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Atrial cardiomyopathy

MedGen UID:
867504
•Concept ID:
C4021885
•
Disease or Syndrome
HPO: HP:0200127

Definition

Any complex of structural, architectural, contractile or electrophysiological changes affecting the atria with the potential to produce clinically relevant manifestations. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAtrial cardiomyopathy

Conditions with this feature

Atrial standstill 2
MedGen UID:
816731
•Concept ID:
C3810401
•
Disease or Syndrome
Atrial standstill (AS) is a rare condition characterized by the absence of electrical and mechanical activity in the atria. On surface ECG, AS is distinguished by bradycardia, junctional (usually narrow complex) escape rhythm, and absence of the P wave. Nearly 50% of patients with AS experience syncope. AS can be persistent or transient, and diffuse or partial (summary by Fazelifar et al., 2005).
See: Condition Record
Atrial standstill 1
MedGen UID:
1646392
•Concept ID:
C4551959
•
Disease or Syndrome
Atrial standstill (AS) is a rare condition characterized by the absence of electrical and mechanical activity in the atria. On surface ECG, AS is distinguished by bradycardia, junctional (usually narrow complex) escape rhythm, and absence of the P wave. Nearly 50% of patients with AS experience syncope. AS can be persistent or transient, and diffuse or partial (summary by Fazelifar et al., 2005).
See: Condition Record
Atrial standstill 1
Atrial standstill 2

Professional guidelines

PubMed

Atrial cardiomyopathy revisited-evolution of a concept: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asian Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS).
Goette A, Corradi D, Dobrev D, Aguinaga L, Cabrera JA, Chugh SS, de Groot JR, Soulat-Dufour L, Fenelon G, Hatem SN, Jalife J, Lin YJ, Lip GYH, Marcus GM, Murray KT, Pak HN, Schotten U, Takahashi N, Yamaguchi T, Zoghbi WA, Nattel S, Mont L, Akar JG, Akoum N, Althoff T, Diaz JC, Guichard JB, Jadidi A, Kalman J, Lim H, Teixeira RA
Europace 2024 Aug 30;26(9) doi: 10.1093/europace/euae204. PMID: 39077825Free PMC Article
Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference.
Schnabel RB, Marinelli EA, Arbelo E, Boriani G, Boveda S, Buckley CM, Camm AJ, Casadei B, Chua W, Dagres N, de Melis M, Desteghe L, Diederichsen SZ, Duncker D, Eckardt L, Eisert C, Engler D, Fabritz L, Freedman B, Gillet L, Goette A, Guasch E, Svendsen JH, Hatem SN, Haeusler KG, Healey JS, Heidbuchel H, Hindricks G, Hobbs FDR, Hübner T, Kotecha D, Krekler M, Leclercq C, Lewalter T, Lin H, Linz D, Lip GYH, Løchen ML, Lucassen W, Malaczynska-Rajpold K, Massberg S, Merino JL, Meyer R, Mont L, Myers MC, Neubeck L, Niiranen T, Oeff M, Oldgren J, Potpara TS, Psaroudakis G, Pürerfellner H, Ravens U, Rienstra M, Rivard L, Scherr D, Schotten U, Shah D, Sinner MF, Smolnik R, Steinbeck G, Steven D, Svennberg E, Thomas D, True Hills M, van Gelder IC, Vardar B, Palà E, Wakili R, Wegscheider K, Wieloch M, Willems S, Witt H, Ziegler A, Daniel Zink M, Kirchhof P
Europace 2023 Feb 8;25(1):6-27. doi: 10.1093/europace/euac062. PMID: 35894842Free PMC Article
P Wave Parameters and Indices: A Critical Appraisal of Clinical Utility, Challenges, and Future Research-A Consensus Document Endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology.
Chen LY, Ribeiro ALP, Platonov PG, Cygankiewicz I, Soliman EZ, Gorenek B, Ikeda T, Vassilikos VP, Steinberg JS, Varma N, Bayés-de-Luna A, Baranchuk A
Circ Arrhythm Electrophysiol 2022 Apr;15(4):e010435. Epub 2022 Mar 25 doi: 10.1161/CIRCEP.121.010435. PMID: 35333097Free PMC Article

