Abstract
Unleashing the prognostic value of atrial shape in atrial fibrillation.
Highlights
The heart remodels when exposed to changes in demand or to an insult
It is well known that atrial fibrillation (AF) begets AF: the loss of the healthy activation patterns triggers a series of mechanisms that leads to microstructural adverse remodeling that will further contribute to the exacerbation of this condition
One of the intriguing questions towards an improved management of AF and the decisionmaking is: What are the changes in the 3D shape of the left atrium (LA) that could predict the success of the ablation procedure?
Summary
The heart remodels when exposed to changes in demand or to an insult. The myocardial walls thicken in response to heavier workloads, and the heart experiences eccentric remodeling in the late stages of heart failure. There are clear micro and macro signs of atrial remodeling that inform about the progression of the condition.
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