EACVI/EHRA Expert Consensus Document on the role of multi-modality imaging for the evaluation of patients with atrial fibrillation. (9th February 2016)

• Record Type: Journal Article
• Authors: Donal, Erwan; Lip, Gregory Y H; Galderisi, Maurizio; Goette, Andreas; Shah, Dipen; Marwan, Mohamed; Lederlin, Mathieu; Mondillo, Sergio; Edvardsen, Thor; Sitges, Marta; Grapsa, Julia; Garbi, Madalina; Senior, Roxy; Gimelli, Alessia; Potpara, Tatjana S; Van Gelder, Isabelle C; Gorenek, Bulent; Mabo, Philippe; Lancellotti, Patrizio; Kuck, Karl-Heinz; Popescu, Bogdan A; Hindricks, Gerhard; Habib, Gilbert; Cosyns, Bernard; Delgado, Victoria; Haugaa, Kristina H.; Muraru, Denisa; Nieman, Koen; Cohen, Ariel
• Is Part Of: European heart journal. Volume 17:Number 4(2016:Apr.)
• Page Start: 355
• Page End: 383
• Publication Date: 2016-02-09
• Subjects: Atrial fibrillation -- Cardiac imaging -- Cardiac magnetic resonance -- Doppler echocardiography -- Computed tomography -- Pathophysiology; Cardiovascular system -- Imaging -- Periodicals; Heart -- Imaging -- Periodicals; 616.10754
• DOI: 10.1093/ehjci/jev354
• Languages: English
• ISSNs: 2047-2404

Abstract

Abstract: Atrial fibrillation (AF) is the commonest cardiac rhythm disorder. Evaluation of patients with AF requires an electrocardiogram, but imaging techniques should be considered for defining management and driving treatment. The present document is an expert consensus from the European Association of Cardiovascular Imaging (EACVI) and the European Heart Rhythm Association. The clinical value of echocardiography, cardiac magnetic resonance (CMR), computed tomography (CT), and nuclear imaging in AF patients are challenged. Left atrial (LA) volume and strain in echocardiography as well as assessment of LA fibrosis in CMR are discussed. The value of CT, especially in planning interventions, is highlighted. Fourteen consensus statements have been reached. These may serve as a guide for both imagers and electrophysiologists for best selecting the imaging technique and for best interpreting its results in AF patients.