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Left Atrial Cardiomyopathy - A Challenging Diagnosis
Fabienne Kreimer1, Michael Gotzmann1
1University Hospital St. Josef-Hospital Bochum, Cardiology and Rhythmology, Ruhr University Bochum, Bochum, Germany.
Frontiers in Cardiovascular Medicine
|July 18, 2022
Summary
Diagnosing left atrial cardiomyopathy (LACM) is crucial for preventing atrial fibrillation and strokes. This review proposes a diagnostic algorithm by combining various parameters to address LACM
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Left atrial cardiomyopathy (LACM) is linked to atrial fibrillation and embolic strokes.
- Accurate diagnosis of LACM is clinically significant but challenging due to its heterogeneity.
- Current diagnostic methods lack standardization, hindering precise classification and treatment.
Purpose of the Study:
- To review current evidence on diagnosing LACM.
- To discuss various diagnostic parameters for LACM.
- To propose a standardized diagnostic algorithm for LACM.
Main Methods:
- Comprehensive literature review of diagnostic techniques for LACM.
- Analysis of electrocardiography, echocardiography, cardiac MRI, CT, electroanatomic mapping, genetic testing, and biomarkers.
- Synthesis of data to propose a diagnostic algorithm.
Main Results:
- Multiple techniques can identify atrial dysfunction, but reliable LACM diagnosis remains difficult.
- Combining various parameters is beneficial for diagnosing LACM.
- A proposed diagnostic algorithm aims to standardize LACM assessment.
Conclusions:
- Standardized diagnostic criteria for LACM are needed for improved patient management and research.
- The proposed algorithm integrates multiple parameters for more precise LACM diagnosis.
- Further validation of the diagnostic algorithm is essential.
Keywords:
atrial cardiomyopathyatrial fibrillationdiagnosisdiagnostic algorithmembolic stroke of undetermined sourceMore Related Videos
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