https://doi.org/10.4081/monaldi.2021.1692
Ischemic stroke in a patient with interatrial block: Is it only a coincidence or a clear relationship?
Submitted: November 22, 2020
Accepted: January 5, 2021
Published: April 13, 2021
Accepted: January 5, 2021
Abstract Views: 757
PDF: 385
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Atrial fibrillation (AF) can be detected in nearly 25% of all patients with stroke by sequentially combining different electrocardiographic methods. Prediction of early cardio-embolic stroke remain a permanent challenge in everyday practice. The early identification of an increased risk for atrial fibrillation episodes (which are frequently asymptomatic) is essential for the prevention of cardioembolic events. One of the noninvasive modalities of atrial fibrillation prediction is represented by the electrocardiographic P-wave analysis. This includes study and diagnosis of interatrial conduction block. Our short case report presents a case with ischemic cortico-sottocortical stroke involving capsulo and caudo regions in a woman patient with interatrial block as realized by electrocardiographic P analysis.
Conde D, Seoane L, Gysel M, et al. Bayés' syndrome: the association between interatrial block and supraventricular arrhythmias. Expert Rev Cardiovasc Ther 2015;13:541-50.
DOI: https://doi.org/10.1586/14779072.2015.1037283
Bayés de Luna A, Cladellas M, Oter R, et al. Interatrial conduction block and retrograde activation of the Left Atrium and paroxysmal supraventricular tachyarrhythmia. Eur Heart J 1988;9:1112–8.
DOI: https://doi.org/10.1093/oxfordjournals.eurheartj.a062407
Conde D, Baranchuk A. Interatrial block as anatomical-electrical substrate for supraventricular arrhythmias: Bayés syndrome. Arch Cardiol Mex 2014;84:32–40.
Spodick DH, Ariyarajah V. Interatrial block: the pandemic remains poorly perceived. Pacing Clin Electrophysiol 2009;32:667–72.
DOI: https://doi.org/10.1111/j.1540-8159.2009.02343.x
Martínez-Sellés M, Massó-van Roessel A, Álvarez-García J, et al. Interatrial block and atrial arrhythmias in centenarians: Prevalence, associations, and clinical implications. Heart Rhythm 2016;13 645–51.
DOI: https://doi.org/10.1016/j.hrthm.2015.10.034
Bryce A, Milden J, Bachar H, et al. New electrocardiographic score for the prediction of atrial fibrillation: The MVP ECG risk score (morphology-voltage-P-wave duration). Ann Noninvasive Electrocardiol 2019;24:e12669.
DOI: https://doi.org/10.1111/anec.12669
Istolahti T, Eranti A, Huhtala H, et al. The prevalence and prognostic significance of interatrial block in the general population. Ann Med 2020;20:1-23.
DOI: https://doi.org/10.1080/07853890.2020.1731759
Martínez-Sellés M. Prevalence and incidence of interatrial block in global population and in different clinical situations. J Geriatr Cardiol 2017;14:158-60.
Maheshwari A, Norby FL, Soliman EZ, et al. Refining prediction of atrial fibrillation risk in the general population with analysis of P-wave axis (from the Atherosclerosis Risk in Communities Study). Am J Cardiol 2017;120:1980-4.
DOI: https://doi.org/10.1016/j.amjcard.2017.08.015
German MD, Kabir MM, Dewland TA, et al. Atrial fibrillation predictors: Importance of the electrocardiogram. Ann Noninvasive Electrocardiol 2016;21:20-9.
DOI: https://doi.org/10.1111/anec.12321
Cotter PE, Martin PJ, Pugh PJ, et al. Increased incidence of interatrial block in younger adults with cryptogenic stroke and patent foramen ovale. Cerebrovasc Dis Extra 2011;1:36-43.
DOI: https://doi.org/10.1159/000327346
Benito EM, De Luna AB, Baranchuk A, et al. Extensive atrial fibrosis assessed by late gadolinium enhancement cardiovascular magnetic resonance associated with advanced interatrial block electrocardiogram pattern. Europace 2017;19:377.
DOI: https://doi.org/10.1093/europace/euw294
Larsen BS, Kumarathurai P, Falkenberg J. Excessive atrial ectopy and short atrial runs increase the risk of stroke beyond incident atrial fibrillation. J Am Coll Cardiol 2015;66:232-41.
DOI: https://doi.org/10.1016/j.jacc.2015.05.018
Tischer Ts, Schneider R, Lauschke J, et al. Prevalence of atrial fibrillation in patients with high CHADS2- and CHA2DS2VASc-scores: anticoagulate or monitor high-risk patients? Pacing Clin Electrophysiol 2014;37:1651-7.
