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Multimodality Imaging in the Study of the Left Atrium

The left atrium (LA) plays a vital role in maintaining normal cardiac function. Many cardiac diseases involve the functioning of the LA directly or indirectly. For this reason, the study of the LA has become a priority for today’s imaging techniques. Assessment of LA size, function and wall characte...

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Autores principales: Moral, Sergio, Abulí, Marc, Vilardell, Pau, Trucco, Emilce, Ballesteros, Esther, Brugada, Ramon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147196/
https://www.ncbi.nlm.nih.gov/pubmed/35628980
http://dx.doi.org/10.3390/jcm11102854
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author Moral, Sergio
Abulí, Marc
Vilardell, Pau
Trucco, Emilce
Ballesteros, Esther
Brugada, Ramon
author_facet Moral, Sergio
Abulí, Marc
Vilardell, Pau
Trucco, Emilce
Ballesteros, Esther
Brugada, Ramon
author_sort Moral, Sergio
collection PubMed
description The left atrium (LA) plays a vital role in maintaining normal cardiac function. Many cardiac diseases involve the functioning of the LA directly or indirectly. For this reason, the study of the LA has become a priority for today’s imaging techniques. Assessment of LA size, function and wall characteristics is routinely performed in cardiac imaging laboratories when a patient undergoes transthoracic echocardiography. However, in cases when the LA is the focus of disease management, such as in atrial fibrillation or left atrial appendage closure, the use of multimodality is critical. Knowledge of the usefulness of each cardiac imaging technique for the study of LA in these patients is crucial in order to choose the most appropriate treatment. While echocardiography is the most widely performed technique for its evaluation and the study of wall deformation analysis is increasingly becoming more reliable, multidetector computed tomography allows a detailed analysis of its anatomy to be carried out in 3D reconstructions that help in the approach to interventional treatments. In addition, the evaluation of the wall by cardiac magnetic resonance imaging or the generation of electroanatomical maps in the electrophysiology room have become essential tools in the treatment of multiple atrial pathologies. For this reason, the goal of this review article is to describe the basic anatomical and functional information of the LA as well as their study employing the main imaging techniques currently available, so that practitioners specializing in cardiac imaging techniques can use these tools in an accurate and clinically useful manner.
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spelling pubmed-91471962022-05-29 Multimodality Imaging in the Study of the Left Atrium Moral, Sergio Abulí, Marc Vilardell, Pau Trucco, Emilce Ballesteros, Esther Brugada, Ramon J Clin Med Review The left atrium (LA) plays a vital role in maintaining normal cardiac function. Many cardiac diseases involve the functioning of the LA directly or indirectly. For this reason, the study of the LA has become a priority for today’s imaging techniques. Assessment of LA size, function and wall characteristics is routinely performed in cardiac imaging laboratories when a patient undergoes transthoracic echocardiography. However, in cases when the LA is the focus of disease management, such as in atrial fibrillation or left atrial appendage closure, the use of multimodality is critical. Knowledge of the usefulness of each cardiac imaging technique for the study of LA in these patients is crucial in order to choose the most appropriate treatment. While echocardiography is the most widely performed technique for its evaluation and the study of wall deformation analysis is increasingly becoming more reliable, multidetector computed tomography allows a detailed analysis of its anatomy to be carried out in 3D reconstructions that help in the approach to interventional treatments. In addition, the evaluation of the wall by cardiac magnetic resonance imaging or the generation of electroanatomical maps in the electrophysiology room have become essential tools in the treatment of multiple atrial pathologies. For this reason, the goal of this review article is to describe the basic anatomical and functional information of the LA as well as their study employing the main imaging techniques currently available, so that practitioners specializing in cardiac imaging techniques can use these tools in an accurate and clinically useful manner. MDPI 2022-05-18 /pmc/articles/PMC9147196/ /pubmed/35628980 http://dx.doi.org/10.3390/jcm11102854 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Moral, Sergio
Abulí, Marc
Vilardell, Pau
Trucco, Emilce
Ballesteros, Esther
Brugada, Ramon
Multimodality Imaging in the Study of the Left Atrium
title Multimodality Imaging in the Study of the Left Atrium
title_full Multimodality Imaging in the Study of the Left Atrium
title_fullStr Multimodality Imaging in the Study of the Left Atrium
title_full_unstemmed Multimodality Imaging in the Study of the Left Atrium
title_short Multimodality Imaging in the Study of the Left Atrium
title_sort multimodality imaging in the study of the left atrium
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147196/
https://www.ncbi.nlm.nih.gov/pubmed/35628980
http://dx.doi.org/10.3390/jcm11102854
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