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Updated: Jun 17, 2026

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
Cardiac anatomy for the interventional arrhythmologist: I.terminology and fluoroscopic projections
Jerónimo Farré1, Robert H Anderson, José A Cabrera
1Department of Cardiology, Fundación Jiménez Díaz-Capio, Universidad Autónoma de Madrid, Madrid, Spain. jfarre@jfrb.e.telefonica.net
Insights
Understanding cardiac anatomy is crucial for interventional electrophysiologists. A new attitudinal nomenclature improves anatomical descriptions for mapping and ablation, enhancing fluoroscopic visualization.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Anatomical Terminology
Background:
- Accurate cardiac anatomy understanding is vital for interventional electrophysiologists.
- Traditional nomenclature for mapping and ablation sites lacks attitudinal appropriateness.
- Existing terminology does not account for the heart's position in the erect human body.
Purpose of the Study:
- To discuss the role of attitudinally appropriate terminology in cardiac anatomy.
- To relate this new nomenclature to cardiac imaging projections.
- To introduce a series of reviews on cardiac anatomy for interventional arrhythmologists.
Main Methods:
- Review of traditional and proposed attitudinal nomenclature for cardiac anatomy.
- Analysis of terminology in relation to cardiac fluoroscopy, fluorography, and angiography projections.
- Utilizing The Visible Human Slice and Surface Server for anatomical illustration.
Main Results:
- Traditional nomenclature for cardiac mapping and ablation sites is inadequate.
- An attitudinal nomenclature offers a more precise way to describe cardiac anatomical locations.
- This approach enhances the understanding of fluoroscopic cardiac anatomy.
Conclusions:
- Attitudinally appropriate terminology is essential for interventional electrophysiologists.
- The proposed nomenclature facilitates clearer communication and understanding of cardiac anatomy.
- This review series aims to improve the visualization and understanding of cardiac anatomy using advanced tools.
Abstract:
Cardiac anatomy is complex and its understanding is essential for the interventional arrhythmologist. The first difficulty is the terminology used to describe the location of sites of mapping and ablation. For many years, electrophysiologists have named these positions following the conventional electrocardiographical vocabulary, or the terminology used by surgeons performing arrhythmic surgery. This traditional nomenclature, however, failed to take note of the crucial principle of considering the location of the heart in the human body as viewed in its erect position. In other words, it had failed to use an attitudinally appropriate terminology. Almost 10 years ago, a new attitudinal nomenclature was proposed for the right and left atrioventricular junctions. In this first of a series of reviews of cardiac anatomy as seen by the interventional arrhythmologist, we discuss the role of attitudinally appropriate terminology, and relate this to the projections used for cardiac fluoroscopy, fluorography, and angiography. Throughout our series of reviews, we will illustrate the value of The Visible Human Slice and Surface Server in facilitating the understanding of the fluoroscopic anatomy. (PACE 2010; 497-507).
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