Journal article
Widely split P waves in a patient with atrial enlargement and prior atrial flutter catheter ablations
HeartRhythm case reports, Vol.8(10), pp.688-691
10/01/2022
DOI: 10.1016/j.hrcr.2022.07.010
Abstract
Key Teaching Points
• P waves result from the electrical activation of the right and left atria sequentially through semi-specialized pathways in the Bachmann bundle zone and along regions of preferred conduction within the right atrium.
• Prolonged and widely split P waves can have multiple possible causes, eg, interatrial conduction delay from atrial enlargement or remodeling, changes secondary to radiofrequency ablation, or alteration in conductive tissue properties with medication use.
• A comprehensive clinical history and work-up with imaging over an extended period of time may aid in the differential between these causes.
Details
- Title: Subtitle
- Widely split P waves in a patient with atrial enlargement and prior atrial flutter catheter ablations
- Creators
- Shengyuan Luo - Rush University Medical CenterLaith A. Derbas - Rush University Medical CenterCaleb J. Chiang - Rush University Medical CenterHenry D. Huang - Rush University Medical CenterAnnabelle Santos Volgman - Rush University Medical Center
- Resource Type
- Journal article
- Publication Details
- HeartRhythm case reports, Vol.8(10), pp.688-691
- DOI
- 10.1016/j.hrcr.2022.07.010
- ISSN
- 2214-0271
- eISSN
- 2214-0271
- Number of pages
- 4
- Language
- English
- Date published
- 10/01/2022
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985218630802771
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