The role of multi-modality imaging for the assessment of left atrium and left atrial appendage: a clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI), European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC)

European Heart Journal - Cardiovascular Imaging

15 January 2025
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ESC Journals ARRHYTHMIAS AND DEVICE THERAPY Atrial Fibrillation (AF) IMAGING Cross-Modality and Multi-Modality Imaging Topics

Abstract

Abstract

Structural, architectural, contractile, or electrophysiological alterations may occur in the left atrium (LA). The concept of LA cardiopathy is supported by accumulating scientific evidence demonstrating that LA remodelling has become a cornerstone diagnostic and prognostic marker. The structure and the function of the LA and left atrial appendage (LAA), which is an integral part of the LA, are key elements for a better understanding of multiple clinical conditions, most notably atrial fibrillation, cardioembolism, heart failure, and mitral valve diseases. Rational use of various imaging modalities is key to obtain the relevant clinical information. Accordingly, this clinical consensus document from the European Association of Cardiovascular Imaging, in collaboration with the European Heart Rhythm Association, provides comprehensive, up-to-date, and evidence-based guidance to cardiologists and cardiac imagers for the best practice of imaging LA and LAA for the diagnosis, management, and prognostication of the patients.

Contributors

Leyla Elif Sade
Leyla Elif Sade

Author

University of Pittsburgh Pittsburgh , United States of America

Denisa Muraru
Denisa Muraru

Author

University of Milan Bicocca Milan , Italy

Thor Edvardsen
Thor Edvardsen

Author

Oslo University Hospital Rikshospitalet Oslo , Norway

Nina Ajmone Marsan
Nina Ajmone Marsan

Author

Leiden University Medical Center Leiden , Netherlands (The)

Petr Peichl
Petr Peichl

Author

Institute for Clinical and Experimental Medicine (IKEM) Prague , Czechia

Ivan Stankovic
Ivan Stankovic

Author

Clinical Hospital Center Zemun Belgrade , Serbia