2020
DOI: 10.7175/cmi.v14i1.1462
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Cerebral Embolism Beyond Atrial Fibrillation: Interatrial Block

Abstract: This paper is devoted to conditions that imply a risk for cerebral embolism beyond atrial fibrillation (AF). We focus on advanced interatrial block (IAB) and its relationship with stroke in elderly patients with no documented arrhythmias. Advanced IAB is manifested in the surface electrocardiogram (ECG) as a P-wave duration >120 ms plus biphasic morphology (positive and negative deflection) in leads II, III, and aVF. Several data suggest that AF is not necessarily the leading cause of stroke, but rather a r… Show more

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“…As a result of the above condition an endothelium dysfunction may be present with a hypercoagulable state comparable to that present in AF [15,16] and a stagnant and sluggish left atrium favoring the appearance of stasis -induced thrombosis, especially in the left appendage, even in absence of supraventricular arrhythmias.…”
Section: Discussionmentioning
confidence: 97%
“…As a result of the above condition an endothelium dysfunction may be present with a hypercoagulable state comparable to that present in AF [15,16] and a stagnant and sluggish left atrium favoring the appearance of stasis -induced thrombosis, especially in the left appendage, even in absence of supraventricular arrhythmias.…”
Section: Discussionmentioning
confidence: 97%