Commentary: New sight, lost sight, insight, and novel sightCentral Message
Alden H. Harken, MD
JTCVS Open · 2021
doi:10.1016/j.xjon.2021.01.010 (opens in a new tab)
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Abstract
Conceptually, most of us once viewed the mechanism of atrial (and ventricular) fibrillation as a chaotic spectrum of cardiomyocytes depolarizing “automatically” in a nonpredictable (or mappable) fashion. Then Jim Cox proposed a surgical procedure, the success of which depended on isolating segments of the atrium. For the Cox-Maze procedure to be effective, the mechanism of atrial fibrillation must be reentrant. All the data that we have now acquired support the hypothesis that atrial fibrillation is a reentrant rhythm.
Abstract licence: CC BY-NC-ND
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