Katheterablation von persistierendem Vorhofflimmern: Möglichkeiten des Dipole-density-Mapping
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Katheterablation von persistierendem Vorhofflimmern: Möglichkeiten des Dipole-density-Mapping. / Meyer, Christian; Willems, Stephan.
In: Herzschrittmacherther Elektrophysiol, Vol. 29, No. 3, 09.2018, p. 278-283.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Katheterablation von persistierendem Vorhofflimmern: Möglichkeiten des Dipole-density-Mapping
AU - Meyer, Christian
AU - Willems, Stephan
PY - 2018/9
Y1 - 2018/9
N2 - Voltage-based methods currently form the diagnostic and therapeutic basis of clinical cardiac electrophysiology. These include both noncontact-based approaches (e.g., body surface electrocardiogram) and established, contact-based 3D mapping systems. At the physiological level, voltage is the measure of an electric field that includes both the local and the sum of the surrounding activation sources. As a result, details of complex rhythm patterns like those observed in atrial fibrillation may be obscured. Dipole density mapping represents an alternative approach to detect and visualize the electrical activity of the heart. It records the local activity on the inner surface of a chamber with high spatial and temporal resolution without requiring contact. This could help to further improve our understanding of the mechanisms and therapeutic possibilities. Herein, we review current knowledge of this procedure, potential uses, and clinical experience to date.
AB - Voltage-based methods currently form the diagnostic and therapeutic basis of clinical cardiac electrophysiology. These include both noncontact-based approaches (e.g., body surface electrocardiogram) and established, contact-based 3D mapping systems. At the physiological level, voltage is the measure of an electric field that includes both the local and the sum of the surrounding activation sources. As a result, details of complex rhythm patterns like those observed in atrial fibrillation may be obscured. Dipole density mapping represents an alternative approach to detect and visualize the electrical activity of the heart. It records the local activity on the inner surface of a chamber with high spatial and temporal resolution without requiring contact. This could help to further improve our understanding of the mechanisms and therapeutic possibilities. Herein, we review current knowledge of this procedure, potential uses, and clinical experience to date.
KW - Atrial Fibrillation
KW - Catheter Ablation
KW - Electrocardiography
KW - Humans
KW - Treatment Outcome
U2 - 10.1007/s00399-018-0581-z
DO - 10.1007/s00399-018-0581-z
M3 - SCORING: Review
C2 - 30076445
VL - 29
SP - 278
EP - 283
JO - Herzschrittmacherther Elektrophysiol
JF - Herzschrittmacherther Elektrophysiol
SN - 1435-1544
IS - 3
ER -
