Frontiers in noninvasive cardiac mapping rotors in atrial fibrillation-body surface frequency-phase mapping.

Experimental and clinical data demonstrate that atrial fibrillation (AF) maintenance in animals and groups of patients depends on localized reentrant sources localized primarily to the pulmonary veins and the left atrium posterior wall in paroxysmal AF but elsewhere, including the right atrium, in persistent AF. Moreover, AF can be eliminated by directly ablating AF-driving sources, or “rotors,” that exhibit high- frequency periodic activity.

[1]  J Clémenty,et al.  Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. , 1998, The New England journal of medicine.

[2]  Robert Ploutz-Snyder,et al.  Mechanisms of Wave Fractionation at Boundaries of High-Frequency Excitation in the Posterior Left Atrium of the Isolated Sheep Heart During Atrial Fibrillation , 2006, Circulation.

[3]  J Jalife,et al.  Stable microreentrant sources as a mechanism of atrial fibrillation in the isolated sheep heart. , 2000, Circulation.

[4]  Omer Berenfeld,et al.  Body surface localization of left and right atrial high-frequency rotors in atrial fibrillation patients: a clinical-computational study. , 2014, Heart rhythm.

[5]  S. Nattel,et al.  New antiarrhythmic drugs for treatment of atrial fibrillation , 2010, The Lancet.

[6]  Sanjiv M Narayan,et al.  Direct or coincidental elimination of stable rotors or focal sources may explain successful atrial fibrillation ablation: on-treatment analysis of the CONFIRM trial (Conventional ablation for AF with or without focal impulse and rotor modulation). , 2013, Journal of the American College of Cardiology.

[7]  F. Sacher,et al.  Catheter Ablation of Long‐Lasting Persistent Atrial Fibrillation: Critical Structures for Termination , 2005, Journal of cardiovascular electrophysiology.

[8]  José Jalife,et al.  Translational Research in Atrial Fibrillation: A Quest for Mechanistically Based Diagnosis and Therapy , 2012, Circulation. Arrhythmia and electrophysiology.

[9]  S. Ratcliffe,et al.  Single procedure efficacy of isolating all versus arrhythmogenic pulmonary veins on long-term control of atrial fibrillation: a prospective randomized study. , 2008, Heart rhythm.

[10]  J Clémenty,et al.  A focal source of atrial fibrillation treated by discrete radiofrequency ablation. , 1997, Circulation.

[11]  Kenneth A Ellenbogen,et al.  2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (updating the 2006 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. , 2011, Circulation.

[12]  J. Millet,et al.  Noninvasive Localization of Maximal Frequency Sites of Atrial Fibrillation by Body Surface Potential Mapping , 2013, Circulation. Arrhythmia and electrophysiology.

[13]  R. Lux,et al.  Derivation of an optimal lead set for measuring ectopic atrial activation from the pulmonary veins by using body surface mapping. , 2000, Journal of electrocardiology.

[14]  Omer Berenfeld,et al.  Quantifying activation frequency in atrial fibrillation to establish underlying mechanisms and ablation guidance. , 2007, Heart rhythm.

[15]  M. Mansour,et al.  Spatially Distributed Dominant Excitation Frequencies Reveal Hidden Organization in Atrial Fibrillation in the Langendorff‐Perfused Sheep Heart , 2000, Journal of cardiovascular electrophysiology.

[16]  M. Mansour,et al.  Left-to-Right Gradient of Atrial Frequencies During Acute Atrial Fibrillation in the Isolated Sheep Heart , 2001, Circulation.

[17]  Kenneth A Ellenbogen,et al.  2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (update on Dabigatran): a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. , 2011, Circulation.

[18]  Wei-Shiang Lin,et al.  Catheter Ablation of Paroxysmal Atrial Fibrillation Initiated by Non–Pulmonary Vein Ectopy , 2003, Circulation.

[19]  Hsuan-Ming Tsao,et al.  Frequency analysis in different types of paroxysmal atrial fibrillation. , 2006, Journal of the American College of Cardiology.

[20]  Omer Berenfeld,et al.  Mechanisms of fractionated electrograms formation in the posterior left atrium during paroxysmal atrial fibrillation in humans. , 2011, Journal of the American College of Cardiology.

[21]  A. Skanes,et al.  Spatiotemporal periodicity during atrial fibrillation in the isolated sheep heart. , 1998, Circulation.

[22]  Robert Ploutz-Snyder,et al.  Real-time dominant frequency mapping and ablation of dominant frequency sites in atrial fibrillation with left-to-right frequency gradients predicts long-term maintenance of sinus rhythm. , 2009, Heart rhythm.

[23]  O. Berenfeld Toward discerning the mechanisms of atrial fibrillation from surface electrocardiogram and spectral analysis. , 2010, Journal of electrocardiology.

[24]  Ottavio Alfieri,et al.  Atrial Electroanatomic Remodeling After Circumferential Radiofrequency Pulmonary Vein Ablation Efficacy of an Anatomic Approach in a Large Cohort of Patients With Atrial Fibrillation , 2002 .

[25]  José Jalife,et al.  Frequency-Dependent Breakdown of Wave Propagation Into Fibrillatory Conduction Across the Pectinate Muscle Network in the Isolated Sheep Right Atrium , 2002, Circulation research.

[26]  Sanjiv M Narayan,et al.  Initial Independent Outcomes from Focal Impulse and Rotor Modulation Ablation for Atrial Fibrillation: Multicenter FIRM Registry , 2014, Journal of cardiovascular electrophysiology.

[27]  José Jalife,et al.  Comparison of radiofrequency catheter ablation of drivers and circumferential pulmonary vein isolation in atrial fibrillation: a noninferiority randomized multicenter RADAR-AF trial. , 2014, Journal of the American College of Cardiology.

[28]  Javier Moreno,et al.  Activation of Inward Rectifier Potassium Channels Accelerates Atrial Fibrillation in Humans: Evidence for a Reentrant Mechanism , 2006, Circulation.

[29]  Prashanthan Sanders,et al.  Spectral Analysis Identifies Sites of High-Frequency Activity Maintaining Atrial Fibrillation in Humans , 2005, Circulation.

[30]  Francisco Castells,et al.  Noninvasive Mapping of Human Atrial Fibrillation , 2009, Cardiovascular Electrophysiology.

[31]  Matthew Wright,et al.  Catheter ablation for atrial fibrillation: are results maintained at 5 years of follow-up? , 2011, Journal of the American College of Cardiology.

[32]  Wouter-Jan Rappel,et al.  Treatment of atrial fibrillation by the ablation of localized sources: CONFIRM (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) trial. , 2012, Journal of the American College of Cardiology.

[33]  David Keane,et al.  2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. , 2012, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.