Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Interventional Cardiac Electrophysiology
Published in: Journal of Interventional Cardiac Electrophysiology 1/2009

01-10-2009 | REVIEW

Applications of computed tomography and magnetic resonance imaging in percutaneous ablation therapy for atrial fibrillation

Authors: Janice Y. Chyou, Angelo Biviano, Pedro Magno, Hasan Garan, Andrew J. Einstein

Published in: Journal of Interventional Cardiac Electrophysiology | Issue 1/2009

Login to get access

Abstract

Percutaneous catheter ablation is an established therapy for symptomatic drug-refractory atrial fibrillation (AF). Accurate delineation of relevant anatomy is critical but often challenging and limited in traditional technologies such as intra-procedural fluoroscopy. There has been an increased interest in non-invasive three-dimensional imaging technologies, especially computed tomography (CT) and magnetic resonance imaging (MRI), as useful tools for patients undergoing AF ablation. Here, we review applications of CT and MRI before, during, and after AF ablation and highlight areas for future research.
Literature
1.
Go, A. S., Hylek, E. M., Phillips, K. A., Chang, Y., Henault, L. E., Selby, J. V., et al. (2001). Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. Journal of the American Medical Association, 285(18), 2370–2375.PubMedCrossRef
2.
Haïssaguerre, M., Jaïs, P., Shah, D. C., Takahashi, A., Hocini, M., Ouiniou, G., et al. (1998). Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. The New England Journal of Medicine, 339(10), 659–666.PubMedCrossRef
3.
Kato, R., Lickfett, L., Meininger, G., Dickfeld, T., Wu, R., Juang, G., et al. (2003). Pulmonary vein anatomy in patients undergoing catheter ablation of atrial fibrillation: lessons learned by use of magnetic resonance imaging. Circulation, 107(15), 2004–2010.PubMedCrossRef
4.
Lacomis, J. M., Goitein, O., Deible, C., & Schwartzman, D. (2007). CT of the pulmonary veins. Journal of Thoracic Imaging, 22(1), 63–76.PubMedCrossRef
5.
Scharf, C., Sneider, M., Case, I., Chugh, A., Lai, S. W., Pelosi, F., et al. (2003). Anatomy of the pulmonary veins in patients with atrial fibrillation and effects of segmental ostial ablation analyzed by computed tomography. Journal of Cardiovascular Electrophysiology, 14(2), 150–155.PubMed
6.
Mansour, M., Holmvang, G., Sosnovik, D., Migrino, R., Abbara, S., et al. (2004). Assessment of pulmonary vein anatomic variability by magnetic resonance imaging: implications for catheter ablation techniques for atrial fibrillation. Journal of Cardiovascular Electrophysiology, 15(4), 387–393.PubMedCrossRef
7.
Marom, E. M., Herndon, J. E., Kim, Y. H., & McAdams, H. P. (2004). Variations in pulmonary venous drainage to the left atrium: implications for radiofrequency ablation. Radiology, 230(3), 824–829.PubMedCrossRef
8.
Schwartzman, D., Lacomis, J., & Wigginton, W. G. (2003). Characterization of left atrium and distal pulmonary vein morphology using multidimensional computed tomography. Journal of the American College of Cardiology, 41(8), 1349–1357.PubMedCrossRef
9.
Lickfett, L., Kato, R., Tandri, H., Jayam, V., Vasamreddy, C. R., Dickfeld, T., et al. (2004). Characterization of a new pulmonary vein variant using magnetic resonance angiography: incidence, imaging, and interventional implications of the “right top pulmonary vein”. Journal of Cardiovascular Electrophysiology, 15(5), 538–543.PubMed
10.
Ahmed, J., Sohal, S., Malchano, Z. J., Holmvang, G., Ruskin, J. N., & Reddy, V. Y. (2006). Three-dimensional analysis of pulmonary venous ostial and antral anatomy: implications for balloon catheter-based pulmonary vein isolation. Journal of Cardiovascular Electrophysiology, 17(3), 251–255.PubMedCrossRef
