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The Revenge of the P Wave
  • Thomas Kutner,
  • Peter Kowey
Thomas Kutner
Lankenau Medical Center
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Peter Kowey
Lankenau Medical Center

Corresponding Author:koweyp@mlhs.org

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Abstract

In this review of "P-wave alternans rebound following pulmonary vein isolation predicts atrial arrhythmia recurrence," we examine a study performed by Nearing et al in the use of P-wave morphology, as a predictor of A-Fib recurrence. Patients who underwent pulmonary vein isolation, had pre and post-procedural ecgs performed specifically to monitor P-waves. With the help of artificial intelligence, objective and reproducible findings established the presence of P-wave alternans. This novel technique uses our most ubiquitous test in medicine, as a means to help hone our ability to stratify patient's risk for recurrence of their arrhythmia. And, hopefully, give clinicians a means to individualize the approach to monitor and offer prophylactic treatment to ablation patients, garnering a success level once thought unachievable.
06 Jun 2024Submitted to Journal of Cardiovascular Electrophysiology
07 Jun 2024Submission Checks Completed
07 Jun 2024Assigned to Editor
08 Jun 20241st Revision Received
10 Jun 2024Submission Checks Completed
10 Jun 2024Assigned to Editor
10 Jun 2024Editorial Decision: Accept