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What can anatomy teach the electrophysiologist for diagnostic procedures?

Welche anatomischen Aspekte sind in der elektrophysiologischen Diagnostik relevant?


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.


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.

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Correspondence to Maxim Didenko MD PhD, FEHRA.

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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.

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Didenko, M., Kusumoto, F. & Dilling-Boer, D. What can anatomy teach the electrophysiologist for diagnostic procedures?. Herzschr Elektrophys 33, 119–123 (2022).

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


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