{"id":"3d875fa878f5","type":"article","url":"https://hartvaat.nl/2026/05/25/multimodale-beeldvorming-verheldert-atriumfibrilleren-bij-infiltratieve-cardiomy/","title":"Multimodale beeldvorming verheldert atriumfibrilleren bij infiltratieve cardiomyopathieën","title_en":"Atrial Fibrillation in Infiltrative Cardiomyopathies: From Atrial Cardiomyopathy Imaging to Targeted Management-A Narrative Review.","category":"atriumfibrilleren","category_label":"Atriumfibrilleren","professions":["cardioloog","internist"],"tags":[],"journal":"Medicina (Kaunas, Lithuania)","doi":"10.3390/medicina62061023","source_url":"https://doi.org/10.3390/medicina62061023","authors":["Matteo Brusamolino","Francesco Catagnano","Maria Lo Monaco","Silvia Malara","Matteo De Carli","Margherita Licastro","Valentina Rossi","Gaspare Maranzano","Federica Frascaro","Stefano Frittella","Flavia Nicoli","Rocco Mollace","Erika Bertella"],"significance":4,"published":"2026-07-28","source_date":"2026-05-25","image":"","kennis":["https://hartvaat.nl/kennis/atriumfibrilleren/af-bij-ouderen/","https://hartvaat.nl/kennis/atriumfibrilleren/pathofysiologie-af/"],"congress":"","summary_en":"This narrative review explores the pathophysiological link between infiltrative cardiomyopathies and atrial fibrillation, highlighting atrial cardiomyopathy as a common underlying substrate. Multimodality cardiac imaging is discussed as a key tool for characterizing this atrial substrate, potentially guiding patient stratification and targeted management. The review provides cardiologists and internists with a practical overview on integrating imaging insights into the clinical care of these complex patients.","created":"2026-07-20T01:21:47Z","updated":"2026-08-10T10:38:08Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Deze narratieve review beschrijft de pathofysiologische link tussen infiltratieve cardiomyopathieën en atriumfibrilleren, waarbij atriumcardiomyopathie als gemeenschappelijk substraat fungeert. Multimodale cardiale beeldvorming biedt inzicht in dit atriumsubstraat en kan helpen bij het stratificeren van patiënten en het sturen van de klinische aanpak. Voor cardiologen en internisten biedt het overzicht handvatten om beeldvorming te integreren in het management van deze complexe patiëntengroep.","abstract_original":"Infiltrative cardiomyopathies comprise a heterogeneous spectrum of hereditary and acquired diseases characterised by the accumulation of pathological substrates within the myocardium, ultimately resulting in progressive impairment of cardiac function and the development of heart failure. Across these conditions, atrial fibrillation is a frequent and clinically relevant complication, contributing to symptom burden, heart failure progression, and thromboembolic risk. Structural, functional, and electrical atrial remodelling, collectively referred to as atrial cardiomyopathy, emerges as a common pathophysiological substrate linking myocardial infiltration to atrial fibrillation and adverse cardiovascular outcomes. Multi-modality cardiac imaging enables comprehensive assessment of atrial cardiomyopathy, offering mechanistic insights into the atrial substrate of atrial fibrillation, with potential impact on the clinical management of this group of diseases. This review summarises contemporary evidence on atrial fibrillation in infiltrative cardiomyopathies, with a particular focus on the role of non-invasive multimodal imaging in the evaluation of atrial cardiomyopathy."}