Interatrial Block: A Novel Risk Factor for Embolic Stroke?

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BackgroundInteratrial block (IAB; P wave ≥110 ms) is highly prevalent and is strongly associated with atrial tachyarrhythmias and left atrial dysfunction, making it a potential embolic risk.Methods and ResultsAmong 293 neurological admissions over 2 years, 85 patients were diagnosed with embolic strokes and 208 with nonembolic strokes. Patients were then matched for stroke risk factors and evaluated for IAB. Eighty-eight percent of probable embolic stroke patients showed sinus rhythm, demonstrating a 61% IAB prevalence. Only hypertension (P < 0.001; r = 0.3) and IAB (P < 0.006; r = 0.2) were significant and directly correlated.ConclusionIAB could indeed be a novel risk for embolic strokes and further investigation is warranted.

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