11.
Schwartzman, D., Bazaz, R., & Nosbisch, J. (2004). Common left pulmonary vein: a consistent source of arrhythmogenic atrial ectopy. Journal of Cardiovascular Electrophysiology, 15(5), 560–566.PubMed
12.
Mansour, M., Holmvang, G., & Ruskin, J. (2004). Role of imaging techniques in preparation for catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 15(9), 1107–1108.PubMedCrossRef
13.
Lacomis, J. M., Wigginton, W., Fuhrman, C., Schwartzman, D., Armfield, D. R., & Pealer, K. M. (2003). Multi-detector row CT of the left atrium and pulmonary veins before radio-frequency catheter ablation for atrial fibrillation. Radiographics, 23, S35–S48.PubMedCrossRef
14.
Mansour, M., Refaat, M., Heist, E. K., Mela, T., Cury, R., Holmvang, G., et al. (2006). Three-dimensional anatomy of the left atrium by magnetic resonance angiography: implications for catheter ablation for atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(7), 719–723.PubMedCrossRef
15.
Cury, R. C., Abbara, S., Schmidt, S., Malchano, Z. J., Neuzil, P., Weichet, J., et al. (2005). Relationship of the esophagus and aorta to the left atrium and pulmonary veins: implications for catheter ablation of atrial fibrillation. Heart Rhythm, 2(12), 1317–1323.PubMedCrossRef
16.
Wongcharoen, W., Tsao, H. M., Wu, M. H., Tai, C. T., Chang, S. L., Lin, Y. J., et al. (2006). Morphologic characteristics of the left atrial appendage, roof, and septum: implications for the ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(9), 951–956.PubMedCrossRef
17.
Lacomis, J. M., Goitein, O., Deible, C., Moran, P. L., Mamone, G., Madan, S., et al. (2007). Dynamic multidimensional imaging of the human left atrial appendage. Europace, 9(12), 1134–1140.PubMedCrossRef
18.
Heist, E. K., Refaat, M., Danik, S. B., Holmvang, G., Ruskin, J. N., & Mansour, M. (2006). Analysis of the left atrial appendage by magnetic resonance angiography in patients with atrial fibrillation. Heart Rhythm, 3(11), 1313–1318.PubMedCrossRef
19.
Shapiro, M. D., Neilan, T. G., Jassal, D. S., Samy, B., Nasir, K., Hoffmann, U., et al. (2007). Multidetector computed tomography for the detection of left atrial appendage thrombus: a comparative study with transesophageal echocardiography. Journal of Computer Assisted Tomography, 31(6), 905–909.PubMedCrossRef
20.
Saremi, F., Channual, S., Gurudevan, S. V., Narula, J., & Abolhoda, A. (2008). Prevalence of left atrial appendage pseudothrombus filling defects in patients with atrial fibrillation undergoing coronary computed tomography angiography. Journal of Cardiovascular Computed Tomography, 2(3), 164–171.PubMedCrossRef
21.
Ohyama, H., Hosomi, N., Takahashi, T., Mizushige, K., Osaka, K., Kohno, M., et al. (2003). Comparison of magnetic resonance imaging and transesophageal echocardiography in detection of thrombus in the left atrial appendage. Stroke, 34(10), 2436–2439.PubMedCrossRef
22.
Lemola, K., Sneider, M., Desjardins, B., Case, I., Han, J., Good, E., et al. (2004). Computed tomographic analysis of the anatomy of the left atrium and the esophagus: implications for left atrial catheter ablation. Circulation, 110(24), 3655–3660.PubMedCrossRef
23.
Wang, S. L., Ooi, C. G., Siu, C. W., Yiu, M. W., Pang, C., Lau, C. C., et al. (2006). Endocardial visualization of esophageal-left atrial anatomic relationship by three-dimensional multidetector computed tomography “navigator imaging”. Pacing and Clinical Electrophysiology, 29(5), 502–508.PubMedCrossRef
24.
Tsao, H. M., Wu, M. H., Higa, S., Lee, K. T., Tai, C. T., Hsu, N. W., et al. (2005). Anatomic relationship of the esophagus and left atrium: implication for catheter ablation of atrial fibrillation. Chest, 128(4), 2581–2587.PubMedCrossRef
