ArticleHeart rhythm O22025
The usefulness of catheter ablation even in patients with myocardial impairment: Myocardial extracellular volume assessed by preablation planning computed tomography cannot predict atrial fibrillation recurrence.
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 2 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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Who cites it
2 citing papers in PubMed.
- Computed Tomography-Derived Left Ventricular Extracellular Volume Predicts Reverse Remodeling After Catheter Ablation for Atrial Fibrillation.Journal of cardiovascular development and disease · 2026Article
- Catheter Ablation and Device Therapy in Patients With Transthyretin Amyloid Cardiomyopathy: A Review of Non-Pharmacological Therapy.Journal of arrhythmia · 2026Review
Corrections and comments
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Authors and funding
27 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Increased left ventricular extracellular volume (ECV) measured by cardiac magnetic resonance imaging is associated with myocardial damage and has been considered to predict atrial fibrillation (AF) recurrence after catheter ablation (CA). However, recent reports suggest that AF recurrence is infrequent even with high ECV owing to advancing ablation technology. Objective: This study aimed to evaluate the relationship between ECV quantified by computed tomography (CT-ECV), commonly performed before CA, and AF recurrence. Methods: Consecutive 467 patients undergoing their first CA for AF at our hospital between January 2021 and June 2023 received pre-CA contrast-enhanced CT. The relationship between CT-ECV and AF recurrence within 400 days after CA was examined. Results: AF recurrence occurred in 77 patients (16.5%), and CT-ECV in the nonrecurrence group was not significantly different from that in the recurrence group (28.0% vs 28.1%; Conclusion: CT-ECV was not significantly associated with AF recurrence within 400 days after the first CA. Regardless of the severity of ventricular myocardial damage, CA for AF is beneficial for preventing AF and improving cardiac function.
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