Left Atrial Wall Thickness Measured by a Machine Learning Method Predicts AF Recurrence After Pulmonary Vein Isolation.

Journal: Journal of cardiovascular electrophysiology
PMID: 39611529

Abstract

BACKGROUND: Left atrial (LA) remodeling plays a significant role in the progression of atrial fibrillation (AF). Although LA wall thickness (LAWT) has emerged as an indicator of structural remodeling, its impact on AF outcomes remains unclear. We aimed to determine the association between LAWT and AF recurrence after pulmonary vein isolation (PVI), as well as to evaluate the relationship between LAWT and LA fibrosis.

Authors

  • Daniel A Gomes
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Ana Rita Bello
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Pedro Freitas
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Joana Certo Pereira
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Daniel Nascimento Matos
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Pedro Lopes
    Cardiology Department, Hospital de Santa Cruz, Lisboa, Portugal.
  • Gustavo Rodrigues
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • João Carmo
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Francisco Gama
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Sara Guerreiro
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Pedro Galvão Santos
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Francisco Moscoso Costa
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Jorge Ferreira
    Lab Animal, . jorge.ferreira@springernature.com.
  • Pedro Carmo
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • João Abecasis
    Cardiology Department, Hospital de Santa Cruz, Lisboa, Portugal; Faculdade de Ciências Médicas, Nova Medical School, Portugal. Electronic address: joaoabecasis@hotmail.com.
  • Diogo Cavaco
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • Francisco Bello Morgado
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.
  • António M Ferreira
    From the Primary Care Stratified Medicine Research Group, Centre for Academic Primary Care, Lifespan and Population Health Unit, School of Medicine, University of Nottingham, Nottingham, England (R.K.A.); IRCCS Humanitas Research Hospital, Rozzano, Italy (S.F., L.M., M.F.); School of Biomedical Engineering and Imaging Sciences-Faculty of Life Sciences and Medicine, King's College London, Westminster Bridge Rd, London SE1 7EH, England (S.F., V.S., A.C., G.G., P.G.M.); Department of Cardiology, Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Lisbon, Portugal (P.M.L., A.M.F., J.A.); Department of Cardiology, University Hospital Muenster, Muenster, Germany (K.B.B., A.Y., A.R.F.); Department of Cardiology, Hartcentrum, Jessa Hospital, Hasselt, Belgium (S.M.F.); Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium (S.M.F.); Multimodality Cardiac Imaging Section, IRCSS Policlinico San Donato, San Donato Milanese, Italy (L.T., M.L.); Department of Radiology, Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy (L.T.); Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy (S.M., G.P.); GVM Care & Research, Maria Cecilia Hospital, Cotignola, Italy (S.C., A.S.); Center for Cardiac MR, Lausanne University Hospital, CHUV, Lausanne, Switzerland (A.G.P., P.M., J.S.); Cardiologia-4, Dipartimento Cardio-toraco-vascolare A. De Gasperis, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy (I.B., G.Q., P.P.); Department of Cardiology, Hospital Universitario Vall d'Hebron, Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain (L.G.G., J.F.R.P.); Centro de Investigación Biomédica en Red, CIBERCV, Madrid, Spain (L.G.G., J.F.R.P.); Department of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, Utrecht, the Netherlands (A.J.T., T.L.); Fondazione CNR/Regione Toscana G. Monasterio, Pisa, Italy (F.B., C.D.A.); Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy (D.F., V.M., L.A.); Department of Cardiology, Istituto Auxologico Italiano, IRCCS, Milan, Italy (C.T., D.M., L.P.B.); Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy (D.M., L.P.B.); Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland (P.M., J.S.); Gasthuisberg University Hospital, Leuven, Belgium (B.V., J.B.); Department of Biomedical, Surgical and Dental Sciences (G.P.) and Department of Clinical Sciences and Community Health, Cardiovascular Section (D.A.), University of Milan, Milan, Italy; and Department of Clinical Therapeutics, National and Kapodistrian University of Athens, Athens, Greece (G.G.).
  • Pedro Adragão
    Department of Cardiology, Hospital de Santa Cruz, Carnaxide, Lisbon, Portugal.

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