ReviewInternational journal of cardiology. Heart & vasculature2025
Progress in the application of cardiac magnetic resonance to predict recurrence of atrial fibrillation after catheter ablation: A systematic review and
Review in International journal of cardiology. Heart & vasculature, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Recent highlights from theInternational journal of cardiology. Heart & vasculature · 2026Article
- Recent highlights from theInternational journal of cardiology. Heart & vasculature · 2025Article
- Development, Validation, and Subtype Analysis of a Predictive Model for Atrial Fibrillation in Patients With Hypertrophic Cardiomyopathy.Reviews in cardiovascular medicine · 2025Article
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Authors and funding
3 authors.
Funding
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Abstract
Background: This systematic review and Methods: As of June 2024, a total of 3086 articles have been obtained through searching PubMed, Embase, and Cochrane databases. Standard mean differences and 95% confidence intervals were used to examine structural and functional changes of left atrium after catheter ablation and their relationship with recurrence of atrial fibrillation. Results: A total of 13 prospective cohort studies were included in the analysis. Decreased left atrial emptying capacity is seen in the short term after catheter ablation, and structural changes in the left atrium are seen in the long term (EFActive: SMD, 1.23, 95 % CI, 1.10-2.36, p < 0.05; EFTotal: SMD, 0.83, 95 % CI, 0.02-1.64, p < 0.05; MinLAV: SMD, 0.30, 95 % CI, 0.01-0.59, p < 0.05). Decrease in left atrial volume after catheter ablationis positively associated with the risk of recurrence of atrial fibrillation. (MaxLAV: SMD, 1.27, 95 % CI, 0.05, 2.49, p < 0.05; MaxLAVi: SMD, 0.48, 95 % CI, 0.05,0.9, p < 0.05;MinLAVi: SMD, 0.78, 95 % CI, 0.39,1.16, p < 0.05). The larger the left atrial volume and the lower the emptying and strain function, the greater the likelihood of recurrence of atrial fibrillation following catheter ablation, (MaxLAV: SMD, 0.38, 95 % CI, 0.18,0.59, p < 0.05;MinLAV: SMD, 0.83,95 % CI, 0.41,1.24, p < 0.05; MaxLAVi: SMD, 0.35, 95 % CI, 0.21,0.50, p < 0.05;MinLAVi: SMD, 0.62, 95 % CI, 0.47,0.78, p < 0.05; EFPassive: SMD, -0.57, 95 % CI, -0.78, -0.37, p < 0.05; EFActive: SMD, -0.62, 95 % CI, -1.08, -0.15, P < 0.05; EFTotal: SMD, -0.70, 95 % CI, -0.97, -0.44, P < 0.05; ℇCT: SMD, -0.61, 95 % CI, -0.90, -0.32, p < 0.05; PLAS: SMD, -1.22, 95 % CI, -1.87, -0.57, p < 0.05; ℇR: SMD, -0.50, 95 % CI, -0.79, -0.21, p < 0.05; PLAS: SMD, -1.22, 95 % CI, -1.87, -0.57, p < 0.05). Conclusion: Short-term left atrial functional impairment can be observed after catheter ablation, while long-term reduction in left atrial volume can be seen. Changes in left atrial volume are likely to lead to the recurrence of atrial fibrillation, while alterations in left atrial function help maintain sinus rhythm. Larger left atrial volume and lower emptying and strain function at baseline assessment by cardiac magnetic resonance are more likely to lead to recurrence of atrial fibrillation after catheter ablation, which may be useful to identify those for whom catheter ablation has reduced success or for whom more aggressive ablation or medications may be useful.
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