Arrhythmias & electrophysiology

Left Atrial Reservoir Strain To Identify Advanced Atrial Cardiomyopathy in Patients With Atrial Fibrillation

Heart RhythmPublished prospective

Authors' conclusion

In patients with symptomatic AF, reduced LASr is associated with a more advanced atrial cardiomyopathy involving hemodynamic, mechanical and electrical atrial dyfsfunction. LASr may therefore provide a useful non-invasive marker of atrial cardiomyopathy in AF.

Study context

Population
Patients with symptomatic paroxysmal or persistent atrial fibrillation (AF) and preserved left ventricular (LV) ejection fraction scheduled for catheter ablationpatients enrolled
Participants
91 patients
Exposure
Markers of LA cardiomyopathy compared between reduced LASr (<20%) and preserved LASr (≥20%)
  • Reduced LASrn = 31
Outcome
Age

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Female

P = 0.007

LA compliance · lower with reduced LASr

P < 0.001

LA pressure · higher with reduced LASr

P = 0.031

LA voltage · lower with reduced LASr

P < 0.01

NT-proBNP · higher with reduced LASr

P < 0.001

LA volumes · larger with reduced LASr

P < 0.001

Original publication

Left Atrial Reservoir Strain To Identify Advanced Atrial Cardiomyopathy in Patients With Atrial Fibrillation. Heart Rhythm. Published 22 October 2026. doi:10.1016/j.hrthm.2026.10.034

Summarised from the published abstract; every number is checked against it

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