It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients
The presence of a low-voltage areas (LVAs) is a major feature of the progression of atrial fibrillation. Typically, the LVA is determined by invasive left atrial voltage mapping. In addition to pulmonary vein electrical isolation, Voltage-guided substrate modification by targeting LVAs in addition t...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2022-06-01
|
Series: | Frontiers in Cardiovascular Medicine |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.919873/full |
_version_ | 1811245291127439360 |
---|---|
author | Wei Liu Shijie Li Shijie Li Bing Han |
author_facet | Wei Liu Shijie Li Shijie Li Bing Han |
author_sort | Wei Liu |
collection | DOAJ |
description | The presence of a low-voltage areas (LVAs) is a major feature of the progression of atrial fibrillation. Typically, the LVA is determined by invasive left atrial voltage mapping. In addition to pulmonary vein electrical isolation, Voltage-guided substrate modification by targeting LVAs in addition to PVI has been shown to be superior to conventional PVI “only” approaches regarding freedom from AF recurrences after ablation. Recent studies have found Atrial wall thickness correlates with low voltage areas, and the degree of atrial myocardial fibrosis can be better assessed by CT or MRI in combination with voltage mapping, which might help reduce the recurrence of AF after catheter ablation. |
first_indexed | 2024-04-12T14:38:26Z |
format | Article |
id | doaj.art-deb2f3f4d7354e7c81b1b1e6851ea202 |
institution | Directory Open Access Journal |
issn | 2297-055X |
language | English |
last_indexed | 2024-04-12T14:38:26Z |
publishDate | 2022-06-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Cardiovascular Medicine |
spelling | doaj.art-deb2f3f4d7354e7c81b1b1e6851ea2022022-12-22T03:29:00ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-06-01910.3389/fcvm.2022.919873919873It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation PatientsWei Liu0Shijie Li1Shijie Li2Bing Han3Bengbu Medical College, Bengbu, ChinaBengbu Medical College, Bengbu, ChinaDepartment of Cardiology, Xuzhou Central Hospital, Xuzhou, ChinaDepartment of Cardiology, Xuzhou Central Hospital, Xuzhou, ChinaThe presence of a low-voltage areas (LVAs) is a major feature of the progression of atrial fibrillation. Typically, the LVA is determined by invasive left atrial voltage mapping. In addition to pulmonary vein electrical isolation, Voltage-guided substrate modification by targeting LVAs in addition to PVI has been shown to be superior to conventional PVI “only” approaches regarding freedom from AF recurrences after ablation. Recent studies have found Atrial wall thickness correlates with low voltage areas, and the degree of atrial myocardial fibrosis can be better assessed by CT or MRI in combination with voltage mapping, which might help reduce the recurrence of AF after catheter ablation.https://www.frontiersin.org/articles/10.3389/fcvm.2022.919873/fullatrial fibrillationatrial fibrosisclinical characterizationlow-voltage areasatrial wall thickness |
spellingShingle | Wei Liu Shijie Li Shijie Li Bing Han It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients Frontiers in Cardiovascular Medicine atrial fibrillation atrial fibrosis clinical characterization low-voltage areas atrial wall thickness |
title | It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients |
title_full | It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients |
title_fullStr | It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients |
title_full_unstemmed | It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients |
title_short | It Is Necessary to Re-understand the Low-Voltage Area in Atrial Fibrillation Patients |
title_sort | it is necessary to re understand the low voltage area in atrial fibrillation patients |
topic | atrial fibrillation atrial fibrosis clinical characterization low-voltage areas atrial wall thickness |
url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.919873/full |
work_keys_str_mv | AT weiliu itisnecessarytoreunderstandthelowvoltageareainatrialfibrillationpatients AT shijieli itisnecessarytoreunderstandthelowvoltageareainatrialfibrillationpatients AT shijieli itisnecessarytoreunderstandthelowvoltageareainatrialfibrillationpatients AT binghan itisnecessarytoreunderstandthelowvoltageareainatrialfibrillationpatients |