Recent clinical studies

Etiology

Towards a new classification of atrial fibrillation detected after a stroke or a transient ischaemic attack.
Sposato LA, Field TS, Schnabel RB, Wachter R, Andrade JG, Hill MD
Lancet Neurol 2024 Jan;23(1):110-122. Epub 2023 Oct 12 doi: 10.1016/S1474-4422(23)00326-5. PMID: 37839436
P Wave Parameters and Indices: A Critical Appraisal of Clinical Utility, Challenges, and Future Research-A Consensus Document Endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology.
Chen LY, Ribeiro ALP, Platonov PG, Cygankiewicz I, Soliman EZ, Gorenek B, Ikeda T, Vassilikos VP, Steinberg JS, Varma N, Bayés-de-Luna A, Baranchuk A
Circ Arrhythm Electrophysiol 2022 Apr;15(4):e010435. Epub 2022 Mar 25 doi: 10.1161/CIRCEP.121.010435. PMID: 35333097Free PMC Article
The AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenic stroke randomized trial: Rationale and methods.
Kamel H, Longstreth WT Jr, Tirschwell DL, Kronmal RA, Broderick JP, Palesch YY, Meinzer C, Dillon C, Ewing I, Spilker JA, Di Tullio MR, Hod EA, Soliman EZ, Chaturvedi S, Moy CS, Janis S, Elkind MS
Int J Stroke 2019 Feb;14(2):207-214. Epub 2018 Sep 10 doi: 10.1177/1747493018799981. PMID: 30196789Free PMC Article
Biobank-driven genomic discovery yields new insight into atrial fibrillation biology.
Nielsen JB, Thorolfsdottir RB, Fritsche LG, Zhou W, Skov MW, Graham SE, Herron TJ, McCarthy S, Schmidt EM, Sveinbjornsson G, Surakka I, Mathis MR, Yamazaki M, Crawford RD, Gabrielsen ME, Skogholt AH, Holmen OL, Lin M, Wolford BN, Dey R, Dalen H, Sulem P, Chung JH, Backman JD, Arnar DO, Thorsteinsdottir U, Baras A, O'Dushlaine C, Holst AG, Wen X, Hornsby W, Dewey FE, Boehnke M, Kheterpal S, Mukherjee B, Lee S, Kang HM, Holm H, Kitzman J, Shavit JA, Jalife J, Brummett CM, Teslovich TM, Carey DJ, Gudbjartsson DF, Stefansson K, Abecasis GR, Hveem K, Willer CJ
Nat Genet 2018 Sep;50(9):1234-1239. Epub 2018 Jul 30 doi: 10.1038/s41588-018-0171-3. PMID: 30061737Free PMC Article
Cardioembolic Stroke.
Kamel H, Healey JS
Circ Res 2017 Feb 3;120(3):514-526. doi: 10.1161/CIRCRESAHA.116.308407. PMID: 28154101Free PMC Article

