Atrial volumetrics and recurrence after catheter ablation for atrial fibrillation - Summary - MDSpire

Atrial volumetrics and recurrence after catheter ablation for atrial fibrillation

  • By

  • Hyunho Ryu

  • Soonil Kwon

  • Seokmoon Han

  • Jae-Hyun Kim

  • Hyo-Jeong Ahn

  • So-Ryoung Lee

  • Seil Oh

  • Eue-Keun Choi

  • June 22, 2026

  • 0 min

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Objective:

To assess the association between various atrial volumetrics and the 12-month recurrence of atrial fibrillation (AF) after catheter ablation.

Approach:
    Key Findings:
    • Among 199 patients, 45 (22.6%) experienced AA recurrence within 12 months.
    • All atrial volumetrics were significantly higher in the recurrence group.
    • Optimal cutoffs for predicting recurrence were identified for various atrial volumes: total LA ≥129.1 mL, LA body ≥112.0 mL, LAA ≥15.3 mL, total RA ≥123.0 mL, RA body ≥82.1 mL, and RAA ≥13.2 mL.
    • LAA volume ≥15.3 mL and RA body volume ≥82.1 mL were independent predictors of recurrence.
    Interpretation:

    Most dichotomized atrial volumetrics were associated with 12-month AA recurrence after AFCA.

    Limitations:
    • The study was retrospective and conducted at a single center.
    • The sample size may limit the generalizability of the findings.
    Conclusion:

    LAA ≥15.3 mL and RA body ≥82.1 mL were independently associated with recurrence.

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