{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T20:39:35Z","timestamp":1791319175230,"version":"4.3.1"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["10 BGIA 3500045"],"award-info":[{"award-number":["10 BGIA 3500045"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NIH 1KL2TR001444"],"award-info":[{"award-number":["NIH 1KL2TR001444"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001145","name":"Australian Historical Association","doi-asserted-by":"publisher","award":["AWS 4.0 DGP"],"award-info":[{"award-number":["AWS 4.0 DGP"]}],"id":[{"id":"10.13039\/501100001145","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009364","name":"Saving Tiny Hearts Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009364","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Artificial intelligence (AI) ECG arrhythmia mapping provides arrhythmia source localization using 12\u2010lead ECG data; whether this information impacts procedural efficiency is unknown. We performed a retrospective, case\u2010control study to evaluate the hypothesis that AI ECG mapping may reduce time to ablation, procedural duration, and fluoroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Cases in which system output was used were retrospectively enrolled according to IRB\u2010approved protocols at each site. Matched control cases were enrolled in reverse chronological order beginning on the last day for which the technology was unavailable. Controls were matched based upon physician, institution, arrhythmia, and a predetermined complexity rating. Procedural metrics, fluoroscopy data, and clinical outcomes were assessed from time\u2010stamped medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study group consisted of 28 patients (age 65\u2009\u00b1\u200911 years, 46% female, left atrial\u00a0dimension 4.1\u2009\u00b1\u20090.9\u2009cm, LVEF 50\u2009\u00b1\u200918%) and was similar to 28 controls. The most common arrhythmia types were atrial fibrillation (<jats:italic>n<\/jats:italic>\u2009=\u200910), premature ventricular complexes (<jats:italic>n<\/jats:italic>\u2009=\u20098), and ventricular tachycardia (<jats:italic>n<\/jats:italic>\u2009=\u20096). Use of the system was associated with a 19.0% reduction in time to ablation (133\u2009\u00b1\u200948 vs. 165\u2009\u00b1\u200949 min, <jats:italic>p<\/jats:italic>\u2009=\u20090.02), a 22.6% reduction in procedure duration (233\u2009\u00b1\u200951 vs. 301\u2009\u00b1\u200983 min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and a 43.7% reduction in fluoroscopy (18.7\u2009\u00b1\u200913.3 vs. 33.2\u2009\u00b1\u200918.0 min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) versus controls. At 6 months follow\u2010up, arrhythmia\u2010free survival was 73.5% in the study group and 63.3% in the control group (<jats:italic>p<\/jats:italic>\u2009=\u20090.56).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of forward\u2010solution AI ECG mapping is associated with reductions in time to first ablation, procedure duration, and fluoroscopy without an adverse impact on procedure outcomes or complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16237","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T04:39:36Z","timestamp":1709613576000},"page":"916-928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Impact of artificial intelligence arrhythmia mapping on time to first ablation, procedure duration, and fluoroscopy use"],"prefix":"10.1111","volume":"35","author":[{"given":"Sutton R.","family":"Fox","sequence":"first","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"},{"name":"Department of Medicine Veterans Affairs San Diego Healthcare System San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Toomu","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"},{"name":"Department of Medicine Veterans Affairs San Diego Healthcare System San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan C.","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farshad","family":"Raissi","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3099-2982","authenticated-orcid":false,"given":"Gregory K.","family":"Feld","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"McCulloch","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Diego La Jolla California USA"},{"name":"Department 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