DOI: https://doi.org/10.1111/pace.12470
Zuo ML, Liu S, Chan KH, et al. The CHADS2 and CHA 2DS 2-VASc scores predict new occurrence of atrial fibrillation and ischemic stroke. J Interv Card Electrophysiol 2013;37:47-54.
DOI: https://doi.org/10.1007/s10840-012-9776-0
Bacharova L, Wagner GS. The time for naming the interatrial block Syndrome: Bayes Syndrome. J Electrocardiol 2015;48:133-4.
DOI: https://doi.org/10.1016/j.jelectrocard.2014.12.022
Kumarathurai P, Mouridsen MR, Mattsson N, et al. Atrial ectopy and N-terminal pro-B-type natriuretic peptide as predictors of atrial fibrillation: a population-based cohort study. Europace 2017;19:364-70.
Bayés de Luna A, Martínez-Sellés M, Bayés-Genís A, et al. Surface ECG interatrial block-guided treatment for stroke prevention: rationale for an attractive hypothesis. BMC Cardiovasc Disord 2017;17:211.
DOI: https://doi.org/10.1186/s12872-017-0650-y
Martínez-Sellés M, Fernández Lozano I, Baranchuk A, et al. Should we anticoagulate patients at high risk of atrial fibrillation? Rev Esp Cardiol 2016;69:374-6.
DOI: https://doi.org/10.1016/j.rec.2016.01.008
How to Cite
Antonopoulos, Athanassios, and Laila Fiorani. 2021. “Ischemic Stroke in a Patient With Interatrial Block: Is It Only a Coincidence or a Clear Relationship?”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1692.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Maria Teresa La Rovere, Egidio Traversi, Prognostic impact of digoxin use for rate control of atrial fibrillation in patients ≥75 years of age , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- Francesco Orso, Riccardo Barucci, Stefania Fracchia, Giulio Mannarino, Alessandra Pratesi, Francesco Fattirolli, Treatment of very old patients with non valvular atrial fibrillation. The valuable opportunity offered by New Oral Anticoagulants, to be cautiously used , Monaldi Archives for Chest Disease: Vol. 80 No. 4 (2013): Cardiac Series
- Lorenzo Palleschi, Eleonora Nunziata, Net clinical benefit of anticoagulation therapy in the elderly patients with atrial fibrillation , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- Stefania Angela Di Fusco, Furio Colivicchi, Nadia Aspromonte, Marco Tubaro, Alessandro Aiello, Massimo Santini, Direct oral anticoagulants in patients undergoing cardioversion: insight from randomized clinical trials , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Maurizio Giuseppe Abrignani, Furio Colivicchi, Thromboembolic and hemorrhagic risk stratification in patients with atrial fibrillation. Part I: the thromboembolic risk , Monaldi Archives for Chest Disease: Vol. 80 No. 2 (2013): Cardiac series
- Mario Sorice, Francesco Paolo Tritto, Chiara Sordelli, Rosario Gregorio, Luigi Piazza, N-3 polyunsaturated fatty acids reduces post-operative atrial fibrillation incidence in patients undergoing “on-pump†coronary artery bypass graft surgery , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- O. Serafini, G. Misuraca, A. Siniscalchi, M.T. Manes, G. Meringolo, C. Tomaselli, M. Chiatto, A. Buffon, Prevalence of aneurysm of the interatrial septum in the general population and in patients with a recent episode of cryptogenetic ischemic stroke: a tissue harmonic imaging transthoracic ecocardiography study in 5.631 patients , Monaldi Archives for Chest Disease: Vol. 66 No. 4 (2006): Cardiac series
- Maurizio Giuseppe Abrignani, Vincenzo Abrignani, Thromboembolic and hemorrhagic risk stratification in patients with atrial fibrillation. Part II: hemorrhagic risk and guidelines recommendations , Monaldi Archives for Chest Disease: Vol. 80 No. 3 (2013): Cardiac series
- Roberta Ancona, Salvatore Comenale Pinto, Pio Caso, Vito Di Palma, Francesca Pisacane, Alfonso Roberto Martiniello, Cesare Quarto, Nicla De Rosa, Carlo Pisacane, Raffaele Calabrò, Right atrial mass following transcatheter radiofrequency ablation for recurrent atrial fibrillation: thrombus, endocarditis or mixoma? , Monaldi Archives for Chest Disease: Vol. 72 No. 1 (2009): Cardiac series
- Giuseppe Patti, Ludmilla Mantione, Edoardo Bressi, Antonio Bisignani, Efficacy and safety of oral anticoagulant therapy in frail patients with atrial fibrillation , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
You may also start an advanced similarity search for this article.
