“…From a pathophysiological point of view, AF is characterized by atrial electrical remodeling, mainly mediated by ion-channel alterations (Brundel et al, 2001 ; Santulli et al, 2012b ; Xie et al, 2013 ) and structural remodeling (fibrosis and apoptosis), which favors arrhythmia recurrence and maintenance (Perino et al, 2011 ; Santulli and D'Ascia, 2012 ; Santulli et al, 2012b ). A noticeable feature of the electrical remodeling associated with AF is the abbreviation of the effective refractory period favoring reentry (D'Ascia et al, 2010 , 2011 ; Kapur and Macrae, 2013 ), primarily due to shortening of atrial action potential duration (APD).…”