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. 2020 Aug 13;56(8):410. doi: 10.3390/medicina56080410

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