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Updated: Apr 26, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
Left atrium and the imaging of atrial fibrosis: catch it if you can!
Timothy C Tan1, IotaIlias D Koutsogeorgis, Julia Grapsa
1Department of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Insights
Atrial fibrillation, a common heart rhythm disorder, is linked to left atrial remodeling and fibrosis. Imaging techniques show promise in detecting this fibrosis, aiding risk assessment for patients.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Atrial fibrillation is a prevalent arrhythmia, particularly in the elderly, imposing a significant global burden.
- Left atrial remodeling and fibrosis are key risk factors for developing persistent atrial fibrillation.
- Pathological changes in the left atrial wall can lead to reduced compliance and elastance, increasing fibrillation risk.
Purpose of the Study:
- To review and present available imaging modalities for detecting left atrial fibrosis.
- To evaluate the role of current imaging tools in identifying atrial fibrosis.
Main Methods:
- Comprehensive literature review of studies utilizing imaging techniques to assess left atrial fibrosis.
- Analysis of various imaging modalities employed in the detection of atrial fibrosis.
Main Results:
- Imaging tools can potentially detect atrial fibrosis.
- These modalities offer valuable information for patient management.
Conclusions:
- Current imaging techniques may aid in identifying left atrial fibrosis.
- Detection of atrial fibrosis through imaging can enhance risk stratification and management strategies for atrial fibrillation patients.
Abstract:
Atrial fibrillation is a sustained arrhythmia commonly encountered in clinical practice. It has a high prevalence among the elderly and contributes significantly to the global socio-economic burden. Among many risk factors predisposing to atrial fibrillation is left atrial remodelling and wall fibrosis. Frequently, pathological left atrial wall remodelling and fibrosis results in low atrial compliance and elastance significantly increase the risk of developing permanent atrial fibrillation. We reviewed all literature which employs imaging and left atrial fibrosis and we present all available imaging modalities. Current imaging tools may play a role in the detection of atrial fibrosis, hence providing valuable information for risk stratification and management of patients with atrial fibrillation.
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