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Exploring New Frontiers in Atrial Fibrillation

In this issue we have several manuscripts that are thought provoking and provide solid review of many interesting topics in atrial fibrillation (AF).  Massimo Santini’s  group are presenting a small but practically useful study to discriminate between ventricular (VT) and supraventricular tachycardia (SVT) and the evaluation of their hemodynamic impact are essential issues in the arrhythmia management. A new pacing device features a tachycardia diagnostic system relying on simultaneous recording of the transvalvular impedance (TVI) and a special integrated electric signal derived by the whole set of endocardial electrodes (iECG). Karen Phillips and Hiroshi Nakagawa wrote two separate articles that highlight the role of appropriate levels of endocardial contact on two different systems – electrical coupling index (ECI) and contact force (CF) in pulmonary vein isolation and the potential role of adapting it in improving lesion set and longterm outcomes. Julian Chun and coworkers presented a very useful summary of various currently available endocardial left atrial appendage occlusion devices and the potential complications related to these procedures.

Credits: Dhanunjaya Lakkireddy MD, FACC, FHRS

Biosense Webster
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Introduction to AFib
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