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Diastolic Heart Failure pp 53–70Cite as

Role of the Left Atrium

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Abstract

There is currently a general consensus in the literature about the definitions of diastolic dysfunction and diastolic failure, even though these concepts have only relatively recently been introduced into the clinical arena. The key to their definitions, as discussed in other chapters, is the central and predominant role played by the ventricular chamber in terms of its ability to accommodate adequate filling volume at reasonably low pressure through its capacity to rapidly relax while maintaining chamber elastic properties.1 More marginal, if not completely neglected, is the role of the atrial chamber within the clinical scenario of diastolic dysfunction and failure. Recently, however, several studies have demonstrated how the left atrium plays a primary role not only in modulating ventricular filling and function through the atrioventricular interaction mechanism but also in providing important prognostic clues for the risk stratification of patients with diastolic dysfunction.2,3

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Authors and Affiliations

  1. S.C. Cardiologia, Ospedale Degli Infermi Biella, Biella, Italy

    Sergio Macciò MD

  2. Department of Clinical Cardiology, University of Oriental Piedmont Azienda Ospedaliera “Maggiore della Carità”, Novara, Italy

    Paolo Marino MD

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  1. Sergio Macciò MD
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Editors and Affiliations

  1. Heart-Lung Clinic, Department of Cardiology Rikshospitalet, University of Oslo, Oslo, Norway

    Otto A. Smiseth MD, PhD (Professor of Medicine and Head) (Professor of Medicine and Head)

  2. 3rd Division of Cardiology, Medical University of Silesia, Katowice, Poland

    Michał Tendera MD, PhD (Professor of Medicine and Head) (Professor of Medicine and Head)

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Macciò, S., Marino, P. (2008). Role of the Left Atrium. In: Smiseth, O.A., Tendera, M. (eds) Diastolic Heart Failure. Springer, London. https://doi.org/10.1007/978-1-84628-891-3_4

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  • DOI: https://doi.org/10.1007/978-1-84628-891-3_4

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-890-6

  • Online ISBN: 978-1-84628-891-3

  • eBook Packages: MedicineMedicine (R0)

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