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Prediction of Pulmonary Vein Isolation and Gap Recurrence on 12-Lead ECG Using Deep Learning

2025-11-27 cardiovascular medicine Title + abstract only
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BackgroundPulmonary vein isolation (PVI) is key to atrial fibrillation (AF) ablation, but arrhythmia often recurs due to conduction gaps permitting pulmonary vein (PV) reconnection. Currently, gap identification requires invasive remapping. We evaluated whether deep learning applied to surface electrocardiograms (ECGs) could (i) detect the electrophysiologic signature of PVI and (ii) predict PV reconnection at redo ablation. MethodsWe retrospectively studied 176 patients (2012-2023) who had ini...

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