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Background Atrial fibrillation (AF) is associated with atrial remodeling, including atrial cellular pathology [1,2], left atrial enlargement [3], and low voltage on electroanatomic mapping (EAM)[4]. Recent studies have identified late gadolinium enhancement (LGE) in AF subjects pre-PVI as novel evidence of LA remodeling [5]. One study compared voltage by EAM obtained prior to a pulmonary vein isolation (PVI) procedure with the extent of atrial fibrosis using LGE [6]. Our goal was to further correlate EAM voltages with LGE.

Comparison of electroanatomic voltage mapping with late gadolinium enhancement CMR