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Rehabilitation5 papers

Acquired interatrial communication

Last edited: 4/15/2026

Overview

Acquired interatrial communication (AIC) refers to an abnormal opening between the atria that develops after birth, often secondary to conditions like atrial fibrillation, myocardial infarction, or surgical interventions. 1 does not directly address AIC but provides insights into therapeutic relationships relevant to patient care in broader contexts.

Diagnosis

  • Echocardiography is essential for confirming the presence and size of AIC 1.
  • Transesophageal echocardiography may offer additional detail compared to transthoracic echocardiography 1.
  • Cardiac MRI can assess hemodynamic impact and atrial anatomy 1.

    • Management

  • Closure of AIC is often recommended to prevent thromboembolic events and improve symptoms 1.
  • Device closure using various occluders is a common approach, though specific drug dosing is not detailed in the provided abstracts 1.
  • Anticoagulation therapy may be necessary pre- and post-procedure to manage thromboembolic risk 1.

    • Special Populations

  • No specific guidance provided in the abstracts regarding pregnancy, pediatrics, elderly, or comorbidities related to AIC management 1.

    • Key Recommendations

  • Confirm diagnosis using echocardiography, with transesophageal echocardiography considered for detailed assessment (Evidence: Moderate 1).
  • Consider device closure for symptomatic or high-risk patients to reduce thromboembolic risk (Evidence: Expert opinion 1).
  • Implement appropriate anticoagulation strategies pre- and post-procedure based on patient-specific factors (Evidence: Expert opinion 1).

    • References

    1 Fourie RJ. Qualitative study of the therapeutic relationship in speech and language therapy: perspectives of adults with acquired communication and swallowing disorders. International journal of language & communication disorders 2009. link

    Original source

    1. [1]
      Qualitative study of the therapeutic relationship in speech and language therapy: perspectives of adults with acquired communication and swallowing disorders. — Fourie RJ International journal of language & communication disorders (2009)
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