Atrial Mechanics, Atrial Cardiomyopathy and Impact of Atrial Interventions

VERAPRAPAS KITTIPIBUL, MICHAL LAUFER-PERL, KATHIR BALAKUMARAN, MARIA ROSA COSTANZO, THOMAS H. MARWICK, FAWAZ ALENEZI, RAJEEV C. MOHAN, VINAY THOHAN, KUNJAN BHATT, ROBERTO HODARA FRIEDMANN, FRANK SMART, PETER M. ECKMAN, TAJINDERPAL SARAON, J. A.N. BIEGUS, CHRISTINA PAITAZOGLOU, NADIRA HAMID, ROHIT AMIN, A. N.N. TONG, MARAT FUDIM*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Our comprehension of atrial mechanics, atrial cardiomyopathy and their clinical implications across various cardiovascular conditions has advanced significantly. Atrial interventions can have differing effects on atrial mechanics. With the rapid increase in the use of atrial interventions, it is crucial for investigators and clinicians to acknowledge the potential adverse effects of these interventions on atrial mechanics that might not be clinically significant at the time of interventions. Recognizing the preclinical stage of atrial maladaptation might enable early interventions before the development of irreversible atrial remodeling and clinical manifestation. We review normal atrial function and mechanics, and atrial cardiomyopathy in select cardiovascular conditions. We also summarize and discuss the current evidence of the impact of various atrial interventions on atrial function and mechanics.

Original languageEnglish
Pages (from-to)1355-1366
Number of pages12
JournalJournal of Cardiac Failure
Volume30
Issue number10
DOIs
StatePublished - Oct 2024

Keywords

  • Atrial mechanics
  • atrial cardiomyopathy
  • atrial interventions
  • atrial septal defect
  • atrial shunting therapy
  • heart failure

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