Table 2.
Interatrial conduction block (IAB) types, their electrophysiological background and the corresponding ECG features.
| IAB Type | Electrophysiological Background | ECG Features |
|---|---|---|
| first-degree (partial) | delayed conduction in the zone of BB | P-wave duration >120 ms |
| third-degree (advanced) | blocked conduction in the zone of BB: caudocranial, retrograde activation of the left atrium from the low right atrium (coronary sinus and to a lesser degree, the fossa ovalis) | P wave duration >120 ms with biphasic morphology (a positive initial component and a terminal negative component) in the inferior leads (II, III, aVF) |
| second-degree | delayed or blocked conduction in the zone of BB | transient appearance of first-degree and/or third-degree IAB pattern on the same ECG recording (atrial aberrancy)—related or not to an atrial premature beat |