Japanese Circulation Society
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Plenary Session 3
Map-Guided Surgery for Atrial Fibrillation
Takashi Nitta

Figure 2. In the basic pattern of atrial activation during AF, concurrent multiple PV focal activations and fibrillatory conduction are the dominant mechanism in AF. Extremely rapid activations in the PV and a progressive conduction delay or block in the pathway from the focus to the right atrium and in the lateral right atrium causes an irregular and complex right atrial activation, resulting in coexisting multiple wavelets.


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