Atrial Function and Its Role in the Non-invasive Evaluation of Diastolic Function in Congenital Heart Disease

Hieu T. Ta, Tarek Alsaied, Jeremy M. Steele, Vien T. Truong, Wojciech Mazur, Sherif F. Nagueh, Shelby Kutty, Justin T. Tretter

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations


Diastolic dysfunction has correlated with adverse outcomes in various forms of unrepaired and repaired or palliated congenital heart disease (CHD). The non-invasive assessment of diastolic function in pediatric and adult patients with CHD remains challenging. Atrial size has a pivotal role in the evaluation of diastolic function; however, a growing body of evidence supports the additional role of atrial function as a more sensitive parameter of ventricular diastolic dysfunction. While the importance of atrial function is becoming clearer in adult acquired heart disease, it remains ambiguous in those with CHD. In this review we set the stage with the current understanding of diastolic function assessment in CHD, followed by insight into atrial form and function including its non-invasive assessment, and conclude with the current knowledge of atrial function in CHD. A general pattern of decrease in reservoir and conduit function with compensatory increase followed by decompensatory decrease in contractile function seems to be the common pathway of atrial dysfunction in most forms of CHD.

Original languageEnglish (US)
Pages (from-to)654-668
Number of pages15
JournalPediatric Cardiology
Issue number4
StatePublished - Apr 1 2020


  • Atrial function
  • Atrial strain
  • Cardiac magnetic resonance
  • Congenital heart disease
  • Diastolic function
  • Echocardiography
  • Strain

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine


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