Evidence map›Paper›PMID 38811500›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

Functional substrate analysis in patients with persistent atrial fibrillation.

Pietro Rossi, Michele Magnocavallo, Filippo Maria Cauti, Marco Polselli, Marta Niscola, Domenico Giovanni Della Rocca, Ambra Del Greco, Luigi Iaia, Raffaele Quaglione, Piccirillo Gianfranco and 1 more

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Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Pietro Rossi *Arrhythmology Unit, Isola Tiberina - Gemelli Isola, Rome, Italy. ptr.rossi@gmail.com.
Michele Magnocavallo *Arrhythmology Unit, Isola Tiberina - Gemelli Isola, Rome, Italy.ORCID http://orcid.org/0000-0001-9883-0114
Filippo Maria CautiArrhythmology Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Marco PolselliArrhythmology Unit, Isola Tiberina - Gemelli Isola, Rome, Italy.
Marta NiscolaAbbott Medical, Via Paracelso 20, 20864, Agrate Brianza, Italy.
Domenico Giovanni Della RoccaHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, European Reference Networks Guard - Heart, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Brussels, Belgium.
Ambra Del GrecoAbbott Medical, Via Paracelso 20, 20864, Agrate Brianza, Italy.
Luigi IaiaArrhythmology Unit, Isola Tiberina - Gemelli Isola, Rome, Italy.
Raffaele QuaglioneDepartment of Internal, Anesthesiology and Cardiovascular Sciences, Policlinico Umberto I, Sapienza University of Rome, 00185, Rome, Italy.
Piccirillo GianfrancoDepartment of Internal, Anesthesiology and Cardiovascular Sciences, Policlinico Umberto I, Sapienza University of Rome, 00185, Rome, Italy.
Stefano BianchiArrhythmology Unit, Isola Tiberina - Gemelli Isola, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to describe the correlation between atrial electrogram duration map (AEDUM), spatiotemporal electrogram dispersion (STED) and low voltage areas (LVA) in patients with persistent atrial fibrillation (PsAF).

backgroundThe degree of left atrial (LA) tissue remodelling and augmented anisotropic conduction is one of the major issues related to PsAF ablation outcome.

methodsThis study enrolled consecutive patients with PsAF undergoing pulmonary vein isolation. In all patients, voltage, AEDUM and STED maps were created, and the correlation was reported between these three mapping methods.

resultsA total of 40 patients with PsAF were enrolled. The mean age was 62.2 ± 7.4 years, and males were 72.5% (n = 29). The overall bipolar voltage of the LA was 3.06 ± 1.87 mV. All patients had at least one AEDUM area (overall AEDUM area: 21.8 ± 8.2 cm

conclusionAEDUM and STED maps allow to identify areas of conductive dysfunction as a possible atrial substrate even if a normal voltage is detected.

Indexed as

Atrial FibrillationCatheter AblationAgedAtrial RemodelingBody Surface Potential MappingElectrophysiologic Techniques, CardiacFemaleHeart Conduction SystemHumansMaleMiddle AgedPulmonary VeinsTreatment OutcomeAEDUMComplex fractionated atrial electrogramsElectrogram durationFunctional substrateLow voltagePersistent atrial fibrillationSpatiotemporal electrogram dispersion

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.