The cornerstone of the new imaging technologies to treat complex arrhythmias is the electroanatomic (EAM) mapping. It is based on tissue characterization and in particular on determination of low potential region and dense scar definition. Recently, the identification of fractionated isolated late potentials increased the specificity of the information derived from EAM. In addition, non-invasive tools and their integration with EAM, such as cardiac magnetic resonance imaging and computed tomography scanning, have been shown to be helpful to characterize the arrhythmic substrate and to guide the mapping and the ablation. Finally, intracardiac echocardiography, known to be useful for several practical uses in the setting of electrophysiological procedures, it has been also demonstrated to provide important informations about the anatomical substrate and may have potential to identify areas of scarred myocardium.

New Imaging Technologies To Characterize Arrhythmic Substrate / R. Antonio Dello, C. Sergio, A. Ghaliah, C. Michela, F. Pizzamiglio, C. Corrado, R. Stefania, F. Gaetano, M. Massimo, F. Tundo, M.G.M. Zucchetti, B. Majocchi, R. Eleonora, M. Vittoria, B. Fabrizio, B. Luigi Di, A..P.L. Natale, C. Tondo. - In: JOURNAL OF ATRIAL FIBRILLATION. - ISSN 1941-6911. - 7:4(2014 Dec), pp. 1137.92-1137.98. [10.4022/jafib.1137]

New Imaging Technologies To Characterize Arrhythmic Substrate

F. Pizzamiglio;F. Tundo;M.G.M. Zucchetti;B. Majocchi;A..P.L. Natale
Penultimo
;
C. Tondo
Ultimo
2014

Abstract

The cornerstone of the new imaging technologies to treat complex arrhythmias is the electroanatomic (EAM) mapping. It is based on tissue characterization and in particular on determination of low potential region and dense scar definition. Recently, the identification of fractionated isolated late potentials increased the specificity of the information derived from EAM. In addition, non-invasive tools and their integration with EAM, such as cardiac magnetic resonance imaging and computed tomography scanning, have been shown to be helpful to characterize the arrhythmic substrate and to guide the mapping and the ablation. Finally, intracardiac echocardiography, known to be useful for several practical uses in the setting of electrophysiological procedures, it has been also demonstrated to provide important informations about the anatomical substrate and may have potential to identify areas of scarred myocardium.
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
dic-2014
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/540074
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