Three-dimensional functional anatomy of the human sinoatrial node for epicardial and endocardial mapping and ablation

A Kalyanasundaram, N Li, RS Augostini, R Weiss… - Heart Rhythm, 2023 - Elsevier
The sinoatrial node (SAN) is the primary pacemaker of the human heart. It is a single,
elongated, 3-dimensional (3D) intramural fibrotic structure located at the junction of the …

[HTML][HTML] Targeted treatment of inappropriate sinoatrial node tachycardia based on electrophysiological and structural mechanisms

C de Asmundis, L Pannone, D Lakkireddy… - The American journal of …, 2022 - Elsevier
The purpose of this review is to determine the causal mechanisms and treatment of
inappropriate sinoatrial tachycardia (IST), defined as a non-physiological elevation in resting …

Sinus node exit, crista terminalis conduction, interatrial connection, and wavefront collision: key features of human atrial activation in sinus rhythm

T Pambrun, N Derval, J Duchateau, FD Ramirez… - Heart Rhythm, 2022 - Elsevier
Background An understanding of normal atrial activation during sinus rhythm can inform
catheter ablation strategies to avoid deleterious impacts of ablation lesions on atrial …

Characterization of the pace-and-drive capacity of the human sinoatrial node: A 3D in silico study

A Amsaleg, J Sánchez, R Mikut, A Loewe - Biophysical Journal, 2022 - cell.com
The sinoatrial node (SAN) is a complex structure that spontaneously depolarizes
rhythmically (" pacing") and excites the surrounding non-automatic cardiac cells (" drive") to …

Detection of endo-epicardial atrial low-voltage areas using unipolar and omnipolar voltage mapping

MS Van Schie, P Knops, L Zhang… - Frontiers in …, 2022 - frontiersin.org
Background: Low-voltage areas (LVA) can be located exclusively at either the endocardium
or epicardium. This has only been demonstrated for bipolar voltages, but the value of …

Molecular and functional remodeling of superior and inferior SAN in a rat model of HCM

A Gams, JA Brennan, K Goldrick, IR Efimov - Clinical Electrophysiology, 2022 - jacc.org
Background Recently, our laboratory presented functional and molecular evidence for the
presence of 2 competing sinoatrial node (SAN) pacemakers in healthy human and rat …

[HTML][HTML] Clinical relevance of sinus rhythm mapping to quantify electropathology related to atrial fibrillation

MS van Schie, NMS de Groot - Arrhythmia & Electrophysiology …, 2022 - ncbi.nlm.nih.gov
Progression of AF is accompanied by structural and electrical remodelling, resulting in
complex electrical conduction disorders. This is defined as electropathology and it increases …

High-Resolution 3-Dimensional Multimodality Imaging to Resolve Intramural Human Sinoatrial Node Pacemakers and Epicardial-Endocardial Atrial Exit Sites

N Li, BJ Hansen, J Kennelly… - Circulation …, 2023 - Am Heart Assoc
The human sinoatrial node (SAN) is an elongated 3-dimensional (3D) fibrotic structure
located intramurally along the crista terminalis (CT). 1 During sinus rhythm, electrical …

Insights Into the Effects of Low-Level Vagus Nerve Stimulation on Atrial Electrophysiology: Towards Patient-Tailored Cardiac Neuromodulation

RK Kharbanda, NL Ramdat Misier, MS van Schie… - Clinical …, 2023 - jacc.org
Background Low-level vagus nerve stimulation through the tragus (tLLVNS) is increasingly
acknowledged as a therapeutic strategy to prevent and treat atrial fibrillation. However, a …

In-vivo Sino-Atrial Node Mapping in Children and Adults With Congenital Heart Disease

RK Kharbanda, MS van Schie… - Frontiers in …, 2022 - frontiersin.org
Background: Sinus node dysfunction (SND) and atrial tachyarrhythmias frequently co-exist
in the aging patient with congenital heart disease (CHD), even after surgical correction early …