Atrial Failure as a Clinical Entity,Journal of the American College of Cardiology

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Atrial Failure as a Clinical Entity
Journal of the American College of Cardiology ( IF 21.7 ) Pub Date : 2020-01-01 , DOI: 10.1016/j.jacc.2019.11.013
Felipe Bisbal ₁ , Adrian Baranchuk ₂ , Eugene Braunwald ₃ , Antoni Bayés de Luna ₄ , Antoni Bayés-Genís ₁

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Atrial dysfunction has been widely considered a marker or consequence of other cardiac conditions rather than the cause itself. Here, we propose the term atrial failure as a clinically relevant entity, defined as any atrial dysfunction causing impaired heart performance, symptoms, and worsening quality of life or life expectancy. Aspects of the etiology, mechanisms, and consequences of atrial failure are discussed. Recent advances in cardiac electrophysiology and imaging have improved our understanding of the highly complex atrial anatomy and function, underlying the paramount importance of the atria in optimal heart performance. It is time to reappraise the concept of the failing atrium as a primary cause or aggravating factor of the symptoms in many of our patients. The concept of atrial failure may foster basic and translational research to gain a better understanding of how to identify and manage atrial dysfunction.

中文翻译：

心房衰竭作为临床实体

心房功能障碍已被广泛认为是其他心脏状况的标志或后果，而不是原因本身。在这里，我们建议将术语心房衰竭作为临床相关实体，定义为导致心脏功能受损、症状和生活质量或预期寿命恶化的任何心房功能障碍。讨论了心房衰竭的病因、机制和后果等方面。心脏电生理学和影像学的最新进展提高了我们对高度复杂的心房解剖结构和功能的理解，这是心房在最佳心脏性能中至关重要的基础。是时候重新评估心房衰竭的概念，将其视为我们许多患者症状的主要原因或加重因素。

更新日期：2020-01-01

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