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The role of multi-modality imaging for the assessment of left atrium and left atrial appendage: a clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI), European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC)

. 2025 Mar 03 ; 26 (3) : 385-413.

Language English Country Great Britain, England Media print

Document type Consensus Development Conference, Journal Article

Structural, architectural, contractile, or electrophysiological alterations may occur in the left atrium (LA). The concept of LA cardiopathy is supported by accumulating scientific evidence demonstrating that LA remodelling has become a cornerstone diagnostic and prognostic marker. The structure and the function of the LA and left atrial appendage (LAA), which is an integral part of the LA, are key elements for a better understanding of multiple clinical conditions, most notably atrial fibrillation, cardioembolism, heart failure, and mitral valve diseases. Rational use of various imaging modalities is key to obtain the relevant clinical information. Accordingly, this clinical consensus document from the European Association of Cardiovascular Imaging, in collaboration with the European Heart Rhythm Association, provides comprehensive, up-to-date, and evidence-based guidance to cardiologists and cardiac imagers for the best practice of imaging LA and LAA for the diagnosis, management, and prognostication of the patients.

Adult Congenital Heart Disease Centre Liverpool Heart and Chest Hospital Liverpool L14 3PE UK

Baker Heart and Diabetes Institute Melbourne Victoria 3004 Australia

Barts Heart Centre St Bartholomew's Hospital Barts Health NHS Trust London UK

Center for Amyloidosis Division of Medicine National Amyloidosis Centre Royal Free Hospital UK University College London UK

Center for the Diagnosis and Treatment of Pericardial Diseases Section of Cardiovascular Imaging Department of Cardiovascular Medicine Heart Vascular and Thoracic Institute Cleveland Clinic Cleveland OH USA

Departamento de Cardiologia Unidade Local de Saúde Gaia e Espinho Vila Nova de Gaia Portugal

Department of Biomedical Surgical and Dental Sciences University of Milan Milan Italy

Department of Cardiac Surgery University Medical Centre Maribor Maribor Slovenia

Department of Cardiology Centrum voor Hart en Vaatziekten Brussels Belgium

Department of Cardiology Clinical Hospital Centre Zemun Faculty of Medicine University of Belgrade Belgrade Serbia

Department of Cardiology Institute for Clinical and Experimental Medicine Prague Czech Republic

Department of Cardiology Instituto Auxologico Italiano IRCCS Milan Italy

Department of Cardiology Leiden University Medical Center Albinusdreef 2 2300RC Leiden The Netherlands

Department of Cardiology Oslo University Hospital Rikshospitalet Oslo Norway

Department of Cardiology University Medical Centre Ljubljana Ljubljana Slovenia

Department of Cardiology University of Pittsburgh Medical Center Heart and Vascular Institute Pittsburgh PA USA

Department of Cardiology University of Rennes CHU Rennes Inserm LTSI UMR 1099 Rennes France

Department of Cardiology Westmead Hospital Sydney Australia

Department of Cardiovascular Diseases and CARD Unit Cliniques Universitaires Saint Luc Institut de Recherche Expérimentale et Clinique Université Catholique de Louvain Brussels Belgium

Department of Cardiovascular Imaging University of Bordeaux CHU Bordeaux IHU LIRYC INSERM 1045 Bordeaux France

Department of Medical Biotechnologies Division of Cardiology University of Siena Siena Italy

Department of Medicine and Surgery University of Milano Bicocca Milan Italy

Department of Medicine University of Pittsburgh School of Medicine Pittsburgh PA USA

Department of Perioperative Cardiology and Cardiovascular Imaging Centro Cardiologico Monzino IRCCS Milan Italy

Emergency Institute for Cardiovascular Diseases 'Prof Dr C C Iliescu' University of Medicine and Pharmacy 'Carol Davila' Euroecolab Bucharest Romania

Faculty of Medicine Institute of Clinical Medicine University of Oslo Oslo Norway

HEART Lab St Vincent's Institute Fitzroy VIC Sidney Australia

Jesselson Integrated Heart Center Shaare Zedek Medical Center Eisenberg R and D authority Hebrew University Faculty of Medicine Jerusalem Israel

Leon H Charney Division of Cardiology New York University Langone Health New York NY USA

Marcus Heart Valve Center Piedmont Heart Institute Atlanta USA

RISE Health Departamento de Cirurgia e Fisiologia Faculdade de Medicina Universidade do Porto Porto Portugal

Southwest Clinical School University of New South Wales Sydney Australia

University of Pittsburgh Medical Center Department of Cardiology ISMETT IRCCS Palermo Italy

Westmead Clinical School University of Sydney Australia

William Harvey Research Institute NIHR Barts Biomedical Research Centre Queen Mary University London Charterhouse Square London UK

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