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Publication Name World Journal of Cardiology
Manuscript ID 109739
Country United States
Category Cardiac & Cardiovascular Systems
Manuscript Type Review
Article Title Atrial fibrillation substrate mapping with emphasis on voltage-based guidance
Manuscript Source Invited Manuscript
All Author List Edward J Ciaccio, Henry H Hsia, Hirad Yarmohammadi, Elaine Y Wan MD, Nicholas S Peters, Deepak Saluja and Angelo B Biviano
Funding Agency and Grant Number
Corresponding Author Edward J Ciaccio, PhD, Senior Researcher, Division of Cardiology, Department of Medicine, Columbia University Medical Center, Room 9-934, 180 Fort Washington Avenue, New York, NY 10032, United States. ejc6@columbia.edu
Key Words Ablation; Atrial fibrillation; Sinus rhythm; Substrate mapping; Voltage
Core Tip Voltage mapping is commonly used during substrate mapping to detect target areas for ablation in patients with atrial fibrillation (AF). Analysis of the substrate may take the form of detecting low voltage areas or the average voltage over an entire region. Often, areas which are targets for ablation are located where the voltage level is lower than normal, indicating disease and damage to the substrate. Furthermore, as AF progresses from paroxysmal to persistent type, the voltage level of the left atrium tends to diminish. This is often associated with atrial remodeling, in which structural and electrical changes occur during arrhythmia. Protocols for finding target areas using voltage mapping are described, and future research efforts to improve mapping and outcome are discussed.
Citation Ciaccio EJ, Hsia HH, Yarmohammadi H, MD EYW, Peters NS, Saluja D, Biviano AB. Atrial fibrillation substrate mapping with emphasis on voltage-based guidance. World J Cardiol 2025; In press
Received
2025-05-20 06:53
Peer-Review Started
2025-05-20 06:54
To Make the First Decision
Return for Revision
2025-06-12 07:35
Revised
2025-06-16 22:30
Second Decision
2025-09-16 02:39
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-09-16 07:00
Articles in Press
2025-09-16 07:00
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1949-8462 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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