Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study

Introduction: Catheter ablation is becoming an increasingly utilized treatment option for atrial fibrillation (AF) due to its proven efficacy. This study aims to examine the correlation between changes in left atrium (LA) sphericity and the outcomes of catheter ablation in patients with AF, as there...

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Main Authors: Parisa Ahmadi, Majid Haghjoo, Danial Farmani, Amir Askarinejad, Sara Adimi, Mona Heidarali, Hamideh Khesali
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Research in Cardiovascular Medicine
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Online Access:https://journals.lww.com/10.4103/rcm.rcm_49_23
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author Parisa Ahmadi
Majid Haghjoo
Danial Farmani
Amir Askarinejad
Sara Adimi
Mona Heidarali
Hamideh Khesali
author_facet Parisa Ahmadi
Majid Haghjoo
Danial Farmani
Amir Askarinejad
Sara Adimi
Mona Heidarali
Hamideh Khesali
author_sort Parisa Ahmadi
collection DOAJ
description Introduction: Catheter ablation is becoming an increasingly utilized treatment option for atrial fibrillation (AF) due to its proven efficacy. This study aims to examine the correlation between changes in left atrium (LA) sphericity and the outcomes of catheter ablation in patients with AF, as there is limited understanding of the predictors influencing the success of catheter ablation. Methods: All eligible patients with AF who underwent catheter ablation were included. Demographic data consist of age, gender, beta-blocker agents, anti-arrhythmia agents, and past medical history and echocardiographic parameters including LA sphericity and left ventricular ejection fraction (LVEF) LA diameter, LA area, LA volume index, and left ventricular end-diastolic pressure and CHA2DS2-VASc Score between successful and unsuccessful group were analyzed. Results: The results demonstrated a significant correlation between the success of catheter ablation and LA sphericity with unsuccessful cases showing a lower mean value of LA sphericity (P = 0.04). Furthermore, a significantly lower LVEF was observed in patients with unsuccessful ablation outcomes (P = 0.02). Conclusion: The study suggests that changes in LA sphericity can potentially predict the success of catheter ablation in AF patients. This insight could aid in identifying high-risk patients and optimizing AF treatment strategies.
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spelling doaj-art-a6ab0ef6d5df4a709b41dc72b206df212025-08-20T02:11:58ZengWolters Kluwer Medknow PublicationsResearch in Cardiovascular Medicine2251-95722251-95802025-01-01141313510.4103/rcm.rcm_49_23Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional StudyParisa AhmadiMajid HaghjooDanial FarmaniAmir AskarinejadSara AdimiMona HeidaraliHamideh KhesaliIntroduction: Catheter ablation is becoming an increasingly utilized treatment option for atrial fibrillation (AF) due to its proven efficacy. This study aims to examine the correlation between changes in left atrium (LA) sphericity and the outcomes of catheter ablation in patients with AF, as there is limited understanding of the predictors influencing the success of catheter ablation. Methods: All eligible patients with AF who underwent catheter ablation were included. Demographic data consist of age, gender, beta-blocker agents, anti-arrhythmia agents, and past medical history and echocardiographic parameters including LA sphericity and left ventricular ejection fraction (LVEF) LA diameter, LA area, LA volume index, and left ventricular end-diastolic pressure and CHA2DS2-VASc Score between successful and unsuccessful group were analyzed. Results: The results demonstrated a significant correlation between the success of catheter ablation and LA sphericity with unsuccessful cases showing a lower mean value of LA sphericity (P = 0.04). Furthermore, a significantly lower LVEF was observed in patients with unsuccessful ablation outcomes (P = 0.02). Conclusion: The study suggests that changes in LA sphericity can potentially predict the success of catheter ablation in AF patients. This insight could aid in identifying high-risk patients and optimizing AF treatment strategies.https://journals.lww.com/10.4103/rcm.rcm_49_23atrial fibrillationcatheter ablationechocardiographic parametersleft atrium sphericity
spellingShingle Parisa Ahmadi
Majid Haghjoo
Danial Farmani
Amir Askarinejad
Sara Adimi
Mona Heidarali
Hamideh Khesali
Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study
Research in Cardiovascular Medicine
atrial fibrillation
catheter ablation
echocardiographic parameters
left atrium sphericity
title Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study
title_full Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study
title_fullStr Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study
title_full_unstemmed Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study
title_short Left Atrium Sphericity and Catheter Ablation Outcome in Atrial Fibrillation Patients: A Single-center Cross-sectional Study
title_sort left atrium sphericity and catheter ablation outcome in atrial fibrillation patients a single center cross sectional study
topic atrial fibrillation
catheter ablation
echocardiographic parameters
left atrium sphericity
url https://journals.lww.com/10.4103/rcm.rcm_49_23
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