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REVIEW  MANAGEMENT OF CARDIAC ARRHYTHMIAS 

Minerva Cardioangiologica 2018 February;66(1):75-82

DOI: 10.23736/S0026-4725.17.04463-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Frontiers in non-invasive cardiac mapping: future implications for arrhythmia treatment

Antonio FRONTERA 1, 2 , Ghassen CHENITI 1, Claire A. MARTIN 1, Masateru TAKIGAWA 1, 2, Josselin DUCHATEAU 1, 2, Stephane PUYO 1, Ruairidh MARTIN 1, Nathaniel THOMPSON 1, Takeshi KITAMURA 1, Konstantinos VLACHOS 1, Michael WOLF 1, Nora AL-JEFAIRI 1, Grégoire MASSOULLIÉ 1, Thomas PAMBRUN 1, Arnaud DENIS1, Frederic SACHER 1, 2, Nicolas DERVAL 1, 2, Remis DUBOIS 2, Pierre JAÏS 1, 2, Meleze HOCINI 1, 2, Michel HAÏSSAGUERRE 1, 2

1 Haut Lévèque Hospital, Pessac, France; 2 LIRYC Institute, IHU Liryc, Xavier Arnozan Hospital, Pessac, France


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Electrocardiographic mapping (ECM) is a noninvasive technique using body surface potentials and CT geometry to reconstruct epicardial maps. ECM is emerging as an important tool not only for diagnostic mapping, but also as a guide for trans-catheter ablation of complex arrhythmias such as atrial fibrillation. It provides the clinician with an immediate global view of the substrate, allowing easier pre-procedural planning, potentially improving clinical outcomes. Panoramic mapping of ventricular fibrillation (VF) is helping to develop a better understanding of its physiology, with future implications for the identification of therapeutic targets in patients with structural heart disease, as well as in idiopathic VF.


KEY WORDS: Ventricular fibrillation - Atrial fibrillation - Ventricular premature complexes - Tachycardia, ectopic atrial

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