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Published on: May 31, 2022
Second-degree interatrial block in hemodialysis patients.
Andres Enriquez1, Marco Marano2, Anna D'Amato2
1Division of Cardiology, Department of Medicine, Queen's University, Kingston, ON, Canada.
Interatrial block (IAB), a delay in heart signal conduction, can be intermittent. This study presents two cases of patients undergoing chronic hemodialysis who experienced intermittent IAB, highlighting a potential link.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Interatrial conduction delays cause prolonged P-wave duration on ECG.
- Interatrial block (IAB) describes these delays, which are typically fixed but can be intermittent.
- Intermittent IAB suggests functional conduction issues, potentially at the Bachmann bundle.
Purpose of the Study:
- To report cases of intermittent interatrial block (IAB) in patients on chronic hemodialysis.
- To explore the association between chronic hemodialysis and intermittent IAB.
Main Methods:
- Case report of two patients undergoing chronic hemodialysis.
- Electrocardiogram (ECG) analysis to identify intermittent interatrial block (IAB).
Main Results:
- Both patients presented with intermittent interatrial block (IAB).
- The findings suggest a possible connection between chronic hemodialysis and the occurrence of intermittent IAB.
Conclusions:
- Chronic hemodialysis may be associated with intermittent interatrial block (IAB).
- Further research is warranted to understand the mechanisms linking hemodialysis and conduction delays.
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