25.
Good, E., Oral, H., Lemola, K., Han, J., Tamirisa, K., Igic, P., et al. (2005). Movement of the esophagus during left atrial catheter ablation for atrial fibrillation. Journal of the American College of Cardiology, 46(11), 2107–2110.PubMedCrossRef
26.
Cheung, P., Hall, B., Chugh, A., Good, E., Lemola, K., Han, J., et al. (2004). Detection of inadvertent catheter movement into a pulmonary vein during radiofrequency catheter ablation by real-time impedance monitoring. Journal of Cardiovascular Electrophysiology, 15(6), 674–678.PubMedCrossRef
27.
Liu, X., Wang, X. H., Gu, J. N., Zhou, L., & Qiu, J. H. (2005). Electroanatomical systems to guided circumferential pulmonary veins ablation for atrial fibrillation: initial experience from comparison between the Ensite/NavX and CARTO system. Chinese Medical Journal, 118(14), 1156–1160.PubMed
28.
Piorkowski, C., Hindricks, G., Schreiber, D., Tanner, H., Weise, W., Koch, A., et al. (2006). Electroanatomic reconstruction of the left atrium, pulmonary veins, and esophagus compared with the "true anatomy" on multislice computed tomography in patients undergoing catheter ablation of atrial fibrillation. Heart Rhythm, 3(3), 317–327.PubMedCrossRef
29.
Sra, J., Krum, D., Malloy, A., Vass, M., Belanger, B., Soubelet, E., et al. (2005). Registration of three-dimensional left atrial computed tomographic images with projection images obtained using fluoroscopy. Circulation, 112(24), 3763–3768.PubMedCrossRef
30.
Ector, J., De Buck, S., Adams, J., Dymarkowski, S., Bogaert, J., Maes, F., et al. (2005). Cardiac three-dimensional magnetic resonance imaging and fluoroscopy merging: a new approach for electroanatomic mapping to assist catheter ablation. Circulation, 112(24), 3769–3776.PubMedCrossRef
31.
Dickfeld, T., Calkins, H., Zviman, M., Kato, R., Meininger, G., Lickfett, L., et al. (2003). Anatomic stereotactic catheter ablation on three-dimensional magnetic resonance images in real time. Circulation, 108(19), 2407–2413.PubMedCrossRef
32.
Sra, J., Krum, D., Hare, J., Okerlund, D., Thompson, H., Vass, M., et al. (2005). Feasibility and validation of registration of three-dimensional left atrial models derived from computed tomography with a noncontact cardiac mapping system. Heart Rhythm, 2(1), 55–63.PubMedCrossRef
33.
Dong, J., Calkins, H., Solomon, S. B., Lai, S., Dalal, D., Lardo, A. C., et al. (2006). Integrated electroanatomic mapping with three-dimensional computed tomographic images for real-time guided ablations. Circulation, 113(2), 186–194.PubMedCrossRef
34.
Kistler, P. M., Earley, M. J., Harris, S., Abrams, D., Ellis, S., Sporton, S. C., et al. (2006). Validation of three-dimensional cardiac image integration: use of integrated CT image into electroanatomic mapping system to perform catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(4), 341–348.PubMedCrossRef
35.
Feuchtner, G. M., Dichtl, W., Defrance, T., Stuhlinger, M., Klauser, A., Berger, T., et al. (2008). Fusion of multislice computed tomography and electroanatomical mapping data for 3D navigation of left and right atrial catheter ablation. European Journal of Radiology, 68(3), 456–464.PubMedCrossRef
36.
Tops, L. F., Bax, J. J., Zeppenfeld, K., Jongbloed, M. R., Lamb, H. J., van der Wall, E. E., et al. (2005). Fusion of multislice computed tomography imaging with three-dimensional electroanatomic mapping to guide radiofrequency catheter ablation procedures. Heart Rhythm, 2(10), 1076–1081.PubMedCrossRef
37.
