Mapping Atrial Fibrillation Drivers

Understanding the initiating role of pulmonary veins in atrial fibrillation (AF) has led to the development of pulmonary vein isolation (PVI). The efficacy of PVI is high for paroxysmal AF, whereas it is limited for non-paroxysmal AF. This fact highlights the necessity of understanding the mechanism...

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Bibliographic Details
Published in:Reviews in cardiovascular medicine Vol. 25; no. 1; p. 26
Main Author: Takahashi, Yoshihide
Format: Journal Article
Language:English
Published: Singapore IMR Press 01.01.2024
Subjects:
atrial fibrillation
driver
focal
mapping
Review
rotor
rotor
atrial fibrillation
mapping
driver
focal
ISSN:1530-6550, 2153-8174, 2153-8174, 1530-6550
Online Access:Get full text
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Summary:Understanding the initiating role of pulmonary veins in atrial fibrillation (AF) has led to the development of pulmonary vein isolation (PVI). The efficacy of PVI is high for paroxysmal AF, whereas it is limited for non-paroxysmal AF. This fact highlights the necessity of understanding the mechanism through which AF is maintained, to develop ablation strategies that would be required in addition to the PVI. Mapping AF in animal models and humans has led to the identification of focal or rotational drivers. New technologies have been developed to identify those AF drivers and are used as a guide for catheter ablation. This review article aims to provide a comprehensive overview of the current state of knowledge regarding AF drivers and the various mapping approaches used to identify them.
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ISSN:1530-6550
2153-8174
2153-8174
1530-6550
DOI:10.31083/j.rcm2501026