Journal article

The impact of age on ablation outcomes in AF-mediated cardiomyopathy

Louise Segan, David Chieng, Hariharan Sugumar, Aleksandr Voskoboinik, Liang-Han Ling, Ben Costello, Sonia Azzopardi, Ziporah Nderitu, Ramanathan Parameswaran, John Amerena, Alex J McLellan, Geoffrey Lee, Joseph Morton, Stephen Joseph, Michael Wong, Andrew Taylor, Jonathan M Kalman, Peter M Kistler, Sandeep Prabhu

Journal of Cardiovascular Electrophysiology | Wiley | Published : 2023

Abstract

Introduction: The absence of ventricular scar in patients with atrial fibrillation (AF) and systolic heart failure (HF) predicts left ventricular (LV) recovery following AF ablation. It is unknown whether age impacts the degree of LV recovery, reverse remodeling, or AF recurrence following catheter ablation (CA) among this population. Objectives: To evaluate the impact of age on LV recovery and AF recurrence in a population with AF and systolic HF without fibrosis (termed AF-mediated cardiomyopathy) following CA. Methods: Consecutive patients undergoing CA between 2013 and 2021 with LV ejection fraction (LVEF) < 45% and absence of cardiac magnetic resonance imaging (CMR) detected LV myocardi..

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