1570s, from Latin atrium "central court or main room of an ancient Roman house, room which contains the hearth," sometimes said (on authority of Varro, "De Lingua Latina") to be an Etruscan word, but perhaps from PIE *ater- "fire," on notion of "place where smoke from the hearth escapes" (through a hole in the roof). Anatomical sense of "either of the upper cavities of the heart" first recorded 1870. Meaning "skylit central court in a public building" first attested 1967.