Arrhythmias & electrophysiology

Optimal Annotation of Local Activation Time in Ventricular Tachycardia Substrate Mapping

JACC Clin ElectrophysiolPublished Retrospective mapping study comparing annotation methods

Authors' conclusion

Annotation with LAT-dV/dt and LATDWOI are suboptimal in VT substrate mapping.

Study context

Population
Patients with high-density ventricular tachycardia (VT) substrate maps and a defined critical site for VT re-entry
Participants
50 cases
Exposure
5 local activation time (LAT) annotation methods in VT substrate maps
Outcome
Identification of critical sites using deceleration zones

Main finding

As reported in the abstract

Deceleration zone present at critical site

Observational data: associations, not effects.

Further findings

OutcomeValues
Late potentials correctly annotated with LAT-dV/dt · larger far field signals often annotated preferentiallyLAT-dV/dt 33%

Original publication

Optimal Annotation of Local Activation Time in Ventricular Tachycardia Substrate Mapping. JACC Clin Electrophysiol. Published 13 December 2023. doi:10.1016/j.jacep.2023.10.014

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

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