ESCWGA/NASPE/P experts consensus statement: Living anatomy of the atrioventricular junctions. A guide to electrophysiologic mapping

Francisco G. Cosío, Robert H. Anderson, Karl Heinz Kuck, Anton Becker, David G. Benditt, Saroja Bharati, Martin Borggrefe, Ronald W.F. Campbell, Fiorenzo Gaita, Gerard M. Guiraudon, Michel Haïssaguerre, George Klein, Jonathan Langberg, Francis Marchlinski, Juan Rufilanchas, Sanjeev Saksena, Gaetano Thiene, Hein J.J. Wellens

Research output: Contribution to journalReview article

35 Scopus citations

Abstract

Current nomenclature for the AV junctions derives from a surgically distorted view, placing the valvar rings and the triangle of Koch in a single plane with anteroposterior and right-left lateral coordinates. Within this convention, the aorta is considered to occupy an anterior position, whereas the mouth of the coronary sinus is shown as being posterior. Although this nomenclature has served its purpose for the description and treatment of arrhythmias dependent on accessory pathways and AV nodal reentry, it is less than satisfactory for the description of atrial and ventricular mapping. To correct these deficiencies, a consensus document has been prepared by experts from the Working Group of Arrhythmias of the European Society of Cardiology and from the North American Society of Pacing and Electrophysiology. It proposes a new, anatomically sound, nomenclature that will be applicable to all chambers of the heart. In this report, we discuss its value for description of the AV junctions and establish the principles of this new nomenclature.

Original languageEnglish (US)
Pages (from-to)1162-1170
Number of pages9
JournalJournal of cardiovascular electrophysiology
Volume10
Issue number8
DOIs
StatePublished - Jan 1 1999

Keywords

  • Accessory pathway ablation
  • Anatomic nomenclature
  • Atrial mapping
  • Atrioventricular junctions
  • Triangle of Koch

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    Cosío, F. G., Anderson, R. H., Kuck, K. H., Becker, A., Benditt, D. G., Bharati, S., Borggrefe, M., Campbell, R. W. F., Gaita, F., Guiraudon, G. M., Haïssaguerre, M., Klein, G., Langberg, J., Marchlinski, F., Rufilanchas, J., Saksena, S., Thiene, G., & Wellens, H. J. J. (1999). ESCWGA/NASPE/P experts consensus statement: Living anatomy of the atrioventricular junctions. A guide to electrophysiologic mapping. Journal of cardiovascular electrophysiology, 10(8), 1162-1170. https://doi.org/10.1111/j.1540-8167.1999.tb00291.x