Conclusions
ACCURESP™ RMA creates important error during automated RF annotation at the LAPW, via delayed identification of deliberate and clinically important catheter motion events. Previously identified auto-annotated ablation targets using RMA “on” are likely to be importantly flawed, and on-going RMA use represents an important impediment towards greater reproducibility during PVI. In contrast, automated RF annotation with RMA “off” demonstrated excellent catheter motion detection. We therefore recommend avoiding RMA use during automated RF annotation guided PVI.