Volume 23, Issue 6 e12583
CASE REPORT
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Second-degree interatrial block: Brief review and concept

Antonio Bayés de Luna

Corresponding Author

Antonio Bayés de Luna

Cardiovascular Research Foundation. Cardiovascular ICCC-Program, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Barcelona, Spain

Correspondence

Antonio Bayés de Luna, Cardiovascular Research Foundation. Cardiovascular ICCC-Program, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, C/ Sant Antoni Mª Claret, 167, 08025 Barcelona, Spain.

Email: [email protected]

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Adrián Baranchuk

Adrián Baranchuk

Division of Cardiology, Queen's University, Kingston, Ontario, Canada

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César Niño Pulido

César Niño Pulido

Cardiovascular Research Foundation. Cardiovascular ICCC-Program, Research Institute Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Barcelona, Spain

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Manuel Martínez-Sellés

Manuel Martínez-Sellés

Cardiology Department, Hospital General Universitario Gregorio Marañón, CIBERCV, Universidad Complutense, Universidad Europea, Madrid, Spain

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Antonio Bayés-Genís

Antonio Bayés-Genís

Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain

Department of Medicine, CIBERCV, Autonomous University of Barcelona, Barcelona, Spain

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Roberto Elosua

Roberto Elosua

Cardiovascular Epidemiology and Genetics Research Group, REGICOR Group, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia, Spain

CIBER Cardiovascular, Barcelona, Catalonia, Spain

Medicine Department, Medical School, University of Vic - Central University of Catalonia (UVic-UCC), Vic, Catalonia, Spain

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Marcelo V. Elizari

Marcelo V. Elizari

National Academy of Medicine, Buenos Aires, Argentina

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First published: 02 September 2018
Citations: 11

Abstract

The advanced interatrial block (A-IAB) (P ≥ 120 ms plus ± pattern in II, III and aVF) corresponds at atrial level, to right or left advanced bundle branch block at ventricular level, and it is well known that these patterns may be seen transiently in relation to taquicardia or bradycardia (tachycardia or bradycardia dependent right or left bundle branch block). We present for the first time, the same phenomenon at atrial level. In one case, the A-IAB appears in relation to tachycardization and in the other disappears during a pause induced by ventricular premature complex.

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