Paroxysmal AV block Laboratory Findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
Adenosine Plasma levels, adenosine triphosphate stimulation tests and lab values related to potential reversible causes of AV block such as a thyroid profile, electrolyte values,etc are important laboratory investigations.
Laboratory Investigations and stimulation tests
- Adenosine plasma levels (APL) and Adneosine Triphosphate (ATP)stimulation tests are tests of value in extrinsic idiopathic paroxysmal AV Block.
- Other lab investigations such as arterial blood gas analysis, hemoglobin, troponin or D- dimer may help with the diagnoses in appropriate clinical situations. "ESC Guidelines on Syncope (Diagnosis and Management of)".
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Recommendation for Laboratory Testing
| Recommendation for Laboratory Testing |
| "1. In patients with bradycardia, laboratory tests (eg, thyroid function tests, Lyme titer, potassium, pH) based on clinical suspicion
for a potential underlying cause are reasonable (Level of Evidence: C-LD)[1] " |
References
- ↑ Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR; et al. (2019). "2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society". J Am Coll Cardiol. 74 (7): 932–987. doi:10.1016/j.jacc.2018.10.043. PMID 30412710.