• Tim De Coster
  • Alexander S. Teplenin
  • Iolanda Feola
  • Cindy I. Bart
  • Arti A. Ramkisoensing
  • Bram L. Den Ouden
  • Dirk L. Ypey
  • Serge A. Trines
  • Alexander v Panfilov
  • Katja Zeppenfeld
  • Antoine A. F. De Vries
  • Daniël A. Pijnappels
Diseased atria are characterized by functional and structural heterogeneities, adding to abnormal impulse generation and propagation. These heterogeneities are thought to lie at the origin of fractionated electrograms recorded during sinus rhythm (SR) in atrial fibrillation (AF) patients and are assumed to be involved in the onset and perpetuation (e.g. by re-entry) of this disorder. The underlying mechanisms, however, remain incompletely understood. Here, we tested whether regions of dense fibrosis could create an electrically isolated conduction pathway (EICP) in which re-entry could be established via ectopy and local block to become ‘trapped’. We also investigated whether this could generate local fractionated electrograms and whether the re-entrant wave could ‘escape’ and cause a global tachyarrhythmia due to dynamic changes at a connecting isthmus.
Original languageEnglish
Pages (from-to)249-261
Number of pages13
JournalCardiovascular research
Volume120
Issue number3
DOIs
Publication statusPublished - 14 Mar 2024

    ASJC Scopus subject areas

  • General Medicine

    WoS ResearchAreas Categories

  • Cardiac & Cardiovascular Systems

ID: 55296779