Skip to main content

What can anatomy teach the electrophysiologist for diagnostic procedures?

Welche anatomischen Aspekte sind in der elektrophysiologischen Diagnostik relevant?

Abstract

Even for a basic study, the electrophysiologist needs to have a clear mental picture of cardiac anatomy when positioning the diagnostic catheters. This review highlights some of the features of the four cardiac chambers relevant for translating anatomic knowledge into an understanding of fluoroscopy images and electrograms. Integration of images from real cardiac anatomy into three-dimensional mapping based on electrograms and “virtual” anatomy is crucial for the success and safety of diagnostic and therapeutic electrophysiological procedures.

Zusammenfassung

Selbst im Rahmen einer einfachen Basisuntersuchung benötigt der Elektrophysiologe bei der Positionierung der Katheter eine klare Vorstellung von der kardialen Anatomie. Diese Übersicht stellt schlaglichtartig einige Charakteristika der vier Herzkammern vor, die bei der Übersetzung der anatomischen Kenntnisse in ein Verständnis des fluoroskopischen Bilds und der Elektrogramme bedeutsam sind. Die Integration von Bildern der realen kardialen Anatomie in das 3‑dimensionale Mapping, das auf Elektrogrammen und „virtueller“ Anatomie beruht, ist entscheidend für Erfolg und Sicherheit diagnostischer und therapeutischer elektrophysiologischer Prozeduren.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

References

  1. Bochenek A, Reicher M (1993) Vascular system. 6th Edition. Human Anatomy, part III

  2. Wellens HJJ, Lie KI, Janse MJ (1978) Chapter 19: Electrophysiology of endocardial intraventricular conduction: the role and function of the specialized conducting system. In: The conduction system of the heart

    Chapter  Google Scholar 

  3. Nakagawa H, Jackman WM (2005) Para-Hisian pacing: useful clinical technique to differentiate retrograde conduction between accessory atrioventricular pathways and atrioventricular nodal pathways. Heart Rhythm 2(6):667–72. https://doi.org/10.1016/j.hrthm.2005.01.026

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maxim Didenko MD PhD, FEHRA.

Ethics declarations

Conflict of interest

M. Didenko declares: Non promotional lecture fee: Medtronic, Biosense Webster, Abbott, Biotronik. F. Kusumoto and D. Dilling-Boer declare that they have no competing interests.

For this article no studies with human participants or animals were performed by any of the authors. All studies mentioned were in accordance with the ethical standards indicated in each case.

Additional information

figure qr

Scan QR code & read article online

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Didenko, M., Kusumoto, F. & Dilling-Boer, D. What can anatomy teach the electrophysiologist for diagnostic procedures?. Herzschr Elektrophys 33, 119–123 (2022). https://doi.org/10.1007/s00399-022-00867-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00399-022-00867-7

Keywords

  • Cardiac anatomy for electrophysiologysts
  • Electrophysiological catheter position
  • Right ventricular structures
  • Anatomic landmarks
  • Electroanatomic correlation

Schlüsselwörter

  • Anatomie des Herzens für Elektrophysiologen
  • Position elektrophysiologischer Katheter
  • Rechtsventrikuläre Strukturen
  • Anatomische Orientierungspunkte
  • Elektroanatomische Korrelation