Unveiling the Hidden Chamber: Exploring the Importance of Left Atrial Function and Filling Pressure in Cardiovascular Health

Author:

Pergola Valeria1,D’Andrea Antonello2,Galzerano Domenico34,Mantovani Francesca5,Rizzo Massimiliano6,Giannuario Giovanna Di7,Khoury Georgette8,Polizzi Vincenzo9,Rabia Granit10,Gimelli Alessia11,Campana Marco12

Affiliation:

1. Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy

2. P.O. Umberto I Hospital, Nocera Inferiore, Salerno, Italy

3. The Heart Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

4. College of Medicine, Alfaisal University, Riyadh, Saudi Arabia

5. Cardiology Unit, azienda USL, IRCCS a di Reggio Emilia, Lombardia, Italy

6. Department of Clinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy

7. U.O.C. Cardiology Unit, Infermi Hospital, Rimini, Italy

8. Cardiology Unit, Santa Maria Hospital, Terni, Italy

9. Cardiology Unit, Ospedale Cervello, AOOR Villa Sofia Cervello, Palermo, Italy

10. Department of Cardiology, Carlo Poma Hospital, Mantua, Italy

11. Fondazione Toscana Gabriele Monasterio, Imaging Department, Pisa, Italy

12. Humanitas Gavazzeni, Bergamo, Italy

Abstract

Abstract The left atrium (LA) is a vital component of the cardiovascular system, playing a crucial role in cardiac function. It acts as a reservoir, conduit, and contractile chamber, contributing to optimal left ventricle (LV) filling and cardiac output. Abnormalities in LA function have been associated with various cardiovascular conditions, including heart failure, atrial fibrillation, valvular heart disease, and hypertension. Elevated left ventricular filling pressures resulting from impaired LA function can lead to diastolic dysfunction and increase the risk of adverse cardiovascular events. Understanding the relationship between LA function and LV filling pressures is crucial for comprehending the pathophysiology of cardiovascular diseases and guiding clinical management strategies. This article provides an overview of the anatomy and physiology of the LA, discusses the role of LA mechanics in maintaining normal cardiac function, highlights the clinical implications of elevated filling pressures, and explores diagnostic methods for assessing LA function and filling pressures. Furthermore, it discusses the prognostic implications and potential therapeutic approaches for managing patients with abnormal LA function and elevated filling pressure. Continued research and clinical focus on left atrial function are necessary to improve diagnostic accuracy, prognostic assessment, and treatment strategies in cardiovascular diseases. It will explore the importance of assessing LA function as a marker of cardiac performance and evaluate its implications for clinical practice. In accordance with rigorous scientific methodology, our search encompassed PubMed database. We selected articles deemed pertinent to our subject matter. Subsequently, we extracted and synthesized the salient contents, capturing the essence of each selected article.

Publisher

Medknow

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