Arrhythmias & electrophysiology

Artificial intelligence–adjudicated spatiotemporal dispersion: A patient-unique fingerprint of persistent atrial fibrillation

Heart RhythmPublished Secondary analysis of the Ev-AIFib study

Authors' conclusion

The atrial distribution and extent of multipolar electrogram spatiotemporal dispersion follow a nonrandom, albeit patient-unique, distribution in PsAF patients.

Study context

Population
Patients with persistent and long-standing persistent AF undergoing ablation with AI-built (VX1 software) spatiotemporal dispersion maps
Participants
78 patients
Comparison
Low vs medium vs high AI-adjudicated dispersion extent and distribution
Primary endpoint
Patient uniqueness of AI-DED and its independence from common procedural and clinical parameters
Methodological detailsconsecutive patients
  • Consecutive patients

Primary result

As reported in the abstract

AI-DED uniqueness and association with clinical descriptors
AI-DED paired-subregion Euclidean distance between patients (patient-unique), average ± SD
5.07 ± 0.60
Euclidean distance, min
2.23
Euclidean distance, max
9.75
AF type vs AI-DED levels: no correlation
R2 = 0.006, P = .53
AF history vs AI-DED levels: no correlation
R2 = 0.03, P = .25

Further findings

AF termination during the procedure

Long-term freedom from AF/atrial tachycardia after multiple procedures

  • AF termination during the procedure: P = .954
  • Long-term freedom from AF/atrial tachycardia after multiple procedures: P = .517

Original publication

Artificial intelligence–adjudicated spatiotemporal dispersion: A patient-unique fingerprint of persistent atrial fibrillation. Heart Rhythm. Published 11 January 2024. doi:10.1016/j.hrthm.2024.01.007

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

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