Electroanatomic voltage mapping for tissue characterization beyond arrhythmia definition: A systematic review

Three‐dimensional (3D) reconstruction by means of electroanatomic mapping (EAM) systems, allows for the understanding of the mechanism of focal or re‐entrant arrhythmic circuits, which can be identified by means of dynamic (activation and propagation) and static (voltage) color‐coded maps. However,...

Full description

Saved in:
Bibliographic Details
Published in:Pacing and clinical electrophysiology 2021-08, Vol.44 (8), p.1432-1448
Main Authors: Zoppo, Franco, Gagno, Giulia, Perazza, Luca, Cocciolo, Andrea, Mugnai, Giacomo, Vaccari, Diego, Calzolari, Vittorio
Format: Article
Language:English
Subjects:
Arrhythmia
Arrhythmogenic Right Ventricular Dysplasia - diagnosis
Brugada Syndrome - diagnosis
Cardiac arrhythmia
Cardiac Resynchronization Therapy Devices
Cardiomyopathies - diagnosis
Cardiomyopathy
Cardiovascular Diseases - diagnosis
Cicatrix - diagnosis
Dysplasia
Electrophysiologic Techniques, Cardiac - methods
Humans
imaging
Imaging, Three-Dimensional
Ischemia
Mapping
Myocardium - pathology
new technology
Ventricle
Voltage
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Three‐dimensional (3D) reconstruction by means of electroanatomic mapping (EAM) systems, allows for the understanding of the mechanism of focal or re‐entrant arrhythmic circuits, which can be identified by means of dynamic (activation and propagation) and static (voltage) color‐coded maps. However, besides this conventional use, EAM may offer helpful anatomical and functional information for tissue characterisation in several clinical settings. Today, data regarding electromechanical myocardial viability, scar detection in ischaemic and nonischaemic cardiomyopathy and arrhythmogenic right ventricle dysplasia (ARVC/D) definition are mostly consolidated, while emerging results are becoming available in contexts such as Brugada syndrome and cardiac resynchronisation therapy (CRT) implant procedures. As part of an invasive procedure, EAM has not yet been widely adopted as a stand‐alone tool in the diagnostic path. We aim to review the data in the current literature regarding the use of 3D EAM systems beyond the definition of arrhythmia.
ISSN:0147-8389
1540-8159
DOI:10.1111/pace.14288