Interatrial block as electrocardiographic predictive sign for atrial fibrillation in patients hospitalized in Internal Medicine Departments

被引:1
|
作者
Bragagni, Gianpaolo [1 ]
Chen, Chiu Hua [1 ]
Lari, Federico [1 ]
Magenta, Gaetano [1 ]
机构
[1] SS Salvatore Hosp, Dept Med, AUSL Bologna, S Giovanni In Persiceto, BO, Italy
关键词
Interatrial block; Bachmann's bundle; atrial fibrillation; deep terminal negativity of P-wave in V1; P-WAVE DISPERSION; RISK; PREVALENCE; DURATION; INDEXES;
D O I
10.4081/itjm.2019.1134
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study evaluated the correlation between interatrial block (IAB) and atrial fibrillation (AF) among patients admitted to our Internal Medicine Unit: 110 (group 1) were identified with electrocardiograms both in sinus rhythm and AF, and 123 (group 2) constantly in sinus rhythm. In both groups we analyzed: the presence of partial (P >= 120 msec) or advanced (P> 120 msec and biphasic in D2, D3, aVF) IAB, and the main electrocardiographic and clinical features. Age and gender between the two groups were similar. IAB was present in 89/110 (80.91%) in group 1 and 26/123 (21.13%) in group 2 (P=<0.01); partial in 50/110 (45.45%) and 19/123 (15.7%) in group 1 and 2 respectively (P<0.01), advanced in 39/110 (35.45%) and 7/123 (5.69%) (P<0.019). The correlation between IAB and AF was significant (P<0.001); 36 (65.4%) patients out of 55 with atrial echo dilatation had IAB and 14 (25.4%) had deep terminal negativity of P-wave in V1 (DTNPV1) >0.1 mV (P<0.01). IAB represents a reliable predictor of AF; moreover, the sensitivity of the IAB in detecting atrial dilatation is higher than the DTNPV1 >0.1 mV.
引用
收藏
页码:103 / 108
页数:6
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