[Interatrial block as anatomical-electrical substrate for supraventricular arrhythmias: Bayés syndrome]. 2014

Diego Conde, and Adrián Baranchuk
Cardiology Division, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina. Electronic address: drconde@hotmail.com.

In this article we aimed to establish that interatrial block exists as an anatomical-electrical entity, which should be considered a true block. Interatrial block presents with different degrees as other blocks in the conduction system. It shows a correlation with the left atrium size, however, it can be seen in patients with normal atrial size too. Interatrial block is strongly associated with atrial arrhythmias and it could be considered a predictor of cardioembolic stroke. Interatrial block is an expression of atrial electrical remodeling and dysfunction. IAB can be transient and in certain clinical circumstances, may be reversible. The contribution of endocardial mapping has increased our knowledge of the anatomy and pathophysiology of interatrial block. Magnetocardiography could be a possible non-invasive procedure to further investigate this entity. The interatrial block classification should include first, second and third degree or alternatively, in order to simplify the terminology: partial or advanced. The P wave morphology should always be taking into consideration when diagnosing this condition. Finally, without the initial description of interatrial block made by Dr. Bayés de Luna, it would be impossible to understand interatrial block as an anatomical and electrical substrate for atrial arrhythmias. It is our opinion that this represents a major contribution to the knowledge of electrocardiography and electrophysiology, and makes commendable that this arrhythmic syndrome should be called «Bayés' syndrome»

UI MeSH Term Description Entries
D006325 Heart Atria The chambers of the heart, to which the BLOOD returns from the circulation. Heart Atrium,Left Atrium,Right Atrium,Atria, Heart,Atrium, Heart,Atrium, Left,Atrium, Right
D006329 Heart Conduction System An impulse-conducting system composed of modified cardiac muscle, having the power of spontaneous rhythmicity and conduction more highly developed than the rest of the heart. Conduction System, Heart,Conduction Systems, Heart,Heart Conduction Systems,System, Heart Conduction,Systems, Heart Conduction
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000075224 Cardiac Conduction System Disease Diseases characterized by pathological irregularities in the HEART CONDUCTION SYSTEM. They may be associated with other heart diseases and syndromes (e.g., BRUGADA SYNDROME; NEUROMUSCULAR DISEASE, HEART BLOCKS), isolated or may result from injuries. You can have a conduction disorder without having an arrhythmia, but some arrhythmias arise from conduction disorders. OMIM: 601144. Cardiac Conduction Defect,Cardiac Conduction Defects,Cardiac Conduction System Diseases,Conduction Defect, Cardiac,Defect, Cardiac Conduction
D001145 Arrhythmias, Cardiac Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction. Arrhythmia,Arrythmia,Cardiac Arrhythmia,Cardiac Arrhythmias,Cardiac Dysrhythmia,Arrhythmia, Cardiac,Dysrhythmia, Cardiac
D013577 Syndrome A characteristic symptom complex. Symptom Cluster,Cluster, Symptom,Clusters, Symptom,Symptom Clusters,Syndromes
D053840 Brugada Syndrome An autosomal dominant defect of cardiac conduction that is characterized by an abnormal ST-segment in leads V1-V3 on the ELECTROCARDIOGRAM resembling a right BUNDLE-BRANCH BLOCK; high risk of VENTRICULAR TACHYCARDIA; or VENTRICULAR FIBRILLATION; SYNCOPAL EPISODE; and possible sudden death. This syndrome is linked to mutations of gene encoding the cardiac SODIUM CHANNEL alpha subunit. Brugada ECG Pattern,Brugada Syndrome 1,Brugada Type ECG Pattern,Right Bundle Branch Block, ST Segment Elevation, and Sudden Death Syndrome,Sudden Unexplained Death Syndrome,Sudden Unexplained Nocturnal Death Syndrome,Sudden Unexplained Nocturnal Death Syndrome (SUNDS),ECG Pattern, Brugada
D055724 Electrophysiological Phenomena The electrical properties, characteristics of living organisms, and the processes of organisms or their parts that are involved in generating and responding to electricity. Electrophysiological Concepts,Electrophysiological Processes,Electrophysiologic Concepts,Electrophysiologic Phenomena,Electrophysiological Phenomenon,Electrophysiological Process,Concept, Electrophysiologic,Concept, Electrophysiological,Concepts, Electrophysiologic,Concepts, Electrophysiological,Electrophysiologic Concept,Electrophysiological Concept,Phenomena, Electrophysiologic,Phenomena, Electrophysiological,Phenomenon, Electrophysiological,Process, Electrophysiological,Processes, Electrophysiological

Related Publications

Diego Conde, and Adrián Baranchuk
March 2019, Expert review of cardiovascular therapy,
Diego Conde, and Adrián Baranchuk
July 2017, Revista espanola de cardiologia (English ed.),
Diego Conde, and Adrián Baranchuk
March 2021, Medicina clinica,
Diego Conde, and Adrián Baranchuk
June 2015, European review for medical and pharmacological sciences,
Diego Conde, and Adrián Baranchuk
March 2017, Journal of geriatric cardiology : JGC,
Diego Conde, and Adrián Baranchuk
January 2022, Archivos de cardiologia de Mexico,
Diego Conde, and Adrián Baranchuk
November 2023, Journal of clinical medicine,
Diego Conde, and Adrián Baranchuk
January 2019, Journal of atrial fibrillation,
Diego Conde, and Adrián Baranchuk
December 2018, International journal of cardiology,
Diego Conde, and Adrián Baranchuk
November 2007, Recenti progressi in medicina,
Copied contents to your clipboard!