Arrhythmias & electrophysiology

Spatially Conserved Spiral Wave Activity During Human Atrial Fibrillation

Circ Arrhythm ElectrophysiolPublished Mechanistic study

Authors' conclusion

Intermittency of spiral wave activity represents conserved spiral wave activity of long, but interrupted duration or transient spiral activity, in the majority of patients.

Study context

Population
Patients with AF (24 persistent AF) mapped with a 64-electrode atrial catheter24 persistent AF
Participants
34 patients
Comparison
Clinical AF recordings vs computer simulations of spiral wave activity
Outcome
Whether intermittent spiral waves returned in step (conserved phase) or changed phase at the start of each interval
Methodological detailsin silico simulations, clinical mapping, 60 s recordings from a 64-electrode atrial catheter; clockwise and counterclockwise spiral waves located and angle of rotation over time computed per interval
  • In silico simulations
  • Clinical mapping
  • 60 s recordings from a 64-electrode atrial catheter; clockwise and counterclockwise spiral waves located and angle of rotation over time computed per interval

Main finding

As reported in the abstract

Spiral waves returning in step

Patients: spiral waves returned in step

68%

P=0.05

Original publication

Spatially Conserved Spiral Wave Activity During Human Atrial Fibrillation. Circ Arrhythm Electrophysiol. Published 13 February 2024. doi:10.1161/circep.123.012041

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