{"title":"Unveiling the Hidden Chamber: Exploring the Importance of Left Atrial Function and Filling Pressure in Cardiovascular Health.","authors":"Valeria Pergola, Antonello D'Andrea, Domenico Galzerano, Francesca Mantovani, Massimiliano Rizzo, Giovanna Di Giannuario, Georgette Khoury, Vincenzo Polizzi, Granit Rabia, Alessia Gimelli, Marco Campana","doi":"10.4103/jcecho.jcecho_44_23","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 3","pages":"117-124"},"PeriodicalIF":0.7000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10756315/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cardiovascular Echography","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jcecho.jcecho_44_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/20 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
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.
左心房(LA)是心血管系统的重要组成部分,对心脏功能起着至关重要的作用。它既是储能室,又是导管和收缩室,有助于优化左心室(LV)充盈和心输出量。左心室功能异常与各种心血管疾病有关,包括心力衰竭、心房颤动、瓣膜性心脏病和高血压。LA 功能受损导致的左心室充盈压升高会导致舒张功能障碍,并增加发生不良心血管事件的风险。了解 LA 功能与左心室充盈压之间的关系对于理解心血管疾病的病理生理学和指导临床管理策略至关重要。本文概述了 LA 的解剖和生理学,讨论了 LA 力学在维持正常心脏功能中的作用,强调了充盈压升高的临床意义,并探讨了评估 LA 功能和充盈压的诊断方法。此外,它还讨论了治疗 LA 功能异常和充盈压升高患者的预后影响和潜在治疗方法。为了提高心血管疾病的诊断准确性、预后评估和治疗策略,有必要继续对左心房功能进行研究和临床关注。本研究将探讨评估作为心脏性能标志的左心房功能的重要性,并评估其对临床实践的影响。按照严谨的科学方法,我们在 PubMed 数据库中进行了搜索。我们选择了与我们的主题相关的文章。随后,我们提取并综合了每篇所选文章的突出内容,抓住了每篇文章的精髓。