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Intra-Atrial Conduction Delay by ECG Finding

MedGen UID:
412239
•Concept ID:
C2346510
•
Finding
Synonyms: Intra-Atrial Conduction Delay; Intra-Atrial Conduction Delay by EKG Finding

Definition

An electrocardiographic finding of a delay in impulse propagation through the atria. This is characterized by broad P waves which are often biphasic in V1. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIntra-Atrial Conduction Delay by ECG Finding

Professional guidelines

PubMed

DDD pacing: an effective treatment modality for recurrent atrial arrhythmias.
Attuel P, Pellerin D, Mugica J, Coumel P
Pacing Clin Electrophysiol 1988 Nov;11(11 Pt 2):1647-54. doi: 10.1111/j.1540-8159.1988.tb06289.x. PMID: 2463527

Recent clinical studies

Etiology

Inter/Intra-Atrial Dissociation in Patients With Maze Procedure and Its Clinical Implications: Pseudo-Block and Pseudo-Ventricular Tachycardia.
Do U, Nam GB, Kim M, Cho MS, Kim J, Choi KJ, Kim YH
J Am Heart Assoc 2020 Dec;9(23):e018241. Epub 2020 Nov 20 doi: 10.1161/JAHA.120.018241. PMID: 33215559Free PMC Article
Evaluation of Atrial Electromechanical Delay in Children with Obesity.
Temiz F, Güneş H, Güneş H
Medicina (Kaunas) 2019 May 30;55(6) doi: 10.3390/medicina55060228. PMID: 31151287Free PMC Article
Atrial average conduction velocity in patients with and without paroxysmal atrial fibrillation.
Zheng Y, Xia Y, Carlson J, Kongstad O, Yuan S
Clin Physiol Funct Imaging 2017 Nov;37(6):596-601. Epub 2016 Jan 13 doi: 10.1111/cpf.12342. PMID: 26762841
P-Wave Dispersion and Atrial Electromechanical Delay in Patients with Preeclampsia.
İnci S, Nar G, Aksan G, Sipahioğlu H, Soylu K, Dogan A
Med Princ Pract 2015;24(6):515-21. Epub 2015 Aug 1 doi: 10.1159/000435857. PMID: 26278001Free PMC Article
Assessment of atrial electromechanical delay and P-wave dispersion in patients with psoriasis.
Yildiz A, Ucmak D, Oylumlu M, Akkurt MZ, Yuksel M, Akil MA, Acet H, Polat N, Aydin M, Bilik MZ
Echocardiography 2014 Oct;31(9):1071-6. Epub 2014 Feb 7 doi: 10.1111/echo.12530. PMID: 25271546

Diagnosis

First-degree atrioventricular block in patients with atrial fibrillation and atrial flutter: the prevalence of intra-atrial conduction delay.
Spies F, Knecht S, Zeljkovic I, Reichlin T, Madaffari A, Osswald S, Sticherling C, Kühne M
J Interv Card Electrophysiol 2021 Aug;61(2):421-425. Epub 2020 Jul 30 doi: 10.1007/s10840-020-00838-3. PMID: 32734408Free PMC Article
Inter/Intra-Atrial Dissociation in Patients With Maze Procedure and Its Clinical Implications: Pseudo-Block and Pseudo-Ventricular Tachycardia.
Do U, Nam GB, Kim M, Cho MS, Kim J, Choi KJ, Kim YH
J Am Heart Assoc 2020 Dec;9(23):e018241. Epub 2020 Nov 20 doi: 10.1161/JAHA.120.018241. PMID: 33215559Free PMC Article
Atrial average conduction velocity in patients with and without paroxysmal atrial fibrillation.
Zheng Y, Xia Y, Carlson J, Kongstad O, Yuan S
Clin Physiol Funct Imaging 2017 Nov;37(6):596-601. Epub 2016 Jan 13 doi: 10.1111/cpf.12342. PMID: 26762841
Atrial conduction delay predicts atrial fibrillation in paroxysmal supraventricular tachycardia patients after radiofrequency catheter ablation.
Xu ZX, Zhong JQ, Zhang W, Yue X, Rong B, Zhu Q, Zheng Z, Zhang Y
Ultrasound Med Biol 2014 Jun;40(6):1133-7. Epub 2014 Mar 6 doi: 10.1016/j.ultrasmedbio.2014.01.006. PMID: 24613637
Paroxysmal atrial fibrillation is associated with increased intra-atrial conduction delay.
Pytkowski M, Jankowska A, Maciag A, Kowalik I, Sterlinski M, Szwed H, Saumarez RC
Europace 2008 Dec;10(12):1415-20. Epub 2008 Oct 19 doi: 10.1093/europace/eun282. PMID: 18936043

