P Wave Analysis in the Era of Atrial Fibrillation Ablation

The common arrhythmia atrial fibrillation (AF) is incompletely understood. The mechanism of initiation and the perpetuation of AF remain speculative. This article summarizes current knowledge of the complex relationship between arrhythmias triggering AF and their long-term effects on atrial tissue,...

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Bibliographic Details
Published inCardiac electrophysiology clinics Vol. 10; no. 2; p. 299
Main Authors Leonelli, Fabio M, Locati, Emanuela T, Bagliani, Giuseppe, De Ponti, Roberto, Padeletti, Luigi, Cipolletta, Laura, Capucci, Alessandro
Format Journal Article
LanguageEnglish
Published United States 01.06.2018
Subjects
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Atrial Fibrillation - surgery
Catheter Ablation - methods
Electrocardiography, Ambulatory - methods
Heart Atria - physiopathology
Heart Conduction System - physiopathology
Heart Conduction System - surgery
Heart Rate - physiology
Humans
Holter recording
Atrial remodeling
Atrial fibrillation
P wave
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Summary:The common arrhythmia atrial fibrillation (AF) is incompletely understood. The mechanism of initiation and the perpetuation of AF remain speculative. This article summarizes current knowledge of the complex relationship between arrhythmias triggering AF and their long-term effects on atrial tissue, leading to perpetuation of tachycardia. It focuses on the role of the electrocardiogram (ECG) from AF diagnosis to identification of sinus P wave abnormalities predicting future occurrences. The role of ambulatory ECG recordings in managing AF and the use of frequency analysis determining degree of organization and identification of AF triggers are discussed.
ISSN:1877-9190
DOI:10.1016/j.ccep.2018.02.015