Atrial fibrillation: A never ending story?
Abstract Atrial fibrillation (AF) often recurs after ablative therapy. In our patient, intraoperative epicardial mapping during therapy‐ resistant AF revealed highly dissociated atrial conduction patterns and that long lines of conduction block throughout the entire atria. Given the extensiveness of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-12-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.2415 |
| _version_ | 1818555722117414912 |
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| author | Eva A. H. Lanters Paul Knops Charles Kik Natasja M.S. deGroot |
| author_facet | Eva A. H. Lanters Paul Knops Charles Kik Natasja M.S. deGroot |
| author_sort | Eva A. H. Lanters |
| collection | DOAJ |
| description | Abstract Atrial fibrillation (AF) often recurs after ablative therapy. In our patient, intraoperative epicardial mapping during therapy‐ resistant AF revealed highly dissociated atrial conduction patterns and that long lines of conduction block throughout the entire atria. Given the extensiveness of the substrate, it is not surprising that ablations were not successful. Conduction patterns during therapy‐resistant atrial fibrillation (AF) are highly dissociated and show long lines of conduction block. As long as the presence and extensiveness of the arrhythmogenic substrate underlying AF remains poorly understood and cannot be evaluated in the individual patient, none of the present available antiarrhythmic treatment modalities will be effective. |
| first_indexed | 2024-12-12T09:57:19Z |
| format | Article |
| id | doaj.art-0fedac6eaae1407386df4c33f51b9800 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-12-12T09:57:19Z |
| publishDate | 2019-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-0fedac6eaae1407386df4c33f51b98002022-12-22T00:28:05ZengWileyClinical Case Reports2050-09042019-12-017122368237010.1002/ccr3.2415Atrial fibrillation: A never ending story?Eva A. H. Lanters0Paul Knops1Charles Kik2Natasja M.S. deGroot3Department of Cardiology Erasmus MC Rotterdam The NetherlandsDepartment of Cardiology Erasmus MC Rotterdam The NetherlandsDepartment of Cardiothoracic Surgery Erasmus MC Rotterdam The NetherlandsDepartment of Cardiology Erasmus MC Rotterdam The NetherlandsAbstract Atrial fibrillation (AF) often recurs after ablative therapy. In our patient, intraoperative epicardial mapping during therapy‐ resistant AF revealed highly dissociated atrial conduction patterns and that long lines of conduction block throughout the entire atria. Given the extensiveness of the substrate, it is not surprising that ablations were not successful. Conduction patterns during therapy‐resistant atrial fibrillation (AF) are highly dissociated and show long lines of conduction block. As long as the presence and extensiveness of the arrhythmogenic substrate underlying AF remains poorly understood and cannot be evaluated in the individual patient, none of the present available antiarrhythmic treatment modalities will be effective.https://doi.org/10.1002/ccr3.2415ablationatrial fibrillationelectropathologyepicardial mappingsubstrate |
| spellingShingle | Eva A. H. Lanters Paul Knops Charles Kik Natasja M.S. deGroot Atrial fibrillation: A never ending story? Clinical Case Reports ablation atrial fibrillation electropathology epicardial mapping substrate |
| title | Atrial fibrillation: A never ending story? |
| title_full | Atrial fibrillation: A never ending story? |
| title_fullStr | Atrial fibrillation: A never ending story? |
| title_full_unstemmed | Atrial fibrillation: A never ending story? |
| title_short | Atrial fibrillation: A never ending story? |
| title_sort | atrial fibrillation a never ending story |
| topic | ablation atrial fibrillation electropathology epicardial mapping substrate |
| url | https://doi.org/10.1002/ccr3.2415 |
| work_keys_str_mv | AT evaahlanters atrialfibrillationaneverendingstory AT paulknops atrialfibrillationaneverendingstory AT charleskik atrialfibrillationaneverendingstory AT natasjamsdegroot atrialfibrillationaneverendingstory |