Prognostic impact of atrial cardiomyopathy: Long-term follow-up of patients with and without low-voltage areas following atrial fibrillation ablation

Editorial to “Associations of the Fibrosis‐4 index with left atrial low‐voltage areas and arrhythmia recurrence after catheter ablation: Cardio‐hepatic interaction in patients with atrial fibrillation”

“…Masuda et al. 2 evaluated the prognosis of 1488 consecutive patients who underwent AF ablation according to the LVA size. In that study, patients with LVAs were more likely to receive substrate ablation beyond the PVI than those without.…”

“…Masuda et al. 2 concluded that both an LVA presence and its extent are associated with poor long‐term composite endpoints of death, heart failure, and strokes, irrespective of AF recurrence. Therefore, preprocedural predictors of the existence of LVAs are important for determining the indication for CA, appropriate strategy, and modality.…”