Objectives
Atrial fibrillation is most common type of arrhythmias. During last few decades with lot of new advancements in electrophysiological field, we reached up to satisfactory outcomes for Paroxysmal atrial fibrillation with help of ablation procedures. But still most challenging type is chronic atrial fibrillation. Recurrence rate of atrial fibrillation in patients with chronic atrial fibrillation is very high that shows inadequacy of Pulmonary Veins Isolation. Since last few decades we are trying to understand insight of mechanism of atrial fibrillation, we conclude there must be some triggers and substrate other than pulmonary veins according to many studies have been described in literature that pulmonary veins isolation alone is not sufficient to deal with permanant atrial fibrillation. Purpose of our review is to summarize updates and to understand role of coronary sinus in induction, propagation and maintenance of atrial fibrillation.
Methods
For this systematic review, we searched thoroughly major medical libraries including scientific material including Pubmed, Embase and Scopus. Mesh terms used in our search strategy were “Atrial Fibrillation, Coronary Sinus and Substrate”. We used all relevant articles available in english language. In addition we also used text books and heart human to find relation of coronary sinus with other rhythmogenic structure in heart.
Methods
For this systematic review, we searched thoroughly major medical libraries including scientific material including Pubmed, Embase and Scopus. Mesh terms used in our search strategy were “Atrial Fibrillation, Coronary Sinus and Substrate”. We used all relevant articles available in english language. In addition we also used text books and heart human to find relation of coronary sinus with other rhythmogenic structure in heart.
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