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Atrial Failure as a Clinical Entity
- Source :
- Journal of the American College of Cardiology. 75:222-232
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Atrial dysfunction has been widely considered a marker or consequence of other cardiac conditions rather than the cause itself. Here, we propose the term atrial failure as a clinically relevant entity, defined as any atrial dysfunction causing impaired heart performance, symptoms, and worsening quality of life or life expectancy. Aspects of the etiology, mechanisms, and consequences of atrial failure are discussed. Recent advances in cardiac electrophysiology and imaging have improved our understanding of the highly complex atrial anatomy and function, underlying the paramount importance of the atria in optimal heart performance. It is time to reappraise the concept of the failing atrium as a primary cause or aggravating factor of the symptoms in many of our patients. The concept of atrial failure may foster basic and translational research to gain a better understanding of how to identify and manage atrial dysfunction.
- Subjects :
- medicine.medical_specialty
Atrium (architecture)
Cardiac electrophysiology
business.industry
Atrial fibrillation
Interatrial Block
Translational research
030204 cardiovascular system & hematology
medicine.disease
03 medical and health sciences
0302 clinical medicine
Internal medicine
Heart failure
cardiovascular system
Etiology
medicine
Cardiology
cardiovascular diseases
030212 general & internal medicine
Aggravating Factor
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 07351097
- Volume :
- 75
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Cardiology
- Accession number :
- edsair.doi...........3df439878f969f1dbce7e02d60ba801b