Diagnosis

Atrial cardiomyopathy revisited-evolution of a concept: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asian Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS).
Goette A, Corradi D, Dobrev D, Aguinaga L, Cabrera JA, Chugh SS, de Groot JR, Soulat-Dufour L, Fenelon G, Hatem SN, Jalife J, Lin YJ, Lip GYH, Marcus GM, Murray KT, Pak HN, Schotten U, Takahashi N, Yamaguchi T, Zoghbi WA, Nattel S, Mont L, Akar JG, Akoum N, Althoff T, Diaz JC, Guichard JB, Jadidi A, Kalman J, Lim H, Teixeira RA
Europace 2024 Aug 30;26(9) doi: 10.1093/europace/euae204. PMID: 39077825Free PMC Article
Towards a new classification of atrial fibrillation detected after a stroke or a transient ischaemic attack.
Sposato LA, Field TS, Schnabel RB, Wachter R, Andrade JG, Hill MD
Lancet Neurol 2024 Jan;23(1):110-122. Epub 2023 Oct 12 doi: 10.1016/S1474-4422(23)00326-5. PMID: 37839436
Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference.
Schnabel RB, Marinelli EA, Arbelo E, Boriani G, Boveda S, Buckley CM, Camm AJ, Casadei B, Chua W, Dagres N, de Melis M, Desteghe L, Diederichsen SZ, Duncker D, Eckardt L, Eisert C, Engler D, Fabritz L, Freedman B, Gillet L, Goette A, Guasch E, Svendsen JH, Hatem SN, Haeusler KG, Healey JS, Heidbuchel H, Hindricks G, Hobbs FDR, Hübner T, Kotecha D, Krekler M, Leclercq C, Lewalter T, Lin H, Linz D, Lip GYH, Løchen ML, Lucassen W, Malaczynska-Rajpold K, Massberg S, Merino JL, Meyer R, Mont L, Myers MC, Neubeck L, Niiranen T, Oeff M, Oldgren J, Potpara TS, Psaroudakis G, Pürerfellner H, Ravens U, Rienstra M, Rivard L, Scherr D, Schotten U, Shah D, Sinner MF, Smolnik R, Steinbeck G, Steven D, Svennberg E, Thomas D, True Hills M, van Gelder IC, Vardar B, Palà E, Wakili R, Wegscheider K, Wieloch M, Willems S, Witt H, Ziegler A, Daniel Zink M, Kirchhof P
Europace 2023 Feb 8;25(1):6-27. doi: 10.1093/europace/euac062. PMID: 35894842Free PMC Article
P Wave Parameters and Indices: A Critical Appraisal of Clinical Utility, Challenges, and Future Research-A Consensus Document Endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology.
Chen LY, Ribeiro ALP, Platonov PG, Cygankiewicz I, Soliman EZ, Gorenek B, Ikeda T, Vassilikos VP, Steinberg JS, Varma N, Bayés-de-Luna A, Baranchuk A
Circ Arrhythm Electrophysiol 2022 Apr;15(4):e010435. Epub 2022 Mar 25 doi: 10.1161/CIRCEP.121.010435. PMID: 35333097Free PMC Article
Cardioembolic Stroke.
Kamel H, Healey JS
Circ Res 2017 Feb 3;120(3):514-526. doi: 10.1161/CIRCRESAHA.116.308407. PMID: 28154101Free PMC Article

Therapy

Towards a new classification of atrial fibrillation detected after a stroke or a transient ischaemic attack.
Sposato LA, Field TS, Schnabel RB, Wachter R, Andrade JG, Hill MD
Lancet Neurol 2024 Jan;23(1):110-122. Epub 2023 Oct 12 doi: 10.1016/S1474-4422(23)00326-5. PMID: 37839436
Atrial cardiomyopathy: Diagnosis, clinical implications and unresolved issues in anticoagulation therapy.
Kariki O, Vlachos K, Dragasis S, Tsetika EG, Perlepe K, Saplaouras A, Nyktari E, Efremidis M, Letsas KP
J Electrocardiol 2023 Jan-Feb;76:1-10. Epub 2022 Nov 4 doi: 10.1016/j.jelectrocard.2022.10.012. PMID: 36370545
Clinical importance of atrial cardiomyopathy.
Hammwöhner M, Bukowska A, Mahardika W, Goette A
Int J Cardiol 2019 Jul 15;287:174-180. Epub 2018 Nov 28 doi: 10.1016/j.ijcard.2018.11.121. PMID: 30527991
The AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenic stroke randomized trial: Rationale and methods.
Kamel H, Longstreth WT Jr, Tirschwell DL, Kronmal RA, Broderick JP, Palesch YY, Meinzer C, Dillon C, Ewing I, Spilker JA, Di Tullio MR, Hod EA, Soliman EZ, Chaturvedi S, Moy CS, Janis S, Elkind MS
Int J Stroke 2019 Feb;14(2):207-214. Epub 2018 Sep 10 doi: 10.1177/1747493018799981. PMID: 30196789Free PMC Article
Cardioembolic Stroke.
Kamel H, Healey JS
Circ Res 2017 Feb 3;120(3):514-526. doi: 10.1161/CIRCRESAHA.116.308407. PMID: 28154101Free PMC Article

