P-wave indices in Japanese patients with ischemic stroke: Implication of atrial myopathy in subtype of ischemic stroke

Yamamoto, Shigetada; Ono, Hideko; Motoyama, Hiroshi; Tachikawa, Hiroshi; Tagawa, Minoru; Akazawa, Kohei; Aizawa, Yoshifusa

doi:10.1016/j.jelectrocard.2021.02.010

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…In contrast, Yamamoto et al ( 35 ) were not able to prove a difference in prevalence of an abnormal PTFV1 among patients with cardioembolic stroke, lacunar stroke and control subjects.…”

Section: Electrocardiographymentioning

confidence: 82%

“…However, the maximal P-wave duration was significantly prolonged in patients with cardioembolic and lacunar strokes. A P-wave duration ≥ 120 ms and an advanced interatrial block, defined as P-wave duration ≥ 120 ms with simultaneous biphasic morphology in the inferior leads ( 35 ), were more frequent in the ischemic stroke groups than in the control group. At the same time, the presence of a P-wave duration ≥ 120 ms and an advanced interatrial block was associated with a higher likelihood for subsequent stroke, particularly of cardioembolic origin.…”

Section: Electrocardiographymentioning

confidence: 99%

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Left Atrial Cardiomyopathy – A Challenging Diagnosis

Kreimer

Gotzmann

2022

Front. Cardiovasc. Med.

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Left atrial cardiomyopathy (LACM) has been an ongoing focus of research for several years. There is evidence that LACM is responsible for atrial fibrillation and embolic strokes of undetermined sources. Therefore, the correct diagnosis of LACM is of clinical importance. Various techniques, including electrocardiography, echocardiography, cardiac magnetic resonance imaging, computed tomography, electroanatomic mapping, genetic testing, and biomarkers, can both identify and quantify structural, mechanical as well as electrical dysfunction in the atria. However, the question arises whether these techniques can reliably diagnose LACM. Because of its heterogeneity, clinical diagnosis is challenging. To date, there are no recommendations for standardized diagnosis of suspected LACM. However, standardization could help to classify LACM more precisely and derive therapeutic directions to improve individual patient management. In addition, uniform diagnostic criteria for LACM could be important for future studies. Combining several parameters and relating them seems beneficial to approach the diagnosis of LACM. This review provides an overview of the current evidence regarding the diagnosis of LACM, in which several potential parameters are discussed and, consequently, a proposal for a diagnostic algorithm is presented.

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“…In contrast, Yamamoto et al ( 35 ) were not able to prove a difference in prevalence of an abnormal PTFV1 among patients with cardioembolic stroke, lacunar stroke and control subjects.…”

Section: Electrocardiographymentioning

confidence: 82%

Section: Electrocardiographymentioning

confidence: 99%