Review Article
Left Atrium by Echocardiography in Clinical Practice: From Conventional Methods to New Echocardiographic Techniques
| Disease | LA function mainly impaired | Advantages | Extensive clinical data |
| Atrial fibrillation | Reservoir and conduit decreases; pump absent | Prediction of sinus rhythm maintenance after cardioversion | Yes |
| Mitral stenosis | Reservoir | Prediction of adverse events (AF, symptoms, hospitalization, thromboembolic events, valvular surgery, and percutaneous commissurotomy) | Yes |
| Mitral regurgitation | Reservoir | Prediction of AF, cardiac surgery, and LA fibrosis | Yes |
| Aortic stenosis | Pump | Prediction of adverse outcomes | No |
| Diastolic dysfunction | Conduit (early stage); pump and reservoir (late stage) | Elevated filling pressure | Yes |
| Dilated cardiomyopathy | Pump and reservoir | Responsivity to cardiac resincronization therapy | No |
| Diabetes mellitus | Pump, reservoir, and conduit | Early sign of atrial fibrosis | No |
| Hypertrophic cardiomyopathy | Reservoir | Prediction of AF and the onset of symptoms of heart failure | Yes |
| Amyloidosis | Reservoir | Early LA involvement in absence of the classic echocardiographic features | No |
| Hypertension | Reservoir | Prediction of myocardial involvement before LA enlargment and LV hypertrophy | Yes |
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