ArticleHeart rhythm O22025
Outcomes in patients with cardiac amyloidosis undergoing catheter ablation for atrial arrhythmias.
Article in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Atrial fibrillation in transthyretin amyloid cardiomyopathy: marker of disease severity and implications for multidomain reassessment.Heart failure reviews · 2026Review
- Catheter Ablation for Atrial Fibrillation in Cardiac Amyloidosis: A Systematic Review and Meta-Analysis.Journal of arrhythmia · 2026Article
- Catheter ablation versus no ablation for atrial fibrillation in cardiac amyloidosis: a propensity-matched cohort study.Global cardiology science & practice · 2026Article
- Isolated atrial amyloidosis from atrial natriuretic peptide - a common but overlooked cardiac condition.Upsala journal of medical sciences · 2026Review
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Cardiac amyloidosis (CA) is characterized by atrial myopathy, which predisposes patients to atrial fibrillation (AF) and other atrial arrhythmias (AA). Although catheter ablation of AA is effective in the general population, its efficacy and safety in patients with CA remain unclear. Objective: The study aimed to evaluate outcomes in patients with CA undergoing catheter ablation for typical atrial flutter (TAFL) and left atrial (LA) arrhythmias and to assess the presence and influence of LA low-voltage areas (LVA) in the latter. Methods: We retrospectively analyzed patients with CA undergoing first-time ablation for TAFL or LA arrhythmias (AF, atypical atrial flutter, and focal tachycardia). For the latter group, LA electroanatomical mapping (EAM) quantified LVA burden and distribution. The primary outcome was arrhythmia recurrence at 1 year. Additionally, long-term outcomes over the maximum follow-up period were assessed and correlated with LVA. Results: The cohort included 36 patients (TAFL in 11, LA arrhythmias in 25; mean age 74 ± 7 years, 81% men, 64% wild-type transthyretin amyloidosis). Recurrence of any AA after 1 year occurred in 10 patients (40%) after LA arrhythmia ablation and in 3 patients (28%) after TAFL ablation (all new AA). LVA was seen in 73% of patients undergoing LA arrhythmia, and it occupied 50.4% of the LA surface, most commonly the posterior wall (53%). However, its presence did not correlate with long-term arrhythmia-free survival ( Conclusion: Catheter ablation provides reasonable 1-year arrhythmia control in patients with CA experiencing TAFL or LA arrhythmias. However, long-term AA recurrence rates remain high.
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