in-Silico TRials guide optimal stratification of ATrIal FIbrillation patients to Catheter Ablation vs pharmacological medicaTION: The i-STRATIFICATION Study

This dataset includes the meshes of ten atrial anatomies (AA) ready for simulation using MonoAlg3D (https://github.com/rsachetto/MonoAlg3D_C). Ten folders are provided with the name AtrialAnatomyX (X being an integer from 1 to 10). Inside each folder there are many subfolders. The baseline atrial mesh is inside a folder called Baseline, which includes: 

Geometry with atrial region tags: atria_AA_X.alg  

Fibers for the corresponding anatomy: atria_AA_X.fibers 

Stimulation files for stimulating the sinoatrial node (SAN) and left pulmonary veins (lPV): atria_AA_X_SAN.pts and atria_AA_X_lPV.pts 

These atrial anatomies might be presented with absence of low voltage areas (FB_0) or with 15% low voltage areas in the right and left atrium (FB_1). Therefore, the actual names that can be found inside the Baseline folder are: 

atria_AA_X_FB_0.alg 

atria_AA_X_FB_1.alg 

atria_AA_X_FB_0.fibers 

atria_AA_X_FB_1.fibers 

Inside the Baseline folder there is an additional file with the suffix (*SV_AF.txt). This file includes the State Variables (or initial conditions) needed to impose AF in the tissue for each geometry: 

atria_AA_1_SV_AF.txt 

Apart from the Baseline subfolder, each AtrialAnatomyX folder has 9 additional subfolders. These correspond to 9 catheter ablation treatments: 

Ablation of low voltage areas (LVA) 

Marshal-Plan 

Left atrial anterior mitral line (MiLine) 

MiLine and cavo-tricuspid isthmus block (MiLine+CTI) 

MiLine+CTI + right atrial MiLine (MiLine+CTI+MiLineRA) 

Pulmonary vein isolation (PVI) 

Posterior wall isolation (PWI) 

PWI plus mitral isthmus block (PWI+MI) 

PWI+MI+CTI 

These treatment subfolders include the mesh file (.alg), fibers file (.fibers) and the initial conditions file to impose AF (*SV_AF.txt) considering the ablation lesion already in the tissue. For example, for PVI the files look like: 

atria_AA_1_FB_0_PVI.alg (without low voltage areas) 

atria_AA_1_FB_1_PVI.alg (with low voltage areas) 

atria_AA_1_FB_0_PVI.fibers 

atria_AA_1_FB_1_PVI.fibers 

atria_AA_1_SV_AF_PVI.txt 

Additional to the atrial anatomies, configuration files for running simulations are provided in the folder ConfigurationFiles.  

Each configuration file corresponds to a different virtual patient (VirtPat) and has the following name: 

VirtPat_EP_X_AA_Y_FB_Z_Treatment.ini 

EP_X (electrophysiology): X is an integer ranging from 1 to 40. Different electrophysiology is reflected in the different scaling factors used for the maximal conductance of ionic currents. 

AA_Y (Atrial anatomy). Y is an integer ranging from 1 to 10. Call to the atrial meshes described above.

FB_Z (Fibrosis). Z is a boolean value, either 0 (no LVA) or 1 (15% LVA).

Treatment: This is a string that needs to be replaced by the treatment names described above: PVI, PWI, MiLine, etc.