Can restoring sinus rhythm reverse tricuspid regurgitation? New data says yes — if you succeed. 📁
In 367 AF patients with moderate-severe or severe secondary TR undergoing rhythm control:
• 157 (43%) had NO recurrence → dramatically higher rates of TR improvement to mild or less
• HRs for TR improvement were striking across nearly ALL subgroups
• Female sex showed the strongest effect (HR 11.23)
• Isolated TR etiology also showed large benefit (HR 10.49)
Risk factors for recurrence: older age, chronic/persistent AF, hypertension, no antiarrhythmic meds.
Successful rhythm control = a real shot at TR reversal.
Naser JA, et al. JACC Cardiovasc Imaging. 2026 👇
doi.org/10.1016/j.jcmg.2026.…#TricuspidRegurgitation#SecondaryTR#AtrialFibrillation#AFib#RhythmControl
The Heart Rhythm Society's COMPASS initiative is turning evidence into action. First results presented at #HRS2026 show structured #AFib care pathways are increasing early #rhythmcontrol rates across major health systems — a meaningful step toward reducing the burden of AFib-related hospitalizations.
Read the full #pressrelease → bit.ly/41VhLpG@hrs_journal#EPeeps#MedEd
Our latest article is now available in @JACCJournals!
In pts with cardiac amyloidosis, catheter ablation for AF was associated with lower all-cause mortality and hospitalization compared with AAD in a propensity-matched analysis.
🔗sciencedirect.com/science/ar…#AFib#RhythmControl
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Therapy allocation:
Symptomatic patients were more likely to receive:
•Antiarrhythmic drugs (OR 1.64)
•Ablation therapy (OR 1.47)
Asymptomatics less often treated despite similar risk.
#RhythmControl