The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
Rotors and Spiral Waves in Atrial Fibrillation
Abstract
Despite many years of research, the mechanisms of atrial fibrillation (AF) are still poorly understood, and we currently are unable to adequately treat most patients with AF. Recently, the demonstration in both human and animal studies that the pulmonary veins (PVs) and the posterior left atrial (LA) wall play a substantial role in triggering and in driving the fibrillatory activity has opened new avenues for research into the mechanisms of initiation and maintenance AF at many levels of integration. This article focuses on recent studies at the whole‐heart level that support the hypothesis that maintenance of AF, whether paroxysmal or persistent, may depend on the periodic activity of a small number of rotors in the posterior LA wall‐PV region. These rotors activate the atria at exceedingly high frequencies and result in fibrillatory conduction. Recent clinical studies involving either segmental PV isolation or circumferential PV ablation support this view. Such encouraging results suggest that collaboration between basic and clinical electrophysiologists will lead to a more precise understanding of the manner in which rotors stabilize in the PV‐LA junction, which should open new doors for the development of innovative approaches for the prevention, diagnosis, and treatment of AF. (J Cardiovasc Electrophysiol, Vol. 14, pp. 776‐780, July 2003)
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Cites
Spontaneous Initiation of Atrial Fibrillation by Ectopic Beats Originating in the Pulmonary Veins
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Self-citationAtrial fibrillation as a self-sustaining arrhythmia independent of focal discharge
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Self-citation
Cited by
Predictors of Non-Pulmonary Vein Ectopic Beats Initiating Paroxysmal Atrial Fibrillation
Lee, S.-H., Tai, C.-T., Hsieh, M.-H., Tsao, H.-M., Lin, Y.-J., Chang, S.-L., Huang, J.-L., Lee, K.-T., Chen, Y.-J., Cheng, J.-J., et al. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.06.016 · Cited by 266
Schreiber, D., Rostock, T., Fröhlich, M., Sultan, A., Servatius, H., Hoffmann, B. A., Lüker, J., Berner, I., Schäffer, B., Wegscheider, K., et al. (2015) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.114.001672 · Cited by 175
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Three-dimensional spectral map of atrial fibrillation by a 64-channel magnetocardiogram
Nakai, K., Oka, T., Okabayashi, H., Tsuboi, J., Fukuhiro, Y., Fukushima, A., Suwabe, A., Itoh, M., & Yoshizawa, M. (2008) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2007.06.008 · Cited by 12
Metadata
- Authors
- Jalife, J.
- Venue
- Journal of Cardiovascular Electrophysiology
- Publisher
- Wiley
- Published
- 2003-07
- Volume
- 14
- Issue
- 7
- Pages
- 776-780
- ISSN
- 1045-3873 (ISSN-L)
- 1540-8167
- OpenAlex
- W1980886728
- Cited by
- 279
- References
- 22
- FWCI
- 11.31
- Type
- journal article
- Language
- en
- Open access
- closed
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