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0%. AATP terminated 189 of 259 VTs (73%) with the same acceleration rate. The 2 dominant ATP failure mechanisms were identified as (1) insufficient prematurity to close the excitable gap; and (2) failure to reach the critical isthmus of the VT. AATP reduced failures in these categories from 101 to 63 (44% reduction) without increasing acceleration. Conclusion AATP successfully adapted ATP sequences to terminate VT episodes that burst ATP failed to terminate. AATP was successful, with complex scar geometries and EP heterogeneity as seen i
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