from the right coronary cusp (RCC) alone

Original publication

A new mapping and ablation strategy for premature ventricular complexes originating from the proximal left anterior fascicle under the guidance of electrocardiographic characteristics. Heart Rhythm. Published 5 May 2026. doi:10.1016/j.hrthm.2026.04.058

Summarised from the published abstract; every number is checked against it