ReviewJournal of cardiovascular electrophysiology2026
Understanding Atrial Fibrillation Complexity Through the Lens of Turbulence Dynamics: Implications for Treatment Strategies.
Review in Journal of cardiovascular electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Understanding Atrial Fibrillation Complexity Through the Lens of Turbulence Dynamics: Implications for Treatment Strategies.Journal of cardiovascular electrophysiology · 2026Review
- Real-time 3D cardiac tissue implementation for arrhythmia detection and management.Frontiers in bioengineering and biotechnology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice. Its incidence increases significantly with age and has become a major global public health issue. Although research into the mechanisms of AF has spanned over a century-ranging from the reentry theory to the rotor hypothesis-none of these theories can fully explain its complex dynamic characteristics. The electrical activity of AF exhibits similarities to fluid turbulence, and this analogy provides a new theoretical framework for understanding AF. This review systematically outlines the evolution of AF theories and analyzes the multidimensional connections between the electrophysiological properties of atrial myocardium and the principles of turbulence dynamics. These include the nonlinear propagation characteristics of electrical wavefronts, the impact of atrial tissue heterogeneity on wave conduction, and the therapeutic rationale of catheter ablation targeting the sources of turbulence. Based on this, the study proposes the hypothesis that cardiac electrical activity in AF resembles a turbulence-like state, suggesting that AF fundamentally represents a nonlinear dynamic turbulence-like phenomenon of myocardial excitation waves under certain conditions. This hypothesis posits that critical arrhythmogenic substrates in AF-characterized by established structural and electrophysiological heterogeneities-create conditions analogous to sites where turbulence dynamics emerge in fluid systems, providing a phenomenological framework for characterizing the spatial-temporal organization underlying ablation therapy efficacy. By integrating traditional AF theories with fluid dynamics concepts of turbulence, this hypothesis holds promise for more comprehensively explaining the complex characteristics and individual variability of AF, thereby offering a new theoretical foundation for improving AF management outcomes.
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Registered trials
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