Work

3D Transthoracic Echocardiography in Atrial Fibrillation Treatment Strategies: From Imaging to Intervention and Back

Year: 2025

Type: article

Abstract: Atrial fibrillation (AF) is increasingly recognized as a structural disease that profoundly affects right-heart geometry and valvular function.The development of three-dimensional transthoracic echocardiography (3D TTE) has enabled a more detailed, reproducible assessment of these changes, offering new insights into the interplay between AF, right-heart remodeling, and tricuspid valve dynamics [1].The study of Tian et al. supports the role of 3D TTE as a valuable tool in therapeutic guidance and followup for AF-related tricuspid valve and right heart pathology, integrating it into clinical practice [2].The study represents a valuable contribution to the growing body of evidence on the structural and functional implications of rhythm control therapy in persistent AF, specifically focusing on right heart (RH) and tricuspid annular (TA) remodeling after radiofrequency ablation (RFA) [2].This commentary appraises available evidence on TA and right-heart remodeling in AF as assessed by 3D TTE, and explores the impact of rhythm control strategies, particularly catheter ablation, on reverse remodeling followed up by 3D TTE and its use in practice.

Source: Echocardiography

DOI: 10.1111/echo.70353

Authors: Sandra Jaksic Jurinjak, Jadranka Separovic Hanzevacki

Institutions: University Hospital Centre Zagreb, University of Zagreb

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,700