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Background  Effects of nonparoxysmal atrial fibrillation (non‐ PAF ) ablation targeting complex fractionated atrial electrogram ( CFAE ) areas and/or low voltage areas ( LVA s) are still controversial.    Methods and Results  A recently developed online real‐time phase mapping system (Ex TR a Mapping) was used to conduct  LVA  mapping and simultaneous Ex TR a and  CFAE  mapping in 28 non‐ PAF  patients after pulmonary vein isolation ( PVI ). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non‐ PAF  drivers, partly overlapped with  CFAE / LVA s but not always coincided with them.    Conclusion  Real‐time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non‐ PAF  drivers.

journal of arrhythmia

Not all rotors, effective ablation targets for nonparoxysmal atrial fibrillation, are included in areas suggested by conventional indirect indicators of atrial fibrillation drivers: Ex TR a Mapping project