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Left atrial fibrosis: an essential hallmark in chronic mitral regurgitation Cover

Left atrial fibrosis: an essential hallmark in chronic mitral regurgitation

Romanian Journal of Cardiology
Volume 31 (2021): Issue 1 (March 2021)
By: Maria Concetta Pastore,  Giulia Elena Mandoli,  Aleksander Dokollari,  Gianluigi Bisleri,  Matteo Lisia,  Luna Cavigli,  Flavio D’Ascenzi,  Marta Focardi and  Matteo Cameli  
Open Access
|Apr 2022

Figures & Tables

Figure 1

Graphic representation of the different timing of myocardial fibrosis of the left atrium and the left ventricle according to mitral regurgitation (MR) etiology (primary or „organic”, secondary or “functional”, divided into ischemic, dilated cardiomyopathy, and atrial functional MR) and the increasing severity of MR; the onset of considerable MR in considered as zero point of reference. AF, atrial fibrillation; DCM, dilated cardiomyopathy; LA, left atrium; LV, left ventricle; MR, mitral regurgitation.
Graphic representation of the different timing of myocardial fibrosis of the left atrium and the left ventricle according to mitral regurgitation (MR) etiology (primary or „organic”, secondary or “functional”, divided into ischemic, dilated cardiomyopathy, and atrial functional MR) and the increasing severity of MR; the onset of considerable MR in considered as zero point of reference. AF, atrial fibrillation; DCM, dilated cardiomyopathy; LA, left atrium; LV, left ventricle; MR, mitral regurgitation.

Figure 2

Correlation of peak atrial longitudinal strain (PALS) by speckle tracking echocardiography with the extent of left atrial fibrosis invasively estimated by biopsy specimens in patients undergoing cardiac surgery for severe mitral regurgitation48.
Correlation of peak atrial longitudinal strain (PALS) by speckle tracking echocardiography with the extent of left atrial fibrosis invasively estimated by biopsy specimens in patients undergoing cardiac surgery for severe mitral regurgitation48.

Figure 3

Assessment of left atrial (LA) fibrosis using cardiac magnetic resonance imaging (MRI) and quantification of late gadolinium enhancement (LGE) by Utah Stages. Adapted by Siebermair et al.61.
Assessment of left atrial (LA) fibrosis using cardiac magnetic resonance imaging (MRI) and quantification of late gadolinium enhancement (LGE) by Utah Stages. Adapted by Siebermair et al.61.
DOI: https://doi.org/10.47803/rjc.2021.31.1.36 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 36 - 45
Published on: Apr 30, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
left atrial,
fibrosis,
mitral regurgitation,
speckle tracking,
cardiac magnetic resonance
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2022 Maria Concetta Pastore, Giulia Elena Mandoli, Aleksander Dokollari, Gianluigi Bisleri, Matteo Lisia, Luna Cavigli, Flavio D’Ascenzi, Marta Focardi, Matteo Cameli, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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