First Evidence of Endo-Epicardial Asynchrony of the Left Atrial Wall in Humans

Abstract

Asynchronous activation of the endo-epicardium plays an important role in persistence of atrial fibrillation. So far, endo-epicardial asynchrony has only been demonstrated in the human right atrium. Our data provides the first evidence for existence of a considerable degree of endo-epicardial asynchrony in the human left atrium. (Level of Difficulty: Advanced.)

Keywords

• atrial fibrillation
• atrial remodeling
• cardiac surgery
• electropathology
• electrophysiology
• simultaneous endo-epicardial mapping