Therapy

Inter/Intra-Atrial Dissociation in Patients With Maze Procedure and Its Clinical Implications: Pseudo-Block and Pseudo-Ventricular Tachycardia.
Do U, Nam GB, Kim M, Cho MS, Kim J, Choi KJ, Kim YH
J Am Heart Assoc 2020 Dec;9(23):e018241. Epub 2020 Nov 20 doi: 10.1161/JAHA.120.018241. PMID: 33215559Free PMC Article
Long term evaluation of electromechanical delay in patients with atrial septal defect after transcatheter closure.
Öz A, Aruğaslan E, Çınar T, Keskin M, Hayıroğlu MI, Avşar Ş, Karataş MB, Aydın BA, Demir K, Güngör B, Bolca O
Int J Cardiovasc Imaging 2019 Jan;35(1):33-39. Epub 2018 Jul 30 doi: 10.1007/s10554-018-1426-x. PMID: 30062536
The Duration of the Amplified Sinus-P-Wave Identifies Presence of Left Atrial Low Voltage Substrate and Predicts Outcome After Pulmonary Vein Isolation in Patients With Persistent Atrial Fibrillation.
Jadidi A, Müller-Edenborn B, Chen J, Keyl C, Weber R, Allgeier J, Moreno-Weidmann Z, Trenk D, Neumann FJ, Lehrmann H, Arentz T
JACC Clin Electrophysiol 2018 Apr;4(4):531-543. Epub 2018 Feb 3 doi: 10.1016/j.jacep.2017.12.001. PMID: 30067494
Electrophysiological Effects of Selective Atrial Coronary Artery Occlusion in Humans.
Álvarez-García J, Vives-Borrás M, Gomis P, Ordoñez-Llanos J, Ferrero-Gregori A, Serra-Peñaranda A, Cinca J
Circulation 2016 Jun 7;133(23):2235-42. Epub 2016 May 5 doi: 10.1161/CIRCULATIONAHA.116.021700. PMID: 27151531
Doppler tissue evaluation of intra-atrial and interatrial electromechanical delay and comparison with P-wave dispersion in patients with mitral stenosis.
Ozer N, Yavuz B, Can I, Atalar E, Aksöyek S, Ovünç K, Ozmen F, Kes S
J Am Soc Echocardiogr 2005 Sep;18(9):945-8. doi: 10.1016/j.echo.2005.01.015. PMID: 16153519

Prognosis

Evaluation of Atrial Electromechanical Delay in Children with Obesity.
Temiz F, Güneş H, Güneş H
Medicina (Kaunas) 2019 May 30;55(6) doi: 10.3390/medicina55060228. PMID: 31151287Free PMC Article
Intra-Atrial Conduction Delay Revealed by Multisite Incremental Atrial Pacing is an Independent Marker of Remodeling in Human Atrial Fibrillation.
Williams SE, Linton NWF, Harrison J, Chubb H, Whitaker J, Gill J, Rinaldi CA, Razavi R, Niederer S, Wright M, O'Neill M
JACC Clin Electrophysiol 2017 Sep;3(9):1006-1017. doi: 10.1016/j.jacep.2017.02.012. PMID: 28966986Free PMC Article
Atrial average conduction velocity in patients with and without paroxysmal atrial fibrillation.
Zheng Y, Xia Y, Carlson J, Kongstad O, Yuan S
Clin Physiol Funct Imaging 2017 Nov;37(6):596-601. Epub 2016 Jan 13 doi: 10.1111/cpf.12342. PMID: 26762841
Atrial conduction delay predicts atrial fibrillation in paroxysmal supraventricular tachycardia patients after radiofrequency catheter ablation.
Xu ZX, Zhong JQ, Zhang W, Yue X, Rong B, Zhu Q, Zheng Z, Zhang Y
Ultrasound Med Biol 2014 Jun;40(6):1133-7. Epub 2014 Mar 6 doi: 10.1016/j.ultrasmedbio.2014.01.006. PMID: 24613637
Atrial conduction time and atrial mechanical function in patients with impaired fasting glucose.
Ayhan S, Ozturk S, Alcelik A, Ozlu MF, Erdem A, Memioglu T, Ozdemir M, Yazici M
J Interv Card Electrophysiol 2012 Dec;35(3):247-52; discussion 252. Epub 2012 Sep 26 doi: 10.1007/s10840-012-9722-1. PMID: 23011387

Clinical prediction guides

Inter/Intra-Atrial Dissociation in Patients With Maze Procedure and Its Clinical Implications: Pseudo-Block and Pseudo-Ventricular Tachycardia.
Do U, Nam GB, Kim M, Cho MS, Kim J, Choi KJ, Kim YH
J Am Heart Assoc 2020 Dec;9(23):e018241. Epub 2020 Nov 20 doi: 10.1161/JAHA.120.018241. PMID: 33215559Free PMC Article
Evaluation of Atrial Electromechanical Delay in Children with Obesity.
Temiz F, Güneş H, Güneş H
Medicina (Kaunas) 2019 May 30;55(6) doi: 10.3390/medicina55060228. PMID: 31151287Free PMC Article
Atrial average conduction velocity in patients with and without paroxysmal atrial fibrillation.
Zheng Y, Xia Y, Carlson J, Kongstad O, Yuan S
Clin Physiol Funct Imaging 2017 Nov;37(6):596-601. Epub 2016 Jan 13 doi: 10.1111/cpf.12342. PMID: 26762841
Atrial conduction delay predicts atrial fibrillation in paroxysmal supraventricular tachycardia patients after radiofrequency catheter ablation.
Xu ZX, Zhong JQ, Zhang W, Yue X, Rong B, Zhu Q, Zheng Z, Zhang Y
Ultrasound Med Biol 2014 Jun;40(6):1133-7. Epub 2014 Mar 6 doi: 10.1016/j.ultrasmedbio.2014.01.006. PMID: 24613637
Atrial conduction time and atrial mechanical function in patients with impaired fasting glucose.
Ayhan S, Ozturk S, Alcelik A, Ozlu MF, Erdem A, Memioglu T, Ozdemir M, Yazici M
J Interv Card Electrophysiol 2012 Dec;35(3):247-52; discussion 252. Epub 2012 Sep 26 doi: 10.1007/s10840-012-9722-1. PMID: 23011387

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