Literature DB >> 17286646

Interatrial block: a novel risk factor for embolic stroke?

Vignendra Ariyarajah1, Puneet Puri, Sirin Apiyasawat, David H Spodick.   

Abstract

BACKGROUND: Interatrial block (IAB; P wave > or = 110 ms) is highly prevalent and is strongly associated with atrial tachyarrhythmias and left atrial dysfunction, making it a potential embolic risk. METHODS AND
RESULTS: Among 293 neurological admissions over 2 years, 85 patients were diagnosed with embolic strokes and 208 with nonembolic strokes. Patients were then matched for stroke risk factors and evaluated for IAB. Eighty-eight percent of probable embolic stroke patients showed sinus rhythm, demonstrating a 61% IAB prevalence. Only hypertension (P < 0.001; r = 0.3) and IAB (P < 0.006; r = 0.2) were significant and directly correlated.
CONCLUSION: IAB could indeed be a novel risk for embolic strokes and further investigation is warranted.

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Year:  2007        PMID: 17286646      PMCID: PMC6932538          DOI: 10.1111/j.1542-474X.2007.00133.x

Source DB:  PubMed          Journal:  Ann Noninvasive Electrocardiol        ISSN: 1082-720X            Impact factor:   1.468


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