Interatrial Block: A Virtual Pandemic Requiring Attention
Interatrial block (IAB) denotes a conduction delay between the two atria (P-wave duration ≥110 ms). Depending on the severity of the block, IAB can be partial or advanced. Even though several studies have reported a high prevalence of IAB, it still remains a diagnosis many neglect without any follow...
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Format: | Article |
Language: | English |
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Shiraz University of Medical Sciences
2014-03-01
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Series: | Iranian Journal of Medical Sciences |
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Online Access: | http://ijms.sums.ac.ir/index.php/IJMS/article/view/585/130 |
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author | Raman Mehrzad David H. Spodick |
author_facet | Raman Mehrzad David H. Spodick |
author_sort | Raman Mehrzad |
collection | DOAJ |
description | Interatrial block (IAB) denotes a conduction delay between the two atria (P-wave duration ≥110 ms). Depending on the severity of the block, IAB can be partial or advanced. Even though several studies have reported a high prevalence of IAB, it still remains a diagnosis many neglect without any follow-up. The crisis in IAB is undramatic until predictable complications appear. Nevertheless, the danger in IAB is real because of the major associations with multiple medical conditions, including atrial fibrillation, myocardial ischemia, left atrial enlargement, and systemic emboli. There are different treatment options for IAB to eliminate its consequences, including pacing and medical management with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers. Pacing has been shown to give promising results and could potentially prevent conditions related to cardiovascular disease such as hypertension or diabetes mellitus. Given the high prevalence of IAB, together with its potentially serious consequences, and yet being largely ignored, we stress attention to this potentially dangerous pandemic and raise consideration for further investigations. |
first_indexed | 2024-12-13T03:38:27Z |
format | Article |
id | doaj.art-dc6211e9b96f4e7181fc4b9aa501a687 |
institution | Directory Open Access Journal |
issn | 1735-3688 0253-0716 |
language | English |
last_indexed | 2024-12-13T03:38:27Z |
publishDate | 2014-03-01 |
publisher | Shiraz University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Medical Sciences |
spelling | doaj.art-dc6211e9b96f4e7181fc4b9aa501a6872022-12-22T00:00:59ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences1735-36880253-07162014-03-013928493Interatrial Block: A Virtual Pandemic Requiring AttentionRaman Mehrzad0David H. Spodick1Department of Medicine, Steward Carney Hospital, Boston, MA, USA.2Department of Medicine, Division of Cardiology, St. Vincent Hospital and University of Massachusetts Medical School, Worcester, MA, USA.Interatrial block (IAB) denotes a conduction delay between the two atria (P-wave duration ≥110 ms). Depending on the severity of the block, IAB can be partial or advanced. Even though several studies have reported a high prevalence of IAB, it still remains a diagnosis many neglect without any follow-up. The crisis in IAB is undramatic until predictable complications appear. Nevertheless, the danger in IAB is real because of the major associations with multiple medical conditions, including atrial fibrillation, myocardial ischemia, left atrial enlargement, and systemic emboli. There are different treatment options for IAB to eliminate its consequences, including pacing and medical management with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers. Pacing has been shown to give promising results and could potentially prevent conditions related to cardiovascular disease such as hypertension or diabetes mellitus. Given the high prevalence of IAB, together with its potentially serious consequences, and yet being largely ignored, we stress attention to this potentially dangerous pandemic and raise consideration for further investigations.http://ijms.sums.ac.ir/index.php/IJMS/article/view/585/130Electrocardiography ● Pandemic ● Atrium ● Block |
spellingShingle | Raman Mehrzad David H. Spodick Interatrial Block: A Virtual Pandemic Requiring Attention Iranian Journal of Medical Sciences Electrocardiography ● Pandemic ● Atrium ● Block |
title | Interatrial Block: A Virtual Pandemic Requiring Attention |
title_full | Interatrial Block: A Virtual Pandemic Requiring Attention |
title_fullStr | Interatrial Block: A Virtual Pandemic Requiring Attention |
title_full_unstemmed | Interatrial Block: A Virtual Pandemic Requiring Attention |
title_short | Interatrial Block: A Virtual Pandemic Requiring Attention |
title_sort | interatrial block a virtual pandemic requiring attention |
topic | Electrocardiography ● Pandemic ● Atrium ● Block |
url | http://ijms.sums.ac.ir/index.php/IJMS/article/view/585/130 |
work_keys_str_mv | AT ramanmehrzad interatrialblockavirtualpandemicrequiringattention AT davidhspodick interatrialblockavirtualpandemicrequiringattention |