A comprehensive evaluation of the left atrium using cardiovascular magnetic resonance

Maurice Pradella; Mohammed S.M. Elbaz; Daniel C. Lee; Kyung Pyo Hong; Rod S. Passman; Eugene Kholmovski; Dana C. Peters; Justin J. Baraboo; Daniel A. Herzka; Reza Nezafat; Robert R. Edelman; Daniel Kim

doi:10.1016/j.jocmr.2025.101852

A comprehensive evaluation of the left atrium using cardiovascular magnetic resonance

Maurice Pradella, Mohammed S.M. Elbaz, Daniel C. Lee, Kyung Pyo Hong, Rod S. Passman, Eugene Kholmovski, Dana C. Peters, Justin J. Baraboo, Daniel A. Herzka, Reza Nezafat, Robert R. Edelman, Daniel Kim^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

Abstract

Atrial disease or myopathy is a growing concept in cardiovascular medicine, particularly in the context of atrial fibrillation, as well as amyloidosis and heart failure. Among cardiac imaging modalities, cardiovascular magnetic resonance (CMR) is particularly well suited for a comprehensive assessment of atrial myopathy, including tissue characterization and hemodynamics. The goal of this review article is to describe clinical applications and make recommendations on pulse sequences as well as imaging parameters to assess the left atrium and left atrial appendage. Furthermore, we aimed to create an overview of current and promising future emerging applications of left atrium-specific CMR pulse sequences focusing on both electrophysiologic (EP) and non-EP applications.

Original language	English (US)
Article number	101852
Journal	Journal of Cardiovascular Magnetic Resonance
Volume	27
Issue number	1
DOIs	https://doi.org/10.1016/j.jocmr.2025.101852
State	Published - Jun 1 2025

Funding

Dr. Kim is sponsored by funding from the National Institutes of Health (R01HL116895) that is directly related to this review article.

Keywords

Atrial fibrillation
Atrial myopathy
Cardiovascular magnetic resonance
Left atrium

ASJC Scopus subject areas

Radiological and Ultrasound Technology
Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine
Family Practice

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10.1016/j.jocmr.2025.101852

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Pradella, M., Elbaz, M. S. M., Lee, D. C., Hong, K. P., Passman, R. S., Kholmovski, E., Peters, D. C., Baraboo, J. J., Herzka, D. A., Nezafat, R., Edelman, R. R., & Kim, D. (2025). A comprehensive evaluation of the left atrium using cardiovascular magnetic resonance. Journal of Cardiovascular Magnetic Resonance, 27(1), Article 101852. https://doi.org/10.1016/j.jocmr.2025.101852

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abstract = "Atrial disease or myopathy is a growing concept in cardiovascular medicine, particularly in the context of atrial fibrillation, as well as amyloidosis and heart failure. Among cardiac imaging modalities, cardiovascular magnetic resonance (CMR) is particularly well suited for a comprehensive assessment of atrial myopathy, including tissue characterization and hemodynamics. The goal of this review article is to describe clinical applications and make recommendations on pulse sequences as well as imaging parameters to assess the left atrium and left atrial appendage. Furthermore, we aimed to create an overview of current and promising future emerging applications of left atrium-specific CMR pulse sequences focusing on both electrophysiologic (EP) and non-EP applications.",

keywords = "Atrial fibrillation, Atrial myopathy, Cardiovascular magnetic resonance, Left atrium",

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doi = "10.1016/j.jocmr.2025.101852",

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AU - Pradella, Maurice

AU - Elbaz, Mohammed S.M.

AU - Lee, Daniel C.

AU - Hong, Kyung Pyo

AU - Passman, Rod S.

AU - Kholmovski, Eugene

AU - Peters, Dana C.

AU - Baraboo, Justin J.

AU - Herzka, Daniel A.

AU - Nezafat, Reza

AU - Edelman, Robert R.

AU - Kim, Daniel

PY - 2025/6/1

Y1 - 2025/6/1

N2 - Atrial disease or myopathy is a growing concept in cardiovascular medicine, particularly in the context of atrial fibrillation, as well as amyloidosis and heart failure. Among cardiac imaging modalities, cardiovascular magnetic resonance (CMR) is particularly well suited for a comprehensive assessment of atrial myopathy, including tissue characterization and hemodynamics. The goal of this review article is to describe clinical applications and make recommendations on pulse sequences as well as imaging parameters to assess the left atrium and left atrial appendage. Furthermore, we aimed to create an overview of current and promising future emerging applications of left atrium-specific CMR pulse sequences focusing on both electrophysiologic (EP) and non-EP applications.

AB - Atrial disease or myopathy is a growing concept in cardiovascular medicine, particularly in the context of atrial fibrillation, as well as amyloidosis and heart failure. Among cardiac imaging modalities, cardiovascular magnetic resonance (CMR) is particularly well suited for a comprehensive assessment of atrial myopathy, including tissue characterization and hemodynamics. The goal of this review article is to describe clinical applications and make recommendations on pulse sequences as well as imaging parameters to assess the left atrium and left atrial appendage. Furthermore, we aimed to create an overview of current and promising future emerging applications of left atrium-specific CMR pulse sequences focusing on both electrophysiologic (EP) and non-EP applications.

KW - Atrial fibrillation

KW - Atrial myopathy

KW - Cardiovascular magnetic resonance

KW - Left atrium

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A comprehensive evaluation of the left atrium using cardiovascular magnetic resonance

Abstract

Funding

Keywords

ASJC Scopus subject areas

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