Martinek, M., Nesser, H. J., Aichinger, J., Boehm, G., & Purerfellner, H. (2006). Accuracy of integration of multislice computed tomography imaging into three-dimensional electroanatomic mapping for real-time guided radiofrequency ablation of left atrial fibrillation-influence of heart rhythm and radiofrequency lesions. Journal of Interventional Cardiac Electrophysiology, 17(2), 85–92.PubMedCrossRef
38.
Dong, J., Dickfeld, T., Dalal, D., Cheema, A., Vasamreddy, C. R., Henrikson, C. A., et al. (2006). Initial experience in the use of integrated electroanatomic mapping with three-dimensional MR/CT images to guide catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(5), 459–466.PubMedCrossRef
39.
Richmond, L., Rajappan, K., Voth, E., Rangavajhala, V., Earley, M. J., Thomas, G., et al. (2008). Validation of computed tomography image integration into the EnSite NavX mapping system to perform catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 19(8), 821–827.PubMedCrossRef
40.
Noseworthy, P. A., Malchano, Z. J., Ahmed, J., Holmvang, G., Ruskin, J. N., & Reddy, V. Y. (2005). The impact of respiration on left atrial and pulmonary venous anatomy: implications for image-guided intervention. Heart Rhythm, 2(11), 1173–1178.PubMedCrossRef
41.
Malchano, Z. J., Neuzil, P., Cury, R. C., Holmvang, G., Weichet, J., Schmidt, E. J., et al. (2006). Integration of cardiac CT/MR imaging with three-dimensional electroanatomical mapping to guide catheter manipulation in the left atrium: implications for catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(11), 1221–1229.PubMedCrossRef
42.
Klemm, H. U., Steven, D., Johnsen, C., Ventura, R., Rostock, T., Lutomsky, B., et al. (2007). Catheter motion during atrial ablation due to the beating heart and respiration: Impact on accuracy and spatial referencing in three-dimensional mapping. Heart Rhythm, 4(5), 587–592.PubMedCrossRef
43.
Heist, E. K., Chevalier, J., Holmvang, G., Singh, J. P., Ellinor, P. T., Milan, D. J., et al. (2006). Factors affecting error in integration of electroanatomic mapping with CT and MR imaging during catheter ablation of atrial fibrillation. Journal of Interventional Cardiac Electrophysiology, 17(1), 21–27.PubMedCrossRef
44.
Dong, J., Dalal, D., Scherr, D., Cheema, A., Nazarian, S., Bilchick, K., et al. (2007). Impact of Heart Rhythm Status on Registration Accuracy of the Left Atrium for Catheter Ablation of Atrial Fibrillation. Journal of Cardiovascular Electrophysiology, 18(12), 1269–1276.PubMedCrossRef
45.
Kistler, P. M., Ho, S. Y., Rajappan, K., Morper, M., Harris, S., Abrams, D., et al. (2007). Electrophysiologic and anatomic characterization of sites resistant to electrical isolation during circumferential pulmonary vein ablation for atrial fibrillation: a prospective study. Journal of Cardiovascular Electrophysiology, 18(12), 1282–1288.PubMedCrossRef
46.
Sra, J., Narayan, G., Krum, D., Malloy, A., Cooley, R., Bhatia, A., et al. (2007). Computed tomography-fluoroscopy image integration-guided catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 18(4), 409–414.PubMedCrossRef
47.
Kistler, P. M., Rajappan, K., Jahngir, M., Earley, M. J., Harris, S., Abrams, D., et al. (2006). The impact of CT image integration into an electroanatomic mapping system on clinical outcomes of catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology, 17(10), 1093–1101.PubMedCrossRef
48.
Martinek, M., Nesser, H. J., Aichinger, J., Boehm, G., & Purerfellner, H. (2007). Impact of integration of multislice computed tomography imaging into three-dimensional electroanatomic mapping on clinical outcomes, safety, and efficacy using radiofrequency ablation for atrial fibrillation. Pacing and Clinical Electrophysiology, 30(10), 1215–1223.PubMedCrossRef
49.
