Open AccessAtrial fibrillation: A never ending story?
Author(s) -
Lanters Eva A. H.,
Knops Paul,
Kik Charles,
Groot Natasja M.S.
Publication year - 2019
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.2415
Subject(s) - medicine , atrial fibrillation , cardiology , electrical conduction system of the heart , conduction abnormalities , catheter ablation , electrocardiography
Abstract Atrial fibrillation (AF) often recurs after ablative therapy. In our patient, intraoperative epicardial mapping during therapy‐ resistant AF revealed highly dissociated atrial conduction patterns and that long lines of conduction block throughout the entire atria. Given the extensiveness of the substrate, it is not surprising that ablations were not successful. Conduction patterns during therapy‐resistant atrial fibrillation (AF) are highly dissociated and show long lines of conduction block. As long as the presence and extensiveness of the arrhythmogenic substrate underlying AF remains poorly understood and cannot be evaluated in the individual patient, none of the present available antiarrhythmic treatment modalities will be effective.