Dynamic variations of P-wave duration in a patient with acute decompensated congestive heart failure
Author(s) -
Riccardo Proietti,
Antonio Mafrici,
David H. Spodick
Publication year - 2012
Publication title -
cardiology journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.573
H-Index - 33
eISSN - 1897-5593
pISSN - 1898-018X
DOI - 10.5603/cj.2012.0017
Subject(s) - medicine , cardiology , heart failure , diuretic , acute decompensated heart failure , natriuretic peptide
Interatrial block is an abnormally delayed atrial activation, characterized at ECG by prolonged P-wave duration (more than 110 ms), irrespective of morphology. We report the case of a patient with acute decompensated severe congestive heart failure, that at hospital admission showed a prolonged P-wave, which reverted after diuretic therapy. The dynamic change of the atrial P-wave correlates with clinical evolution and serum level modification of B-type natriuretic peptide.
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