Changes in f-wave characteristics during cryoballoon catheter ablation

OBJECTIVE: Changes in ECG-derived parameters are studied in atrial fibrillation (AF) patients undergoing cryoballoon catheter ablation.

APPROACH: Parameters characterizing f-wave frequency, morphology by phase dispersion, and amplitude are estimated using a model-based statistical approach. These parameters are studied before, during, and after ablation, as well as for AF type (paroxysmal/persistent). Seventy-seven (49/28 paroxysmal/persistent) AF patients undergoing de novo catheter ablation are included in the study, out of which 31 (16/15 paroxysmal/persistent) were in AF during the whole procedure. A signal quality index (SQI) is used to identify analyzable segments.

MAIN RESULTS: f-wave frequency decreased significantly during ablation (p  =  0.001), in particular after ablation of the inferior right pulmonary vein (p  <  0.05). Frequency and phase dispersion differed significantly between paroxysmal and persistent AF (p  =  0.001 and p  <  0.05, respectively).

SIGNIFICANCE: This study demonstrates that a decrease in f-wave frequency can be distinguished during catheter ablation. The use of an SQI ensures reliable analysis and produces results significantly different from those obtained without an SQI.