Case series analysis: Atrial fibrillation ablation with normal vs. left atrium enlargement

Baskoro, Shalahuddin Suryo; Saerang, Gebryel Dennis; Saputri, Vemmy Lian; Rizal, Ardian; Wikananda, Adhika Prastya; Waranugraha, Yoga

doi:10.21776/ub.hsj.2025.006.02.15

Akses terbuka Jurnal SINTA 1

Case series analysis: Atrial fibrillation ablation with normal vs. left atrium enlargement

Heart Science Journal · Vol. 6 No. 2 (2025)

DOI: 10.21776/ub.hsj.2025.006.02.15
ISSN: 2721-9984, 2721-9976
Terbit: 2025-04-30
Penerbit: Universitas Brawijaya
Bahasa: en
Lisensi: creativecommons.org/licenses/by/4.0

Abstrak

Background: Atrial fibrillation (AF) is one of the most common cardiac arrhythmias, and its incidence is gradually increasing worldwide. It can develop such life-threatening conditions as heart failure, myocardial infarction, and thromboembolism. Catheter ablation, as a minimally invasive procedure to eliminate AF triggers, demonstrates different levels of success, particularly in relation to the size of the left atrium (LA). Even though left atrium enlargement (LAE) associates with worse ablation outcomes, its mechanisms are poorly understood. Case Illustration: This case report investigated the treatment results in AF ablation cases with normal LA size and LAE. This case report described two paroxysmal AF patients who underwent catheter ablation. The patient of the first case is a 45-year-old male with normal LA Size, while the second case is a 55-year-old male with LAE. Both of these patients underwent pulmonary vein isolation (PVI) using a 3D mapping system. Sinus rhythm was gained in both patients before the discharge and both performed the ablation successfully. Conclusion: Left Atrial Enlargement (LAE) exposed patient to more difficult procedures and greater risk of recurrence. LA size is one of the predictor of long term outcome in AF ablation patients, but with proper management, the prognosis might still be favourable. More studies need to determine how to manage AF ablation in patients with high-risk characteristics

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University of Brawijaya
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Rekan penulis	Organisasi	Artikel bersama
Mohammad Saifur Rohman	University of Brawijaya	32
Anna Fuji Rahimah	University of Brawijaya	16
Sasmojo Widito	University of Brawijaya	12
Novi Kurnianingsih	University of Brawijaya	12
Setyasih Anjarwani	University of Brawijaya	12
Indra Prasetya	University of Brawijaya	11
Heny Martini	University of Brawijaya	9
Cholid Tri Tjahjono	University of Brawijaya	9
Djanggan Sargowo	University of Brawijaya	7
Wella Karolina	University of Brawijaya	7
Budi Satrijo	University of Brawijaya	7
Fitranti Suciati Laitupa	University of Brawijaya	4
Tri Astiawati	University of Brawijaya	4
Valerinna Yogibuana Swastika Putri	University of Brawijaya	4
N Kaputrin	University of Brawijaya	4
Icmi Dian Rochmawati	University of Brawijaya	3
Puspa Lestari	University of Brawijaya	3
Dadang Hendrawan	University of Brawijaya	3
Muhammad Saifur Rohman	Afiliasi tidak diketahui	3
Valerinna Yogibuana	Afiliasi tidak diketahui	3
Olivia Handayani	University of Brawijaya	2
Fahmy Rusnanta	University of Brawijaya	2
Anita Surya Santoso	Afiliasi tidak diketahui	2
Pawik Supriadi	University of Brawijaya	2
Wira Kimahesa	University of Brawijaya	2
Nikhen Noverike	University of Brawijaya	2
Cik Kahadi	University of Brawijaya	2
Marco Filano	University of Brawijaya	2
Jonny Karunia Fajar	University of Brawijaya	2
Ratna Pancasari	University of Brawijaya	2
Muhammad Rizki Fadlan	University of Brawijaya	2
Yoseph Budi Utomo	University of Brawijaya	1
Putri Annisa Kamila	University of Brawijaya	1
Aditha Satria Maulana	University of Brawijaya	1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.

Metadata asli (oai_dc)

<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Case series analysis: Atrial fibrillation ablation with normal vs. left atrium enlargement</dc:title>
	<dc:creator xml:lang="en">Baskoro, Shalahuddin Suryo</dc:creator>
	<dc:creator xml:lang="en">Saerang, Gebryel Dennis</dc:creator>
	<dc:creator xml:lang="en">Saputri, Vemmy Lian</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:creator xml:lang="en">Wikananda, Adhika Prastya</dc:creator>
	<dc:creator xml:lang="en">Waranugraha, Yoga</dc:creator>
	<dc:subject xml:lang="en">Atrial Fibrillation</dc:subject>
	<dc:subject xml:lang="en">Catheter Ablation</dc:subject>
	<dc:subject xml:lang="en">Left Atrial Enlargement</dc:subject>
	<dc:subject xml:lang="en">Pulmonary Vein Isolation</dc:subject>
	<dc:subject xml:lang="en">Ablation Outcomes.</dc:subject>
	<dc:description xml:lang="en">Background: Atrial fibrillation (AF) is one of the most common cardiac arrhythmias, and its incidence is gradually increasing worldwide. It can develop such life-threatening conditions as heart failure, myocardial infarction, and thromboembolism. Catheter ablation, as a minimally invasive procedure to eliminate AF triggers, demonstrates different levels of success, particularly in relation to the size of the left atrium (LA). Even though left atrium enlargement (LAE) associates with worse ablation outcomes, its mechanisms are poorly understood.
Case Illustration: This case report investigated the treatment results in AF ablation cases with normal LA size and LAE. This case report described two paroxysmal AF patients who underwent catheter ablation. The patient of the first case is a 45-year-old male with normal LA Size, while the second case is a 55-year-old male with LAE. Both of these patients underwent pulmonary vein isolation (PVI) using a 3D mapping system. Sinus rhythm was gained in both patients before the discharge and both performed the ablation successfully.
Conclusion: Left Atrial Enlargement (LAE) exposed patient to more difficult procedures and greater risk of recurrence. LA size is one of the predictor of long term outcome in AF ablation patients, but with proper management, the prognosis might still be favourable. More studies need to determine how to manage AF ablation in patients with high-risk characteristics </dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2025-04-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/20161</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2025.006.02.15</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 6 No. 2 (2025): The Complexity in the Management of Heart Rhythm Disorder</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2025.006.02</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/20161/498</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Shalahuddin Suryo Baskoro, Gebryel Dennis Saerang, Ardian Rizal, Adhika Prastya Wikananda, Yoga Waranugraha</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>