Left Atrium Reverse Remodeling

Starting to get nervous about my 1 year Echo and CTA. Echo for size and CTA for Watchman.

I guess it is what it is and either it has reduced or maintained size and hasn't gotten worse with no a fib and PAC's getting fewer each passing month.

I've had 1 Echo since Ablation, back in March and previous one was April the year before and it was basically same size, not smaller not larger. Had first go round with ablation in August then re-do & Watchman in October so didn't expect any remodeling to begin until sometime after last October. And it very well could have gotten larger from last April 2025 until the ablation(s) so it could have remodeled some, I'll never know. Getting slight anxiety worrying about it. They used the words "marked enlargement" here locally and these two new Echo + CTA will be local too. Per Natale's office it should be fine to do locally vs returning for a 4th time to TX. Last time I saw them was last December.

Anyone have successful reverse remodeling after ablation(s)? How long did it take?

Thanks



Edited 1 time(s). Last edit at 08/24/2026 01:51AM by Qwackertoo.

I honestly don't know what has happened to mine. I have not had any cardiac imaging since my successful ablation in Feb '23. However, the literature does say that some reversal should be expected for most patients. Some, as in...take your best guess. It would be modest in all but exceptional cases.

A dated article: [pmc.ncbi.nlm.nih.gov]

From this year, good news: [www.sciencedirect.com]



[www.jacc.org] This study is sobering. About 43% of the sample, all persistent with their AF, had recurrent AF within one year of their ablation.

Thats a good question.

I never had an Ablation, but I did have reverse remodeling after going from chronic AFIB to NSR and having an enlarged heart. It took about 18 months.

I think maintaining NSR is the main thing to worry or not worry about , unless your heart is way enlarged.

Keep in mind also that the results from an Echo are subjective to the Dr. or technician who reads the Echo. I would trust comparison read by the same Dr, alot more than echo comparisons by different Dr's.

Currently, Dr. Natale is keeping me on 2.5 Eliquis because of it.