Atypical advanced interatrial blocks: Definition and electrocardiographic recognition

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Bayés de Luna, A.
Escobar Robledo, Luis Alberto
Aristizabal, David
Weir Restrepo, Danilo
Mendieta, Guiomar

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The diagnosis of advanced interatrial block (A-IAB) is done by surface ECG analysis when the P-wave ≥120 ms with biphasic (±) morphology in leads II, III and aVF. In this brief communication, we advance a new concept involving atypical patterns of A-IAB due to changes about the morphology or duration of the P-wave. It remains to be determined its real prevalence in different clinical scenarios, and whether these atypical ECG patterns should be considered as predictors of atrial fibrillation/stroke.

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Bayés de Luna, A., Escobar Robledo, L. A., Aristizabal, D., Weir Restrepo, D., Mendieta, G., Massó van Roessel, A., ... & Baranchuk, A. (2018). Atypical advanced interatrial blocks: Definition and electrocardiographic recognition. Journal of Electrocardiology, 51(6), 1091-1093. https://doi.org/10.1016/j.jelectrocard.2018.09.004

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