Prognosis

Atrial cardiomyopathy revisited-evolution of a concept: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asian Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS).
Goette A, Corradi D, Dobrev D, Aguinaga L, Cabrera JA, Chugh SS, de Groot JR, Soulat-Dufour L, Fenelon G, Hatem SN, Jalife J, Lin YJ, Lip GYH, Marcus GM, Murray KT, Pak HN, Schotten U, Takahashi N, Yamaguchi T, Zoghbi WA, Nattel S, Mont L, Akar JG, Akoum N, Althoff T, Diaz JC, Guichard JB, Jadidi A, Kalman J, Lim H, Teixeira RA
Europace 2024 Aug 30;26(9) doi: 10.1093/europace/euae204. PMID: 39077825Free PMC Article
Left atrial cardiomyopathy: Pathophysiological insights, assessment methods and clinical implications.
Ninni S, Algalarrondo V, Brette F, Lemesle G, Fauconnier J; Groupe de Reflexion sur la Recherche Cardiovasculaire (GRRC)
Arch Cardiovasc Dis 2024 Apr;117(4):283-296. Epub 2024 Mar 1 doi: 10.1016/j.acvd.2024.02.001. PMID: 38490844
Atrial cardiomyopathy and incident ischemic stroke risk: a systematic review and meta-analysis.
Guo J, Wang D, Jia J, Zhang J, Peng F, Lu J, Zhao X, Liu Y
J Neurol 2023 Jul;270(7):3391-3401. Epub 2023 Apr 4 doi: 10.1007/s00415-023-11693-3. PMID: 37014420Free PMC Article
P Wave Parameters and Indices: A Critical Appraisal of Clinical Utility, Challenges, and Future Research-A Consensus Document Endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology.
Chen LY, Ribeiro ALP, Platonov PG, Cygankiewicz I, Soliman EZ, Gorenek B, Ikeda T, Vassilikos VP, Steinberg JS, Varma N, Bayés-de-Luna A, Baranchuk A
Circ Arrhythm Electrophysiol 2022 Apr;15(4):e010435. Epub 2022 Mar 25 doi: 10.1161/CIRCEP.121.010435. PMID: 35333097Free PMC Article
Clinical importance of atrial cardiomyopathy.
Hammwöhner M, Bukowska A, Mahardika W, Goette A
Int J Cardiol 2019 Jul 15;287:174-180. Epub 2018 Nov 28 doi: 10.1016/j.ijcard.2018.11.121. PMID: 30527991

