1. Challenges Associated with Interpreting Mechanisms of AF
- Author
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Caroline H. Roney, Nicholas S. Peters, Andrew L Wit, and British Heart Foundation
- Subjects
Electroanatomic mapping ,PHASE SINGULARITY ,ROTORS ,Electrophysiology and Ablation ,LEADING CIRCLE ,Computational biology ,PERSISTENT ATRIAL-FIBRILLATION ,Physiology (medical) ,Diseases of the circulatory (Cardiovascular) system ,Medicine ,Phase mapping ,functional re-entry ,PULMONARY VEIN ISOLATION ,anatomical re-entry ,SPIRAL WAVES ,CATHETER ABLATION ,Science & Technology ,Modalities ,Cardiac mapping ,triggered activity ,anarchical multiple wavelets ,business.industry ,Optimal treatment ,FOCAL IMPULSE ,AF ,DOMINANT FREQUENCY ,Identification (information) ,Peripheral Vascular Disease ,CONDUCTION ,RC666-701 ,Cardiovascular System & Cardiology ,Analysis tools ,hierarchical drivers ,Cardiology and Cardiovascular Medicine ,business ,Life Sciences & Biomedicine ,cardiac arrhythmia mechanisms - Abstract
Determining optimal treatment strategies for complex arrhythmogenesis in AF is confounded by the lack of consensus regarding the mechanisms causing AF. Studies report different mechanisms for AF, ranging from hierarchical drivers to anarchical multiple activation wavelets. Differences in the assessment of AF mechanisms are likely due to AF being recorded across diverse models using different investigational tools, spatial scales and clinical populations. The authors review different AF mechanisms, including anatomical and functional re-entry, hierarchical drivers and anarchical multiple wavelets. They then describe different cardiac mapping techniques and analysis tools, including activation mapping, phase mapping and fibrosis identification. They explain and review different data challenges, including differences between recording devices in spatial and temporal resolutions, spatial coverage and recording surface, and report clinical outcomes using different data modalities. They suggest future research directions for investigating the mechanisms underlying human AF.
- Published
- 2020