Interatrial block: correlation with P-terminal force.
OBJECTIVE
Interatrial block (IAB: P-duration > 100 ms) is poorly recognized in hospital populations. In addition to reduced left atrial function and left atrial enlargement it predicts atrial fibrillation and other arrthymias. P-terminal force (Ptf): +/- biphasic P in lead V(1) > or = area of 1 small square on the electrocardiogram (ECG) grid also indicates left atrial abnormality, particularly left atrial enlargement. These 2 should be related. We determined the intercorrelation.


RESULTS
Two blinded observers evaluated 500 consecutive patients' ECGs for both Ptf and IAB utilizing all 12 leads for IAB and V(1) for Ptf. Measurement differences were resolved in a consensus conference. Among 482 usable ECGs, IAB and Ptf were strongly and significantly correlated (chi(2) = 68.041; P < or = .001).


CONCLUSIONS
IAB and Ptf are significantly and strongly correlated and one should be expected in the majority of cases when the other is recognized.
Department of Medicine, Saint Vincent Hospital, Worcester, MA 01608, USA. David.Spodick@stvincenthospital.com
David H
DH
Spodick
Vignendra
V
Ariyarajah
Robert
R
Goldberg
D004311:Double-Blind Method; D004562:Electrocardiography / Q000379:methods*; D006325:Heart Atria / Q000503:physiopathology*; D006327:Heart Block / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D013318:Stroke Volume / Q000502:physiology