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Updated: Jan 27, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
Multimodality Imaging for Best Dealing With Patients in Atrial Arrhythmias
Erwan Donal1, Elena Galli1, Matthieu Lederlin2
1Service de Cardiologie, CIC-IT INSERM 1414, CHU Pontchaillou, Rennes, France; Laboratoire Traitement du Signal et de l'Image, Université de Rennes 1, INSERM, UMR 1099, Rennes, France.
Insights
Myocardial imaging is crucial for managing atrial fibrillation (AF) and assessing thromboembolic risk. Advanced imaging techniques aid in diagnosing and managing left atrial thrombosis, guiding therapy for AF patients.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Atrial fibrillation (AF) presents significant clinical and imaging challenges.
- Estimating thromboembolic risk in AF patients is a critical clinical question.
Purpose of the Study:
- To review advances in myocardial imaging for thromboembolic risk stratification in AF.
- To summarize the role of imaging in diagnosing and managing left atrial thrombosis.
- To highlight the importance of imaging in understanding arrhythmias and guiding AF therapy.
Main Methods:
- Review of current literature on myocardial imaging modalities.
- Analysis of imaging's role in left atrial thrombosis assessment.
- Synthesis of data on imaging for risk stratification and therapy guidance.
Main Results:
- Myocardial imaging is advancing for thromboembolic risk stratification in AF.
- Imaging techniques are vital for diagnosing and managing left atrial thrombosis.
- Imaging improves understanding of arrhythmias and guides therapeutic decisions.
Conclusions:
- Left atrial imaging is becoming increasingly fundamental in clinical practice for AF management.
- Further large-scale studies are needed to solidify the role of advanced imaging.
- Imaging plays a pivotal role in guiding therapy and improving outcomes for AF patients.
Abstract:
The management of atrial fibrillation (AF) is not only a clinical challenge but also an imaging challenge. The role of different imaging modalities to estimate the thromboembolic risk in AF is a key clinical question. The present review summarizes the advances of myocardial imaging in the stratification of thromboembolic risk, diagnosis, and management of left atrial thrombosis in patients with AF. These imaging techniques are also important for understanding arrhythmias and their consequences. It is becoming fundamental for guiding therapy. Still, large studies are required, but be sure that left atrial imaging will become more and more clinically fundamental.
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