2021
DOI: 10.1111/jce.15083
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Atrial fibrillation and atrial cardiomyopathies

Abstract: Atrial fibrillation (AF) is the most common arrhythmia among adults. While there have been incredible advances in the management of AF and its clinical sequelae, investigation of atrial cardiomyopathies (ACMs) is becoming increasingly more prominent. ACM refers to the electromechanical changes—appreciated subclinically and/or clinically—that underlie atrial dysfunction and create an environment ripe for the development of clinically apparent AF. There are several subtypes of ACM, distinguished by histologic fe… Show more

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Cited by 9 publications
(3 citation statements)
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References 103 publications
(159 reference statements)
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“…The ectopic impulse theory of atrial fibrillation, the single-loop reentry theory, and the multiwavelet reentry theory are cornerstones for understanding the mechanisms of the occurrence and maintenance of atrial fibrillation, which increase the risk of ischemic stroke, systemic embolism, heart failure, and mortality [ 1 ]. Electrical and structural remodeling plays an important role in the pathophysiology of the development of atrial fibrillation.…”
Section: Introductionmentioning
confidence: 99%
“…The ectopic impulse theory of atrial fibrillation, the single-loop reentry theory, and the multiwavelet reentry theory are cornerstones for understanding the mechanisms of the occurrence and maintenance of atrial fibrillation, which increase the risk of ischemic stroke, systemic embolism, heart failure, and mortality [ 1 ]. Electrical and structural remodeling plays an important role in the pathophysiology of the development of atrial fibrillation.…”
Section: Introductionmentioning
confidence: 99%
“…ACM impairs the storage function of the atria and poor ventricular filling. The histological features of ACM are as follows: (1) cardiomyocytic lesions; (2) fibrosis; (3) Myocardial lesions combined with fibrosis; (4) Primary non-collagen infiltration (with or without cardiomyocyte changes) [29]. In atrial remodeling and ACM, atrial fibrosis is an important pathological manifestation of both.…”
Section: Impairment Of Auxiliary Pump and Storage Functionmentioning
confidence: 99%
“…That is, AF could be only the tip of the iceberg with the associated cardiovascular contributors as the main basis for AF development and progression. 6 While high AF burden itself can alter the atria and co-contribute to the development and progression of atrial cardiomyopathic alterations and consequences, this is less clear for infrequent or short periods of AF.…”
mentioning
confidence: 99%