Atrial myxoma surgery and P‐wave remodeling

Introduction Data regarding atrial electrocardiographic parameters in patients with atrial myxomas are scarce. Methods We aimed to study atrial electrocardiographic features in patients with atrial myxomas, before and after surgery. We also analyze the incidence of atrial fibrillation during follow‐up and its correlation with different P‐wave indexes. In total 32 patients in sinus rhythm that underwent atrial myxoma surgery were included. Results Mean age was 55.0 ± 12.6 years and 18 (56.3%) were women. Ten patients had left atrial enlargement (31.3%). Only one myxoma was located in the right atrium. At baseline seven cases of partial interatrial block (IAB) were detected (21.9%), two in the absence of left atrial enlargement. There were significant differences in atrial electrocardiographic indexes before and after surgery, including P‐wave duration (108.9 ± 17.9 ms vs. 93.0 ± 12.4 ms; p