Abstract
References
- Laslett LJ, Alagona PJ, Clark BA 3rd, et al. The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology. J Am Coll Cardiol 2012; 60: S1-49.
- Wan S-H, Vogel MW, Chen HH. Pre-clinical diastolic dysfunction. J Am Coll Cardiol 2014; 63: 407–16.
- Kane GC, Karon BL, Mahoney DW, et al. Progression of left ventricular diastolic dysfunction and risk of heart failure. JAMA 2011; 306: 856–63.
- Redfield MM, Jacobsen SJ, Burnett JCJ, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA 2003; 289: 194–202.
- Yildirir A, Batur MK, Oto A. Hypertension and arrhythmia: blood pressure control and beyond. Europace 2002; 4: 175–82.
- Paulus WJ, Tschöpe C, Sanderson JE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J 2007; 28: 2539–50.
- Bayes de Luna A, Cladellas M, et al. Interatrial conduction block and retrograde activation of the left atrium and paroxysmal supraventricular tachyarrhythmia. Eur Heart J. 1988; 9: 1112–8.
- Johner N, Namdar M, Shah DC. Intra- and interatrial conduction abnormalities: hemodynamic and arrhythmic significance. J Interv Card Electrophysiol 2018; 52: 293–302.
- Lorbar M, Levrault R, Phadke JG, Spodick DH. Interatrial block as a predictor of embolic stroke. Am J Cardiol 2005; 95: 667–8.
- Sahn DJ, DeMaria A, Kisslo J, Weyman AF. Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation. 1978; 58: 1072–83.
- Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2016; 29: 277–314.
- Kligfield P, Gettes LS, Bailey JJ, et al. Recommendations for the standardization and interpretation of the electrocardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Cl. Circulation 2007; 115: 1306–24.
- de Luna AB, Platonov P, Cosio FG, et al. Interatrial blocks. A separate entity from left atrial enlargement: a consensus report. J Electrocardiol 2012; 45: 445–51.
- Ariyarajah V, Asad N, Tandar A, Spodick DH. Interatrial block: pandemic prevalence, significance, and diagnosis. Chest 2005 Aug; 128: 970–5.
- O’Neal WT, Zhang Z-M, Loehr LR, Chen LY, Alonso A, Soliman EZ. Electrocardiographic advanced interatrial block and atrial fibrillation risk in the general population. Am J Cardiol 2016; 117: 1755–9.
- Baturova MA, Lindgren A, Shubik Y V, Carlson J, Platonov PG. Interatrial block in prediction of all-cause mortality after first-ever ischemic stroke. BMC Cardiovasc Disord 2019; 19: 37.
- Russo V, Papa AA, Rago A, et al. Interatrial block to predict atrial fibrillation in myotonic dystrophy type 1. Neuromuscul Disord 2018; 28: 327–33.
- Nielsen JB, Kühl JT, Pietersen A, et al. P-wave duration and the risk of atrial fibrillation: Results from the Copenhagen ECG Study. Hear Rhythm 2015; 12: 1887–95.
- Frisella ME, Spodick DH. Confirmation of the prevalence and importance of a 12-lead investigation for diagnosis. Am J Cardiol 2005; 96: 696–7.
- Kaykha A, Myers J, Desser KB, Laufer N, Froelicher VF. The prognostic importance of isolated P‐wave abnormalities. Clin Cardiol 2010; 33: E87–93.
- Magnani JW, Gorodeski EZ, Johnson VM, et al. P wave duration is associated with cardiovascular and all-cause mortality outcomes: the National Health and Nutrition Examination Survey. Hear Rhythm 2011; 8: 93–100.
- Sun G, Zhou Y, Ye N, Wu S, Sun Y. Independent associations of blood pressure and body mass index with interatrial block: a cross-sectional study in general Chinese population. BMJ Open 2019; 9: e029463.
- Eicher J, Laurent G, Mathé A, et al. Atrial dyssynchrony syndrome: an overlooked phenomenon and a potential cause of ‘diastolic’heart failure. Eur J Heart Fail 2012; 14: 248–58.
- Goyal SB, Spodick DH. Electromechanical dysfunction of the left atrium associated with interatrial block. Am Heart J 2001; 142: 823–7.
- Lacalzada-Almeida J, Izquierdo-Gómez MM, Belleyo-Belkasem C, et al. Interatrial block and atrial remodeling assessed using speckle tracking echocardiography. BMC Cardiovasc Disord 2018; 18: 38.
- Tse G, Wong CW, Gong M, et al. Predictive value of inter-atrial block for new onset or recurrent atrial fibrillation: A systematic review and meta-analysis. Int J Cardiol 2018; 250: 152–6.
- Agarwal YK, Aronow WS, Levy JA, Spodick DH. Association of interatrial block with development of atrial fibrillation. Am J Cardiol 2003; 91: 882.
Abstract
Background: The interatrial block is a condition that occurs due to the delay of conduction in the right atrium to the left atrium, and can be partial (pIAB) or advanced (aIAB), and also is associated with atrial arrhythmia. Diastolic dysfunction (DD) is an important condition frequently encountered in most healthy middle-aged individuals and plays a role in the development of many cardiovascular diseases. It is noteworthy that frequent paroxysmal AF (PAF) attacks are observed especially in individuals with DD in clinical life, and its relationship with the presence of interatrial block is still unclear in these patients. Our aim in this study was to evaluate the relationship between the presence of DD and the development of interatrial block and PAF.
Methods: A total of 146; 92 patients with DD and 54 control (proven by echocardiography) were enrolled in this cross-sectional and prospectively study. The properties of the P wave were evaluated in leads D2-3 aVF and V1. Echocardiography and electrocardiography results of the two groups were compared.
