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

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