Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

Abstract

Right atrial (RA) structural and functional evaluations have recently emerged as powerful biomarkers for adverse events in various cardiovascular conditions. Quantitative analysis of the right atrium, usually performed with volume changes or speckle-tracking echocardiography (STE), has markedly changed our understanding of RA function and remodeling. Knowledge of reference echocardiographic values and measurement methods of RA volumes and myocardial function is a prerequisite to introduce RA quantitation in the clinical routine. This review describes the methodology, benefits and pitfalls of measuring RA size and function by echocardiography based on the current understanding of right atrial anatomy and physiological function and provides the current knowledge of right atrial function in related cardiac diseases.

Keywords

• Right atrium
• Two-dimensional echocardiography
• Three-dimensional echocardiography
• Tissue Doppler echocardiography
• Speckle-tracking echocardiography
• Phasic function