Background: Interatrial block (IAB) is due to disruption in the Bachmann region (BR).
According to whether interatrial electrical conduction is delayed or completely blocked through the
BR, it can be classified as IAB of first, second or third degree. On the surface electrocardiogram, a P
wave ≥ 120 ms (partial IAB) is observed or associated to the prolongation of the P wave with a
biphasic (positive / negative) morphology in the inferior leads (advanced IAB). Bayes syndrome is
defined as an advanced IAB associated with atrial arrhythmia, more specifically atrial fibrillation.
Objective and Conclusion: The purpose of this review is to describe the latest evidence about an
entity considered an anatomical and electrical substrate with its own name, which may be a predictor
of supraventricular arrhythmia and cardioembolic cerebrovascular accidents, as well as the role of
new imaging techniques, such as echocardiographic strain and cardiac magnetic resonance imaging,
in characterizing atrial alterations associated with this syndrome and generally in the study of anatomy
and atrial function.
Keywords: Bayes syndrome, interatrial block, atrial remodeling, atrial fibrosis, atrial fibrillation, echocardiography, speckletracking
echocardiography, cardiac magnetic resonance, Bachmann region, interatrial conduction delay.
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