Arrhythmias & electrophysiology

Noninvasive Visualization of the Atrioventricular Conduction System Using Cardiac Computed Tomography

JAMA CardiolPublished Prospective cohort study

Authors' conclusion

Results of this cohort study suggest that CECT could accurately localize the fatty tissue that insulates the AVCS from surrounding atrial and ventricular myocardium

Study context

Population
Patients with CECT <1 month before AF ablation and His electrogram localization on electroanatomic mapping, Jan 2022–Jan 2023
Participants
20 patients
Outcome
Distance from His electrogram signal to fat segmentation encompassing the AV conduction system on CECT, after registration to electroanatomic mapping
Methodological detailssingle-centre, academic tertiary care center
  • Single-centre
  • Academic tertiary care center

Main finding

As reported in the abstract

Distance from His electrogram to closest AVCS fat voxel on CECT (after registration to electroanatomic mapping (EAM))

Mean (SD) distance from His electrogram to closest AVCS fat voxel

3.3 (1.6) mm

Observational data: associations, not effects.

Further findings

Mean (SD) attenuation of AVCS fat segmentation
2.9 (21.5) Hounsfield units

Original publication

Noninvasive Visualization of the Atrioventricular Conduction System Using Cardiac Computed Tomography. JAMA Cardiol. Published 1 October 2024. doi:10.1001/jamacardio.2024.2012

Composed by AI from the published abstract and checked against it. How Briefs are made →

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