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The Arrhythmia Circuit Hid Between the Heart's Surfaces

Patient-specific digital twins linked through-wall fibrosis patterns to endocardial and epicardial electrical separation.

Published Updated Story ID: mp-2026-08-03-012
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Summary

Patient-specific digital twins linked through-wall fibrosis patterns to endocardial and epicardial electrical separation.

MRI-derived bi-atrial digital twins from 21 people with persistent atrial fibrillation produced 91 reentry-sustaining regions for comparison with 73 controls. Reentry regions showed substantially greater voltage and activation-time differences between inner and outer atrial surfaces, while fibrosis percentage and through-wall dissimilarity independently tracked reentry. The work is mechanistic simulation evidence, not a tested ablation protocol.

Why it matters

Patient-specific digital twins linked through-wall fibrosis patterns to endocardial and epicardial electrical separation.

Limits and context

  • The work is mechanistic simulation evidence, not a tested ablation protocol.

Key claims

  1. Patient-specific digital twins linked through-wall fibrosis patterns to endocardial and epicardial electrical separation.

    Qualification: The work is mechanistic simulation evidence, not a tested ablation protocol.

    Evidence: source-2026-08-03-012

Sources

  1. The Journal of Physiology: transmural fibrosis in persistent atrial fibrillationWiley · secondary reporting

Corrections

No corrections have been recorded for this story.