Clinical prediction guides

Atrial cardiomyopathy and incident ischemic stroke risk: a systematic review and meta-analysis.
Guo J, Wang D, Jia J, Zhang J, Peng F, Lu J, Zhao X, Liu Y
J Neurol 2023 Jul;270(7):3391-3401. Epub 2023 Apr 4 doi: 10.1007/s00415-023-11693-3. PMID: 37014420Free PMC Article
Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference.
Schnabel RB, Marinelli EA, Arbelo E, Boriani G, Boveda S, Buckley CM, Camm AJ, Casadei B, Chua W, Dagres N, de Melis M, Desteghe L, Diederichsen SZ, Duncker D, Eckardt L, Eisert C, Engler D, Fabritz L, Freedman B, Gillet L, Goette A, Guasch E, Svendsen JH, Hatem SN, Haeusler KG, Healey JS, Heidbuchel H, Hindricks G, Hobbs FDR, Hübner T, Kotecha D, Krekler M, Leclercq C, Lewalter T, Lin H, Linz D, Lip GYH, Løchen ML, Lucassen W, Malaczynska-Rajpold K, Massberg S, Merino JL, Meyer R, Mont L, Myers MC, Neubeck L, Niiranen T, Oeff M, Oldgren J, Potpara TS, Psaroudakis G, Pürerfellner H, Ravens U, Rienstra M, Rivard L, Scherr D, Schotten U, Shah D, Sinner MF, Smolnik R, Steinbeck G, Steven D, Svennberg E, Thomas D, True Hills M, van Gelder IC, Vardar B, Palà E, Wakili R, Wegscheider K, Wieloch M, Willems S, Witt H, Ziegler A, Daniel Zink M, Kirchhof P
Europace 2023 Feb 8;25(1):6-27. doi: 10.1093/europace/euac062. PMID: 35894842Free PMC Article
P Wave Parameters and Indices: A Critical Appraisal of Clinical Utility, Challenges, and Future Research-A Consensus Document Endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology.
Chen LY, Ribeiro ALP, Platonov PG, Cygankiewicz I, Soliman EZ, Gorenek B, Ikeda T, Vassilikos VP, Steinberg JS, Varma N, Bayés-de-Luna A, Baranchuk A
Circ Arrhythm Electrophysiol 2022 Apr;15(4):e010435. Epub 2022 Mar 25 doi: 10.1161/CIRCEP.121.010435. PMID: 35333097Free PMC Article
Atrial Cardiomyopathy: Pathophysiology and Clinical Consequences.
Goette A, Lendeckel U
Cells 2021 Sep 30;10(10) doi: 10.3390/cells10102605. PMID: 34685585Free PMC Article
Clinical importance of atrial cardiomyopathy.
Hammwöhner M, Bukowska A, Mahardika W, Goette A
Int J Cardiol 2019 Jul 15;287:174-180. Epub 2018 Nov 28 doi: 10.1016/j.ijcard.2018.11.121. PMID: 30527991

Recent systematic reviews

Assessment of Left Atrial Fibrosis by Cardiac Magnetic Resonance Imaging in Ischemic Stroke Patients Without Atrial Fibrillation: A Systematic Review and Meta-Analysis.
Koh JH, Lim LKE, Tan YK, Goh C, Teo YH, Ho JSY, Dalakoti M, Chan MYY, Sia CH, Yeo LLL, Tan BYQ
J Am Heart Assoc 2024 Sep 3;13(17):e033059. Epub 2024 Aug 27 doi: 10.1161/JAHA.123.033059. PMID: 39190571
Magnetic resonance imaging for diagnostic workup of embolic stroke of undetermined source: A systematic review.
Khenkina N, Aimo A, Fabiani I, Masci PG, Sagris D, Williams SE, Mavraganis G, Chen HS, Wintermark M, Michel P, Ntaios G, Georgiopoulos G
Int J Stroke 2024 Mar;19(3):293-304. Epub 2023 Jul 31 doi: 10.1177/17474930231189946. PMID: 37435743
Atrial cardiomyopathy and incident ischemic stroke risk: a systematic review and meta-analysis.
Guo J, Wang D, Jia J, Zhang J, Peng F, Lu J, Zhao X, Liu Y
J Neurol 2023 Jul;270(7):3391-3401. Epub 2023 Apr 4 doi: 10.1007/s00415-023-11693-3. PMID: 37014420Free PMC Article
Prevalence of markers of atrial cardiomyopathy in embolic stroke of undetermined source: A systematic review.
Stalikas N, Doundoulakis I, Karagiannidis E, Kartas A, Gavriilaki M, Sofidis G, Panteris E, Papazoglou AS, Haidich AB, Sianos G, Giannakoulas G
Eur J Intern Med 2022 May;99:38-44. Epub 2022 Jan 20 doi: 10.1016/j.ejim.2022.01.024. PMID: 35065879
P-Wave Indices and Risk of Ischemic Stroke: A Systematic Review and Meta-Analysis.
He J, Tse G, Korantzopoulos P, Letsas KP, Ali-Hasan-Al-Saegh S, Kamel H, Li G, Lip GYH, Liu T
Stroke 2017 Aug;48(8):2066-2072. Epub 2017 Jul 5 doi: 10.1161/STROKEAHA.117.017293. PMID: 28679858

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