Arrhythmias & electrophysiology

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

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
Methodological detailsconsecutive patients, prospectively mapped and ablated
  • Consecutive patients
  • Prospectively mapped and ablated

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

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