Review Article

Left Atrium by Echocardiography in Clinical Practice: From Conventional Methods to New Echocardiographic Techniques

Table 1


DiseaseLA function mainly impairedAdvantagesExtensive clinical data

Atrial fibrillationReservoir and conduit decreases; pump absentPrediction of sinus rhythm maintenance after cardioversionYes

Mitral stenosisReservoirPrediction of adverse events (AF, symptoms, hospitalization, thromboembolic events, valvular surgery, and percutaneous commissurotomy)Yes

Mitral regurgitationReservoirPrediction of AF, cardiac surgery, and LA fibrosisYes

Aortic stenosisPumpPrediction of adverse outcomesNo

Diastolic dysfunctionConduit (early stage); pump and reservoir (late stage)Elevated filling pressureYes

Dilated cardiomyopathyPump and reservoirResponsivity to cardiac resincronization therapyNo

Diabetes mellitusPump, reservoir, and conduitEarly sign of atrial fibrosisNo

Hypertrophic cardiomyopathyReservoirPrediction of AF and the onset of symptoms of heart failureYes

AmyloidosisReservoirEarly LA involvement in absence of the classic echocardiographic featuresNo

HypertensionReservoirPrediction of myocardial involvement before LA enlargment and LV hypertrophyYes