Results: The mean age of the DD and the control group was (62.3 ± 0.74 and 61.2 ± 0.61 years, p=0.481) respectively. The frequency of IAB was significantly higher in the DD than the control group (%37-%46.7-%16.3, %77.8-%18.5-%3.7, none-pİAB-aİAB, respectively). In the correlation analysis, there was a strong correlation between the presence of DD and IAB (r: 0.439, p <0.001), and the history of PAF and IAB (r: 0.458, p <0.001).
Conclusion: In our study, the frequency of IAB was significantly higher in the DD group. We think that it may be beneficial to evaluate P waves more carefully to determine the risky individuals among those who have DD in clinical life.
References
- Laslett LJ, Alagona PJ, Clark BA 3rd, et al. The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology. J Am Coll Cardiol 2012; 60: S1-49.
- Wan S-H, Vogel MW, Chen HH. Pre-clinical diastolic dysfunction. J Am Coll Cardiol 2014; 63: 407–16.
- Kane GC, Karon BL, Mahoney DW, et al. Progression of left ventricular diastolic dysfunction and risk of heart failure. JAMA 2011; 306: 856–63.
- Redfield MM, Jacobsen SJ, Burnett JCJ, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA 2003; 289: 194–202.
- Yildirir A, Batur MK, Oto A. Hypertension and arrhythmia: blood pressure control and beyond. Europace 2002; 4: 175–82.
- Paulus WJ, Tschöpe C, Sanderson JE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J 2007; 28: 2539–50.
- Bayes de Luna A, Cladellas M, et al. Interatrial conduction block and retrograde activation of the left atrium and paroxysmal supraventricular tachyarrhythmia. Eur Heart J. 1988; 9: 1112–8.
- Johner N, Namdar M, Shah DC. Intra- and interatrial conduction abnormalities: hemodynamic and arrhythmic significance. J Interv Card Electrophysiol 2018; 52: 293–302.
- Lorbar M, Levrault R, Phadke JG, Spodick DH. Interatrial block as a predictor of embolic stroke. Am J Cardiol 2005; 95: 667–8.
- Sahn DJ, DeMaria A, Kisslo J, Weyman AF. Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation. 1978; 58: 1072–83.
- Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2016; 29: 277–314.
- Kligfield P, Gettes LS, Bailey JJ, et al. Recommendations for the standardization and interpretation of the electrocardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Cl. Circulation 2007; 115: 1306–24.
- de Luna AB, Platonov P, Cosio FG, et al. Interatrial blocks. A separate entity from left atrial enlargement: a consensus report. J Electrocardiol 2012; 45: 445–51.
- Ariyarajah V, Asad N, Tandar A, Spodick DH. Interatrial block: pandemic prevalence, significance, and diagnosis. Chest 2005 Aug; 128: 970–5.
- O’Neal WT, Zhang Z-M, Loehr LR, Chen LY, Alonso A, Soliman EZ. Electrocardiographic advanced interatrial block and atrial fibrillation risk in the general population. Am J Cardiol 2016; 117: 1755–9.
- Baturova MA, Lindgren A, Shubik Y V, Carlson J, Platonov PG. Interatrial block in prediction of all-cause mortality after first-ever ischemic stroke. BMC Cardiovasc Disord 2019; 19: 37.
- Russo V, Papa AA, Rago A, et al. Interatrial block to predict atrial fibrillation in myotonic dystrophy type 1. Neuromuscul Disord 2018; 28: 327–33.
- Nielsen JB, Kühl JT, Pietersen A, et al. P-wave duration and the risk of atrial fibrillation: Results from the Copenhagen ECG Study. Hear Rhythm 2015; 12: 1887–95.
- Frisella ME, Spodick DH. Confirmation of the prevalence and importance of a 12-lead investigation for diagnosis. Am J Cardiol 2005; 96: 696–7.
- Kaykha A, Myers J, Desser KB, Laufer N, Froelicher VF. The prognostic importance of isolated P‐wave abnormalities. Clin Cardiol 2010; 33: E87–93.
- Magnani JW, Gorodeski EZ, Johnson VM, et al. P wave duration is associated with cardiovascular and all-cause mortality outcomes: the National Health and Nutrition Examination Survey. Hear Rhythm 2011; 8: 93–100.
- Sun G, Zhou Y, Ye N, Wu S, Sun Y. Independent associations of blood pressure and body mass index with interatrial block: a cross-sectional study in general Chinese population. BMJ Open 2019; 9: e029463.
- Eicher J, Laurent G, Mathé A, et al. Atrial dyssynchrony syndrome: an overlooked phenomenon and a potential cause of ‘diastolic’heart failure. Eur J Heart Fail 2012; 14: 248–58.
- Goyal SB, Spodick DH. Electromechanical dysfunction of the left atrium associated with interatrial block. Am Heart J 2001; 142: 823–7.
- Lacalzada-Almeida J, Izquierdo-Gómez MM, Belleyo-Belkasem C, et al. Interatrial block and atrial remodeling assessed using speckle tracking echocardiography. BMC Cardiovasc Disord 2018; 18: 38.
- Tse G, Wong CW, Gong M, et al. Predictive value of inter-atrial block for new onset or recurrent atrial fibrillation: A systematic review and meta-analysis. Int J Cardiol 2018; 250: 152–6.
- Agarwal YK, Aronow WS, Levy JA, Spodick DH. Association of interatrial block with development of atrial fibrillation. Am J Cardiol 2003; 91: 882.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | October 22, 2020 |
| Published in Issue | Year 2020 Volume: 3 Issue: 4 |
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