Hernandez-Betancor Ivan, Izquierdo-Gomez Maria Manuela, Garcia-Niebla Javier, Laynez-Cerdena Ignacio, Garcia-Gonzalez Martin Jesus, Barragan-Acea A, Irribarren-Sarria Jose Luis, Jimenez-Rivera Juan Jose, Lacalzada-Almeida Juan
Departamento de Cardiologia, Hospital Universitario de Canarias, San Cristobal de La Laguna, Tenerife. Spain.
Centro de Salud Valle del Golfo, Servicios Sanitarios del Area de Salud de El Hierro, Frontera-El Hierro, Santa Cruz de Tenerife, Tenerife. Spain.
Curr Cardiol Rev. 2017;13(4):263-273. doi: 10.2174/1573403X13666170713122600.
Interatrial block (IAB) is due to disruption in the Bachmann region (BR). According to whether interatrial electrical conduction is delayed or completely blocked through the BR, it can be classified as IAB of first, second or third degree. On the surface electrocardiogram, a P wave ≥ 120 ms (partial IAB) is observed or associated to the prolongation of the P wave with a biphasic (positive / negative) morphology in the inferior leads (advanced IAB). Bayes syndrome is defined as an advanced IAB associated with atrial arrhythmia, more specifically atrial fibrillation. Objective and Conclusion: The purpose of this review is to describe the latest evidence about an entity considered an anatomical and electrical substrate with its own name, which may be a predictor of supraventricular arrhythmia and cardioembolic cerebrovascular accidents, as well as the role of new imaging techniques, such as echocardiographic strain and cardiac magnetic resonance imaging, in characterizing atrial alterations associated with this syndrome and generally in the study of anatomy and atrial function.
房间阻滞(IAB)是由于Bachmann区域(BR)中断所致。根据房间电传导通过BR是延迟还是完全阻滞,可将其分为一度、二度或三度IAB。在体表心电图上,可观察到P波≥120 ms(部分IAB)或伴有下壁导联双相(正向/负向)形态的P波延长(进展性IAB)。贝斯综合征定义为与房性心律失常,更具体地说是房颤相关的进展性IAB。目的与结论:本综述的目的是描述关于一个具有自身名称的解剖和电生理基质的最新证据,其可能是室上性心律失常和心源性脑血管意外的预测指标,以及新的成像技术,如超声心动图应变和心脏磁共振成像,在表征与该综合征相关的心房改变以及一般心房解剖和功能研究中的作用。