ABSTRACT

Left atrial (LA) geometry varies and is not accurately represented by a linear dimension. Left atrial size needs to be assessed more accurately if:

atrial diameter >40 mm in the parasternal long-axis view

hypertension (as a sign of chronically increased filling pressure)

atrial fibrillation (likely success of cardioversion, thromboembolic risk)

mitral valve disease (thromboembolic risk, indirect marker of severity)

suspected LV diastolic heart failure.