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Updated: Jan 28, 2026

Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
Predictive value of interatrial block for atrial fibrillation in elderly subjects enrolled in the PREDICTOR study
Alessandro Boccanelli1, Gian Francesco Mureddu2, Giulia Cesaroni3
1Casa di Cura Quisisana, Rome, Italy.
Insights
Interatrial block (IAB) is linked to a higher risk of developing atrial fibrillation (AF). This electrical condition appears to predict AF independently of structural heart changes, particularly in normal-weight individuals.
Area of Science:
- Cardiology
- Electrophysiology
- Preventive Medicine
Background:
- Atrial fibrillation (AF) is a common arrhythmia with significant morbidity.
- Interatrial block (IAB) is an electrocardiographic finding reflecting delayed conduction between the atria.
- The relationship between IAB and the future risk of AF, independent of structural heart disease, requires further elucidation.
Purpose of the Study:
- To investigate the association between the presence of interatrial block (IAB) and the subsequent development of atrial fibrillation (AF).
- To determine if the predictive effect of IAB on AF risk is independent of structural cardiac alterations.
Main Methods:
- Prospective, multicentre follow-up study of subjects from the PREDICTOR population-based study.
- Subjects were grouped based on IAB status.
- Data collected included socio-demographics, ECGs, echocardiograms, NT-proBNP levels, with follow-up via administrative data over a mean of 6.6 years.
Main Results:
- 1626 subjects were analyzed; 25.5% had IAB.
- IAB alone showed a trend towards association with AF (HR=1.50, p=0.058).
- In normal-weight subjects, IAB strongly predicted AF (HR=3.05, p=0.002), independent of confounders like left ventricular hypertrophy or NT-proBNP.
Conclusions:
- Interatrial block (IAB) is an electrical condition that can increase the risk of developing atrial fibrillation (AF).
- This association appears independent of underlying structural cardiac alterations, especially in normal-weight individuals.
Aims:
The principal aims of this prospective multicentre study were to relate the presence of interatrial block (IAB) with a late occurrence of atrial fibrillation (AF) and to demonstrate the independence of the IAB effect on risk of AF from structural cardiac alterations.
Methods:
This prospective study was the follow-up of subjects included in the PREDICTOR cross-sectional population-based study. Subjects were divided into groups according to IAB status. Socio-demographic and health characteristic were collected during enrolment in the PREDICTOR along with ECGs, echocardiograms and NT-proBNP dosages. Follow up was performed on administrative data. The mean time of follow up was 6.6 years.
Results:
1626 subjects were included in the analysis. Four hundred-fifteen subjects out of 1626 (25.5%) had IAB. The survival analysis suggests an association between IAB alone and AF (HR = 1.50, p = 0.058) and, in normal-weight subjects, IAB strongly predicted AF indicating more than triple the risk (HR = 3.05; p = 0.002 95% CI: 1.51-6.18). The association seems to be independent of possible confounders such as history of IHD, left ventricular hypertrophy, CHA2DS2-VASc, left atrial dimension, or NT-proBNP dosage.
Conclusion:
Our analysis suggests that IAB is an electric condition that can increase the risk of AF independently of any structural cardiac alterations, at least in normal-weight subjects.
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