The role of CT in detecting AF substrate.


Journal

Trends in cardiovascular medicine
ISSN: 1873-2615
Titre abrégé: Trends Cardiovasc Med
Pays: United States
ID NLM: 9108337

Informations de publication

Date de publication:
11 2021
Historique:
received: 08 08 2020
revised: 29 09 2020
accepted: 10 10 2020
pubmed: 18 10 2020
medline: 11 3 2022
entrez: 17 10 2020
Statut: ppublish

Résumé

Despite technological advancements and evolving ablation strategies, atrial fibrillation catheter ablation outcome remains suboptimal for a cohort of patients. Imaging-based biomarkers have the potential to play a pivotal role in the overall assessment and prognostic stratification of AF patients, allowing for tailored treatments and individualized care. Alongside consolidated evaluation parameters, novel imaging biomarkers that can detect and stage the remodelling process and correlate it to electrophysiological phenomena are emerging. This review aims to provide a better understanding of the different types of atrial substrate, and how Computed Tomography can be used as a pre-ablation risk stratification tool by assessing the various novel imaging biomarkers, providing a valuable insight into the mechanisms that sustain AF and potentially allowing for a patient-specific ablation strategy.

Identifiants

pubmed: 33068722
pii: S1050-1738(20)30127-4
doi: 10.1016/j.tcm.2020.10.004
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

457-466

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020. Published by Elsevier Inc.

Auteurs

Valentina Mangiafico (V)

Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, "Sapienza" University of Rome, Policlinico Umberto I, Rome, Italy. Electronic address: valentinamangiafico@gmail.com.

Bunny Saberwal (B)

Barts Heart Centre, West Smithfield, London, EC1A 7BE, England. Electronic address: bunny.saberwal@nhs.net.

Carlo Lavalle (C)

Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, "Sapienza" University of Rome, Policlinico Umberto I, Rome, Italy. Electronic address: carlolavalle@gmail.com.

Antony Raharja (A)

Barts Heart Centre, West Smithfield, London, EC1A 7BE, England. Electronic address: antony.raharja@nhs.net.

Zuhair Ahmed (Z)

Queen Mary University of London, London, England. Electronic address: zuhair.ahmed@gmail.com.

Nikolaos Papageorgiou (N)

Institute of cardiovascular sciences, University College London, London, England. Electronic address: n.papageorgiou@nhs.net.

Syed Ahsan (S)

Barts Heart Centre, West Smithfield, London, EC1A 7BE, England. Electronic address: syed.ahsan@nhs.net.

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Classifications MeSH