New electrocardiographic score for the prediction of atrial fibrillation: The MVP ECG risk score (morphology‐voltage‐P‐wave duration)

Alexander, Bryce; Milden, Julia; Hazim, Bachar; Haseeb, Sohaib; Bayés‐Genís, Antoni; Elosúa, Roberto; Martínez‐Sellés, Manuel; Yeung, Cynthia; Hopman, Wilma M.; Luna, Antoni Bayés de; Baranchuk, Adrián

doi:10.1111/anec.12669

Cited by 64 publications

(62 citation statements)

References 31 publications

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“…The prevalence of advanced and partial IAB is 1% and 9.7% respectively, in the general population and they are both associated with increased risk of AF [7]. Its prevalence increases with age, reaching a prevalence of 26% of advanced IAB and 20.1% of partial IAB in individuals > 100 years of age [11]. Aging is associated with a progressive increase in the degree of atrial fibrosis and modification in the cardiac conduction system, which can be associated with IAB.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2021

Int J Clin Cardiol

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A 70-year-old Caucasian men with a 5 year history of ALS was admitted to the hospital following worsening of an unsteady gait, vertigo, nausea, and vomiting. The patient was hypertensive under treatment. Moreover, no chest pain was reported during the last 3 months. He has experienced dyspneic episodes and intermittent use of a CPAP for breath amelioration. One year ago he underwent a cardiac ultrasound that demonstrated normal biventricular systolic function: He had degeneration of the mitral and aortic valves with no transvalvular gradients. There was left atrial dilatation

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Section: Discussionmentioning

confidence: 99%

Untitled

2021

Int J Clin Cardiol

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“…The interval between the earliest and the latest detection of atrial depolarization will be used. The following ECG parameters will be included to evaluate LA and right atrial (RA) abnormalities (Alexander et al, 2019;Hancock et al, 2009;Kaplan, Evans, Foster, Lim, & Schiller, 1994;Lee et al, 2007;Tsao et al, 2008).…”

Section: P-wave Parametersmentioning

confidence: 99%

“…The criteria applied for diagnosis of left atrial (LA) abnormality using electrocardiogram (ECG) are based on various parameters including P‐wave duration ≥ 120 ms, the classic Morris index (increase in P‐wave terminal force in V 1 [PtfV 1 ], with terminal negativity of P wave in V 1 < −0.1 mV and duration >0.04 s) (Morris, Estes, Whalen, & Thompson, 1964), P‐wave morphology in inferior leads, P voltage in lead I, P‐wave area/axis, and P‐wave score(Alexander et al., 2019). These criteria have high specificity (85%–90%) but low sensitivity (Josephson, Kastor, & Morganroth, 1977; Tsao et al., 2008; Bayes de Luna, 2012) and can also be used for diagnosis of interatrial block (IAB).…”

Section: Introductionmentioning

confidence: 99%

Electrocardiogram and left atrial abnormality: Design of an observational study to clarify diagnostic criteria

Lacalzada‐Almeida

Izquierdo‐Gómez

Laynez‐Cerdeña

et al. 2020

Noninvasive Electrocardiol

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“…A better knowledge of IAB, a separate entity from left atrial enlargement [54] that is associated with AF and stroke [55,56], is essential to clarify the correct future approach in these patients. Also, the influence of other P-wave indexes in the prognosis should be taken into consideration in the decisionmaking process.…”

Section: Iab and Transcatheter Aortic Valve Implant (Tavi)mentioning

confidence: 99%

Cerebral Embolism Beyond Atrial Fibrillation: Interatrial Block

Martínez-Sellés

Ayesta

Martínez‐Sellés

2020

CMI

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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 risk factor. In fact, a high stroke risk has been described even in the absence of AF in patients with high CHA2DS2VASc-score (Congestive Heart failure, hypertension, Age ≥75 years [doubled], Diabetes, Stroke [doubled], Vascular disease, Age 65-74 years, Sex category [female sex]). Moreover, excessive atrial ectopy and short atrial runs also increase stroke risk. Some of the previously mentioned stroke risk factors in patients without documented arrhythmias might be combined to determine thrombotic risk. That risk is particularly high in elderly patients with advanced IAB, structural heart disease, CHA2DS2-VASc score ≥3, and frequent ambient atrial arrhythmias. Systematic screening for advanced IAB in elderly patients can be performed with a simple surface ECG. Advanced IAB is a risk marker of stroke.

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New electrocardiographic score for the prediction of atrial fibrillation: The MVP ECG risk score (morphology‐voltage‐P‐wave duration)

Cited by 64 publications

References 31 publications

Untitled

Untitled

Electrocardiogram and left atrial abnormality: Design of an observational study to clarify diagnostic criteria

Cerebral Embolism Beyond Atrial Fibrillation: Interatrial Block

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