Does the prevalence of atrial fibrillation vary according to left ventricular geometric remodeling patterns?
The prevalence of atrial fibrillation increases with progressive left ventricular geometric remodeling, particularly in association with left atrial size and reduced LVEF.
in patients with normal geometry, concentric remodeling, concentric hypertrophy, and eccentric hypertrophy, respectively. The mean LV ejection fractions (LVEF) were 62.7, 62.6, 60.8, and 53.8%, respectively, whereas the prevalence of AF was 10.4%, 10.5%, 14.8%, and 16.8% in patients with normal geometry, concentric remodeling, concentric hypertrophy, and eccentric hypertrophy, respectively. In conclusion, the prevalence of AF was increasing according to LV geometric remodeling patterns in association with LA size and LVEF.
Seko et al. (Tue,) studied this question.