Kistler, P. M., Rajappan, K., Harris, S., Earley, M. J., Richmond, L., Sporton, S. C., et al. (2008). Impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study. European Heart Journal, 29(24), 3029–3036.PubMedCrossRef
50.
Tsao, H. M., Wu, M. H., Huang, B. H., Lee, S. H., Lee, K. T., Tai, C. T., et al. (2005). Morphologic remodeling of pulmonary veins and left atrium after catheter ablation of atrial fibrillation: insight from long-term follow-up of three-dimensional magnetic resonance imaging. Journal of Cardiovascular Electrophysiology, 16(1), 7–12.PubMedCrossRef
51.
Packer, D. L., Keelan, P., Munger, T. M., Breen, J. F., Asirvatham, S., Peterson, L. A., et al. (2005). Clinical presentation, investigation and management of pulmonary vein stenosis complicating ablation for atrial fibrillation. Circulation, 111(5), 546–554.PubMedCrossRef
52.
Saad, E. B., Marrouche, N. F., Saad, C. P., Ha, E., Bash, D., White, R. D., et al. (2003). Pulmonary vein stenosis after catheter ablation of atrial fibrillation: emergence of a new clinical syndrome. Annals of Internal Medicine, 138(8), 634–638.PubMed
53.
Purerfellner, H., Cihal, R., Aichinger, J., Martinek, M., & Nesser, H. J. (2003). Pulmonary vein stenosis by ostial irrigated-tip ablation: incidence, time course, and prediction. Journal of Cardiovascular Electrophysiology, 14(2), 158–164.PubMed
54.
Burgstahler, C., Trabold, T., Kuettner, A., Kopp, A. F., Mewis, C., Kuehlkamp, V., et al. (2005). Visualization of pulmonary vein stenosis after radio frequency ablation using multi-slice computed tomography: initial clinical experience in 33 patients. International Journal of Cardiology, 102(2), 287–291.PubMedCrossRef
55.
Dong, J., Vasamreddy, C. R., Jayam, V., Dalal, D., Dickfeld, T., Eldadah, Z., et al. (2005). Incidence and predictors of pulmonary vein stenosis following catheter ablation of atrial fibrillation using the anatomic pulmonary vein ablation approach: results from paired magnetic resonance imaging. Journal of Cardiovascular Electrophysiology, 16(8), 845–852.PubMedCrossRef
56.
Berkowitsch, A., Neumann, T., Ekinci, O., Greiss, H., Dill, T., Kurzidim, H., et al. (2005). A decrease in pulmonary vein diameter after radiofrequency ablation predicts the development of severe stenosis. Pacing and Clinical Electrophysiology, 28, S83–S85.PubMedCrossRef
57.
Ghia, K. K., Chugh, A., Good, E., Pelosi, F., Jongnarangsin, K., Bogun, F., et al. (2009). A nationwide survey on the prevalence of atrioesophageal fistula after left atrial radiofrequency catheter ablation. Journal of Interventional Cardiac Electrophysiology, 24(1), 33–36.PubMedCrossRef
58.
Pappone, C., Oral, H., Santinelli, V., Vicedomini, G., Lang, C. C., Manguso, F., et al. (2004). Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation. Circulation, 109(22), 2724–2726.PubMedCrossRef
59.
Dagres, N., Kottkamp, H., Piorkowski, C., Doll, N., Mohr, F., Horlitz, M., et al. (2006). Rapid detection and successful treatment of esophageal perforation after radiofrequency ablation of atrial fibrillation: lessons from five cases. Journal of Cardiovascular Electrophysiology, 17(11), 1213–1215.PubMedCrossRef
60.
Scanavacca, M., Hachul, D., & Sosa, E. (2007). Atrioesophageal fistula–a dangerous complication of catheter ablation for atrial fibrillation. Nature Clinical Practice. Cardiovascular Medicine, 4(11), 578–579.PubMed
61.
Schley, P., Guilker, H., & Horlitz, M. (2006). Atrio-oesophageal fistula following circumferential pulmonary vein ablation: verification of diagnosis with multislice computed tomography. Europace, 8(3), 189–190.PubMedCrossRef
62.
