Atrial Failure as a Clinical Entity: JACC Review Topic of the Week.
Por:
Bisbal F, Baranchuk A, Braunwald E, Bayés de Luna A and Bayés-Genís A
Publicada:
21 ene 2020
Resumen:
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.
Filiaciones:
:
Heart Institute (iCor), University Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain
CIBERCV, Instituto de Salud Carlos III, Madrid, Spain
Department of Medicine, Universitat Autònoma Barcelona, Barcelona, Spain
Baranchuk A:
Department of Medicine, Division of Cardiology, Heart Rhythm Service, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada
Braunwald E:
Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
Bayés de Luna A:
Department of Medicine, Universitat Autònoma Barcelona, Barcelona, Spain
Institut Català Ciències Cardiovasculars, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
:
Heart Institute (iCor), University Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain
CIBERCV, Instituto de Salud Carlos III, Madrid, Spain
Department of Medicine, Universitat Autònoma Barcelona, Barcelona, Spain
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