EACVI/EHRA Expert Consensus Document on the role of multi-modality imaging for the evaluation of patients with atrial fibrillation

被引：257

作者：

Donal, Erwan ^{[1
,2
,3
]}

Lip, Gregory Y. H. ^{[4
,5
]}

Galderisi, Maurizio ^{[6
]}

Goette, Andreas ^{[7
]}

Shah, Dipen ^{[8
]}

Marwan, Mohamed ^{[9
]}

Lederlin, Mathieu ^{[3
,10
,11
]}

Mondillo, Sergio ^{[6
]}

Edvardsen, Thor ^{[12
,13
]}

Sitges, Marta ^{[14
]}

Grapsa, Julia ^{[15
]}

Garbi, Madalina ^{[16
]}

Senior, Roxy ^{[17
]}

Gimelli, Alessia ^{[18
]}

Potpara, Tatjana S. ^{[19
]}

Van Gelder, Isabelle C. ^{[20
]}

Gorenek, Bulent ^{[21
]}

Mabo, Philippe ^{[1
,2
,3
]}

Lancellotti, Patrizio ^{[22
,23
]}

Kuck, Karl-Heinz ^{[24
]}

Popescu, Bogdan A. ^{[25
]}

Hindricks, Gerhard ^{[26
]}

Habib, Gilbert ^{[27
]}

机构：

[1] CHU RENNES, Cardiol, Rennes, France

[2] CHU RENNES, LTSI INSERM U1099, Rennes, France

[3] Univ Rennes 1, Rennes, France

[4] Univ Birmingham, Ctr Cardiovasc Sci, City Hosp, Birmingham, W Midlands, England

[5] Aalborg Univ, Aalborg Thrombosis Res Unit, Dept Clin Med, Aalborg, Denmark

[6] Federico II Univ Hosp, Dept Adv Biomed Sci, Naples, Italy

[7] St Vincenz Hosp Paderborn, Cardiol & Intens Care Med, Paderborn, Germany

[8] Univ Hosp Geneva, Dept Special Internal Med, Cardiac Electrophysiol Unit, Geneva, Switzerland

[9] Univ Hosp Erlangen, Dept Cardiol, Erlangen, Germany

[10] CHU Rennes, Imagerie Med, Rennes, France

[11] CHU Rennes, LTSI U1099, Rennes, France

[12] Oslo Univ Hosp, Ctr Cardiol Innovat, Dept Cardiol, N-0450 Oslo, Norway

[13] Univ Oslo, Oslo, Norway

[14] Univ Barcelona, Inst Invest Biomed Agusti Pi i Sunyer IDIBAPS, Hosp Clin, Dept Cardiol, Barcelona, Spain

[15] Imperial Coll NHS Trust, Hammersmith Hosp, Dept Cardiol, London, England

[16] Kings Coll Hosp NHS Fdn Trust, Kings Hlth Partners, London, England

[17] Univ London Imperial Coll Sci Technol & Med, London NHLI, Royal Brompton Hosp, London, England

[18] Fdn Toscana Gabriele Monasterio, Pisa, Italy

[19] Univ Belgrade, Cardiol Clin, Clin Ctr Serbia, Scholl Med, Belgrade, Serbia

[20] Univ Groningen, Univ Med Ctr Groningen, Groningen, Netherlands

[21] Eskisehir Osmangazi Univ, Dept Cardiol, Eskisehir, Turkey

[22] CHU Sart Tilman, Dept Cardiol, Heart Valve Clin, GIGA Cardiovasc Sci,Univ Liege Hosp, B-4000 Liege, Belgium

[23] ES Hlth Sci Fdn, GVM Care & Res, Lugo, RA, Italy

[24] Asklepios Hosp St Georg, Hamburg, Germany

[25] Univ Med & Pharm Carol Davila, Euroecolab, Inst Cardiovasc Dis, Bucharest, Romania

[26] Univ Leipzig, Ctr Heart, D-04109 Leipzig, Germany

[27] Hop Enfants La Timone, APHM Marseille, Dept Cardiol, Marseille, France

来源：

EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING | 2016年 / 17卷 / 04期

关键词：

Atrial fibrillation; Cardiac imaging; Cardiac magnetic resonance; Doppler echocardiography; Computed tomography; Pathophysiology; RADIOFREQUENCY CATHETER ABLATION; SPONTANEOUS ECHOCARDIOGRAPHIC CONTRAST; SPECKLE-TRACKING ECHOCARDIOGRAPHY; CARDIAC MAGNETIC-RESONANCE; SPONTANEOUS ECHO CONTRAST; APPENDAGE CLOSURE DEVICE; PULMONARY VEIN STENOSIS; TIME 3-DIMENSIONAL ECHOCARDIOGRAPHY; MULTISLICE COMPUTED-TOMOGRAPHY; VENTRICULAR DIASTOLIC FUNCTION;

D O I：

10.1093/ehjci/jev354

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：355 / 383

页数：29

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