Atrial electrophysiological characteristics of aging

Abstract

Introduction: Advancing age is a known risk factor for developing atrial fibrillation (AF), yet it is unknown which electrophysiological changes contribute to this increased susceptibility. The goal of this study is to investigate conduction disturbances and unipolar voltages (UV) related to aging. Methods: We included 216 patients (182 male, age: 36–83 years) without a history of AF undergoing elective coronary artery bypass surgery. Five seconds of sinus rhythm were recorded intraoperatively at the right atrium (RA), Bachmann's bundle (BB), the left atrium and the pulmonary vein area (PVA). Conduction delay (CD), -block (CB), -velocity (CV), length of longest CB lines and UV were assessed in all regions. Results: With aging, increasing conduction disturbances were found, particularly at RA and BB (RA: longest CB line rs =.158, p =.021; BB: CB prevalence rs =.206, p =.003; CV rs = −.239, p <5th percentile) increased with aging at the BB and PVA (BB: rs =.237, p