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Noninvasive Mapping and Electrocardiographic Imaging in Atrial and Ventricular Arrhythmias (CardioInsight). 2019
Ghassen Cheniti, and
Stephane Puyo, and
Claire A Martin, and
Antonio Frontera, and
Konstantinos Vlachos, and
Masateru Takigawa, and
Felix Bourier, and
Takeshi Kitamura, and
Anna Lam, and
Carole Dumas-Pommier, and
Xavier Pillois, and
Thomas Pambrun, and
Josselin Duchateau, and
Nicolas Klotz, and
Arnaud Denis, and
Nicolas Derval, and
Hubert Cochet, and
Frederic Sacher, and
Remi Dubois, and
Pierre Jais, and
Meleze Hocini, and
Michel Haissaguerre
Cardiac electrophysiology department, Hôpital Haut-Lévêque, 1 Magellan Avenue, Bordeaux, Pessac 33600, France; Electrophysiology and Heart Modeling Institute (LIRYC), Bordeaux University, avenue Haut Leveque, Pessac 33600, France. Electronic address: ghassen.chniti@gmail.com.
Electrocardiographic imaging is a mapping technique aiming to noninvasively characterize cardiac electrical activity using signals collected from the torso to reconstruct epicardial potentials. Its efficacy has been demonstrated clinically, from mapping premature ventricular complexes and accessory pathways to of complex arrhythmias. Electrocardiographic imaging uses a standardized workflow. Signals should be checked manually to avoid automatic processing errors. Reentry is confirmed in the presence of local activation covering the arrhythmia cycle length. Focal breakthroughs demonstrate a QS pattern associated with centrifugal activation. Electrocardiographic imaging offers a unique opportunity to better understand the mechanism of cardiac arrhythmias and guide ablation.
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