dc.contributor.author | La Rosa, Giulio | |
dc.contributor.author | Morillo, Carlos A | |
dc.contributor.author | Quintanilla, Jorge G | |
dc.contributor.author | Doltra, Adelina | |
dc.contributor.author | Mont, Lluis | |
dc.contributor.author | Rodríguez-Mañero, Moisés | |
dc.contributor.author | Sarkozy, Andrea | |
dc.contributor.author | Merino, José Luis | |
dc.contributor.author | Vivas, David | |
dc.contributor.author | Datino, Tomás | |
dc.contributor.author | Calvo, David | |
dc.contributor.author | Pérez-Castellano, Nicasio | |
dc.contributor.author | Pérez-Villacastín, Julián | |
dc.contributor.author | Fauchier, Laurent | |
dc.contributor.author | Lip, Gregory | |
dc.contributor.author | Hatem, Stéphane N | |
dc.contributor.author | Jalife, José | |
dc.contributor.author | Sanchis, Laura | |
dc.contributor.author | Marín, Francisco | |
dc.contributor.author | Filgueiras-Rama, David | |
dc.date.accessioned | 2024-07-09T14:36:15Z | |
dc.date.available | 2024-07-09T14:36:15Z | |
dc.date.issued | 2024-02-29 | |
dc.identifier.citation | Rev Esp Cardiol. 2024 Feb 29:S1885-5857(24)00072-0. | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/20367 | |
dc.description.abstract | Atrial fibrillation (AF) causes progressive structural and electrical changes in the atria that can be summarized within the general concept of atrial remodeling. In parallel, other clinical characteristics and comorbidities may also affect atrial tissue properties and make the atria susceptible to AF initiation and its long-term persistence. Overall, pathological atrial changes lead to atrial cardiomyopathy with important implications for rhythm control. Although there is general agreement on the role of the atrial substrate for successful rhythm control in AF, the current classification oversimplifies clinical management. The classification uses temporal criteria and does not establish a well-defined strategy to characterize the individual-specific degree of atrial cardiomyopathy. Better characterization of atrial cardiomyopathy may improve the decision-making process on the most appropriate therapeutic option. We review current scientific evidence and propose a practical characterization of the atrial substrate based on 3 evaluation steps starting with a clinical evaluation (step 1), then assess outpatient complementary data (step 2), and finally include information from advanced diagnostic tools (step 3). The information from each of the steps or a combination thereof can be used to classify AF patients in 4 stages of atrial cardiomyopathy, which we also use to estimate the success on effective rhythm control. | es_ES |
dc.description.sponsorship | This work was supported by the European Union Horizon
2020 research and innovation program under Grant Agreement
#965286 and #899871. The study was also supported by the
Ministry of Science and Innovation (MCIN) (PID2019-109329RBI00) funded by MCIN/AEI/10.13039/501100011033 and the
Fundacio´n Interhospitalaria para la Investigacio´n Cardiovascular.
The Centro Nacional de Investigaciones Cardiovasculares (CNIC) is
supported by the Instituto de Salud Carlos III (ISCIII), the Ministerio
de Ciencia e Innovacio´n (MCIN) and the Pro CNIC Foundation and is a
Severo Ochoa Center of Excellence (funded by MICIN/AEI/
10.13039/501100011033). Supported in part by grants (PI18/
01268 & PI23/00520) from ISCIII, the MCIN. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Ediciones Doyma | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.title | Practical approach for atrial cardiomyopathy characterization in patients with atrial fibrillation. | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.identifier.pubmedID | 38428580 | es_ES |
dc.identifier.doi | 10.1016/j.rec.2024.02.009 | es_ES |
dc.contributor.funder | Unión Europea. Comisión Europea. H2020 | es_ES |
dc.contributor.funder | Instituto de Salud Carlos III | es_ES |
dc.contributor.funder | Ministerio de Ciencia e Innovación (España) | es_ES |
dc.contributor.funder | Fundación ProCNIC | es_ES |
dc.contributor.funder | Ministerio de Ciencia e Innovación. Centro de Excelencia Severo Ochoa (España) | es_ES |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1885-5857 | es_ES |
dc.relation.publisherversion | 10.1016/j.rec.2024.02.009 | es_ES |
dc.identifier.journal | Revista espanola de cardiologia (English ed.) | es_ES |
dc.repisalud.orgCNIC | CNIC::Grupos de investigación::Desarrollo Avanzado sobre Mecanismos y Terapias de las Arritmias | es_ES |
dc.repisalud.institucion | CNIC | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020/965286 | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020/899871 | es_ES |
dc.rights.accessRights | open access | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/ES/PID2019-109329RBI00 | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/ES/MCIN/AEI/10.13039/501100011033 | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/ES/MICIN/AEI/10.13039/501100011033 | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/ES/PI18/01268 | es_ES |
dc.relation.projectFECYT | info:eu-repo/grantAgreement/ES/PI23/00520 | es_ES |