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J Thorac Dis. 2018 Jul;10(7):4328-4334. doi: 10.21037/jtd.2018.06.53.

Interatrial block predicts atrial fibrillation in patients with carotid and coronary artery disease.

Journal of thoracic disease

Bryce Alexander, Adrian Baranchuk, Sohaib Haseeb, Henri van Rooy, Adrian Kuchtaruk, Wilma Hopman, Göksel Çinier, Marie-France Hetu, Terry Y Li, Amer M Johri

Affiliations

  1. Division of Cardiology, Queen's University, Kingston, Ontario, Canada.
  2. Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center Kadikoy, Istanbul, Turkey.

PMID: 30174880 PMCID: PMC6106028 DOI: 10.21037/jtd.2018.06.53

Abstract

BACKGROUND: Interatrial block (IAB) has been previously shown to predict atrial fibrillation (AF) in cardiac populations. This study sought to evaluate the relationship between IAB and new-onset AF in a population of patients undergoing clinically indicated coronary angiography who received carotid ultrasonography.

METHODS: A population of 355 subjects undergoing coronary angiography and carotid ultrasound were retrospectively studied. Common carotid artery (CCA) far-wall intima-media thickness (CIMT), and total carotid plaque area were measured. Coronary artery disease was measured by angiography and IAB by electrocardiograph (ECG).

RESULTS: The mean population age was 64.4 years, 70.4% male, mean BMI 29.9 kg/m

CONCLUSIONS: IAB is a predictor of new-onset AF in patients with carotid and coronary artery disease. Both carotid and coronary artery disease are associated with a higher prevalence of IAB.

Keywords: Interatrial block (IAB); atherosclerosis; atrial fibrillation (AF); carotid Doppler

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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