to see many of you at the 36th Annual Heart Rhythm Society Annual
sessions in Boston past week. It became quite obvious that the next frontier
that is ahead of us is clearly the success bar for persistent atrial
fibrillation therapy. What particularly bemused us was the amount of interest in
the concept of rotors. Attempts to find rotors using non-contact mapping,
contact mapping and body surface mapping are quite interesting and exciting.
And then there is the counter argument that questions the very existence of
rotors. Big companies, start-up companies and companies yet to form …. Everyone
wants to solve this puzzle of rotors. A large percentage of abstracts related
to persistent AF had their fair share of rotors. It is perhaps important to
remind ourselves of the saga of the sailor from the “The Rime of the Ancient
Mariner”. For the years ahead of us the search for this elusive, invisible,
untamable perpetrators of AF shall continue.
Credits: Dhanunjaya Lakkireddy MD; Andrea Natale MD