Cardiovascular Complications of Interatrial Conduction Block JACC State-of-the-Art Review
Por:
Power, DA, Lampert, J, Camaj, A, Bienstock, SW, Kocovic, N, Bayes-Genis, A, Miller, MA, Bayes-de-Luna, A and Fuster, V
Publicada:
29 mar 2022
Ahead of Print:
1 mar 2022
Resumen:
Interatrial block (IAB) is an electrocardiographic pattern describing the conduction delay between the right and left atria. IAB is classified into 3 degrees of block that correspond to decreasing conduction in the region of Bachmann's bundle. Although initially considered benign in nature, specific subsets of IAB have been associated with atrial arrhythmias, elevated thromboembolic stroke risk, cognitive impairment, and mortality. As the pathophysiologic relationships between IAB and stroke are reinforced, investigation has now turned to the potential benefit of early detection, atrial imaging, cardiovascular risk factor modification, antiarrhythmic pharmacotherapy, and stroke prevention with oral anticoagulation. This review provides a contemporary overview of the epidemiology, pathophysiology, diagnosis, and management of IAB, with a focus on future directions. (C) 2022 by the American College of Cardiology Foundation.
Filiaciones:
Power, DA:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
Lampert, J:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
Camaj, A:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
Bienstock, SW:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
Kocovic, N:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
:
Hosp Badalona Germans Trias & Pujol, Heart Inst, Badalona, Spain
Miller, MA:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
Bayes-de-Luna, A:
IIB St Pau, Res Inst Hosp Santa Creu & St Pau, Cardiovasc ICCC Program, Cardiovasc Res Fdn, Barcelona, Spain
Fuster, V:
Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
Ctr Nacl Invest Cardiovasc, Madrid, Spain
|