What does this research mean for the field?

Coarse atrial fibrillatory waves in patients with congenital heart disease are associated with right atrial or biatrial enlargement and may be caused by atrial distention. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the relationship between coarse atrial fibrillatory waves and atrial chamber enlargement in patients with congenital heart disease.

August 1, 1965CirculationOpen Access

Coarse Atrial Fibrillation in Congenital Heart Disease

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To describe the relationship between coarse atrial fibrillatory waves and atrial chamber enlargement in patients with congenital heart disease.
Reviewed clinical findings and electrocardiographic recordings from four patients (N=4) with congenital heart disease.
Analyzed the presence and morphology of coarse fibrillatory waves in electrocardiographic lead V1 alongside anatomical evidence of atrial enlargement.
All four cases exhibited prominent, coarse atrial fibrillatory waves in lead V1.
Every patient showed clear clinical or electrocardiographic signs of right atrial or biatrial enlargement.
The coarse morphology of the fibrillatory waves was qualitatively linked to physical distention of the atria.

Structured PICO

Population

4 cases of congenital heart disease showing coarse atrial fibrillatory waves in V1 and evidence of right atrial or biatrial enlargement

Outcome

Observation of coarse f waves and atrial enlargement

Discussion

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Implication

Coarse f waves in V1 may indicate atrial distention in congenital heart disease; case reports leave open specificity and generalizability.

Cite This Study

M Thurmann (1965) studied this question.

synapsesocial.com/papers/6a1bd37fea84844e355f0970 https://doi.org/10.1161/01.cir.32.2.290

Topics

Atrial fibrillation Persistent AF management Congenital heart disease adults

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Implication

Coarse f waves in V1 may indicate atrial distention in congenital heart disease; case reports leave open specificity and generalizability.

Coarse Atrial Fibrillation in Congenital Heart Disease

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Coarse Atrial Fibrillation in Congenital Heart Disease

Key Points

Structured PICO

Discussion

Implication

Cite This Study

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