TY - CHAP M1 - Book, Section TI - Electrophysiologic Anatomy, Mechanisms of Arrhythmias and Conduction Disturbances, and Genetics A1 - Chen, Peng-Sheng A1 - Ho, Siew Yen A1 - Priori, Silvia G. A1 - Antzelevitch, Charles A2 - Fuster, Valentin A2 - Narula, Jagat A2 - Vaishnava, Prashant A2 - Leon, Martin B. A2 - Callans, David J. A2 - Rumsfeld, John S. A2 - Poppas, Athena PY - 2022 T2 - Fuster and Hurst's The Heart, 15e AB - Chapter SummaryThis chapter examines our present understanding of anatomical, cellular, ionic, and molecular mechanisms responsible for cardiac arrhythmias (see Fuster and Hurst’s Central Illustration). The anatomical basis of cardiac arrhythmia is first discussed, with focus on the spatial relationships of cardiac and neighborhood structures when maneuvering catheters in and around the heart. The generation and maintenance of cardiac arrhythmias and conduction disturbances depend on the interactions of various genetic, molecular, fixed, and dynamic factors. Recent years have witnessed important advances in our understanding of the structural, molecular, and electrophysiologic mechanisms, fueled by innovative research into the genetic basis and predisposition for electrical dysfunction of the heart. These advances notwithstanding, our appreciation of the basis for many rhythm disturbances is still incomplete. While it is not possible to comprehensively review all important literature in this book chapter, we tried to examine new insights obtained from recent studies and put them into historical perspective whenever possible. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1202446868 ER -