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Updated: May 23, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
[Clinical implications of enlargement of left atrium]
L Družbacká1, G Valočik, M Jakubová
1klinika Kardiológie Lekárskej Fakulty a VÚSCH a.s., Košice, Slovenká Republica, Prednosta doc. MUDr Branislav Stančák, CSc. drludmilka@email.cz
Insights
Enlarged left atrium (LA) indicates heart strain and predicts cardiovascular events like stroke and heart failure. Echocardiography is recommended for routine LA size assessment as a key risk identifier.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Diagnostic Medicine
Background:
- Left atrial (LA) enlargement serves as a key indicator of diastolic dysfunction.
- LA size is a significant predictor of adverse cardiovascular outcomes, including atrial fibrillation, stroke, heart failure, and cardiovascular mortality.
Purpose of the Study:
- To highlight the clinical significance of left atrial size assessment.
- To emphasize the role of echocardiography in evaluating LA size for cardiovascular risk stratification.
Main Methods:
- Utilizing 2-dimensional echocardiography for the assessment of left atrial (LA) size.
- Recommending LA volume and its indexed value as per American Society of Echocardiography guidelines.
Main Results:
- Echocardiographically determined LA size is a valuable clinical risk identifier.
- LA size assessment is crucial in identifying preclinical cardiovascular disease.
Conclusions:
- Routine echocardiographic evaluation should include the assessment of left atrial size.
- Left atrial size measurement is an important component of comprehensive cardiovascular risk assessment.
Abstract:
Enlargement of left atrium (LA) has been shown to be a barometer of diastolic burden and a predictor of common cardiovascular outcomes such as atrial fibrillation, stroke, congestive heart failure, and cardiovascular death. Different methods exist for the assessment of LA size. The American Society of Echocardiography recommended LA volume and its indexed value assessed by 2-dimensional echocardiography, to measure LA size. Current findings suggest that echocardiographically determined LA size may become an important clinical risk identifier in preclinical cardiovascular disease and should be assessed as a part of routine echocardiographic evaluation.
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