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...

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Main Authors: Wei Liu, Shijie Li, Bing Han
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
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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.
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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
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