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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Main Authors: Raman Mehrzad, David H. Spodick
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2014-03-01
Series:Iranian Journal of Medical Sciences
Subjects:
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.
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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