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• W3175517688 endingPage "1702" @default.
• W3175517688 startingPage "1693" @default.
• W3175517688 abstract "Abstract Recent developments in imaging, mapping, and ablation techniques have shown that the epicardial region of the heart is a key player in the occurrence of ventricular arrhythmic events in several cardiac diseases, such as Brugada syndrome, arrhythmogenic cardiomyopathy, or dilated cardiomyopathy. At the atrial level as well, the epicardial region has emerged as an important determinant of the substrate of atrial fibrillation, pointing to common underlying pathophysiological mechanisms. Alteration in the gradient of repolarization between myocardial layers favouring the occurrence of re-entry circuits has largely been described. The fibro-fatty infiltration of the subepicardium is another shared substrate between ventricular and atrial arrhythmias. Recent data have emphasized the role of the epicardial reactivation in the formation of this arrhythmogenic substrate. There are new evidences supporting this structural remodelling process to be regulated by the recruitment of epicardial progenitor cells that can differentiate into adipocytes or fibroblasts under various stimuli. In addition, immune-inflammatory processes can also contribute to fibrosis of the subepicardial layer. A better understanding of such ‘electrical fragility’ of the epicardial area will open perspectives for novel biomarkers and therapeutic strategies. In this review article, a pathophysiological scheme of epicardial-driven arrhythmias will be proposed." @default.
• W3175517688 created "2021-07-05" @default.
• W3175517688 creator A5001931114 @default.
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• W3175517688 creator A5089999434 @default.
• W3175517688 date "2021-06-21" @default.
• W3175517688 modified "2023-10-18" @default.
• W3175517688 title "Epicardial origin of cardiac arrhythmias: clinical evidences and pathophysiology" @default.
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