Arrhythmias & electrophysiology
Left atrial posterior volume and posterior-anterior volume ratio as predictive factors for atrial fibrillation recurrence: Insights from regional atrial remodeling
Authors' conclusion
LA-P volume and PAVR are significant predictors of AF recurrence, underscoring the importance of regional atrial volumetric assessments to refine risk stratification and inform personalized treatment strategies for patients undergoing AF ablation.
Study context
- Population
- Patients who underwent atrial fibrillation (AF) ablation, with computed tomography angiography (CTA) volumetric assessmentpatients who underwent AF ablation
- Participants
- 365 patients
- Exposure
- Associations between volumetric indices and AF recurrence
- Outcome
- AF recurrence
Main finding
As reported in the abstract
Adjusted hazard ratio (95% CI)P value
Highest LA-P volume quartilevs Lowest LA-P volume quartilemultivariate adjusted; higher recurrence rates, log-rank P < .001
2.90(1.49–5.66)
P = 0.005for trendLA-P volume per standard deviation increment42% increased recurrence risk
1.42(1.16–1.72)
PAVR per standard deviation incrementindependently linked to recurrence
1.35(1.15–1.58)
P < 0.001- Left atrial posterior (LA-P) volume positively associated with AF recurrence in a linear pattern
- P < 0.001
Observational data: associations, not effects.
Original publication
Left atrial posterior volume and posterior-anterior volume ratio as predictive factors for atrial fibrillation recurrence: Insights from regional atrial remodeling. Heart Rhythm. Published 27 April 2025. doi:10. 1016/ j. hrthm. 2025. 04. 047
Composed by AI from the published abstract and checked against it. How Briefs are made →