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      Tailored atrial substrate modification based on low-voltage areas in catheter ablation of atrial fibrillation.

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          Abstract

          Reduced electrogram amplitude has been shown to correlate with diseased myocardium. We describe a novel individualized approach for catheter ablation of atrial fibrillation (AF) based on low-voltage areas (LVAs) in the left atrium (LA). We sought to assess (1) the incidence of LVAs in patients undergoing AF catheter ablation, (2) the distribution of LVAs within the LA, and (3) the effect of an individualized ablation strategy on long-term rhythm outcomes.

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          Author and article information

          Journal
          Circ Arrhythm Electrophysiol
          Circulation. Arrhythmia and electrophysiology
          1941-3084
          1941-3084
          Oct 2014
          : 7
          : 5
          Affiliations
          [1 ] From the Department of Electrophysiology, University of Leipzig-Heart Center, Leipzig, Germany (S.R., S.K., A.A., C.E., P.S., S.R., A.B., C.P., G.H.); Department of Electrophysiology, University of Dresden-Heart Center, Dresden, Germany (T.G., C.P.); and Department of Cardiology, Kantonsspital St. Gallen, St. Gallen, Switzerland (D.A.). sascha.rolf@web.de.
          [2 ] From the Department of Electrophysiology, University of Leipzig-Heart Center, Leipzig, Germany (S.R., S.K., A.A., C.E., P.S., S.R., A.B., C.P., G.H.); Department of Electrophysiology, University of Dresden-Heart Center, Dresden, Germany (T.G., C.P.); and Department of Cardiology, Kantonsspital St. Gallen, St. Gallen, Switzerland (D.A.).
          Article
          CIRCEP.113.001251
          10.1161/CIRCEP.113.001251
          25151631
          9343e4ab-b403-4fa9-811e-ef7a9575e7ac
          © 2014 American Heart Association, Inc.
          History

          arrhythmias, cardiac,atrial fibrillation,catheter ablation,fibrosis

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