Left ventricular ejection fraction response after atrial fibrillation ablation: Clinical predictors and development of the PACED score

LVEF response post-AF ablation in patients with LVSD can be accurately predicted precatheter ablation with a bedside score. Left ventricular response depends primarily on substrate and conduction characteristics rather than pharmacotherapy in a guideline-directed medical therapy-optimized cohort. Late gadolinium enhancement on cardiac magnetic resonance is associated with an increased chance of being a nonresponder to ablation.

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Publication Details

Journal
Heart Rhythm
Published
2025-11-27
DOI
https://doi.org/10.1016/j.hrthm.2025.11.039
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Left ventricular ejection fraction response after atrial fibrillation ablation: Clinical predictors and development of the PACED score

Martín Thomas, Brett Kennedy, Nikhil Ahluwalia, Amal Muthumala et al.
Heart Rhythm
Atrial Fibrillation Management and Outcomes
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Left ventricular ejection fraction response after atrial fibrillation ablation: Clinical predictors and development of the PACED score

Martín Thomas, Brett Kennedy, Nikhil Ahluwalia, Amal Muthumala, Christopher Patrick Uy, Charles Butcher, Hoda Abdelgawad, T. Cooke, Sayed Al‐Aidarous, Kim Rajappan, Arsalan Khalil, Richard Ang, Caroline H. Roney, Sadia Rasheed, Richard Balasubramaniam, Kayla Chiew, Shohreh Honarbakhsh, Zhen Hua, Lauren Stanton, Dimitrios Palaiologos, Syed Ahsan, Νικόλαος Παπαγεωργίου, Saffron Rajappan, Caterina Vidal Horrach, Ross J. Hunter, Anthony W. Chow, Suria Geran, Christopher Primus, S.M. Afzal Sohaib, Shahana Hussain, Meher Lehri, Sofiane Kouadria, Gurkiran Sandhar
article en

Abstract

LVEF response post-AF ablation in patients with LVSD can be accurately predicted precatheter ablation with a bedside score. Left ventricular response depends primarily on substrate and conduction characteristics rather than pharmacotherapy in a guideline-directed medical therapy-optimized cohort. Late gadolinium enhancement on cardiac magnetic resonance is associated with an increased chance of being a nonresponder to ablation.

Heart RhythmVol. 23(3)
St Bartholomew's Hospital (GB), Queen Mary University of London (GB), Royal Bournemouth Hospital (GB), Lister Hospital (GB), Royal Berkshire Hospital (GB), King George Hospital (GB), Homerton University Hospital (GB), Lung Institute (US), Queen's Hospital (GB), Oxford University Hospitals NHS Trust (GB), Dorset County Hospital (GB), North Middlesex Hospital (GB), Imperial College London (GB)
Openalex Percentile: Top 46%
Atrial Fibrillation Management and Outcomes
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