Preis, O., Digumarthy, S. R., Wright, C. D., & Shepard, J. A. (2007). Atrioesophageal fistula after catheter pulmonary venous ablation for atrial fibrillation: imaging features. Journal of Thoracic Imaging, 22(3), 283–285.PubMedCrossRef
63.
Peters, D. C., Wylie, J. V., Hauser, T. H., Kissinger, K. V., Botnar, R. M., Essebag, V., et al. (2007). Detection of pulmonary vein and left atrial scar after catheter ablation with three-dimensional navigator-gated delayed enhancement MR imaging: initial experience. Radiology, 243(3), 690–695.PubMedCrossRef
64.
McGann, C. J., Kholmovski, E. G., Oakes, R. S., Blauer, J. J., Daccarett, M., Segerson, N., et al. (2008). New magnetic resonance imaging-based method for defining the extent of left atrial wall injury after the ablation of atrial fibrillation. Journal of the American College of Cardiology, 52(15), 1263–1271.PubMedCrossRef
65.
Badger, T. J., Oakes, R. S., Daccarett, M., Burgon, N. S., Akoum, N., Fish, E. N., et al. (2009). Temporal left atrial lesion formation after ablation of atrial fibrillation. Heart Rhythm, 6(2), 161–168.PubMedCrossRef
66.
Grobner, T., & Prischl, F. C. (2007). Gadolinium and nephrogenic systemic fibrosis. Kidney International, 72(3), 260–264.PubMedCrossRef
67.
Lacomis, J. M., Pealer, K., Fuhrman, C. R., Barley, D., Wigginton, W., & Schwartzman, D. (2006). Direct comparison of computed tomography and magnetic resonance imaging for characterization of posterior left atrial morphology. Journal of Interventional Cardiac Electrophysiology, 16(1), 7–13.PubMedCrossRef
68.
Orlov, M. V., Hoffmeister, P., Chaudhry, G. M., Almasry, I., Gijsbers, G. H., Swack, T., et al. (2007). Three-dimensional rotational angiography of the left atrium and esophagus–A virtual computed tomography scan in the electrophysiology lab? Heart Rhythm, 4(1), 37–43.PubMedCrossRef
69.
Thiagalingam, A., Manzke, R., D’Avila, A., Ho, I., Locke, A. H., Ruskin, J. N., et al. (2008). Intraprocedural Volume Imaging of the Left Atrium and Pulmonary Veins with Rotational X-Ray Angiography: Implications for Catheter Ablation of Atrial Fibrillation. Journal of Cardiovascular Electrophysiology, 19(3), 293–300.PubMedCrossRef
70.
Dickfeld, T., Calkins, H., Bradley, D., & Solomon, S. B. (2005). Stereotactic catheter navigation using magnetic resonance image integration in the human heart. Heart Rhythm, 2(4), 413–415.PubMedCrossRef
Metadata
Title
Applications of computed tomography and magnetic resonance imaging in percutaneous ablation therapy for atrial fibrillation
Authors
Janice Y. Chyou
Angelo Biviano
Pedro Magno
Hasan Garan
Andrew J. Einstein
Publication date
01-10-2009
Publisher
Springer US
Published in
Journal of Interventional Cardiac Electrophysiology / Issue 1/2009
Print ISSN: 1383-875X
Electronic ISSN: 1572-8595
DOI
https://doi.org/10.1007/s10840-009-9404-9

Other articles of this Issue 1/2009

Journal of Interventional Cardiac Electrophysiology 1/2009 Go to the issue

OriginalPaper

Typical atrial flutter can effectively be treated using single one-minute cryoapplications: Results from a repeat electrophysiological study

OriginalPaper

A streamlined technique of trans-septal endocardial left ventricular lead placement

OriginalPaper

Lack of gelsolin promotes perpetuation of atrial fibrillation in the mouse heart

Subject of the Year

Toward early diagnosis in arrhythmogenic right ventricular dysplasia/cardiomyopathy

Case Report

Long QT syndrome due to a novel mutation in SCN5A: treatment with ICD placement at 1 month and left cardiac sympathetic denervation at 3 months of age

OriginalPaper

Electrophysiological characteristics associated with symptoms in pacemaker patients with paroxysmal atrial fibrillation

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits