The pivot is critical to rotors maintaining AF. We have shown that high Shannon entropy (ShEn), a measure of information uncertainty, localises the pivot of rotors recorded with bipolar electrograms, and that targeted ablation of high ShEn EGMs is associated with termination in human AF This study evaluated ShEn colocalisation of rotors under conditions of: (i) rotor meander; (ii) electrogram filtering and (iii) effect of ShEn box size (iv) effect of myocyte model. Methods: Bipolar EGM recordings were studied in simulated (i) atrial (ii) ventricular and (iii) FitzHugh Nagumo rotors. Model meshes contained 100 × 100 elements with 0.5 mm spatial distance. Unipolar EGMs were calculated, which were used to construct bipolar EGMs. Spiral wave tip was localised with phase integration. ShEn was calculated as for each bipole. We simulated the effects of: (i) rotor meander, (ii) EGM filtering, with simulated high-pass Butterworth filters with cutoffs at 0.5, 10, and 30 Hz, (iii) ShEn box size in each model rotor system. Results: In each of the model systems, the highest region of ShEn colocalised with the pivoting region identified by the spiral wave tip. ShEn was inversely correlated with distance from the pivot (Pearson's r = −0.61, p < 0.001). The region of maximum Max ShEn colocalised with the pivot zone in ShEn box size from 0.01mV to 1 mV. Max ShEn remained colocalised with the pivot over a range of bipolar EGM cut-off frequencies, and with rotor meander, in each model system. Conclusion: These data confirm ShEn as a mechanistically based potential tool to map stable rotors.
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