山梨医科大学雑誌 第3巻4号 141-146(1988)

Atrial Fibrillation and Fragmented Atrial Activity
in Sick Sinus Syndrome

Sadayoshi KOMORI, Yuichiro WATANABE, Tetsuya ASAKAWA,
Hiroshi IJIRI, Shinya FUJIMAKI, Hiroyuki ISHII,
Tetsuyo YOSHIZAKI, and Kohji TAMURA

Abstract: We evaluated the relationship between paroxysmal atrial fibrillation and fragmented atrial activity in eighteen patients with sick sinus syndrome. Twelve patients had paroxysmal atrial fibrillation (group A), and six patients had no such dysrhythmia (group B). Fragmented atrial activity was recorded in 10 of the 12 patients (83%) in group A, but only 1 of the 6 patients (17%) in group B. The sensitivity, the specificity and the predictive value of the fragmented atrial activity to predict the paroxysmal atrial fibrillation were 83%, 71% and 83% respectively. In conclusion, fragmented atrial activity may be a good index to predict spontaneous paroxysmal atrial fibrillation in sick sinus syndrome.

Key words: Fragmented atrial activity, Atrial fibrillation, Sick sinus syndrome




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