FUSTER
ET AL., ACC/AHA/ESC GUIDELINES FOR THE MANAGEMENT OF
PATIENTS WITH ATRIAL FIBRILLATION
J Am Coll Cardiol 2001;38:1266i-1xx
ACC/AHA/ESC
Guidelines for the Management of Patients with Atrial
Fibrillation
Figure 8.
Principal electrophysiological mechanisms
of atrial fibrillation. A, Focal activation.
The initiating focus (indicated by the asterisk) often
lies within the region of the pulmonary veins. The resulting
wavelets represent fibrillatory conduction, as in multiple-wavelet
reentry. B, Multiple-wavelet reentry. Wavelets
(indicated by arrows) randomly reenter tissue previously
activated by them or by another wavelet. The routes
the wavelets travel vary. LA indicates left atrium;
PV, pulmonary vein; ICV, inferior vena cava; SCV, superior
vena cava; and RA, right atrium. Reproduced with permission
from Konings KTS (64).
Copyright
© 2001 by the American College of Cardiology, American
Heart Association, Inc., and the European society of Cardiology
Published by Elsevier Science Inc.
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