Atrial fibrillation as a self-sustaining arrhythmia independent of focal discharge

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

“…Moe i Abildskov [114] wysunęli przypuszczenie, że AF może być podtrzymywane przez ciągłe przewodzenie kilku niezależnych małych fal pobudzenia ulegających propagacji w mięśniu przedsionków w pozornie chaotyczny sposób. Dopóki liczba czół fal nie zmniejszy się poniżej pewnego krytycznego poziomu, mogą one podtrzymywać arytmię.…”

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

“…Moe and Abildskov 114 proposed that AF can be perpetuated by continuous conduction of several independent wavelets propagating through the atrial musculature in a seemingly chaotic manner. As long as the number of wavefronts does not decline below a critical level, they will be capable of sustaining the arrhythmia.…”

EHRA/HRS/APHRS/SOLAECE expert consensus on atrial cardiomyopathies: definition, characterization, and clinical implication

“…On one side are those who promote variants of the original idea of Gordon Moe that fibrillation, whether atrial or ventricular, results from the continued random propagation of multiple independent electric waves that move independently throughout the atria. 234,235 On the other side are those who adhere to the theory that fibrillation is a consequence of the continued activity of a few vortices (rotors) that spin at high frequencies, generating 'fibrillatory conduction'. 236,237 In either case, arrhythmia maintenance is favoured by abbreviated APD/refractory period.…”