Arrhythmias & electrophysiology

Observable Atrial and Ventricular Fibrillation Episode Durations Are Conformant With a Power Law Based on System Size and Spatial Synchronization

Circ Arrhythm ElectrophysiolPublished Mechanistic study

Authors' conclusion

Observable fibrillation episode durations are conformant with a power law based on system size and correlation length.

Study context

Population
Self-terminating atrial fibrillation (AF) and ventricular fibrillation (VF) episodes in computer models and human recordings
Comparison
Computer simulations vs VF vs AF basket vs AF grid
  • VFn = 12
  • AF basketn = 9
  • AF gridn = 42
Outcome
Conformance of episode durations with a power law based on ratio of system size and correlation length
Methodological detailscomputer simulations, human ischemic VF and AF recordings
  • Computer simulations
  • Human ischemic VF and AF recordings

Main finding

As reported in the abstract

Power-law conformance of episode durations (R2)
Aliev-Panfilov model R2 0.90
P<0.001
Courtemanche model R2 0.91
P<0.001
Luo-Rudy model R2 0.61
P<0.001
VF R2 0.86
P<0.001
AF basket R2 0.91
P<0.001
AF grid R2 0.92
P<0.001

Further findings

Discrimination of self-terminating vs sustained AF/VF episodes, and paroxysmal vs persistent AF

Ratio differentiated self-terminating vs sustained episodes (all systems)
P < 0.001
Ratio differentiated paroxysmal vs persistent AF
P < 0.001

Other electrogram metrics (dominant frequency, Shannon Entropy, mean voltage, peak-peak voltage)

No statistically significant differences
P > 0.05

Original publication

Observable Atrial and Ventricular Fibrillation Episode Durations Are Conformant With a Power Law Based on System Size and Spatial Synchronization. Circ Arrhythm Electrophysiol. Published 28 June 2024. doi:10.1161/circep.123.012684

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