RT-12
|
Third degree (advanced)
interatrial block
|
|
|
A. Bayés de Luna, J. Guindo, X.
Viñolas, A. Martinez-Rubio, A. Bayés-Genís.
Hospital Santa Creu i Sant Pau, Barcelona, Spain
|
|
Electrophysiological concept
|
|
P. Puech as early as 19541
demonstrated thanks to a combination of surface ECG and oesophageal leads that the
morphology of wide P wave with morphology in II, III and VF was seen in case of advanced
interatrial block and was explained by a craneocaudal vector of activation of right atrium
followed by a caudocraneal activation of a left atrium (Fig. 1C). Later isolated cases and
short series2-5 were published of this type of
interatrial block. Different authors also confirmed by oesophageal ECG and
electrophysiologically the retrograde activation of left atria.
|
Key Words
|
|
Third degree interatrial block
paroxysmal tachyrrhythmias, medical treatment, synchronous biatrial pacing, R
|
